Tirzepatide acts on both GIP and GLP-1 receptors, and in head-to-head trials produces greater average weight loss than semaglutide. It also asks more of the titration schedule.
Tirzepatide — Weekly injection, provider sets your doseTitration schedule — Escalated every 4 weeks as toleratedBaseline labs — CMP, A1c, lipids, thyroidNutrition guidance — Protein and fibre targets, included
What It's Good For
✓Greater average weight loss than GLP-1 alone in trials
✓Strong effect on A1c for insulin-resistant patients
✓Appetite quiet enough to rebuild habits around
✓Provider-managed dose reductions when needed
How It Works
From Booking to Your Sofa
01
Labs and History
A full metabolic panel, thyroid, A1c and lipids, plus a real conversation about what you have already tried and what went wrong.
02
A Provider Prescribes
If the therapy suits you, your provider writes the starting dose and a titration schedule. If it does not, we say so and refund the consult.
03
Titrate and Check In
Monthly check-ins, unlimited messaging and dose adjustments as your body responds. Refills ship straight to you on your schedule.
The Science
How It Works in the Body
The mechanism, in plain terms — including where the evidence is strong and where it is not.
Two Receptors, One Molecule
Tirzepatide agonises both GIP and GLP-1 receptors. The GIP arm appears to improve insulin sensitivity and may blunt some GLP-1 nausea.
Trial Context
Head-to-head data shows greater average weight reduction than GLP-1 monotherapy, at the cost of a longer, more careful titration.
Holding the Dose
The lowest effective dose is the goal, not the highest tolerated one. We hold rather than climb while results are tracking.
What to Expect
Before, During and After
Before
Labs are drawn first and reviewed by your provider before anything is prescribed. Bring current medications, supplements and any prior weight or treatment history.
During
Your first injection is taught in person. The dose itself takes seconds; the teaching visit takes about twenty minutes, including what to do about side effects.
After
Message your provider at any point. Check-ins are monthly, doses escalate no faster than every four weeks, and labs repeat at week twelve.
Evidence & safety
What the Science Actually Supports
Trial evidence for tirzepatide is strong and recent. The contraindications mirror semaglutide — medullary thyroid carcinoma, MEN2 — and gastrointestinal side effects can be more pronounced at higher doses. We hold at the lowest effective dose rather than climbing on schedule.
Screened for contraindications at every visit. Not intended to diagnose, treat, cure or prevent any disease. Speak with your provider if you are pregnant, nursing, or managing kidney, liver or cardiac conditions.
Farima was both extremely professional as well as competent and caring. They spent a lot of time with us, catering exactly what we needed medically and whole body wellness wise as well. They got here on time and on a weekend - it really made us feel cared for in a way we wouldn't at an urgent care or after hours at the ER. Totally worth the money - which was extremely affordable compared to clinics, etc and we had the added benefit of not having to leave the house! We definitely recommend!!!
Samantha Hubbard
Local Guide · 21 reviews · 11 photos
★★★★★1 month ago
Truly a wonderful experience! They were professional, friendly and knowledgeable. I learned a lot and feel so much better. Will definitely use them again!
Kristyn Cardali
3 reviews
★★★★★2 months ago
Farima is truly the best. As someone with a chronic illness who needs IVs regularly, it can be really difficult to find nurses who are both skilled and genuinely caring. They always make me feel comfortable, listened to, and cared for the entire time. They are incredibly gentle, always get my veins easily, and make sure everything is done perfectly and professionally. You can tell they truly care about their patients and want the experience to be as stress-free as possible. I'm so grateful for their kindness, patience, and expertise!! I would recommend them to anybody who Is looking for a great IV experience 😊
Questions We Get
Do I need labs first?+
Yes — always, for any prescription therapy. We arrange a draw at your home or a lab near you, and results are usually back within three business days.
What are the side effects?+
Nausea, early fullness and constipation are the common ones with GLP-1s, and they are usually dose-related. Slow titration is the main defence, which is why we do not rush it.
