
Compounded Tirzepatide + B12
Weekly tirzepatide with vitamin B12 added to the same vial, to support appetite control and energy in one injection.
- Licensed provider review
- Medication & injection supplies
- Free, discreet shipping
- Dose guidance from your provider
- Ongoing care team support
- Full refund if not approved
Prescription required. A licensed provider decides whether treatment is right for you. See important safety information.
Why people choose Tirzepatide + B12
Quiets hunger
Acts on two gut-brain appetite signals, GLP-1 and GIP.
Added B12 for energy
Vitamin B12 helps turn food into energy while you eat less.
Supports steady weight loss
Paired with healthier eating and activity.
One weekly shot
Two ingredients, one injection.

What is Tirzepatide + B12?
Tirzepatide is the active ingredient in Mounjaro® and Zepbound®. In this compounded formula, a licensed pharmacy adds vitamin B12 to the tirzepatide in the same vial, based on a provider’s prescription. B12 helps your body turn food into energy. You start at a low dose that your provider increases gradually.
Who Tirzepatide + B12 may be right for
It may be a fit for
- A BMI of 30 or higher, or
- A BMI of 27 or higher plus a weight-related condition, such as high blood pressure, high cholesterol or type 2 diabetes
It is not right for you if you
- Have had medullary thyroid cancer, or a family member has
- Have MEN 2 syndrome
- Are pregnant, breastfeeding or planning a pregnancy
- Are allergic to tirzepatide, cobalt or vitamin B12
Prepared by licensed US pharmacies
Your medication is prepared by a state-licensed US pharmacy and checked against standard quality measures before it ships.
Three steps, 100% online
Take the free assessment
Tell us about your health history and goals. It takes about five minutes.
Provider review
A licensed provider in your state reviews your information and decides whether treatment is right for you.
Delivered to your door
If prescribed, your medication ships from a US-licensed pharmacy in discreet packaging.
Tirzepatide + B12 questions
How do I take it?
Inject once a week under the skin of your stomach, thigh or upper arm. Your kit includes supplies and step-by-step instructions.
How is it different from regular tirzepatide?
Same medication, with vitamin B12 added to the vial. Some people like the added energy support. Your provider can help you choose.
What if I miss a dose?
A missed dose can generally be taken within 4 days. If more than 4 days have passed, skip it and take the next dose on your regular day. Follow your provider’s instructions.
Is Compounded Tirzepatide + B12 FDA-approved?
Compounded medications are prepared by licensed pharmacies for individual patients and are not reviewed or approved by the FDA for safety, effectiveness or quality.
What if I’m not approved?
If a provider decides it isn’t right for you, you get a full refund.
Important safety information
In studies in rodents, tirzepatide caused thyroid C-cell tumors. It is not known whether it causes these tumors, including medullary thyroid carcinoma (MTC), in people. Do not use it if you or a family member has had MTC, or if you have MEN 2. Tell your provider right away about a lump or swelling in your neck, trouble swallowing, hoarseness or shortness of breath.
Serious side effects can include
- Pancreatitis: severe stomach pain that may spread to your back
- Gallbladder problems, including gallstones
- Low blood sugar, especially with insulin or a sulfonylurea
- Kidney problems, which dehydration can worsen
- Serious allergic reactions
- Vision changes in people with type 2 diabetes
Common side effects
Nausea, diarrhea, vomiting, constipation, stomach pain, decreased appetite and injection-site reactions. These often ease over time.
Before you start
Tell your provider about all your conditions and medications. Tirzepatide can make birth control pills less effective after you start and after each dose increase.
This is not a complete list of risks. Talk to your provider about your health history before starting any treatment.


