RxWeight loss · 503A
Tirzepatide + B3
Compounded tirzepatide with vitamin B3, prepared as a ready solution.
- 01Ships only after a physician approves it
- 02Not FDA-approved · Safety information
- 03Secure checkout on our store · View ↗
- Protocol
- Tirzepatide + B3
- Care path
- Weight loss
- Strength
- 20 mg · 2 mL
- Source
- 503A
- Dispensing
- Rx only
Before you consult
Start from
your numbers.
Your physician looks at BMI alongside your history, conditions and current medicines. Set yours.
Nothing you enter leaves this page. Not a diagnosis.
The process · Tirzepatide + B3
Your first
90 days.
From consult to refill: what happens, in order, and who decides. Timing depends on your physician and your protocol.
Physician’s decision
Step 01 of 07: Consult · async $39 · sync $49
Consult a physician
Start with an async consult ($39): a physician reviews your intake and history, no appointment needed.
State rules decide what can be prescribed where you live.Which consult?
Step 02 of 07: Decision · your physician
Physician review
Your physician reviews your history and decides whether Tirzepatide + B3 is right for you. Prescription items ship only after a physician approves them.
Your physician may ask for a live visit or labs before prescribing.
Step 03 of 07: Pharmacy · 503A
Compounded for you
A state-licensed 503A compounding pharmacy prepares Tirzepatide + B3 for you, under your physician’s prescription. Compounded medications are made for an individual patient and are not FDA-approved drug products.
Step 04 of 07: Shipping · to your door
Shipped to your door
Once your physician approves it, your order ships to your door. Storage and handling instructions come with your prescription.
Step 05 of 07: First dose · solution
Ready to measure
It arrives as a ready solution in a sealed multi-dose vial: nothing to reconstitute.
Syringes and swabs are on the store as a $20 starter kit.Starter kit ↗
Step 06 of 07: Check-in · physician’s decision
Adjusted by your physician
Your physician sets the starting dose and changes it as you go. Any change to your dose is your physician’s decision.
Never change a dose without talking to your physician.
Step 07 of 07: Refill · Patient Support
Your next vial
How long a vial lasts depends on the dose and schedule your physician sets.
01Overview
A compounded formulation that combines tirzepatide with vitamin B3 in one solution, prepared by a state-licensed 503A compounding pharmacy.
Your physician decides whether this formulation is right for you and sets the dose.
- Dispensed as
- Compounded Tirzepatide + B3
- Strengths
- 20 mg · 2 mL (solution)
30 mg · 2 mL (solution)
60 mg · 2 mL (solution) - Route
- Subcutaneous injection
- Sourcing
- Prepared by a state-licensed 503A compounding pharmacy
- Access
- Prescription only, after a physician consult
02Structure
3D model
Y·
K20 — γGlu–2×OEG–C20 diacid
39 amino acids with a C-terminal amide. Two Aib residues, at positions 2 and 13. Lysine 20 carries a C20 fatty diacid through a γGlu–2×OEG linker. The solution also contains vitamin B3, a separate small molecule that is not part of the peptide shown.
Ref. PubChem CID 166567236 · RCSB PDB-101 · 3D fold drawn schematically
03How it’s taken
Subcutaneous injection. Your physician sets the dose and the schedule, and explains how to prepare and give each dose. Never change a dose without talking to your physician.
It comes as a ready solution in a multi-dose vial: no reconstitution needed. Syringes and swabs are on the store as a $20 starter kit ↗.
Storage and handling instructions come with your prescription.
04How you get it
- Select your state. State rules decide what can be prescribed where you live.
- Consult a physician. Start with an async consult ($39) or a live consult ($49).
- Physician review. Your physician decides whether Tirzepatide + B3 is right for you and writes the prescription.
- Shipped to your door. Once approved, your order ships. Patient Support is at +1 (888) 471-9962.
05Sourcing
A state-licensed 503A compounding pharmacy prepares the medication for you, under your physician’s prescription. Compounded medications are made for an individual patient and are not FDA-approved drug products.
06Questions
Do I need a prescription for Tirzepatide + B3?
Yes. Tirzepatide + B3 is prescription-only. Start with an async consult ($39) or a live consult ($49). A licensed physician reviews your history and decides whether it is right for you.
Which strengths are available?
On our store: 20 mg · 2 mL solution, $144; 30 mg · 2 mL solution, $180; 60 mg · 2 mL solution, $312. Your physician decides which strength and schedule fit your protocol.
How does it arrive?
As a ready solution in a sealed multi-dose vial, so there is nothing to reconstitute. Your prescription explains how to measure each dose.
Who makes it?
A state-licensed 503A compounding pharmacy prepares the medication for you, under your physician’s prescription. Compounded medications are made for an individual patient and are not FDA-approved drug products.
How long does a vial last?
It depends on the dose and schedule your physician sets. Patient Support can help at +1 (888) 471-9962.
07Safety
Important safety information
Compounded tirzepatide is not FDA-approved and is not the same as any FDA-approved tirzepatide product. The FDA has not reviewed it for safety, effectiveness or quality.
FDA-approved tirzepatide carries a boxed warning about thyroid C-cell tumors. It is not used by anyone with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or with a serious allergy to it.
Other serious risks include pancreatitis, gallbladder problems, low blood sugar (especially with insulin or a sulfonylurea), kidney problems from dehydration, serious allergic reactions, worsening diabetic eye disease, and changes in mood or thoughts. Tell your physician before any surgery or sedation.
The most common side effects are nausea, vomiting, diarrhea, constipation and stomach pain. It can make birth-control pills less effective for a while after you start or raise the dose; ask your physician about another method. Not for use during pregnancy. Call your physician right away about severe stomach pain, a lump or swelling in your neck, or trouble swallowing or breathing.
Compounded medications are prepared by state-licensed pharmacies for individual patients. They are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness or quality. This page is general information and does not replace a consultation with a licensed physician, who decides whether a treatment is appropriate for you.
Weight loss