What does the price include?+
The monthly program fee covers your provider, labs review, titration, unlimited messaging and check-ins. Medication is billed separately and varies by dose.
What happens if I stop?+
Weight regain is common after stopping GLP-1s without a maintenance plan. Your provider will build one with you before you taper — that conversation is part of the program.
Semaglutide or tirzepatide?+
Tirzepatide lost more weight in head-to-head data and is often easier on the stomach; semaglutide is $100 a month cheaper. The provider picks with you after labs.
Can I switch from semaglutide?+
Yes, without restarting from zero. The provider maps your current dose across.
Will I lose muscle?+
Some of any rapid loss is lean mass. Protein and two lifting sessions a week keep most of it.
Is weekly injection hard?+
A tiny needle in the belly or thigh, seconds. A nurse can come for the first one.
One monthly credit toward any drip, member pricing on every add-on and program, and priority same-day booking anywhere we serve. Pause any month; cancel any time.
Typical course; individual results vary and the provider adjusts at each check-in.
Lab-Tested Medication
Compounded for your prescription by an state-licensed 503A pharmacy in the United States, with each batch tested by an independent lab for potency and sterility, shipped overnight in refrigerated packaging, labeled with your dose. Tirzepatide is FDA-approved medication (brand); compounded version by prescription; we say so plainly.
Everything You Need to Start Safely
—free video consultation with a licensed provider, one-time
—Baseline labs drawn at your home by a nurse, reviewed on video
—Medication, needles, alcohol swabs, sharps container and written dosing instructions in every shipment
—A nurse at your door for the first injection if you want one
—Provider check-ins and follow-up labs included; month to month, no contract
We accept HSA and FSA cards. We do not bill insurance; an itemized receipt (superbill) is provided for reimbursement.
Tirzepatide is a prescription medication dispensed only after evaluation by a licensed provider. Common side effects: nausea early, constipation; often milder than semaglutide. Do not use if pregnant or breastfeeding, with an active cancer, or without disclosing all medications and conditions. Stop and contact your provider for any severe or unexpected reaction; for an emergency call 911. This page is general information, not medical advice, and not a promise of results.
How Tirzepatide Program Works
Tirzepatide acts on two gut hormones, GIP and GLP-1, at once. The GLP-1 side quiets appetite and slows digestion; the GIP side improves how your body handles fat and sugar, which is why trials show more weight loss and often less nausea than semaglutide.
Strong. SURMOUNT-1 showed average loss of about 20% of body weight at 72 weeks on the top dose. Our compounded tirzepatide is the same active molecule as Mounjaro and Zepbound; it is not an FDA-approved product.
Month 2–3Dose steps up every four weeks. 1.5–2.5 lb a week is typical.
Month 4–6Working dose found. Many are 15–20% down by month six.
AfterTaper to a maintenance dose; labs every quarter.
Safety, in plain words
Do not use with a personal or family history of medullary thyroid cancer or MEN2, a history of pancreatitis, during pregnancy or breastfeeding, or with type 1 diabetes unless your endocrinologist agrees. Common: nausea, constipation, fatigue and reflux in the first weeks, usually easing as the dose settles. Rare but serious: pancreatitis, gallbladder problems, severe dehydration. Stop and call us for severe stomach pain.
How we keep an eye on you
A nurse draws a metabolic panel, A1c, lipids and thyroid at your home before the first prescription and every twelve weeks. Your provider reviews weight, appetite and side effects by message every month and adjusts the dose; you are only charged for a refill after they approve it.
The Zen IV Difference
✓
Licensed US pharmaciesCompounded in state-licensed 503A pharmacies in the United States, to a prescription written for you.
✓
Every batch testedPurity and potency tested by a third-party lab. Ask for the certificate on any vial and we send it.
✓
Overnight, cold, to your doorRefrigerated shipping anywhere in New York or New Jersey, with needles, swabs and a sharps container in the box.
✓
A nurse if you want oneFor injectables, a licensed RN can come for your first dose and show you how. The app-based clinics cannot do that.
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