Dual GIP and GLP-1 receptor agonist
Tirzepatide + B12
Dual GIP / GLP-1 protocol, compounded with B12. Once weekly. Prescribed and adjusted by a licensed provider.
Medication, starting at
$159/mo
With code HERO20
$127.20/mo
Price depends on the formulation and dose your provider prescribes. You see your exact price before you pay.
Plus a provider consultation fee: $30 for an online review or $35 for a live video visit, depending on your state. Shown as its own line at checkout.
Prescription required. A licensed provider decides whether treatment is appropriate after reviewing your health history. Completing an intake or paying does not guarantee a prescription.
- Licensed U.S. provider evaluation
- Dose titrated to you
- 503A compounding pharmacy
- Cancel future refills anytime
What it is
The protocol, in plain terms.
Tirzepatide acts on two of the body's own appetite and blood sugar signaling pathways, GIP and GLP-1. A manufactured version is FDA-approved for chronic weight management and type 2 diabetes. This is not that product. It is a personalized preparation, compounded with B12 by a licensed 503A pharmacy for an individual patient on a valid prescription.
- Formulation
- Tirzepatide with cyanocobalamin (B12). Concentration set by your prescription
- How you take it
- Compounded injectable, once weekly
- Dosing
- Titrated by your provider, typically 2.5 mg up to 15 mg weekly
- Prescription
- Required. Written only if your provider decides it is appropriate.
How it works
- 01
Intake
Health history, goals and a quick ID check. About 10 minutes.
- 02
Provider review
A licensed clinician reviews your answers. Some states need a short video visit.
- 03
Ships to you
If prescribed, a licensed 503A pharmacy ships your medication.
- 04
Ongoing care
Your provider adjusts your dose over time. Refills run through your portal.
Important safety information
Read this before you start.
Do not use if you have
- •Personal or family history of medullary thyroid carcinoma (MTC)
- •Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
- •Pregnancy, breastfeeding, or planning a pregnancy
- •History of pancreatitis
- •Known allergy to tirzepatide or any ingredient in this formulation
Common side effects
- •Nausea
- •Diarrhea or constipation
- •Decreased appetite
- •Vomiting
- •Injection-site reaction
- •Fatigue during dose increases
Get help right away for
Severe stomach pain that will not go away, with or without vomiting. Signs of an allergic reaction such as swelling of the face, lips or throat, or trouble breathing. A lump or swelling in the neck, hoarseness or trouble swallowing. For an emergency, call 911.
Compounded drugs are not FDA-approved. FDA does not review compounded drugs for safety, effectiveness or quality.
Prescription required. A licensed provider decides whether treatment is appropriate after reviewing your health history. Completing an intake or paying does not guarantee a prescription.
Available in the continental United States and Washington, DC. Not available in Alaska, Hawaii, Puerto Rico or Guam. You must be 18 or older. Cash pay only. Full details in our Safety Information.
Questions about tirzepatide
Get startedIs this the same as a brand-name tirzepatide medication?
No. This is tirzepatide compounded with B12 by a licensed 503A pharmacy for an individual patient. It is not FDA-approved, and FDA does not review compounded drugs for safety, effectiveness or quality.
How is my dose decided?
Your provider starts low and increases your dose on a schedule based on how you tolerate it. Titrated by your provider, typically 2.5 mg up to 15 mg weekly.
What does it cost?
Tirzepatide + B12 starts at $159 a month and Semaglutide + B12 starts at $119 a month. Your price depends on the formulation and dose your provider prescribes, and you see the exact amount before you pay. There is also a provider consultation fee of $30 for an online review or $35 for a live video visit, shown as its own line at checkout.
How does hero pricing work?
Active military, veterans, firefighters, law enforcement, EMS and nurses get 20% off medication every month. Enter code HERO20 at checkout. The discount applies to medication, not to the provider consultation fee. We may ask for proof of status.
Where is Pulse available?
Available in the continental United States and Washington, DC. Not available in Alaska, Hawaii, Puerto Rico or Guam. You must be 18 or older.