FDA Reviewed📅Updated April 6, 2026

Tirzepatide Guide

Tirzepatide is a first-in-class dual GIP/GLP-1 receptor agonist that activates two incretin hormone pathways simultaneously. It is FDA-approved for type 2 diabetes as Mounjaro and for chronic weight management as Zepbound, and has demonstrated superior weight loss outcomes compared to semaglutide in head-to-head trials.

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At a Glance

Generic NameTirzepatide
Brand NamesMounjaro, Zepbound
FDA StatusFDA-approved for type 2 diabetes as Mounjaro (2022); FDA-approved for chronic weight management as Zepbound (2023)
Approval DateNovember 8, 2023

How Tirzepatide Works

Tirzepatide is a "twincretin" that activates both GIP (glucose-dependent insulinotropic polypeptide) and GLP-1 receptors. GLP-1 activation reduces appetite and slows gastric emptying, while GIP activation enhances insulin secretion, reduces glucagon, and may also act directly on fat tissue to improve metabolism. This dual mechanism produces greater weight loss than GLP-1-only agents like semaglutide.

Dosing Schedule

Tirzepatide uses a gradual dose escalation to minimize side effects. Always follow your prescriber's guidance.

Weeks 1–42.5mg/week
Weeks 5–85mg/week
Weeks 9–127.5mg/week
Weeks 13–1610mg/week
Weeks 17–2012.5mg/week
Week 21+15mg/week (max maintenance)

Side Effects

Common: nausea, diarrhea, vomiting, constipation, abdominal pain, decreased appetite, injection site reactions, fatigue. Serious (rare): pancreatitis, gallbladder problems, hypoglycemia (especially with insulin), kidney problems, increased heart rate. Same thyroid tumor precautions as semaglutide apply.

This is not a complete list. Consult your healthcare provider or prescriber for full safety information.

Clinical Trial Results

In the SURMOUNT-1 trial (N=2,539), tirzepatide at the 15mg dose achieved an average weight loss of 22.5% over 72 weeks — nearly double the results seen with semaglutide. Participants on 10mg lost an average of 21.4%, and those on 5mg lost 15.0%, all versus 2.5% placebo.

Source: Published clinical trial data (STEP / SURMOUNT trial series)

Where to Get Tirzepatide

These telehealth providers offer access to tirzepatide or compounded equivalents with online consultations and home delivery.

CoreAge Rx

Best for: best overall value

9.0
★★★★4.7 (850)
$149/mo
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Alan Meds

Best for: budget-conscious shoppers

7.7
$99/mo
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AmberHealth

Best for: budget-conscious shoppers

7.7
$100/mo
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Boston Medical Group

Best for: budget-conscious shoppers

7.7
$66/mo
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Ivim Health

Best for: budget-conscious shoppers

7.7
$75/mo
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Lavender Sky Health

Best for: budget-conscious shoppers

7.7
$95/mo
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Cost Comparison

Starting prices for compounded GLP-1 medications from top providers, sorted cheapest first. Prices may vary based on dose and promo availability.

ProviderStarting Price
Lemonaid Health$30/moVisit
Boston Medical Group$66/moVisit
OrderlyMeds$74/moVisit
Ivim Health$75/moVisit
Pomegranate Health$90/moVisit
Lavender Sky Health$95/moVisit
Alan Meds$99/moVisit
Mochi Health$99/moVisit
Trimi Health$99/moVisit
WeightRx$99/moVisit
AmberHealth$100/moVisit
GobyMeds$119/moVisit
Found$129/moVisit
LumiMeds$133/moVisit
Piper$135/moVisit
BeyondMD$139/moVisit
Try Yucca Health$146/moVisit
CoreAge Rx$149/moVisit
PlushCare$149/moVisit
Ivy Rx$175/moVisit
Amble$179/moVisit
Nurx$179/moVisit
CallonDoc$190/moVisit
Hers$199/moVisit
Hims$199/moVisit
ShedRx$199/moVisit
SkinnyRx$199/moVisit
TrimRx$199/moVisit
Eden$239/moVisit
Henry Meds$249/moVisit
Livv$249/moVisit
Peak Wellness$249/moVisit
Independent Wellness$270/moVisit
OnlineSemaglutide.org$279/moVisit
Bliv$299/moVisit
MEDVi$299/moVisit
Remedy Meds$299/moVisit
Willow$299/moVisit
Sesame$349/moVisit
Mojoon$450/moVisit
ReflexMD$497/moVisit
GetRelief Rx$750/moVisit
Form Health$1350/moVisit

Frequently Asked Questions