MetabolicTier 1 β Strong clinical evidence (RCTs)
Tirzepatide
Mounjaro Β· Zepbound
Dual GIP/GLP-1 receptor agonist (first in class) with superior weight loss outcomes (~22% body weight) compared to semaglutide in head-to-head trials. FDA approved for T2 diabetes and obesity.
π SC injectionπ§ Refrigerate at 2β8Β°C; after first use keep at room temperature up to 21 days
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Mechanism of Action
Activates both GIP and GLP-1 receptors, providing additive appetite suppression, glucose control, and enhanced fat oxidation via GIP's distinct metabolic pathways.
Clinical Applications
- βType 2 diabetes (FDA approved β Mounjaro)
- βObesity treatment (FDA approved β Zepbound)
- βSuperior option when semaglutide provides insufficient response
- βMetabolic syndrome
- βNASH (clinical trials ongoing)
Dosing Protocol
Recommended Dosing
SC injection. Start 2.5 mg/week Γ 4 weeks, then increase by 2.5 mg every 4 weeks to maximum 15 mg/week. Titrate to lowest effective dose.Safety & Contraindications
Possible Side Effects
- β Nausea, vomiting, diarrhoea (similar to semaglutide)
- β Constipation
- β Hypoglycaemia (when used with insulin/sulphonylureas)
- β Pancreatitis (rare)
- β Thyroid C-cell risk
Contraindications
- βPersonal or family history of medullary thyroid cancer
- βMEN2
- βPancreatitis history
- βPregnancy
Combinations & Synergies
π BPC-157gut protection support
π Semaglutidedo not combine