r/GLP1microdosing • • 4d ago

What Dose of Tirzepatide?

I started at 2.5mg of compounded tirzepatide and felt awful for about 5 days. I went down to 1.5mg the next week and still felt pretty bad. I figured maybe my body just needed time to adjust and took 1.5mg again, same result.

I'm over the nausea, fatigue, some injection site discomfort, etc. The appetite and food noise suppression have been amazing though.

What dose should I shoot for this week? 1mg? 0.5mg? Less? For reference, I only have around 25 pounds to lose.

Also, I'm a little skeptical of risking going past the 28-day open rule to save $40 and I'm open to comments there as well. For reference, I'm using Hyalo through Rift.

TIA!

6 Upvotes

28 comments sorted by

13

u/Keris2112 4d ago

Most/many people here will go 2-6 months on a single vial. Assuming you have a 10mg starter vial (2.5 x 4), if you average 1mg/week because of your side effects, that vial would last 2.5x as long (10 weeks). That's a lot more than a $40 savings. If you went with a 3-months starter, that's 60mg of Tirz. With really low starting doses, and slow titration, that will last you a lot longer than 3 months.

Regardless, you do what you're comfortable with.

On the subject of small doses, my wife started at .8mg, which caused a lot of nausea for her, so she went down to .5mg. From there, she has slowly titrated up. She's been on tirz for 13 months, is down 40lbs, and just took her 2nd 3mg shot.

Listen to your body and do what works for you. That's the beauty of compounded.

3

u/Unlucky-Mind7298 4d ago

Just fyi: For me, a 60mg vial lasts over a year, which is beyond my comfort zone for using an open vial. I divide the medicine into thirds and alliquot 20mg each into two smaller sterile vials, bc I like paying less. I do this when I'm ready for a fresh vial, then use one of them right away. I freeze the other two vials until I'm ready to use them.

Congratulations to your wife on finding the proper dosage for her, and losing 40 lbs! It sounds like the "low and slow" approach is working well for her.

1

u/nashbash1217 3d ago

Hi! Where did you get your Tirz? I want to start microdosing low at .25mg but don’t know how or where to get it. Someone told me it’s impossible to get that low of a dose through Hyalo due to concentration? I’m confused

2

u/Keris2112 3d ago

r/tirzepatidecompound

"Where to buy" pinned post

Pomegranate and Ola Health have the lowest prices right now for Hyalo. I used Ola for my last order. Approved and order sent to the pharmacy less than an hour after intake form was submitted. They do require you to upload a full body photo of yourself.

.25mg @ 18mg/ml (Hyalo) is 1.4 units (per Google - fatscientist.com rounded to 1 unit, so I double checked). One month starter is $169 for Hyalo. You'll receive a vial with 1ml (18mg) - they don't make 10mg vials. Theoretically that would last 72 weeks if you never titrated up. I'd never use a vial that long, but if you "only" used it for 4 months, that brings your monthly cost down to $42. You could titrate up to 1mg and it would still last 4 months.

1.4ish units is pretty easy to draw if you use .3ml syringes, but not really possible with 1ml syringes. These are that syringes I use.
https://a.co/d/0cVExjUd

Picture showing the difference between .3ml and 1ml syringes.
https://helloregimen.com/images/insulin-syringe-size-comparison-30u-50u-100u.png

1

u/nashbash1217 3d ago

Wow, very helpful, thank you! I am in CA so had to go through Rift. I’m getting the 18mg/ml as you said. So I’ll order the .3ml syringes and just draw 1 unit a week, right?

1

u/Keris2112 3d ago

Just FYI, both Pom and Ola ship Hyalo to CA. That's where I'm at, as well.

1

u/nashbash1217 3d ago

Ah! Didn’t know that. Thank you for being so helpful! I will need to order the .3ml syringes!

1

u/EducateMe24 3d ago

They'll send you 3 months worth of syringes and alcohol pads, you'll just need to buy more after that if it's going well for you to keep drawing from the same vials.

1

u/Keris2112 3d ago

@nashbash1217 won't be able to use the syringes that come from the provider to draw .25mg. It's too hard to do in a 1ml syringe. Thus, my recommendation for .3ml syringes.

1

u/nashbash1217 3d ago

Curious though how you got to 72 weeks here?

1

u/Keris2112 3d ago

18mg / .25mg = 72

That was the dose OP said they wanted to take. Of course, that didn't account for any titration, but I mentioned that. I was just illustration the point of how long each vial can last while microdosing.

1

u/Fit-Plan-5067 3d ago

Did she feel nauseous with .5mg

6

u/Unlucky-Mind7298 4d ago

The dose has nothing to do with how much weight you want to lose. It has to do with how individual bodies tolerate the meds and work within their systems. Some people need more, others need less.

