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.
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A full metabolic panel, thyroid, A1c and lipids, plus a real conversation about what you have already tried and what went wrong.
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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.
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Monthly check-ins, unlimited messaging and dose adjustments as your body responds. Refills ship straight to you on your schedule.
The mechanism, in plain terms — including where the evidence is strong and where it is not.
Tirzepatide agonises both GIP and GLP-1 receptors. The GIP arm appears to improve insulin sensitivity and may blunt some GLP-1 nausea.
Head-to-head data shows greater average weight reduction than GLP-1 monotherapy, at the cost of a longer, more careful titration.
The lowest effective dose is the goal, not the highest tolerated one. We hold rather than climb while results are tracking.
Labs are drawn first and reviewed by your provider before anything is prescribed. Bring current medications, supplements and any prior weight or treatment history.
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.
Message your provider at any point. Check-ins are monthly, doses escalate no faster than every four weeks, and labs repeat at week twelve.
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.
Switched after a semaglutide plateau. It moved again.
The nutrition guidance mattered more than I expected.
Rough first fortnight, then steady. They warned me it would be.
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.
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.
The monthly program fee covers your provider, labs review, titration, unlimited messaging and check-ins. Medication is billed separately and varies by dose.
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.
The most studied GLP-1, titrated slowly with labs, messaging and monthly reviews included.
$299 Growth hormone supportA growth-hormone-releasing peptide taken nightly — for sleep quality, body composition and recovery.
$249 Repair peptideA short repair peptide used in courses for soft-tissue and gut recovery.
$189One 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.