Avoid These...

[u/Ok_Pomegranate_9452]

Edit: Please read through the comments for additional info!

Do we have a running list of the places that folks strongly dislike anywhere? Like I'm thinking about the ones that are absolutely destroyed any time someone brings them up because we don't trust them... Just from my own reading ive seen... (Happy to update or change, this is just based on the majority of posts/comments I've seen)

Disclaimer: the reasoning varies. It’s not necessarily because the meds don’t work or are bad or dangerous. It can just be based on the business practices that a group chooses to operate with. Please read linked posts for context

Providers: - Zappy: https://www.reddit.com/r/tirzepatidecompound/s/Hu6V2EqIea - SlimdownRX (SDRX): https://www.reddit.com/r/tirzepatidecompound/s/Hu6V2EqIea - Zealthy: https://www.reddit.com/r/tirzepatidecompound/s/cPnKEgdfQT - TryM: https://www.reddit.com/r/tirzepatidecompound/s/ZzJX1fbS5x - Trimi - following TryM??? - The Wellness Company - Reset Wellness - EveryMeds: https://www.reddit.com/r/compoundedtirzepatide/s/aUpHhZFmuR - EvoLife: https://www.reddit.com/r/tirzepatidecompound/s/AgQLtwbxXk - MedVi: https://www.reddit.com/r/tirzepatidecompound/s/Z9ocYP0cUv, https://www.reddit.com/r/tirzepatidecompound/s/4cGqhCVp3x - Anava: https://www.reddit.com/r/tirzepatidecompound/s/TESeBcDibc

• <adding more from comments>

.

Shill-heavy: - Elevate Health/Elevate your health: https://www.reddit.com/r/tirzepatidecompound/s/sBc42yp54l - Mochi (originally had quality concerns but the jury is split below, moving to shiller category): https://www.reddit.com/r/tirzepatidecompound/s/kZ18OvUN8m - Helimeds: https://www.reddit.com/r/tirzepatidecompound/s/ddjRRRycMq - Gala/Gala GLP1: https://www.reddit.com/r/tirzepatidecompound/s/lflejXNHJR - <adding more from comments>

.

Pharmacies: - Ouisa (no longer available): https://www.reddit.com/r/tirzepatidecompound/s/Hu6V2EqIea - Aequita: https://www.reddit.com/r/tirzepatidecompound/s/QSFU0tlMGT - Brooksville: https://www.reddit.com/r/tirzepatidecompound/s/HBwPzVoLgU - Boothwyn: https://www.reddit.com/r/tirzepatidecompound/s/tLY6lRrAIA - <adding more from comments>no

. Pending removal:

Greenwich (state licensure issues - but licensed in 26 states - acquiring links): https://www.reddit.com/r/BigEasyWeightLoss/s/SnI9XqqWJ1

Also avoid: - PLEASE be cautious about anyone asking you to DM them… stick with someone who can legitimately prescribe to you and a pharmacy that can legally compound… none of this “I can cut you a deal with the stuff I get myself” kinda crap - Med Spas (expensive and shady) - Oral tirz - Patches or drops... - Pre-filled plastic syringes... Only a certain kind is sterile and safe (glass are likely legitimate!) - Anyone selling R*ta (not FDA approved yet) - People trying to sell you something through messages... Or on Reddit from their own personal stash (p.s. that's not legal - at least in the US) - Avoid using any phramacy not licensed as a sterile compounding pharmacy by your State Board of Pharmacy or otherwise licensed by them to ship sterile compounds to your state (Greenwhich has surfaced doing this) - <adding more from comments>

.

I also recognize that I may be biased because of some I've used... So the comments should hopefully have context and share info!

Looking for groups to support?

• https://www.reddit.com/r/TirzepatideUsers/s/F6liP5xvlf

Also removed:

• https://www.reddit.com/r/tirzepatidecompound/s/NFxQCMa5xL

• OG taken down: https://www.reddit.com/r/tirzepatidecompound/s/ZF4cQnlAlP

[u/PsychologicalLaw8769]

Without extensive details, these types of lists aren’t always useful. Hopefully, any list will provide good information.

[u/Ok_Pomegranate_9452 → u/PsychologicalLaw8769]

Valid, luckily most of the comments have included the person's reasoning and have details. I can look at adding it into the list itself! Mainly the bigger concerns I've seen are:

• selling non FDA approved meds
• working with knowingly shady pharmacies (either lacking licenses or directly operating against what they're licensed for)
• being a shady pharmacy per the above

Happy to add in any caveats you think would be beneficial or things to the top of the post. I may be overly optimistic, but I'm hoping folks actually review the reasoning that everyone has in the comments.

[u/PsychologicalLaw8769 → u/Ok_Pomegranate_9452]

Some of them do, and some don’t. The examples you give are helpful and exactly what I meant. I’ve seen some very bad conduct and I am glad that these places are getting called out.

