HealthRX.com · Printable lab tracker
After pancreatitis on Mounjaro: follow-up lab and symptom tracker
Record the attack itself, what the cause work-up found, and each follow-up result (lipase, glucose or HbA1c, triglycerides) with your symptoms, so repeat visits compare like with like. The lab facts that change how a lipase result reads on Mounjaro, and the warning signs to act on, are printed with it.
The attack
Date the pain started
Last Mounjaro injection, and the date it was stopped
Peak lipase or amylase, as a multiple of the upper limit of normal
Imaging done and what it showed
Cause work-up: gallstones, triglycerides, alcohol, calcium, other
Severity you were told (mild, moderately severe, severe)
Follow-up results
Write the lab's normal range next to each lipase result so values from different labs can be compared.
| Date | Lipase (and normal range) | Glucose or HbA1c | Fasting triglycerides | Pain, weight or stool changes | Next step agreed |
|---|---|---|---|---|---|
How to read the results
- ACG guideline: acute pancreatitis is usually diagnosed by 2 of 3 findings, one of which is lipase or amylase above 3 times the upper limit of normal.[1]
- Mounjaro label: in placebo-controlled trials, mean lipase rose 31% to 42% and pancreatic amylase 33% to 38% on Mounjaro, against no lipase change and a 4% amylase rise on placebo. Without other signs of pancreatitis, the meaning of these rises is unknown.[2]
- ACG guideline: without gallstones or significant alcohol use, triglycerides above 1,000 mg/dL are considered as the cause, and a fasting level is rechecked 1 month after discharge when that is suspected.[1]
- Dutch cohort: smoking was the main risk factor for another attack, and alcohol plus smoking gave the highest risk of chronic pancreatitis.[3]
Act now
- Persistent or severe stomach pain, sometimes spreading to the back, with or without vomiting: if pancreatitis is suspected, Mounjaro is stopped and you need medical care.[2]
- Not improving 48 to 72 hours into an attack, with ongoing pain, fever, nausea or inability to eat: the guideline advises CT or MRI to look for complications.[1]
For the specialist or follow-up visit
- Which of the three diagnostic findings did my attack meet?
- What did the cause work-up show, and is anything still to be tested?
- When should imaging be repeated, if at all?
- Should my pancreas function or blood sugar be checked, and how often?
- Which diabetes or weight medicines are suitable for me now?
Sources for the facts on this sheet
- Tenner S, Vege SS, Sheth SG, et al. American College of Gastroenterology Guidelines: Management of Acute Pancreatitis. Am J Gastroenterol 2024. PMID 38857482. https://pubmed.ncbi.nlm.nih.gov/38857482/
- Eli Lilly and Company, via DailyMed. Mounjaro (tirzepatide) injection, for subcutaneous use: prescribing information and Medication Guide. Effective 2026-08-27. https://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=d2d7da5d-ad07-4228-955f-cf7e355c8cc0
- Ahmed Ali U, Issa Y, Hagenaars JC, et al. Risk of Recurrent Pancreatitis and Progression to Chronic Pancreatitis After a First Episode of Acute Pancreatitis. Clin Gastroenterol Hepatol 2016. PMID 26772149. https://pubmed.ncbi.nlm.nih.gov/26772149/
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.