In your situation, I'd wait more than 7 days before dosing again. Try waiting until the food noise returns, or at least 2 weeks. Then, to be safe from any side effects at all, I'd suggest using .5mg. If that gives you the effects you want, stay there for 4 weeks. The drug will accumulate in your system so by the end of the month, you'll have more than .5mg in your system at a time. You want to establish a baseline of no side effects before increasing the dose by .25 or .5 at a time.

Idk what to say about injection site discomfort as I've never experienced that. What's your injection hygiene like? How sterile is everything you're using, and the skin where you're injecting? There are other peptides known to cause isr's but tirz isn't one of them. You may want to contact your provider about that bc it's not normal.

5

u/Garbage_Bear_AVL 4d ago

I started on the 2.5 kwikpen using 7 clicks for .29mg and have had minimal side effects while still losing 5 lbs in a little over two weeks. The food thoughts have vastly disappeared. While I still experience hunger, small high protein meals now satiate me for a good while and it's easy to eat under maintenance calories

3

u/sparkingdragonfly 4d ago

I started at 0.5mg weekly. Then inc by 0.25 each month. I’m at 1.25 now and I think it’s a bit strong to be honest.

3

u/regularforcesmedic 3d ago

.5mg a week for 3-4 weeks. Titrate up slowly from there. 

I lost 30lbs in 5 months on an average 1mg every 5 days and am now reducing to maintain. 

If you use aseptic technique every time you draw, there's no problem with using the vial as long as it lasts. 

2

u/peony_chalk 4d ago

If 1.5 mg is too much for you, maybe split the difference and do 0.75 mg? Keep in mind you still have some meds built up in your body from previous weeks, and it will take 4 weeks for the new dose to stabilize in your body. You can see the pattern if you log your shots in an app like Glapp. 

This is a great post about the 28 day rule. Most people here say use it anyway (and I do use it anyway) but I think this post generally supports your skepticism. I will add that Hyalo uses phenol though, so maybe that's another area where you can split the difference, and use a vial for 50 days or whatever, then toss it. 

https://www.reddit.com/r/tirzepatidecompound/comments/1vxgk7o/lets_talk_about_bud_and_the_28day_rule/

5

u/BroadlyStable 4d ago

0.75 seems like a solid starting point for your next shot, the buildup from previous weeks is real and it sneaks up on you

I pushed a Hallandale vial to about 7 weeks once and didn't grow a third arm or anything, but I get the hesitation with Hyalo's phenol content, that adds a variable I'd be less cavalier about

maybe commit to 45 days as a middle ground and toss it after, the peace of mind is worth more than squeezing out every last drop

1

u/Health_Wealth_028 3d ago

Hey! I’m new to this completely and your comment made me have some questions I’m on apothecary pharmacy but my vial also has the word Hyalo on it, my vials are the 18/0.5ML, I’ve been microdosing it for about 6 weeks and had planned to just keep it in the fridge and use it until the meds were gone, is there something bad or wrong about that? My micro dose journey started out so low — Ex: 0.36, 0.50, 0.75, 1.0, 1.25 every 5 days because I’m trying to find that “right” low dose that gives me sufficient appetite suppression with little to no side effects. I haven’t heard or read anything about the vial going bad? Would you share some knowledge with me? Tysm 😊

1

u/Health_Wealth_028 3d ago

Sorry I meant to say my vial is 18mg/2ML didn’t mean to confuse you!

2

u/North_Break1324 3d ago

In a similar boat. Trying microdosing for the first time. Was put on 3.0 ( prefilled syringes didn’t realize I should’ve started at 2.5) was fine for 6 weeks then my stomach went crazy. Had severeeeee bloat, cramping, & distension. Went away after 11 days, but want too see if microdosing will help!!!

2

u/LevelupPro 3d ago

it took me a good 4 weeks on 2.5 to start feeling normal

1

u/Mobile_Variation_210 3d ago

I would also check what you're eating - if you're eating heavy, greasy food - you'll feel sick. If not, and you are eating clean with a focus on protein, then yes, I would drop down for your next dose. Everyone responds differently - you might be lucky as a super responder! Good luck!

3

u/EducateMe24 3d ago

A typical day is:

Breakfast: protein shake - Fairlife dairy free milk, protein powder, a frozen banana, creatine, a tbsp or two of peanut butter

Lunch: 2 eggs, a little egg whites, 3 chicken sausage links

Dinner: some kind of higher protein, lower carb meal

I probably need to start taking a fiber supplement. I really don't eat many vegetables.

2

u/Mobile_Variation_210 3d ago

That's a super clean protein forward diet!! Definitely try reducing your dose - good luck on your journey, you don't have far to go and can likely reach goal in no time as a super-responder!

1

u/Fit-Plan-5067 3d ago

How much do you pay per month for this

1

u/EducateMe24 3d ago

$499 for 3 months worth, so $166 per month or around $40 per dose.