Obesity and excess weight are more than just cosmetic concerns—they are health risks that significantly impact quality of life. From fatigue and low self-esteem to serious metabolic disorders like type 2 diabetes and cardiovascular disease, being overweight can reduce life expectancy and increase medical complications.

Dr. Anju Methil, an acclaimed cosmetologist & dermatologist in Andheri, Mumbai, explains:

“Obesity and uncontrolled diabetes often coexist, creating a vicious cycle of insulin resistance and metabolic damage. Traditional medications sometimes fall short in breaking this loop. That’s where innovative treatments like Mounjaro Injection come in—it targets the root causes of metabolic dysfunction by regulating glucose levels and reducing weight in a synergistic manner. This dual action is revolutionary in the management of type 2 diabetes.”

This case study explores the treatment journey of Mrs. Anita Shah, a 42-year-old professional battling both obesity and poorly controlled type 2 diabetes. With persistent symptoms and suboptimal response to standard therapies, her story represents a common struggle—and a hopeful resolution through the use of Mounjaro Injection, supervised by Dr. Anju Methil at Skin and Shape Clinic.

Doctor’s Name: Dr. Anju Methil

Clinic/ Hospital Name: Skin and Shape Clinic

Patient’s Name: Mrs. Anita Shah

Patient’s Age: 42

Gender: Female

Mrs. Anita Shah, a 42-year-old working professional residing in Mumbai, had been managing type 2 diabetes for the past six years. Despite being on oral medications like metformin and adopting lifestyle changes, her success was limited. With her job involving long hours of desk work and high stress, maintaining a healthy routine became increasingly difficult. Her recent lab reports showed a worrying trend—elevated blood sugar levels and persistent fatigue. Frustrated by her plateaued weight and worsening glucose control, Anita sought a more targeted and effective solution.

At her first visit to the Skin and Shape Clinic, Mrs. Shah reported a range of distressing symptoms that impacted her daily life and work performance. These included:

• Fatigue: Persistent low energy throughout the day, especially after meals.
• Frequent urination: Increased trips to the bathroom, especially at night, disrupting sleep.
• Increased thirst: Constant need to drink water, often interfering with meetings and travel.
• Uncontrolled blood glucose: Despite oral medications, her blood sugar levels remained erratic.
• Difficulty in weight loss: Even with calorie control and intermittent workouts, the scale showed minimal movement.

To assess the severity of her condition, a comprehensive diagnostic workup was performed:

1. HbA1c: 8.2% (indicating poor long-term glucose control)
2. Fasting Blood Sugar: 168 mg/dL
3. Postprandial Blood Sugar: 242 mg/dL
4. BMI: 32.7
5. Lipid Profile: Mild dyslipidemia, showing early signs of cardiovascular risk

Mrs. Shah was diagnosed with:

• Poorly controlled Type 2 Diabetes Mellitus
• Obesity (Class I)
• Insulin resistance

Dr. Anju Methil, a trusted expert for Mounjaro Injection treatment in Mumbai, shares:

“Mrs. Shah’s profile is not uncommon—we see many patients whose diabetes is progressing despite being on medications. The added burden of obesity complicates management further. Our goal is not just sugar control but a holistic metabolic reset. That’s where Tirzepatide (Mounjaro) becomes an excellent option—it’s not just about numbers on a chart, but giving patients a new lease on life.”

Considering her medical profile and treatment history, a structured plan was formulated:

Mounjaro Injection (Tirzepatide): The patient was initiated on 2.5 mg once weekly. The dose was set to be gradually increased over subsequent weeks depending on her response and side effect tolerance.

Lifestyle Interventions: A detailed consultation with a registered dietician was arranged. A customised meal plan focusing on low-glycemic foods and a 45-minute daily activity routine was implemented.

Sleep and Stress Management: Stress-relieving practices such as guided breathing and mindfulness meditation were also recommended, given their role in glucose spikes.

Following the initial treatment phase, the patient was given the following ongoing care instructions:

Regular Blood Sugar Monitoring: Especially important during dose escalation phases.

• Food & Activity Journal: To monitor triggers and stay accountable.
• Weekly Weight Checks: To ensure steady progress and adjust lifestyle plans accordingly.
• Symptom Reporting: Any signs of nausea, vomiting, or abdominal pain were to be reported immediately.
• Monthly Follow-Up Appointments: To evaluate side effects and modify the injection dosage.
• Quarterly Liver & Kidney Function Tests: To monitor systemic safety, especially in long-term use.

After three months of consistent treatment and follow-up, the patient demonstrated significant improvements:

HbA1c Reduction: Dropped from 8.2% to 6.7%, indicating excellent glycemic control.

Weight Loss: A reduction of 6.2 kg, with most of the loss in abdominal fat.

Improved Energy Levels: Anita reported reduced fatigue and better concentration at work.

No Major Side Effects: Minor initial nausea that subsided in two weeks.

Improved Lifestyle Compliance: Better appetite control made sticking to high protein intake and exercise easier.

With continued adherence to the treatment plan, the prognosis is optimistic:
✔ Sustained Glycemic Control: Lowered risk of diabetic complications like neuropathy and retinopathy.
✔ Continued Weight Reduction: Especially as lifestyle habits become entrenched.
✔ Reduced Cardiovascular Risk: Better lipid profile and blood pressure control expected.
✔ Insulin Avoidance: Delaying the need for insulin therapy, improving long-term independence.success.

“I had reached a point where I felt stuck—my sugar levels were rising, and nothing seemed to help with the weight. I was constantly tired, and my confidence was at an all-time low. That’s when I found Dr. Anju Methil and her team. The way they explained the science behind Mounjaro made me feel hopeful. Within weeks, I began to see real change. I feel more in control of my health. For the first time in years, I’ve seen real progress—not just on the scale but in how I feel every day. Mounjaro has given me the boost I needed.”