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 Name | Tirzepatide |
| Brand Names | Mounjaro, Zepbound |
| FDA Status | FDA-approved for type 2 diabetes as Mounjaro (2022); FDA-approved for chronic weight management as Zepbound (2023) |
| Approval Date | November 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.
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.
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
Alan Meds
Best for: budget-conscious shoppers
Boston Medical Group
Best for: budget-conscious shoppers
Lavender Sky Health
Best for: budget-conscious shoppers
Cost Comparison
Starting prices for compounded GLP-1 medications from top providers, sorted cheapest first. Prices may vary based on dose and promo availability.
| Provider | Starting Price | |
|---|---|---|
| Lemonaid Health | $30/mo | Visit |
| Boston Medical Group | $66/mo | Visit |
| OrderlyMeds | $74/mo | Visit |
| Ivim Health | $75/mo | Visit |
| Pomegranate Health | $90/mo | Visit |
| Lavender Sky Health | $95/mo | Visit |
| Alan Meds | $99/mo | Visit |
| Mochi Health | $99/mo | Visit |
| Trimi Health | $99/mo | Visit |
| WeightRx | $99/mo | Visit |
| AmberHealth | $100/mo | Visit |
| GobyMeds | $119/mo | Visit |
| Found | $129/mo | Visit |
| LumiMeds | $133/mo | Visit |
| Piper | $135/mo | Visit |
| BeyondMD | $139/mo | Visit |
| Try Yucca Health | $146/mo | Visit |
| CoreAge Rx | $149/mo | Visit |
| PlushCare | $149/mo | Visit |
| Ivy Rx | $175/mo | Visit |
| Amble | $179/mo | Visit |
| Nurx | $179/mo | Visit |
| CallonDoc | $190/mo | Visit |
| Hers | $199/mo | Visit |
| Hims | $199/mo | Visit |
| ShedRx | $199/mo | Visit |
| SkinnyRx | $199/mo | Visit |
| TrimRx | $199/mo | Visit |
| Eden | $239/mo | Visit |
| Henry Meds | $249/mo | Visit |
| Livv | $249/mo | Visit |
| Peak Wellness | $249/mo | Visit |
| Independent Wellness | $270/mo | Visit |
| OnlineSemaglutide.org | $279/mo | Visit |
| Bliv | $299/mo | Visit |
| MEDVi | $299/mo | Visit |
| Remedy Meds | $299/mo | Visit |
| Willow | $299/mo | Visit |
| Sesame | $349/mo | Visit |
| Mojoon | $450/mo | Visit |
| ReflexMD | $497/mo | Visit |
| GetRelief Rx | $750/mo | Visit |
| Form Health | $1350/mo | Visit |