Weight · prescription telehealth

Less hunger. A dose that follows you.

compounded tirzepatide · weekly injection · prescription only

For weight management, when diets keep collapsing into hunger. Compounded tirzepatide is a once-weekly injection that works on two gut-hormone pathways to curb appetite and support steady, sustained weight loss 1 — prescribed only when a licensed clinician decides it is appropriate for you, then dosed to your response, with notice before any change.

Start the intake See plans on this page

About eight minutes. A licensed clinician reviews every answer — and can say no.

Appetite

less hunger, less food noise — the diet stops being a fight

Dose

moves only when your response and your clinician say so

Month four

priced on this page before you pay for month one

About Tirzepatide

What tirzepatide does, and what a month on it looks like.

What it does

Tirzepatide activates two gut-hormone receptors, GIP and GLP-1, that regulate appetite and blood sugar 1. In plain terms: you feel full sooner, stay satisfied on less, and the food noise — the constant negotiation with the next meal — goes quiet.

How it's taken

One small injection under the skin, once a week, on the same day each week. Treatment starts at a low dose and steps up only as you tolerate it, and only on your clinician's direction 2.

What to expect

Appetite changes often begin in the first weeks; weight change builds over months and varies from person to person. Nausea and other digestive effects are the most common early effects and usually ease as the dose settles 3.

Mechanism, dosing and side-effect facts on this page are drawn from the prescribing information of the FDA-approved reference product and from peer-reviewed trials of tirzepatide. The compounded product was not studied in those trials. Sources are listed at the end of the page.

How the dose moves

Your dose isn't set in stone. It's set to you.

Tirzepatide is started low and raised in steps, no sooner than your body is ready 2. Where most programs run one script for everyone, here every step is a decision — made by your clinician, from what you report at each check-in.

Starting

The first weeks are deliberately low. The point is to let your body adjust, not to chase a number — and appetite often changes here before the scale does.

Building

If you are tolerating it and your response warrants it, your clinician raises the dose one step at a time. The steps are spaced out on purpose; the reference schedule waits at least a month between them 2.

Full

Some people settle at a middle dose; some need the top of the range. Your clinician chooses the maintenance dose on your response and tolerability, not on a calendar.

Holding

Feeling rough at a new step? You can hold. Ask to stay at your current dose where it is clinically appropriate — and you will always know before a change reaches your bill.

The priced ladder for every stage is in Plans & pricing below. The number for month four is on this page before you pay for month one.

The other routes

What you have probably already tried — and why it stalled.

None of these are foolish. They ask willpower to beat appetite biology, or a script to fit everyone. Here is the honest difference.

What you tried

Why it stalls

What calibrated care does

What you tried

Crash diets and calorie apps

Why it stalls

They work until hunger wins. The body defends its weight by turning appetite up; logging every meal does not turn it down.

What calibrated care does

Tirzepatide acts on the appetite pathways themselves 1, so eating less stops being a daily act of will — and the plan is reviewed by a clinician, not an app.

What you tried

"GLP-1 booster" and fat-burner supplements

Why it stalls

They are not the medication. Dietary supplements are not reviewed by FDA before they are sold, and they cannot legally claim to treat obesity 4.

What calibrated care does

A prescription medication with a class evidence base, prescribed by a licensed clinician when it is appropriate for you, and prepared for your prescription by a state-licensed U.S. pharmacy.

What you tried

Grey-market and "research-use" peptides

Why it stalls

FDA has warned that these unapproved products may be counterfeit, contaminated or mislabelled, and may contain too much, too little or no active ingredient at all 5. You become the prescriber, the pharmacist and the test subject.

What calibrated care does

A state-licensed compounding pharmacy named on your label, a clinician who has read your history, and instructions that match the vial in your hand.

What you tried

One-size telehealth scripts

Why it stalls

The same escalation for everyone, month after month, with the price of the next dose hidden until it lands on your card.

What calibrated care does

Every dose step is your clinician's decision from your check-ins, with notice before it changes your bill and the option to hold. Every stage is priced on this page.

