TZ/B12 4-Week Supply with Service Fee TXPM

THIS ITEM REQUIRES A PRESCRIPTION FROM DR.K. NEW PATIENTS MUST PAY THE NEW PATIENT FEE AND BE SENT AN *APPROVAL MESSAGE* PRIOR TO ORDERING. DO NOT ORDER PRIOR TO THIS OR YOUR ORDER WILL BE CANCELLED MINUS A 5% PROCESSING FEE. RETURNING PATIENTS MAY PLACE AN ORDER WHEN READY AND DO NOT NEED PERMISSION PRIOR TO PLACING A NEW ORDER.

***This product currently ships to all of my patients!***

1. This medication will be shipped to you from TXPM.
2. Injection supplies are included.
3. This item usually ships within 4-5 business days, often more quickly. Because this medication ships very quickly, you may not receive any shipping notification, so you will want it delivered to a place where you will be able to check your mail daily. We are not responsible if you do not receive a shipping notification before your medication is delivered. If you absolutely must receive tracking information, then order from another pharmacy.
   
   Signing up for shipping notifications at your address through FedEx at www.fedex.com will help you know when an item is shipping to you. Use the same email address provided on your order when you sign up.
4. An ice pack and insulated bag are used to avoid excessively high temps during shipping. However, do not be alarmed if the medication is warm to the touch on arrival. This formulation is stable up to 56 days at temps up to 86 degrees and stable up to 3 days at temps up to 104 degrees. However, once the vial is punctured, it will need to be placed in a refrigerator.
5. Your medication may have a pink or red tint due to the B12 in the vial. This is normal. I love it because it helps me see the medication better when drawing it up!
6. Each vial contains 4 weeks of either the 2.5mg, 5mg, 7.5mg, 10mg, 12.5mg, or 15mg dose of tirzepatide plus B12 in 2ml of fluid (200 units total).
7. Your injection dose with these vials is ALWAYS 0.5ml (50 units), no matter your TZ dose for that week.
8. You MUST order the dosage you intend to take, as these vials are to be used for 4 punctures only and generally should be used within 28 days. You may order up to TWO vials at once (an 8-week supply).

VIAL CONCENTRATIONS

• 2.5mg Dose: TZ with B12 5mg/0.5mg/1ml (2ml vial)
• 5mg Dose: TZ with B12 10mg/0.5mg/1ml (2ml vial)
• 7.5mg Dose: TZ with B12 15mg/0.5mg/1ml (2ml vial)
• 10mg Dose: TZ with B12 20mg/0.5mg/1ml (2ml vial)
• 12.5mg Dose: TZ with B12 25mg/0.5mg/1ml (2ml vial)
• 15mg Dose: TZ with B12 30mg/0.5mg/1ml (2ml vial)

Sometimes your medication may be printed as a dose PER ML instead of your dose PER 0.5ML. For instance, the 2.5mg dose may be written on your vial as 2.5mg/0.5ml OR 5mg/ml. These are the EXACT same concentrations, just expressed differently. Another example is if your 15mg dose is written as 30mg/ml instead of 15mg/0.5ml. These are both the exact same concentration, only printed a little differently on your vial. Just remember to ALWAYS INJECT 50 units (0.5ml).

DOSING

The standard dose with these vials is always 50units (0.5ml) SC once a week, no matter the dose. The higher the dose, the higher the concentration of medication in those 50 units.

New patients not previously on an injectable weight loss medication will start at the 2.5mg for the first 4 weeks. You may then move up to the 5mg dose for the next 4 weeks, then 7.5mg for 4 weeks, etc. However, you do NOT have to move up in dosing until you are ready. If you are having successful weight loss on a certain dose, you do not have to move up. Also, if you are having significant side effects on a dose, you should spend another 4 weeks on your current dose before you move up.

***AGAIN, YOU WILL ALWAYS INJECT 50 UNITS NO MATTER WHAT DOSE OF TZ YOU ARE ON.***

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