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-1/GIPEnergy
Tirzepatide + L-Carnitine
Weekly tirzepatide with L-carnitine to support fat metabolism and energy during weight loss. The dual GLP-1/GIP action suppresses appetite while L-carnitine promotes efficient fat burning.
- Tirzepatide for appetite and metabolic health
- L-carnitine supports fat oxidation and energy
- Once-weekly; dual effect on appetite and metabolism
- Monthly$399/mo
- Every 3 months$699 billed up front$233/mo
- Every 6 monthsBest value$1,250 billed up front$208/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
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.
- How
- Injected under the skin
- How often
- Once a week
- Each shipment
- 1 vial
- Strengths
- 3 options · 2.5–15 mg tirzepatide
What is Tirzepatide + L-Carnitine?
(dual GLP-1/GIP plus amino acid metabolite)
L-carnitine shuttles fatty acids into mitochondria for energy production. Paired with tirzepatide's appetite-suppressing dual action, it optimizes both hunger control and fat-burning efficiency.
What's in it
- TirzepatideGLP-1 + GIP: appetite and blood sugar
- L-CarnitineCarries fat into the cell to be burned
Fat-metabolizing
dual GLP-1/GIP for appetite, L-carnitine for fat oxidation
Tirzepatide reduces hunger; L-carnitine supports fat metabolism. The combination addresses both energy intake (appetite) and energy expenditure (fat burning).
Is it right for you?
Who it's for
People on tirzepatide who want support for energy while eating much less.
What sets it apart
Pairs the strongest weekly option with L-carnitine, which moves fat into the cell to be used as fuel.
Worth knowing before you start
Tiredness in the first weeks usually means you are eating too little protein or drinking too little water.
Results you can see and feel
Weight loss
faster and more sustained with dual GLP-1/GIP
Energy and metabolism
additives maintain vitality during weight loss
Better sleep and recovery
glycine and B12 support rest and resilience
Whole-body support
comprehensive approach to sustainable results
How tirzepatide combination therapy works
Day 1
A US-licensed physician reviews your health and goals. Explains tirzepatide's dual GLP-1/GIP action and how additives support energy, metabolism, and recovery.
1Week 1
First injection. Appetite quiets quickly. Additives begin supporting your energy and recovery systems.
2Weeks 2–4
Significant fullness and reduced cravings. Additives (energy, sleep, metabolism support) kick in. Your physician checks in before dose adjustments.
3Months 2–3
Steady, accelerating weight loss. Additive benefits (sustained energy, improved sleep, muscle support) make the journey comfortable.
4Beyond
Maintenance: your physician adjusts doses to hold results. Additives support long-term vitality and metabolic health.
5
Individual 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.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Injected under the skin
- Dose
- 25 units (2.5 mg tirzepatide)
- How often
- Once a week
- Each shipment
- 1 vial
- Pharmacy label
- Inject 25 units (2.5 mg tirzepatide) subcutaneously once weekly for 4 weeks. Discard any remaining medication.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a week
Strengths the pharmacy carries
- 30 mg (10 mg / 100 mg/mL)
- 10 mg (10 mg / 100 mg/mL)
- 60 mg (20 mg / 100 mg/mL)
The science of tirzepatide combinations
Tirzepatide is studied for up to 21% weight loss. L-carnitine improves fat oxidation in metabolic studies.
The combination targets dual mechanisms: appetite suppression and metabolic enhancement, supporting optimal weight loss.
Learn moreImportant safety information and common side effects
Tirzepatide plus additives carries tirzepatide's safety profile: nausea, diarrhea, constipation, reduced appetite, and fatigue are common in early weeks. Additives (B6, L-carnitine, glycine, methylcobalamin) are 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.
Every plan includes
- Personalized, physician-guided plan
- Monthly, 3-month and 6-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
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.
Tirzepatide + L-Carnitine 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.
Frequently asked questions
How do I use Tirzepatide + L-Carnitine?
Injected under the skin, once a week. The starting prescription is 25 units (2.5 mg tirzepatide) each time. Your physician sets your own dose and it is printed on your label.
What strengths does Tirzepatide + L-Carnitine come in?
The pharmacy carries 3: 10 mg (10 mg / 100 mg/mL), 30 mg (10 mg / 100 mg/mL), 60 mg (20 mg / 100 mg/mL). Your physician chooses which one you get.
What exactly is in it?
Tirzepatide, L-Carnitine.
How much arrives in each shipment?
1 vial at the starting strength, shipped to your door from a licensed US pharmacy.
Does L-carnitine actually help burn fat?
L-carnitine facilitates fat transport into mitochondria for energy. It doesn't 'burn' fat alone, but supports your body's natural fat-burning metabolism when combined with diet and movement.
Is tirzepatide more powerful than semaglutide?
Tirzepatide (dual GLP-1/GIP) produced larger weight loss in trials (~21% vs. ~15% for semaglutide). However, 'better' depends on your individual response. Your physician will recommend based on your health profile.
Can I switch between tirzepatide and semaglutide?
Yes. If one doesn't work as well, your physician can switch you to the other. Doses differ between the two, so the change is made carefully.
Do additives interact with tirzepatide?
No significant interactions. B6, L-carnitine, glycine, and methylcobalamin are natural compounds that complement tirzepatide's action. Your physician monitors overall response.
Tirzepatide with nutrients for complete results.
Semaglutide + B12
A weekly GLP-1 injection that quiets cravings and supports steady, sustainable weight loss, paired with vitamin B12 for energy.
Injection
from $129/mo
Tirzepatide + Glycine
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
Semaglutide + Glycine
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.
Sources
- 1
Once-weekly tirzepatide 2.4 mg produced mean weight loss of up to 21% over 72 weeks in adults with obesity (SURMOUNT-1).
NEJM, 2022 (Jastreboff AM et al.) - 2
Methylcobalamin and energy metabolism: B12 as an essential cofactor in mitochondrial function.
J Clin Biochem Nutr, 2008
Tirzepatide + L-Carnitinefrom $208/mo