What you tried

Gym-only plans

Why it stalls

Exercise is worth doing for its own sake, but it rarely outruns appetite — the calories come back at the table.

What calibrated care does

Movement stays in the plan; the medication takes the fight out of the table. Your clinician sets expectations with you, and results vary.

What you tried

Waiting it out

Why it stalls

Obesity is a chronic condition, not a phase 6. The years mostly add to the number.

What calibrated care does

An eight-minute intake and a clinician's decision. If tirzepatide is not right for you, you will hear that plainly.

Every route above is missing the same two things: appetite biology addressed, and a clinician deciding each step. That is the whole difference, and it is what you are paying for.

Not everyone gets the same dose. Why would you?

A principle of the house

How care works

Medicine, measured.

Results are personal, so treatment shouldn't be one-size. Here is the whole process, plainly.

An intake worth reading

About eight minutes of real questions: health history, medications, thyroid and pancreas history, what you have tried, what you have taken before. Every question is there because it changes what is safe to prescribe.

A clinician decides

A licensed U.S. clinician reviews your answers and decides whether tirzepatide is appropriate for you, and at what starting dose. Sometimes the answer is no — you will hear it straight. Your card is authorised at checkout and charged only if a clinician prescribes.

Prepared and delivered

If prescribed, your medication is prepared for your prescription by a state-licensed U.S. compounding pharmacy — named on your prescription label — and shipped to your door in discreet, unmarked packaging.

Calibrated over time

Your care doesn't end at delivery. Dosing is adjusted to your response, with notice before anything changes — and the option to hold where clinically appropriate.

Plans & pricing

Straight terms, before you pay.

Every plan includes the clinician's evaluation, the medication, shipping and ongoing care, with no membership fee. What you see here is what you are agreeing to.

Monthly supply First month

Tirzepatide Injection

$249 / first month

then $329/month from month 2 · cancel anytime

Compounded tirzepatide, once-weekly injection
Clinician evaluation, medication and shipping included — no membership fee
Dose stepped up only on your clinician's direction, with notice and the option to hold
Prepared by a state-licensed U.S. compounding pharmacy, named on your label
Discreet, unmarked packaging · cancel any time

3-month supply

Tirzepatide Injection

$899 / every 3 months

renews at $899 every 3 months · cancel anytime

Compounded tirzepatide, once-weekly injection
Clinician evaluation, medication and shipping included — no membership fee
Dose stepped up only on your clinician's direction, with notice and the option to hold
Prepared by a state-licensed U.S. compounding pharmacy, named on your label
Discreet, unmarked packaging · cancel any time

The dose ladder · every rung priced

Your price follows the dose stage your clinician has you on. Every stage is priced here before you pay for anything — including the one you might reach in month four.

Stage	Weekly dose	Monthly	Quarterly
Starting dosefirst month $249	2.2 / 4.4 mg	$329 / month	$899 / 3 months
Building dose	6.6 / 8.8 mg	$399 / month	—
Full dose	11–15 mg	$449 / month	$1,249 / 3 months

Dose changes are your clinician's decision and take effect from your next cycle at the published price for that stage — with notice before you are billed, and the option to hold at your current stage where clinically appropriate.

Pricing follows the prescribed dose stage — if your clinician moves your dose, your price moves with it, with notice before your next billing and the option to hold where clinically appropriate. HSA and FSA cards may be used where your plan allows prescription treatment for physician-diagnosed obesity; check with your plan administrator 7. Compounded tirzepatide is prepared for your prescription by a state-licensed U.S. compounding pharmacy, named on your label.

Eligibility

See if it's appropriate. That's the consult.

Tirzepatide is prescribed for weight management when a licensed clinician confirms it is appropriate for you. These are the criteria used in the reference product's trials and by our clinicians 8 — the intake is where the real answer comes from.

