Congratulations on completing Phase One of your compounded tirzepatide program! In Phase Two, we will be increasing the dosage of your medication. Continue to watch out for side effects, most commonly:
- Nausea and/or vomiting
- If you are having a lot of issues, we can send an anti-nausea prescription to your pharmacy. Just give us a call at (513) 559-1222 or text us during business hours at (513) 572-1718.
- Constipation
- It’s a good idea to use over the counter stool softeners (colace, Senekot), fiber, or Miralax if you are having trouble with constipation.
- GERD
- Acid reflux/GERD symptoms can be treated with over the counter Pepcid (famotidine) or Prilosec (omeprazole).
If you are having major trouble with side effects, it is recommended to go back to your previous dosage for a week or two and then try increasing again.
Phase 2/Month 1-Transition Dose
Order: Tirzepatide Phase Two: Month 1
30mg tirzepatide (1.5cc): 1 vial – $383 (including needles and shipping)
- This will be a 4-week supply of medication.
- You will be injecting 37.5 units per week.
- This is the Phase 2 Transition Dose. You will stay at this dose for 4 weeks, and then you will increase to the Phase 2 Maintenance Dose.
- Phase 2 maintenance dose instructions will be provided at your next visit.
- You will need to order 1 vial of tirzepatide each month while in Phase 2.

What's Next?
You will remain on this dose for the next four weeks and then you will increase your dose. You will need two new vials of tirzepatide for next month. A live or virtual appointment is required for this transition, so you can order your medication after your visit.
IMPORTANT: You will need to provide your own alcohol prep pads (similar to these available on Amazon) to clean your skin and the top of the vial of medication before inserting the needle. You can also purchase these at your local pharmacy.
Sharps Disposal
IMPORTANT: DO NOT DISCARD USED NEEDLES/SYRINGES DIRECTLY IN THE TRASH. Place your used needles and syringes into a thick plastic container (such as an empty bleach bottle). Use a sharpie to mark “SHARPS” on the bottle. Once it is full, or when you are done with the program, use tape to secure the lid and place it in a trash receptacle.