Most patients start at 2.5 mg weekly to minimize side effects, then increase by 2.5 mg every 4 weeks based on tolerance and progress. The typical escalation runs 2.5, 5, 7.5, 10, 12.5, and up to 15 mg. Your provider reviews your response at each stage and never escalates faster than is clinically appropriate.

No. Once your treatment plan is established and your prescription is active, refills ship automatically on your chosen schedule. Your provider may request a brief check-in every few months to review progress and adjust dosing, but no new full consultation is required for standard refills.

Your tirzepatide is compounded by a licensed U.S. FDA-registered 503A compounding pharmacy as a sterile injectable solution. It ships directly to your door in temperature-controlled, discreet packaging along with syringes and all supplies needed for self-injection.

The most common side effects are gastrointestinal: nausea, mild stomach discomfort, and reduced appetite, particularly in the first few weeks or after a dose increase. These are usually temporary and resolve as your body adjusts. Starting low and escalating slowly minimizes them significantly.

Yes. You can pause or cancel at any time through your patient portal or by contacting our support team. We ask for at least 5 business days notice before your next billing date. No long-term contracts, no cancellation fees.