You may qualify if

You are an adult, 18 or over
Your BMI is 30 or higher — or 27 or higher with a weight-related condition such as high blood pressure, high cholesterol or sleep apnea
Diets, apps or plans have worked for a while and then stopped
You are prepared to inject once a week and to check in about how it is going
A clinician clears you for treatment after reading your history

May not be suitable if

You are pregnant, nursing, or planning a pregnancy
You or a close relative have had medullary thyroid carcinoma, or you have Multiple Endocrine Neoplasia syndrome type 2
You have had pancreatitis, a severe stomach or bowel condition, or a serious allergic reaction to tirzepatide
You already take another GLP-1 medication or a tirzepatide product

This is not an exhaustive list — your clinician reviews your full medical history before any prescribing decision. Available in all 50 states and the District of Columbia.

Safety & honesty

What it can do to you, said plainly.

Tirzepatide is a serious medication, which is why a clinician decides and why the first weeks are dosed low. Here is what the class evidence says 3 — and what to do about it.

Common, usually early, usually easing

Nausea — the most common effect, mostly around dose steps; smaller meals and slower steps help
Diarrhea or constipation — either can happen; fluids matter more than usual
Vomiting, indigestion, burping, reflux — usually early, and usually easing as the dose settles
Tiredness, injection-site redness, hair shedding as weight comes off — all reported in the reference trials; tell your clinician if they persist

Stop and tell your clinician

Severe or persistent stomach pain, with or without vomiting — can signal pancreatitis or gallbladder trouble — seek care
Signs of dehydration — if vomiting or diarrhea keeps you from drinking, get help; the kidneys can be affected
A lump in the neck, trouble swallowing or breathing, or a hoarse voice that does not clear — the class carries a thyroid C-cell tumour warning from animal studies; report these
Swelling of the face or throat, hives, trouble breathing — a serious allergic reaction — emergency care
Very low blood sugar: shaking, sweating, confusion — most likely if you also take insulin or a sulfonylurea; tell your prescriber about every diabetes medication

Not prescribed if

You or a close relative have had medullary thyroid carcinoma, or you have Multiple Endocrine Neoplasia syndrome type 2
You have had a serious allergic reaction to tirzepatide
You are pregnant, breastfeeding, or trying to conceive
You have severe gastroparesis, or you already use another GLP-1 or tirzepatide product

Medicines that need care

Tell your clinician about everything you take. Insulin and sulfonylureas raise the risk of low blood sugar. Because tirzepatide slows stomach emptying, oral birth control may absorb less for about a month after you start and after each dose increase — use a non-oral or barrier method during those windows 9. And tell any surgeon or anesthetist that you are on it before a procedure.

Monitoring

At every check-in your clinician asks how you are eating, sleeping and feeling — including your mood — and reads the answers before the next dose decision.

What it is for

Prescribed alongside a reduced-calorie diet and more movement — that is how the class was studied 8. It is not a substitute for either, and it is not prescribed for cosmetic weight loss.

If you stop

In a withdrawal study of the FDA-approved reference product, people who stopped treatment regained much of the weight they had lost, while those who continued kept it off 10. Tirzepatide is a long-term treatment; how long is a decision you make with your clinician, not one a subscription makes for you. You can cancel at any time.

Compounded tirzepatide is not FDA-approved. Compounded medications are not reviewed by the FDA for safety, effectiveness or quality before they are sold 11. It is prescribed here only when a licensed clinician decides it is appropriate for you, and prepared for your prescription by a state-licensed U.S. compounding pharmacy named on your label.

Results vary. No outcome is guaranteed — your clinician will discuss what is realistic for you.

What happens next

From intake to your first dose.

No waiting room and no pharmacy counter — but every step is a real one, with a real person deciding.

Start the intake

About eight minutes: health history, medications, what you have tried, and a photo ID so the clinician knows who they are prescribing for. Your card is authorised, not charged.

A clinician reviews

A licensed U.S. clinician reads every answer and decides whether tirzepatide is appropriate — and the starting dose if it is. If it is not, you hear that plainly and pay nothing for medication.

The pharmacy prepares it

Your prescription goes to a state-licensed U.S. compounding pharmacy, which prepares it for you and puts its own name on the label.

It arrives

Discreet, unmarked packaging at your door. Inside: your medication, what you need for your weekly dose, and the pharmacy's instructions.