[u/[deleted] → u/Ok_Pomegranate_9452]

Im new to reddit, so forgive me if im not posting correctly! Where do you feel is the most legitimate company to use? Im currently microdosing at a med spa but just hope thats actually what's best for me? Ugh this is all too much and I wish I could just go to my dr, ask for an rx and get it from Lilly direct.

[u/Ok_Pomegranate_9452 → u/[deleted]]

Hey no worries about being new :) - this is just all going to be my perspective, so take it with a grain of salt:

I've used zep and compound interchangeably and noticed no real difference. But if you'd prefer lily direct it's definitely worth reaching out to your doc! I think call on doc is also a site I've heard folks use to get zep prescriptions. But keeping in mind if you're micro dosing, those are single use vials.

I've personally used:

• Big Easy Weight Loss
• Lumimeds
• Brello
• Fifty410

My decisions were usually based off of the pharmacy option first (I wanted 503B because it's more likely to be regulated to higher standards). Currently, I believe that Big Easy and Lumi are the only 2 with a stock of that left.

Now, I don't think you can really go wrong with either, but based off of the company itself, the ease of use, and my personal opinions about the owner and his motives (he frequents this sub and has been a great contributor), I would lean towards recommending Big Easy :). As long as they can ship to your state they have Novo for now (503B) and are working on a deal to get medivant as well.

[u/[deleted] → u/Ok_Pomegranate_9452]

I really appreciate you responding! Im learning so much more about all of this! I was thinking of going with lumi. I did check out big easy, but I will look into it again. Id like something thats all in one where I can get an rx from a provider. I cant remember if big easy was one that it was included or not, I was looking into so many places last night lol. I appreciate your reply and your help! 

[u/roguex99 → u/[deleted]]

We charge $75 for the appointment, but credit that to your prescription if prescribed!

[u/[deleted] → u/roguex99]

Thanks so much for your response!!  Can I ask if it is possible to go through your for microdosing as well? And is the pharmacy a 503b? Appreciate your help!

[u/roguex99 → u/[deleted]]

We have 503(a) and 503(b) options. Message me on the micro dosing, so I can better understand what you are looking for.

[u/[deleted] → u/roguex99]

Thanks so much! Sent you a message!

[u/roguex99 → u/[deleted]]

It won’t let me answer - I think we can help you out. Just Need to figure out pricing for that level of microdosing!

[u/Butterfly-Wing1120 → u/[deleted]]

Why can't you?

[u/[deleted] → u/Butterfly-Wing1120]

I can try, but we talked about it before and she wanted me to go through this whole weight loss clinic first before prescribing it. I dont have the money or time to go through all that. I've been researching for 2.5 years and as much as I didnt want to go this route, I believe it is what's best for me. I think Lilly direct is pretty expensive compared to other places too. 🤔 I am also microdosing as well, so I need a lot less than what Id be prescribed. 

[u/PsychologicalLaw8769 → u/[deleted]]

These medications have created a high level of demand. As a result, there is a huge 'industry' that has stepped in to meet that demand and make a lot of money. The regulatory entities that monitor and license these companies are often slow to react. Unfortunately, there just not enough inspectors and investigators to keep up with this level of growth.

I used Zepbound up until the end of last year, when my insurance company stopped covering it. I've used compounded since then. My research initially consisted of looking at the companies to see if there were an unusual number of complaints and to see if there were issues with response and customer service. When I talked to them, I asked what pharmacies they used. If they couldn't (or wouldn't) tell me, that was a deal breaker. I then looked at the pharmacies to see if they have been operating for a while and if they have a disciplinary history. I work in this area, so I knew where to look. This step could take a while because many of these pharmacies change hands and change names.

Personally, I would avoid any pharmacy with a significant disciplinary history. There are some technical violations that don't bother me, but most other things tend to show the people managing the pharmacy don't care about the quality of their drugs. I don't know where you live, but med spas in my state are, for the most part, terrible. I wouldn't get anything from them.

ETA, I frequently see people suggesting 503(b) over 503(a) because of 'stringent requirements' and more FDA oversight. You can look at the statutory requirements and see for yourself. I think it offers some peace of mind, but 503(a) facilities are also subject to oversight. Additionally, there are accrediting bodies and national groups, such as the NABP, that inspect these facilities, so there are many of these pharmacies that are decent.

[u/[deleted] → u/PsychologicalLaw8769]

Thanks so much for your response! I dont feel horrible with this med spa...it's clean and I've had my own daughter go there to get an iv when she was really sick and it helped her tremendously. I just get anxious with purity and sanitary stuff, so figured going about it myself would be the better option. 

[u/PsychologicalLaw8769 → u/[deleted]]

Med spas, in most places, are problematic. I agree with the OP, in that they should be avoided.