Tirzepatide + B12
A weekly dual-action GLP-1/GIP injection for meaningful weight loss and appetite control, paired with vitamin B12 for energy.
Injection
from $208/mo
Injected under the skin · Once a week
Weight lossGLP-1Recovery support
Weekly semaglutide paired with glycine (amino acid) and B12 to support lean muscle, sleep, and energy while losing weight. A comprehensive approach to sustainable weight loss.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(GLP-1 plus amino acid and vitamin)
This combination pairs semaglutide's appetite-suppressing effect with glycine's muscle-supporting and sleep-promoting properties, and B12 for sustained energy. Glycine is the simplest amino acid and supports collagen synthesis and sleep; B12 is essential for nerve and energy metabolism.
Integrated
appetite control, muscle support, and energy
Semaglutide works on hunger; glycine supports recovery and sleep; B12 maintains energy during reduced food intake. Together they target the whole picture of sustainable weight loss.
People who want semaglutide with both add-ons in one vial instead of choosing between them.
Same semaglutide, one concentration only: your physician adjusts the dose by the units you draw, not by changing vials.
Read the units on your label every time the dose changes; the vial looks the same but the line on the syringe moves.
steady with semaglutide appetite control
supported by B12, L-carnitine, or methylcobalamin
glycine improves sleep quality from week one
additives smooth the first weeks of weight loss
Day 1
A US-licensed physician reviews your goals and health. Explains how semaglutide works and what each additive (energy, sleep, metabolism) brings to your plan.
1Week 1
First injection. Appetite often quiets within days. Additives (B12, glycine, L-carnitine) begin supporting your energy and recovery.
2Weeks 2–4
Fullness comes sooner, cravings soften. Energy and sleep improve as the additives settle in. Your physician checks in before any dose adjustment.
3Months 2–3
Weight loss builds steadily. Additive benefits (sustained energy, better sleep, muscle support) help you feel good while losing weight.
4Beyond
Maintenance: your physician adjusts doses to hold your results. Long-term use of additives supports sustained energy and health.
5Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a week
Semaglutide is established for appetite and weight loss. Glycine supports sleep quality and muscle protein synthesis. B12 prevents energy depletion during calorie restriction.
The combination is designed for comfort and sustainability. Users often report better sleep, less fatigue, and steadier weight loss compared to semaglutide alone.
Learn moreSemaglutide plus additives carries the safety profile of semaglutide itself: nausea, vomiting, diarrhea, constipation, reduced appetite, fatigue, and injection-site reactions are common in early weeks. The additives (L-carnitine, methylcobalamin, glycine) are generally well-tolerated. Do not use with medullary thyroid carcinoma history or MEN 2. Not for pregnancy or breastfeeding, or with active pancreatitis. Tell your physician about all medications, diabetes drugs, and any kidney or pancreatic disease. Stop and seek care for severe abdominal pain, allergic reactions, or signs of pancreatitis.

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Semaglutide + Glycine + B12 educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Injected under the skin, once a week. The starting prescription is 50 units (2.5 mg semaglutide) each time. Your physician sets your own dose and it is printed on your label.
Semaglutide, Glycine, B12.
1 vial at the starting strength, shipped to your door from a licensed US pharmacy.
Not necessarily 'better,' but different. Semaglutide alone works well for many. This combination adds sleep and energy support. If you struggle with fatigue or poor sleep during weight loss, the additions may help. Your physician will guide the choice.
Not necessarily. Your physician will suggest the combination that matches your needs. If fatigue is your main concern, B12 and L-carnitine help. If sleep is the issue, glycine is the focus. You can change your combination over time.
Yes. B12, glycine, and L-carnitine are natural compounds your body uses daily. They are safe at the doses used here, even for years of use. Your physician monitors you at regular check-ins.
Some people feel a difference immediately; others take weeks. If you don't notice energy or sleep improvements after 4–6 weeks, your physician may adjust doses or try a different additive combination.
Tell your physician about all supplements you take. Most are safe with semaglutide, but some interactions require monitoring or timing adjustments.
A weekly dual-action GLP-1/GIP injection for meaningful weight loss and appetite control, paired with vitamin B12 for energy.
Injection
from $208/mo
A weekly GLP-1 injection that quiets cravings and supports steady, sustainable weight loss, paired with vitamin B12 for energy.
Injection
from $129/mo
A weekly dual-action GLP-1/GIP injection for meaningful weight loss and appetite control, paired with glycine for better tolerance.
Injection
from $208/mo
A weekly GLP-1 injection that quiets cravings and supports steady, sustainable weight loss, paired with glycine for better tolerance.
Injection
from $129/mo
The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Semaglutide for weight loss (STEP 1): once-weekly GLP-1 resulted in mean 15% weight loss over 68 weeks.
NEJM, 2021 (Wilding JPH et al.)L-carnitine supplementation improves energy metabolism and exercise performance in metabolic studies.
Nutrients, 2021 (Malaguarnera M)Semaglutide + Glycine + B12from $129/mo