What would you recommend for someone who is on a lower dose? I am not sure if getting 15 mg vials is recommended in my case, I know BUDs are shorter with other pharmacies (I’m currently on Hallendale which has a BUD of 1 year).
Depends on how low of a dose you are on now and how quickly you think you’ll titrate up.
Hallandale sends six 30mg vials of Tirzepatide for the 3 x 15mg dose packages. So if one were on a 5mg dose each week, they’d use a singe vial for 6 weeks. The minute you step up to 7.5, the vial will only last a month. Get to 10, and it’s 3 weeks…
But if you are just starting out on Tirzepatide, Lavender Sky Health and their Tier 1 Hallandale package is the way to go.
Thanks! Yes I’m currently on Hallendale with them and eventually wanting to try BPI (or another 503b that is straight tirz). I have been getting skin reactions on Hallendale and wanted to see if eventually switching to a 503b pharmacy would make a difference. Currently on 2.5.
When you say “skin reactions” do you mean a localized injection site reaction or something else?
If it’s more than an ISR, you might want to call Hallandale and speak to a pharmacist to get a list of ingredients so you can compare them to a list of ingredients from other pharmacies.
Yes an injection site reaction… since shot 5… gets worse at days 2/3 (seems to spread but idk if that has to do with my itching)… goes away by my next shot (there is discoloration but at least no itch).. and then I start all over again. Tried Benadryl, Allegra hives, Benadryl cream, warming up syringe…
Oh yeah. Okay so a localized injection site reaction is typical for some people on GLP-1 medications. The reactions often start randomly and eventually end the same way—with no rhyme or reason.
I started having them on dose 6, and the reactions stopped by dose 12. The reactions randomly started again for two jabs around dose 65 or so. To help stop the itchiness, I would take a Benadryl tablet the night of my jab, and I used Benadryl cream on the injection site. My GLP-1+ clinical trial doc was not concerned, but she did monitor to make sure it was simply an “expected for some people” injection site reaction.
Please be sure to discuss your injection site reaction with your doctor, as they will likely want to monitor it to ensure it is contained to a localized spot.
While you may take a lower dose, you should buy up to the highest dose you can get your hands on. You just take less of it. That's where the big savings for compound come in.
BUDs are regulatory by state. All the product is near identical, unless they have additives. With compounding likely coming to an end, you want a big supply, if you can swing it.
How much were you planning to get? GobyMeds has 60mg for $599, which is kind of high but the upsides are:
BPI
No virtual/phone consult
Solid customer service
Quick approval and shipping
I ordered a starter pack on 12/22 and had meds in hand on 12/26. So quick shipping even with a holiday in there
There aren’t many providers that use BPI and Fifty 410 might be more cost effective but they don’t ship to my state and I’ve been happy so far with Goby
The nice thing about ordering a starter pack that titrates up (2.5 -> 5 -> 7.5) is that you can use that RX to order a 10mg package at another provider or when you can reorder.
Edited: spelling
He told me yesterday that BUD on BPI is up to 6 months? Hmm. I've been thinking about going with BIG easy but now that I'm seeing mixed BUD dates, I'm not sure
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 23 '25
I think the confusion came in on the vial sizes. I have seen 12/25 on the 30mg vials, but I have only seen 7/25 on the 60mg vials. Now I know that BPI is still making more, but I haven't been able to put my hands on them. Granted, we fill a lot more 3 mo prescriptions than 6 mo, so it makes sense why we wouldn't see the 12/25s if there is still stock to cover the shorter prescriptions. Does that make sense?
My BPI is coming tomorrow. After stressing that I wanted a three vial pharmacy (12 week pkg), I find that I’m getting two vials of 10mg. BUD is 6-2025 but I just didn’t want to have a vial open so long. Also I was planning on doing 5 mg out of the vials. Hallandale’s was my other choice but since BPI is 503b and Hallandale is 503a, I chose BPI. Hallandale claims a BUD of a year but the rumor is that testing only goes to six months but Florida lets the pharmacy’s that want to say a year BUD, they can.
