Counsel patients regarding the potential risk for MTC with the use of ZEPBOUND and inform them of symptoms of thyroid tumors (e.g., a mass in the neck, dysphagia, dyspnea, persistent hoarseness)
Dehydration can worsen side effects like constipation and headaches
Who should consider evening injections People who experience moderate to severe nausea Anyone who has been on tirzepatide for at least 4 weeks (familiar with their side effect pattern) People who work physical jobs and cannot afford daytime nausea Night owls who naturally stay up later Anyone who has tried morning injection and found the daytime side effects disruptive Choosing the best day of the week The day matters more than most people realize
With compounded tirzepatide and an insulin syringe, accuracy depends on your ability to draw up the correct number of units
Patients experiencing persistent gastrointestinal side effects that interfere with daily activities or nutritional intake may benefit from extending the duration at each dose level beyond the minimum four weeks before attempting further escalation
Vial: Wipe the rubber stopper with an alcohol swab
