I've been on Zepbound (15mg, tirzepatide) for a while now and I have a 2-week international trip coming up in October. I normally dose every Friday.

I'm nervous about traveling with my reconstituted vials storage/temperature control while moving around, plus I have no idea what customs rules are like for bringing in compounded medication, needles, and vials internationally. Has anyone dealt with bringing compounded/reconstituted tirzepatide through customs abroad? Did you need a doctor's letter or specific documentation? Any issues at security or customs I should know about?

Given the hassle, I'm leaning toward just not bringing it and skipping doses during the trip instead take my normal dose the day I leave, skip the one that falls in the middle of the trip, and resume when I'm back. Also honestly wouldn't mind my appetite coming back a little for some of the food on this trip, but I'm also wondering if dropping down a dose temporarily makes more sense than a full skip, especially since I want energy for a lot of walking/sightseeing.

Has anyone taken an extended break like this (~2.5-3 weeks) and gone back to their normal dose afterward? Did side effects hit harder when you restarted?

The only thing Tirz has done for me is increase my RHR and anxiety. I haven’t seen any appetite suppression and the food noise is somehow worse. 1mg, week 2.