With tirzepatide, the usual starting dose is 2.5 mg once weekly, with increases every ~4 weeks if tolerated, up to a maintenance dose of 5-15 mg weekly for weight loss
Hims & Hers are a reasonable choice for patients who know exactly which branded GLP-1 they want, whose state supports that medication, and who can absorb the combined medication-plus-membership cost without surprises
In phase III: Semaglutide 2.4 mg (STEP-1): nausea 44.2%, diarrhea 31.5%, vomiting 24.8% Tirzepatide 15 mg (SURMOUNT-1): nausea 29.2%, diarrhea 23.0%, constipation 16.8% Retatrutide 12 mg (TRIUMPH-1): nausea 37.2%, vomiting 22.0%, diarrhea 27.1% Key observation: tirzepatide shows the most favorable GI profile at equivalent dose, likely tied to the GIP component dampening GLP-1-mediated nausea signaling at the brainstem level
KPV, a tripeptide derived from -MSH, downregulates pro-inflammatory cytokines and modulates immune responses to decrease inflammation without broad immune suppression