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This is a powerful, compounded injectable medication used for weight management and metabolic health. It contains Tirzepatide, which is a unique dual-acting medication that mimics two gut hormones (GIP and GLP-1). This dual action is highly effective because it significantly increases your feeling of satiety (fullness), slows down digestion, and dramatically improves your body’s ability to handle blood sugar and insulin, leading to substantial weight loss. The blend includes Vitamin B12 for supportive benefits, helping to boost energy levels and prevent the fatigue that can sometimes accompany significant caloric restriction.

Tirzepatide + B12 is administered via subcutaneous injection (into the fatty tissue) once per week.

Timing: You must choose one fixed day of the week (e.g., Wednesday evening) and take the injection on that same day every week. While you can change the day, you must ensure there are at least three days (72 hours) between doses. It can be taken at any time of day, with or without food.

How to Inject (Subcutaneous):

1. Preparation: Always store the high-concentration vial in the refrigerator. Use a new, sterile insulin syringe for every injection and clean the vial top with an alcohol wipe before drawing the medication.
2. Dosing: Your dose will be measured very precisely in units on the syringe, as prescribed by your doctor. The dose must be increased very gradually over several weeks (a process called titration) to minimize severe side effects. Never increase the dose faster or higher than prescribed.
3. Site Selection: The injection must be administered into the fatty tissue of your abdomen (at least two inches away from your belly button), the thigh, or the back of the upper arm. It is crucial to rotate the injection site each week (e.g., right abdomen one week, left thigh the next) to prevent skin irritation.
4. Injection: Clean the skin with an alcohol wipe and let it dry. Pinch about an inch of skin and fat, insert the needle at a 45-to-90-degree angle, and push the plunger until the full dose is dispensed. Withdraw the needle quickly and dispose of the syringe in an approved sharps container.

Like Semaglutide, the most common side effects are gastrointestinal, including nausea, vomiting, diarrhea, or constipation. These typically appear when you start treatment or when the dose is increased. They are best managed by strictly adhering to the gradual, prescribed dosing schedule, eating smaller, bland portions, and avoiding high-fat foods.

The titration schedule (gradual dose increase) is absolutely mandatory for Tirzepatide. It is the single most important safety step and is required to allow your body's gastrointestinal system to adjust to the powerful dual mechanism of the medication, thereby minimizing severe side effects.

Because this blend is highly concentrated, this 2mL vial is designed to last you approximately 8 to 9 weeks or more, depending on where you are in the dose escalation schedule. This is a larger supply than the 1mL vial you asked about previously.

No, Tirzepatide is a long-term management tool. Once you reach your goal weight, your doctor will guide you through a maintenance phase, often involving a lower dose, to help you sustain the weight loss and continue benefiting from the metabolic improvements.

Trizep + B12 (8-9 weeks) $802