Then it is calibrated

Check-ins, dose decisions with notice, the option to hold, and the next stage priced before it bills. That loop is the treatment.

What arrives

The medication

A vial of compounded tirzepatide, prepared for your prescription, with the pharmacy's name and your dosing directions on the label.

The supplies

What you need to draw up and inject your weekly dose. Measuring matters with a vial — read the label before the first dose, and ask us if anything is unclear.

The packaging

Plain and unmarked on the outside. Nothing on the box says what is inside. Shipments follow your plan: monthly, or every three months on the quarterly plan.

Two things nobody tells first-time injectors. Measuring: FDA has reported dosing errors with compounded GLP-1 injectables drawn from multi-dose vials 12 — use the supplies provided and the directions on your label, and if a unit or a marking confuses you, ask before you inject. Disposal: used needles go straight into a sharps container — an FDA-cleared one, or a heavy plastic bottle with a tight lid — never loose in the trash 13.

Certified

LegitScript-certified healthcare merchant

Private

HIPAA-compliant platform · discreet, unmarked packaging

Clinician-led

licensed U.S. providers review every case

Your pharmacy

prepared by a state-licensed U.S. compounding pharmacy, named on your prescription label

Questions, answered plainly

Questions about tirzepatide

What happens when my dose goes up?

Your clinician decides each step from your check-ins, and you are told before it changes anything — including your bill, which moves to the published price for the new stage from your next cycle. If a step feels rough, you can ask to hold at your current dose where it is clinically appropriate.

Who prepares my medication, and is it legitimate?

A state-licensed U.S. compounding pharmacy prepares it for your individual prescription and puts its own name on the label, so you always know who made it. Compounded medications are not FDA-approved and are not reviewed by the FDA before sale 11; your clinician prescribes one only when they decide it is appropriate for you.

What if it isn't working?

Say so at a check-in. Your clinician looks at your dose, your tolerance and what has changed, and decides whether to step up, hold, or take a different route. Not everyone responds the same way — that is exactly why the dose is calibrated rather than fixed.

What if I want to stop?

Cancel any time; there is no membership and no exit fee. Talk to your clinician first: in a study of the FDA-approved reference product, people who stopped regained much of the weight they had lost 10, so it is worth deciding together what stopping looks like.

Do I have to inject myself?

Yes — one small injection under the skin, once a week. Most people find the first one is the hardest and the tenth is nothing. Your supplies and the pharmacy's directions come with the medication, and you can ask us anything before your first dose.

Will I regain the weight?

Weight management is long-term. In the reference product's withdrawal study, continuing treatment maintained the loss and stopping led to regain for most people 10. Results vary, and your clinician will discuss what is realistic. Reaching your goal is a maintenance conversation with your clinician, not an exit.

How is tirzepatide different from semaglutide?

Tirzepatide acts on two gut-hormone receptors, GIP and GLP-1, where semaglutide acts on one 1. Both curb appetite and support weight loss; your clinician chooses between them on your history, your goals and how you respond.

I'm already on a GLP-1 with another provider. Do I have to start over?

Tell the intake what you take now, the dose, and when you last injected — and upload your current prescription or label if you have it. Your clinician decides your starting dose from that, not from a default. Do not use two GLP-1 or tirzepatide products at once 8.

Can I use insurance, or my HSA or FSA?

LevelDose is cash-pay; we do not bill insurance, and the price on this page is the whole price. HSA and FSA cards may be used where your plan allows prescription treatment for physician-diagnosed obesity — check with your plan administrator 7.

Is this site real?

LevelDose is a LegitScript-certified healthcare merchant — the seal in the footer links to the live certification checker — with licensed U.S. clinicians reviewing every case and state-licensed U.S. pharmacies preparing every prescription. Your card is authorised at checkout and charged only if a clinician prescribes.

How does the telemedicine process work?

You complete an online intake, a licensed provider reviews your case, and if appropriate your treatment plan is prescribed and delivered directly to your door.

Do I need to visit a doctor in person?

