How is tirzepatide different from semaglutide?

Tirzepatide acts on two receptors (GIP and GLP-1); semaglutide acts on one (GLP-1). Your provider will discuss which may be appropriate for you.

What are the common side effects?

Nausea, constipation, and mild fatigue are most common, especially during dose increases. These typically subside within a few weeks.

Where is Compounded Tirzepatide available?

Compounded Tirzepatide is available in every state except Alabama. Availability is checked before it is added to your cart.

How do I get started?

Complete a short online medical intake. A US-licensed clinician reviews your history, then either issues a prescription, requests labs, or recommends an alternative.

Where does my treatment come from?

Every prescription is dispensed by a US-licensed pharmacy and ships in discreet, temperature-controlled packaging when required.

Can I change my dose or cancel?

Yes. Programs are month to month. You can pause, adjust your dose with your provider, or cancel at any time with no fees.

Who do I contact with questions?

You can message your care team directly, or call us at +1 425-728-6182. Most questions are answered the same day during clinic hours.

Tirzepatide Injectable

A dual GIP and GLP-1 receptor agonist that supports weight management through appetite regulation and improved metabolic function. Once weekly, dosed and adjusted by a licensed provider.

Once-weekly injection
Acts on two metabolic hormone receptors, GIP and GLP-1
May support healthy blood sugar and insulin sensitivity

FormSame medication. Pick how you take it.

InjectionOral

Select your dose

Your provider sets and adjusts your dose. Select the strength you have been prescribed, or start with the lowest.

$199/mo

Billed monthly, cancel anytime.

Shipping State

Prescribed by a US-licensed provider
Compounded at a US 503(a) pharmacy
Shipped cold, ready to use
HSA / FSA eligible

Prescription treatments are dispensed only when clinically appropriate after provider review. Compounded medications are not FDA approved.

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The Science of Tirzepatide

GLP-1 and GIP are two hormones your gut releases after you eat. Both signal fullness to the brain and prompt insulin release when blood sugar rises. Tirzepatide binds to both receptors, which is why it is called a dual agonist, and each weekly dose keeps that signal active for about a week.

Acting on two pathways instead of one is studied to produce stronger appetite control and broader effects on blood sugar and insulin sensitivity. Research on tirzepatide for weight management shows meaningful, sustained weight loss when it is combined with changes to diet and activity.

Optera's tirzepatide is compounded with vitamin B12 or glycine at a US 503(a) pharmacy. Your provider starts you at a low dose and raises it gradually, which is how most people keep side effects manageable.

Dual actionBlood sugar

Weight managementAppetiteWeekly

Why People Choose Tirzepatide

Potential Benefits of Tirzepatide

Tirzepatide is prescribed for weight management alongside changes to diet and activity, with dosing adjusted by your provider.

Appetite Control

May reduce hunger and food cravings.

Satiety

Helps you feel full sooner and for longer.

Metabolic Support

May support blood sugar and insulin sensitivity.

Dual Action

Targets two hormone pathways instead of one.

Individual results vary and are not guaranteed.

How Tirzepatide Works

What tirzepatide does in the body over time.

Day 1

The medication activates GLP-1 and GIP receptors, slowing digestion and signaling fullness to the brain.

30 Days

Appetite and food cravings may quiet as your starting dose takes effect.

3 Months

As your dose is adjusted, steady weight loss and healthier blood sugar may follow.

6 Months

Continued appetite regulation supports sustained progress toward your goal.

1 Year and Beyond

Your provider adjusts your dose for maintenance and long-term metabolic health.

Timeline reflects the general mechanism and published research. Individual results vary and are not guaranteed.

How Optera Works

100% online care, personalized dosing, and treatment delivered to your door.

Build your protocol and share your health history.

Get Started

Our providers review and prescribe if it's right for you.

Pre-Qualify

Patient messaging an Optera provider on a tablet

Compounded and shipped cold to your door.

Shop Protocols

The Optera Standard

What you can count on with every order.

No gray-market labeling

“Research use only” products sold by Optera

Regulated pharmacies

503(a)

Every prescription compounded at a licensed US pharmacy

Clinician-guided

100%

Of prescriptions reviewed by a licensed provider

Safety Information

Any Risks?

Side effects are possible with any medication. Read the full safety information for tirzepatide and discuss all medications with your provider.
Compounded medication
Compounded products are not FDA approved. Optera provides compounded tirzepatide from US-licensed 503(a) pharmacies only. It is not the brand-name product and has not been evaluated for the same safety and effectiveness.
Thyroid warning
In animal studies, tirzepatide caused thyroid C-cell tumors. It is not known whether it does so in people. Do not use tirzepatide if you or a family member have had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. Tell your provider right away about a lump or swelling in the neck, hoarseness, or trouble swallowing.
Common side effects
Nausea, vomiting, diarrhea, constipation, stomach pain, indigestion, and reduced appetite, most often when starting or after a dose increase. Also fatigue, dizziness, and injection site reactions. Tell your provider about any side effect you think is related to tirzepatide.
Serious side effects
Pancreatitis (severe stomach pain that may spread to the back), gallbladder problems, kidney problems from dehydration, low blood sugar (especially with insulin or sulfonylureas), changes in vision for people with diabetes, and allergic reactions. Stop and contact your care team if any of these occur.
Talk to your provider first
If you are pregnant, breastfeeding, or planning to become pregnant (tirzepatide may reduce the effectiveness of oral birth control), if you have a history of pancreatitis, gallstones, or gastroparesis, if you have kidney or liver disease, if you take insulin or other diabetes medication, or if you have a history of depression or suicidal thoughts.
When to stop
Stop and contact your care team if you experience a severe reaction. For a medical emergency, call 911.

Learn More About Tirzepatide Injectable

Ready When You Are

Answer a few questions and a licensed provider will tell you whether this is a fit.

Check If I Qualify

Tirzepatide Injectable

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The Science of Tirzepatide