Physician sign-off
Required before any prescription.
Compounded tirzepatide · product photography · (placeholder)
Markers your physician may track on the panel
Body weight
Tracked
HbA1c
Tracked
ALT · liver
Tracked
Illustrative. Which markers apply to you, and what they mean, is for your physician to decide from your panel. Results are reviewed and vary.
GLP-1 / GIP receptor agonist · prescription only
Tirzepatide
The dual-pathway GLP-1, supervised.
A weekly subcutaneous injection that engages two metabolic pathways at once. It is thought to slow gastric emptying, and may help reduce appetite and regulate insulin response. Prescribed and titrated against your panel by an independent physician in the affiliated medical group. Compounded by a licensed US compounding pharmacy. It is not the branded drug.
from $150 one-time
current pricing · transacted on shop.telos.md
Purchased one-time. Your physician sets the dose against your labs and titrates over time, with oversight and the re-test. Priced after review.
Gated · consent and physician review required
Consent and a physician review happen at checkout; if your physician wants labs first, labs come first.
A physician in the affiliated medical group reviews your intake, any labs, and your goals.
If it fits, your physician prescribes and the pharmacy ships your order cold-chain.
Consent and the physician review are arranged at checkout. Nothing ships without a physician sign-off.
503A / 503B compounding
Pharmacy disclosed on your order.
Cold-chain shipping
Insulated, temperature-controlled.
Side-effect support
Your physician is available for side-effect questions.
How a tirzepatide protocol begins
Three steps. One physician.
No medication ships before the review. If your physician wants labs first, labs come first.
Step 01 · at checkout
Meet your physician
Consent and the review are arranged at checkout. An independent physician reviews your intake, history, and goals, then prescribes, or recommends something else. They may or may not establish care.
Step 02 · recommended
Set your baseline
The Telos Panel, your core hormone and health markers, is the recommended baseline. Drawn at home or at a partner lab, or upload recent labs. If your physician wants labs first, labs come first.
Step 03 · re-test included
Begin titration
If prescribed, your order arrives cold-chained with a printed protocol. Your care team checks in, and the panel re-tests what changed.
On mechanism
Two pathways, not one.
Tirzepatide is a dual agonist. It binds both the GLP-1 receptor, like semaglutide, and the GIP receptor, which semaglutide leaves alone. Engaging that second pathway is what may add to its effect on appetite and metabolism, alongside a steeper titration curve and a smaller window for tolerability. Your physician sets the pace from your panel.
Typical titration · a physician adjusts to you
Wk 01–04
2.5 mg
Wk 05–08
5.0 mg
Wk 09–12
7.5 mg
Wk 13–24
10–15 mg
Illustrative schedule. Your dose, pace, and target are set and adjusted by your physician against your panel.
The receipt
Every order arrives with its paperwork.
A lot-specific certificate of analysis, identity, purity, sterility, and endotoxin, is bound to the lot you receive, attached to your order and viewable in your account. The compounding pharmacy is named on the receipt. This is a compounded medication, not the branded drug.
Certificate of analysis
Lot · sample
CompoundTirzepatide acetate
Purity (HPLC)99.4% · pass
Identity (MS)m/z 4813.5 · pass
SterilityNo growth · 14d · pass
Endotoxin (LAL)< 0.25 EU/mg · pass
Pharmacy503A / 503B · disclosed on order
Released byPharmacist of record
Illustrative figures · your lot-specific COA ships with your order.
Questions, answered plainly
Before you begin.
Will I need a consultation?
Yes. Every prescribed compound is reviewed by an independent physician in the affiliated medical group. The consult is part of getting started.
What labs do I need first?
The Telos Panel, core hormone and health markers, drawn at home or at a partner lab. You can also upload recent labs. Your physician reviews your intake, and any labs you have, before prescribing.
How is it shipped?
Ships cold-chain from the partner pharmacy in insulated, temperature-controlled packaging; shipping is calculated at checkout. The compounding pharmacy is disclosed on your order.
How does pricing work?
Tirzepatide is purchased one-time, from $150, confirmed after review. Your physician sets the dose against your labs, titrates over time, and includes oversight and the re-test. Current pricing · transacted on shop.telos.md.
Is compounded the same as the branded drug?
No. A compounded medication is prepared by a licensed 503A or 503B compounding pharmacy and is not the same as, nor a substitute for, an FDA-approved branded product. We name the pharmacy on your order.