No. All consultations, prescriptions, and follow-ups are handled 100% online through our secure telehealth platform.

Are the doctors licensed?

Yes. Every provider in our network is licensed and experienced in evaluating patients through compliant telemedicine workflows.

Is my personal information secure?

Your information is protected through secure systems and privacy-first processes designed to support HIPAA-aligned care delivery.

How is my medication delivered?

Approved medications are shipped discreetly to your home, with updates and follow-up support handled online for convenience.

Sources

What this page is based on.

13 sources showhide

Facts about how tirzepatide works, how it is dosed and what it can cause come from the FDA-approved reference product's prescribing information and from published trials of that product. Compounded tirzepatide was not studied in those trials.

Prescribing information for the FDA-approved reference tirzepatide product, sections 12.1–12.2 (mechanism of action and pharmacodynamics). DailyMed, U.S. National Library of Medicine, revised August 2026. dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
Prescribing information for the FDA-approved reference tirzepatide product, sections 2.1–2.2 (recommended dose escalation and maintenance). dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
Prescribing information for the FDA-approved reference tirzepatide product, section 6.1 (adverse reactions in clinical trials) and sections 5.1–5.9 (boxed warning, warnings and precautions). dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
U.S. Food and Drug Administration, "Questions and Answers on Dietary Supplements" (supplements are not FDA-approved before marketing and may not claim to treat disease); Federal Trade Commission, "Health Products Compliance Guidance", December 2022. fda.gov/food/information-consumers-using-dietary-supplements/questions-and-answers-dietary-supplements
U.S. Food and Drug Administration, "FDA's Concerns with Unapproved GLP-1 Drugs Used for Weight Loss" — unapproved and "research-use" semaglutide and tirzepatide products, current as of September 2026. fda.gov/drugs/drug-alerts-and-statements/fdas-concerns-unapproved-glp-1-drugs-used-weight-loss
Jastreboff AM, Aronne LJ, Ahmad NN, et al. Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). New England Journal of Medicine, 2022;387:205–216 — a 72-week trial of the FDA-approved reference product in adults with obesity. pubmed.ncbi.nlm.nih.gov/35658024/
Internal Revenue Service, Publication 502, Medical and Dental Expenses (2025) — weight-loss treatment for a physician-diagnosed disease such as obesity, and prescribed medicines. irs.gov/publications/p502
Prescribing information for the FDA-approved reference tirzepatide product, section 1 (indication, in combination with a reduced-calorie diet and increased physical activity; limitations of use) and section 14.1 (trial enrollment criteria). dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
Prescribing information for the FDA-approved reference tirzepatide product, sections 7.1–7.2 and 8.3 (drug interactions; oral hormonal contraceptives). dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=487cd7e7-434c-4925-99fa-aa80b1cc776b
Aronne LJ, Sattar N, Horn DB, et al. Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity (SURMOUNT-4). JAMA, 2024;331(1):38–48. pmc.ncbi.nlm.nih.gov/articles/PMC10714284/
U.S. Food and Drug Administration, "Compounding and the FDA: Questions and Answers" — compounded drugs are not FDA-approved and are not reviewed for safety, effectiveness or quality before marketing. fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers
U.S. Food and Drug Administration, alert on dosing errors associated with compounded injectable GLP-1 products drawn from multiple-dose vials, July 2024. fda.gov/drugs/human-drug-compounding/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
U.S. Food and Drug Administration, "Safely Using Sharps (Needles and Syringes) at Home, at Work and on Travel" — sharps disposal containers and household alternatives. fda.gov/medical-devices/consumer-products/safely-using-sharps-needles-and-syringes-home-work-and-travel

The right level. The right dose. For you.

Start the intake — a licensed clinician will take it from there.

Start the intake

Eligibility screening and a prescription are required for prescription treatments. Individual results vary and no specific outcome is guaranteed. A licensed clinician determines whether treatment is appropriate — treatment is not guaranteed.

Compounded tirzepatide is prepared by a state-licensed U.S. compounding pharmacy, which is named on your prescription label. Compounded drugs are not FDA-approved.