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Personalized Tirzepatide + B6 is a low-dose GIP/GLP-1 medication that stimulates insulin production, reduces appetite and slows digestion. This makes you feel full longer, which helps some people lose weight. It’s usually injected under the skin one time per week in a low dose (microdose), which can help reduce the risk of side effects like nausea.
Right now, Dr. B only offers Tirzepatide for weight loss.
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About Tirzepatide
How does it work?
Tirzepatide works by helping the body make more insulin, which lowers blood sugar levels. It also slows down how fast food moves through the stomach—a process called gastric emptying. This can make you feel full longer, so you eat less, encouraging weight loss. Additionally, B6 can help reduce the risk of side effects common with Tirzepatide, like nausea.What does it treat?
Tirzepatide treats type 2 diabetes by helping to control blood sugar levels. It can also reduce appetite in some people to help with weight loss. Because personalized Tirzepatide + B6 is prescribed in low doses (microdoses), it can treat those looking for a low-and-slow approach to sustainable weight loss.
What forms does it come in?
Personalized Tirzepatide + B6 is an injectable medication taken under the skin 1 time per week. It comes in different doses in vials. Patients often start at a low dose and increase the dosage as their bodies adjust. Some patients using personalized Tirzepatide + B6 may take the medication to titrate down from brand-name GIP/GLP-1 medications, starting at higher doses and “de-escalating” to lower doses.
Personalized Tirzepatide + B6 vs. Zepbound®
Zepbound® is a brand-name medication approved by the FDA that’s prescribed in standardized dosages. Tirzepatide + B6 is made by licensed compounding pharmacies, personalized at significantly lower dosages and with additional ingredients. This personalized version includes B6, which can help reduce the risk of nausea and other side effects. Both medications help patients lose body weight by controlling blood sugar levels and reducing appetite.
Get It to Shed It

Consultation
Consult with an online weight loss doctor via chat or video to determine if prescription medication can help you shed extra pounds.

Medication
If approved, pick up prescription weight loss medication at your local pharmacy or get it delivered to your door.

Support
Check in with a licensed provider or Dr. B team member anytime you have questions or concerns about your treatment progress.

Power
Use Dr. B’s science-backed exercise, nutrition and mental health tools to shed the habits that have been holding you back from your best self.
Prescription weight loss medications
†Insurance coverage may be available for patients with a BMI over 30, or over 27 with a qualifying health condition. See if i'm eligible.
Prices may vary based on insurance coverage and pharmacy.
$145/mo + medication
Use insurance coverage or self-pay.
The combined fee covers your essentials.
Understand how the price can change.
Monthly consultations with a licensed provider
Unlimited support check-ins with the Dr. B team
Medication delivered by express shipping (if applicable)
Injection materials (varies by medication type)
Science-backed support tools to pump up your progress
Common Questions
Tirzepatide + B6 prescription FAQ
What are the benefits of taking Tirzepatide + B6?
- Helps to control blood sugar levels
- Reduces hunger/appetite
- Encourages a feeling of fullness
- Slows digestion (gastric emptying)
- With diet and exercise, aids weight loss/helps maintain weight loss
- Comes as a convenient weekly dose
- Can help reduce the risk of nausea and other side effects
Who should not take this medication?
- Those who are allergic to Tirzepatide
- Those with type 1 diabetes
- Those with a family/personal history of thyroid cancer or thyroid problems
- People with a history of severe gastrointestinal disease
- Those with multiple endocrine neoplasia syndrome type 2 (MEN 2)
- People with disease of the pancreas (pancreatitis)
- Those with kidney disease
- Those who are pregnant or planning to become pregnant
- Those who are breastfeeding
Speak with your medical provider before starting Tirzepatide +B6 if you have any of the above conditions or potential concerns.
How do you take this medication?
You inject this weight loss medication under the skin 1 time per week, usually into your stomach, thigh or upper arm. Rotating injection sites can help reduce the risk of skin injury. For the best results, follow your medical provider’s instructions carefully.
How should you safely store this medication?
- To protect it from light, store it in its original packaging
- Store it in the refrigerator (36°-46°F) (2°C-8°C)
- Do not freeze it
- While using, keep at room temperature (up to 86°F), away from direct heat and light
- Keep it out of reach of children and pets
- If the date on the medication package has expired, do not use it
Different brands and formulations have different storage instructions. Read the instructions carefully and ask your provider or pharmacist if you have questions.
What happens if I miss a dose?
If you forget to take your Tirzepatide + B6 injection within 4 days of your missed dose, take it as soon as you remember. But if it’s within 3 days of your next scheduled dose? Just skip the dose you missed and wait to take your injection on your next scheduled day. (In other words, skip one week of medication.)
Do not inject two doses of Tirzepatide at one time. If you miss two or more doses in a row, talk to your medical provider. To prevent side effects, they may have you restart your dosing level or treatment schedule.
What happens if I take too much?
Taking too much Tirzepatide + B6 can cause low blood sugar, which can cause symptoms like confusion, shakiness and sweating. Severe cases can lead to fainting or seizures.
If you think you may have taken too much Tirzepatide + B6, call your provider or local poison control center (800-222-1222) immediately.
Can I get Tirzepatide online?
Yes—Dr. B can help you get personalized Tirzepatide + B6 online with a convenient medical consultation! We’ll connect you with a licensed medical provider in your state and take you through all the details.
Side Effects

Some people notice mild side effects while using Tirzepatide +B6, but the symptoms often improve as your body gets used to being on the medication. To help reduce the risk of mild side effects, your medical provider will probably start you on a low dosage and increase the dose over a few months.
The most common mild side effects to watch for include:
- Stomach pain
- Constipation
- Diarrhea
- Nausea
- Vomiting
- Heartburn/acid reflux
- Headache
- Burping, gas or bloating
- Tiredness
If you notice serious side effects, it’s vital to get medical help from your provider or emergency care immediately. Get help if you notice:
- Thyroid problems, like a bump or mass in your neck, problems breathing/swallowing or hoarseness
- Stomach pain that doesn’t go away
- Vomiting or diarrhea that won’t stop
- Changes in urination (like blood in your urine or producing more or less urine than usual)
- Swollen feet or ankles
- Muscle cramping
- Signs of low blood sugar, like shaking, sweating, dizziness, confusion or blurred vision
- Pain in the upper part of your stomach and a fever, yellowing in the white part of your eyes or changes in the color of your feces
- Serious allergic reactions, like hives, itching/swelling in the throat/face or trouble breathing










