It's crucial to ensure safety, accuracy, and compliance with legal regulations.
Always consult a licensed healthcare provider before using compounded medications.

We use a starter 2.5 mg at Visit 1, then evaluate and adjust according to response.
The standard dosing for tirzepatide (FDA-approved) is:

• Starting dose: 2.5 mg once weekly
• Titration: Increase dose if no side effects and persisting hunger.
• Maintenance doses

If using a lyophilized (powder) form, you’ll need:

• Vial strength (e.g., 10 mg, 15 mg)
• Bacteriostatic water (BAC water) for reconstitution
• Insulin syringes (U-100, typically 0.3 mL or 0.5 mL)

Example Calculation for a 10 mg Vial:

• If prescribed 5 mg per week, one 10 mg vial = 2 doses.
• Reconstitution:
• Add 1 mL BAC water → 10 mg/mL concentration.
• For a 5 mg dose, draw 0.5 mL (50 units on an insulin syringe).

Sterility: Never reuse needles or vials.
Storage:Refrigerate (2°C–8°C / 36°F–46°F) before reconstitution;
some compounded forms may be stable at room temperature.

Legal & Safety Risks:

• Compounding should only be done by a licensed pharmacy (not at home).
•  Using non-FDA-approved peptides carries risks (purity, sterility, dosing errors).

Medication: Tirzepatide (Compounded)
Strength: [TBD mg/mL]
Route: Subcutaneous (under the skin)
Storage: Refrigerate (2°C–8°C / 36°F–46°F). Protect from light.

Tirzepatide is typically started at a low dose
and gradually increased to minimize side effects (e.g., nausea, GI discomfort).

Follow your provider’s exact instructions.

| Week |Dose           |  Frequency|  Administration Notes             |
|----------|----------------|----------------|---------------------------------------|
| 1–4| 2.5 mg        | Once weekly   |

Starting dose for tolerance      
We use a starter 2.5 mg at Visit 1,
then evaluate and adjust according to response

|
| 5–8| TBD mg          | Once weekly   | First therapeutic dose              
|

We would ramp up dose at the second visit,
if no side effects and poor hunger control or no weight loss.

Max dose depends on patient response/tolerance.
Do not exceed the prescribed dose.

1. Wash hands and clean the injection site (abdomen, thigh, or upper arm) with alcohol.
2. Use a fresh needle (if applicable) and draw up the prescribed dose.
3. Pinch skin, insert the needle at a 45°–90° angle, and inject slowly.
4. Rotate injection sites weekly to reduce irritation.