Compounded tirzepatide
Tirzepatide online. Weekly, clinician-led.
- One injection a week
- Licensed U.S. clinicians
- Check-ins and refills included
From $135/mo
Start my free assessment2 minutes · No payment to start
Compounded, not FDA-approved. Boxed warning: risk of thyroid C-cell tumors. Safety information
- Licensed U.S. clinicians
- U.S. compounding pharmacy
- Ships to your door
- May be HSA/FSA eligible
The medicine
One weekly shot. Two hormone signals.
Tirzepatide acts on two gut hormone receptors, GIP and GLP-1. Its label describes how it lowers appetite and food intake and slows how fast the stomach empties. It is injected under the skin once a week.
FDA-approved tirzepatide is sold as Zepbound for weight and Mounjaro for type 2 diabetes. Everdawn offers compounded tirzepatide, made by a licensed U.S. pharmacy. A licensed clinician prescribes a compounded GLP-1 only when they document a medical reason an FDA-approved product isn’t right for you, and can talk through the FDA-approved options too.
Prefer no needle? Liposomal tirzepatide LPT® chewable tablets are from $209/mo. There is no FDA-approved oral tirzepatide, and whether compounded oral forms work as well as injections has not been shown.
Dose steps
You start low and step up slowly.
For reference, the FDA label for Zepbound starts at 2.5 mg a week for 4 weeks, then rises in 2.5 mg steps at least 4 weeks apart, to a maintenance dose of 5, 10 or 15 mg. 15 mg is the most per week. Your clinician sets your own steps.
- Start2.5 mg
- 4+ weeks5 mg
- 4+ weeks7.5 mg
- 4+ weeks10 mg
- 4+ weeks12.5 mg
- 4+ weeks15 mg
Everdawn’s monthly price starts at $135 a month at the lowest dose and rises as your dose steps up, with check-ins and refills included. Dose steps follow the Zepbound label; compounded tirzepatide comes with the pharmacy’s own instructions.
Is it for you?
Who it may suit, and who it isn’t for.
May suit you if
- You’re an adult with a BMI of 30 or more
- Or a BMI of 27 or more with a weight-related condition, such as high blood pressure or type 2 diabetes
- You’re ready to pair it with eating, protein and activity habits
Not for you if
- You or a family member have had medullary thyroid cancer, or you have MEN 2
- You are pregnant, or planning a pregnancy
- You’ve had a serious allergic reaction to tirzepatide
Needs a closer look
- Past pancreatitis or gallbladder problems
- Type 1 diabetes, or diabetic eye disease
- Insulin or a sulfonylurea, which can raise the risk of low blood sugar
- Birth control pills, which tirzepatide can make less reliable
Starting points from NIDDK and the Zepbound label. A licensed clinician makes the final decision after reviewing your full history.
How it works
Four steps. All online.
Step 1
Free assessment
Your state, height and weight, and a few health questions. Two minutes.
Step 2
Clinician review
A licensed clinician reviews your history and every medicine you take, and asks for labs only if they would change the plan.
Step 3
Delivered
If it’s prescribed, a licensed U.S. pharmacy ships your medicine and injection supplies to your door.
Step 4
Check-ins
Your clinician reviews side effects and each dose step, and refills follow the plan.
Pricing
One monthly price, by dose.
From $135/mo
At the lowest dose. Your price rises with your dose.
- Check-ins with your clinician
- Refills
- Your medicine and injection supplies, if prescribed
Have a Gabriel wellness budget? Members can use it to pay for this treatment. Learn about Everdawn and Gabriel
Start my free assessmentCompounded medications aren’t FDA-approved. A licensed clinician decides what’s right for you. Shipping, tax and your full total are confirmed before you pay.
What tirzepatide costs, with and without insurance (opens in a new tab)
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Question 1 of 4
Questions.
Is this Zepbound or Mounjaro?
No. Zepbound and Mounjaro are FDA-approved brand-name tirzepatide. Everdawn’s option is compounded tirzepatide from a licensed U.S. pharmacy. Compounded drugs are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality before they’re sold.
What does tirzepatide cost here?
From $135 a month, by dose, with clinician check-ins and refills included. Shipping, tax and your full total are confirmed before you pay.
Do I need labs before I start?
Not always. A licensed clinician starts with your height and weight, health history and every medicine you take, and asks for labs such as blood sugar, insulin or cholesterol when they would change the plan.
What are the most common side effects?
On the Zepbound label: nausea, diarrhea, vomiting, constipation, stomach pain, indigestion, injection-site reactions, tiredness, allergic reactions, burping, hair loss and heartburn. Your clinician raises the dose in steps and checks in on how you feel.
Can tirzepatide affect birth control pills?
Yes. It slows how fast your stomach empties, which can make birth control pills less reliable. The label advises switching to a non-oral method, or adding a barrier method, for 4 weeks after you start and for 4 weeks after each dose increase.
How long will I take it?
Weight medicines are usually long-term. NIDDK says that if a medicine helps and side effects are manageable, a clinician may advise staying on it, and that you will probably regain some weight after stopping. Your plan includes eating, protein and activity habits for that reason. Compare GLP-1 options
Start with two minutes.
Start my free assessmentImportant safety information
Boxed warning
- Boxed warning: risk of thyroid C-cell tumors. Not for you if you or your family have had medullary thyroid cancer or MEN 2.
Not for you if
- You have had a serious allergic reaction to tirzepatide or any of its ingredients
- You are pregnant, or plan to become pregnant
Serious risks to know
- Inflammation of the pancreas (pancreatitis)
- Gallbladder problems, including gallstones
- Kidney problems from dehydration after vomiting or diarrhea
- Low blood sugar when used with insulin or a sulfonylurea
- Changes in diabetic eye disease (retinopathy) if you have type 2 diabetes
Most common side effects
- Nausea, diarrhea, vomiting and constipation
- Stomach pain
- Headache and tiredness
Compounded medications aren’t FDA-approved. A licensed clinician decides what’s right for you. A prescription requires a medical evaluation. Not a complete list: your clinician reviews your history before prescribing. Call 911 in an emergency. Read the label for the FDA-approved product (Zepbound, tirzepatide) · MedlinePlus: tirzepatide injection
Sources
. General information, not medical advice: a licensed clinician decides what’s right for you.