Tirzepatide
★ 96 FDA approvedTirzepatide (Mounjaro, Zepbound)
Dual GLP-1/GIP agonist — stronger than Semaglutide
Fat LossAbout
A dual agonist that activates both GLP-1 and GIP receptors. FDA approved 2022. Shows 20-22% weight loss in clinical trials.
Mechanism
Activates both GLP-1 and GIP, producing synergistic effects on glycemic control, insulin sensitivity, and adipose-tissue regulation.
Dosage
beginner
- Amount
- 2.5 mg
- Frequency
- 1x per week for 4 weeks
- Route
- SubQ
- Duration
- Titration phase
standard
- Amount
- 5 mg → 7.5 mg → 10 mg
- Frequency
- 1x per week, increasing every 4 weeks
- Route
- SubQ
- Duration
- 16-20 weeks
advanced
- Amount
- 12.5 mg → 15 mg (max)
- Frequency
- 1x per week
- Route
- SubQ
- Duration
- Long-term
Same day each week. Any time of day, with or without food.
Not cycled. Long-term use with taper if discontinuing.
Reconstitution & Storage
Compounded version. Prescription pen is pre-filled.
Dosing reference — units to draw
Concentration = peptide mass ÷ bacteriostatic water; units to draw = dose volume (mL) × 100 on a U-100 insulin syringe. Each vial size below is shown at 3 mL, with the units to draw for a typical 2.5–15 mg dose.
| Vial | BAC water | Concentration | Units to draw |
|---|---|---|---|
| 10 mg | 3 mL | 3.33 mg/mL | 75–450 units |
| 20 mg | 3 mL | 6.67 mg/mL | 37.5–225 units |
| 30 mg | 3 mL | 10 mg/mL | 25–150 units |
| 40 mg | 3 mL | 13.33 mg/mL | 19–112.5 units |
| 60 mg | 3 mL | 20 mg/mL | 12.5–75 units |
Refrigerated 2-8°C. Compounded: 30-56 days after reconstitution.
Benefits
- • 20-22% weight loss (SURMOUNT trials)
- • Stronger effects than Semaglutide (head-to-head trial)
- • Improved glycemic control
- • Lowered blood pressure
- • Improved lipid profile
Side effects
- • Nausea (common initially)
- • Diarrhea
- • Reflux
- • Constipation
- • Abdominal pain
Contraindications
- • Medullary thyroid carcinoma
- • MEN 2 syndrome
- • Pregnancy
- • History of pancreatitis
- • Severe gastrointestinal disease
Gender notes
Men
Same dose. Sometimes more pronounced weight loss than in women.
Women
Same dose. May reduce oral contraceptive efficacy (use backup contraception for the first 4 weeks after each dose increase).
Research
- SURMOUNT-1: Tirzepatide for obesity ↗
2539 participants, 22.5% weight loss on 15 mg dose at 72 weeks.
New England Journal of Medicine · 2022
- SURMOUNT-5: Tirzepatide vs Semaglutide head-to-head ↗
Tirzepatide produced 20.2% weight loss vs 13.7% for Semaglutide at 72 weeks.
New England Journal of Medicine · 2025
Stacks well with
Tirzepatide FAQ
How do you reconstitute Tirzepatide?
Add 3 mL of bacteriostatic water to a 10 mg vial of Tirzepatide, which gives a concentration of 3.33 mg/mL. Inject the water slowly down the vial wall and swirl gently — never shake.
What is a typical Tirzepatide dose?
A typical research dose of Tirzepatide is 2.5–15 mg, 1x per week, increasing every 4 weeks. This is educational information, not medical advice.
How many units of Tirzepatide do I draw?
From a 10 mg vial reconstituted with 3 mL of bacteriostatic water, draw 75–450 units on a U-100 insulin syringe for a 2.5–15 mg dose.
Track Tirzepatide doses in the app
Built-in reconstitution calculator, dose log, and reminders. Free on Android.
Get on Google PlayEducational use only. Not medical advice. Many peptides shown are not FDA-approved and remain research compounds. Always consult a qualified healthcare provider.