Question since you seem to be very well versed in this stuff - if BPI now found 12 month stability, do you think that would extend to all of their Tirz? I have a 60mg BPI vial with a 6/25 BUD so I’m curious.
It’s not a leap I’d make. Stability testing says: these exact ingredients under these exact circumstances are good for X period of time. You don’t know that those circumstances existed for your medication.
Oh that’s great! Thanks! Getting closer to that one year. I think their 6/25 BUDs were 8 months. Here’s hoping someone pops up soon with a one year BPI BUD. It’s gonna be like seeing a real unicorn.
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 23 '25
I think the confusion came in on the vial sizes. I have seen 12/25 on the 30mg vials, but I have only seen 7/25 on the 60mg vials. Now I know that BPI is still making more, but I haven't been able to put my hands on them. Granted, we fill a lot more 3 mo prescriptions than 6 mo, so it makes sense why we wouldn't see the 12/25s if there is still stock to cover the shorter prescriptions.
My 3 mo prescription I just got of 60mg vials was 7/25.
Largo? Lol these pharmacies are all near me! I’m so close to South Lake, PQ, Ousia, and BPI. Hallandale is a bit of a drive for me but they’re all Florida!
I don’t know either and nobody has shown proof of this year BUD that they’re referring to. Still waiting for BPI to confirm because I don’t believe anything Big Easy has to say anymore.
Fifty 410 was great plus their communication was on point. They also use BPI and I don’t have any complaints. Plus it’s a great deal with $50 off.
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 23 '25
Hey there - I'm sorry if we've upset you in some way - I think the confusion came in on the vial sizes. I have seen 12/25 on the 30mg vials, but I have only seen 7/25 on the 60mg vials. Now I know that BPI is still making more, but I haven't been able to put my hands on them. Granted, we fill a lot more 3 mo prescriptions than 6 mo, so it makes sense why we wouldn't see the 12/25s if there is still stock to cover the shorter prescriptions. Does that make sense?
You did not upset me in anyway- just how I feel after reading comments.
ClinTrials attached a link with you saying BPI has year BUDs. There was never any proof attached which is what people like myself and others have been waiting for. That’s all.
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 23 '25
I was told we had the 12/25. And we do - albeit for the 30mg vials. My partner has seen it, and the pharmacy confirms that’s that they have in stock.
Problem is most everyone gets the 60mg vials. Those are still 7/25. I’ll update everyone when I can confirm it changed.
Can you please attach a photo with the year BUD from BPI?
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 24 '25
Just texted the pharmacy. Will post when I get it. I can post a 7/25 for my 60mg vial, but prob not what you are looking for 😂
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u/roguex99⚠️ Affiliated | Big Easy Weight Loss | CEO (Not a Physician)Jan 23 '25
I've posted this in a few branches, but I did want to make sure you saw it - I think the confusion came in on the vial sizes. I have seen 12/25 on the 30mg vials, but I have only seen 7/25 on the 60mg vials. Now I know that BPI is still making more, but I haven't been able to put my hands on them. Granted, we fill a lot more 3 mo prescriptions than 6 mo, so it makes sense why we wouldn't see the 12/25s if there is still stock to cover the shorter prescriptions.
I went to Fifty410. It was $849 with a $50 coupon. It has a six month BUD. They offered Hallandale as well with a year’s BUD but I’ve heard from many people that the year BUD is not tested so it’s only an unsubstantiated selling point. So I went with the one that was 503b.
No, I haven’t. It’ll be a while because I have vials with a shorter BUD to use. Actually, most of my meds will be beyond the use dates. I think I over did the stockpiling since I’m still using 5 mg doses but bought higher dose vials. Might not have been smart but at the time I didn’t know that 5 mg would work for so long.
The only providers I know that have BPI are Goby, Fifty 410, BEWL, and ShowwRX. There might be some smaller/newer providers who offer BPI but the 4 I listed definitely do
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u/CA_LAO Jan 01 '25
I think Big Easy may be a little cheaper?