What It Is
Tirzepatide compounded with B6 and glycine instead of B12. Identical active ingredient and weight-loss mechanism as Tirzepatide/B12 — chosen when a patient has reacted to B12 or when a provider wants a cleaner cofactor profile.
How It Works
Same as Tirzepatide/B12: dual GIP and GLP-1 receptor activation for appetite control, blood sugar regulation, and metabolic enhancement. The B6/glycine carrier is pharmacologically inert with respect to weight loss.
Who It's For
Adults indicated for compounded tirzepatide who have a known B12 sensitivity or whose provider has specifically requested the glycine formulation.
Who Should Avoid It
Same as Tirzepatide/B12: avoid with thyroid cancer history, MEN2, pancreatitis, gastroparesis, or pregnancy.
Protocol & Pricing
OBP Pharmacy Price
From $225/60mg
You pay pharmacy price. No markup.
Starting Dose
Per provider — formulation reserved for B12-sensitive patients
Form
Injectable vial (60mg or 180mg total at 15mg-2.5mg/0.5mL — tirzepatide + B6/glycine)
Dosing Protocol
Dosing matches standard tirzepatide — provider titrates per patient response. Two vial sizes: 15mg-2.5mg/0.5mL × 2mL = 60mg total ($225) and 15mg-2.5mg/0.5mL × 6mL = 180mg total ($675).
Stacking Guide
Stacks Well With
Do Not Combine With
Related Peptides
Lipo-B (B12/MIC)
A lipotropic injection combining B12 with methionine, inositol, and choline for fat metabolism.
From $30/10mlLipo-C
Enhanced lipotropic injection with added L-carnitine for improved energy and fat transport.
From $35/10mlOndansetron 4mg ODT
Anti-nausea adjunct for GLP-1 patients — generic Zofran orally disintegrating tablets.
$37.50/30 tabletsGLP-1 medications are compounded semaglutide/tirzepatide. Compounded versions are not the same as branded Ozempic®, Wegovy®, Mounjaro®, or Zepbound®. Compounded medications are prepared by licensed pharmacies and are not FDA-approved drug products.