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Compounded versions of both are available through telehealth providers and compounding pharmacies with a prescription

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Practical combination protocol Here is what a typical combination looks like in practice: If you are already on metformin and adding tirzepatide: Continue your current metformin dose without changes Begin tirzepatide at 2.5 mg weekly Choose a consistent injection day each week Take metformin with meals as usual After 4 weeks, increase tirzepatide to 5 mg if tolerated Subsequent increases every 4+ weeks as directed by your prescriber If starting both medications simultaneously: Begin metformin at 500 mg once daily with a meal Wait 1-2 weeks for GI tolerance before adding tirzepatide Start tirzepatide at 2.5 mg weekly Titrate metformin upward by 500 mg weekly to target dose Titrate tirzepatide upward per standard schedule Some prescribers prefer to stagger the initiation of both medications by two to four weeks

I feel healthier, happier, and more in control of my diabetes. B Bonnie Verified patient Finger pricks dailynone See if you qualify for our weight loss or diabetes monitoring programs Starting at $90 for a 4-week supply Compounded Semaglutide Injection 4-weeks of Semaglutide Injection (All Refills / All Dosages / Same Price) Starting at $140 for a 4-week supply Compounded Tirzepatide Injection 4-weeks of Tirzepatide Injection (All Refills / All Dosages / Same Price) Starting at $90 for a 4-week supply* GLP-1 Core Medication 4-weeks of GLP-1 Core medication (All Refills / All Dosages / Same Price) Starting at $140 for a 4-week supply* GLP-1 Advanced Medication 4-weeks of GLP-1 Advanced medication (All Refills / All Dosages / Same Price) $0 with Medicare for those who qualify Dexcom G7 Monitoring Continuous glucose monitoring with remote care from your MDWatch team $0 with Medicare for those who qualify FreeStyle Libre Monitoring Continuous glucose monitoring with remote care from your MDWatch team Prefer to talk to someone