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At MDWatch a provider reviews your full medical history and medications, starts you at a low dose, and monitors you with monthly check-ins and lab testing

Food and Drug Administration FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize FDA.gov (2025) 2

It is generally recommended to avoid or significantly limit alcohol while taking tirzepatide

Problem: Cannot draw to the exact unit mark Air bubbles, vial pressure, and plunger friction can make it difficult to draw precisely to 75 or 37.5 units

Storage requirements: Most compounded tirzepatide requires refrigeration between 2 to 8 degrees Celsius (36 to 46 degrees Fahrenheit)