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Tirzepatide

Also known as Mounjaro, Zepbound

A weekly injection for weight loss and type 2 diabetes. It's the active ingredient in Mounjaro and Zepbound.

Quick facts

Status
Approved medicine in the EU and US
Evidence
Approved (large phase 3 trials)
Taken as
Injection under the skin once a week (pre-filled pen or vial)
Common sizes
Approved as pre-filled pens (and single-dose vials in the US). Multi-mg vials sold online (5–30 mg) are not the approved product.
Category
GIP/GLP-1 receptor agonist · weight & blood sugar

How it works

It copies two gut hormones (GLP-1 and GIP) at once. Together they reduce hunger, slow your stomach and improve blood sugar.

What it’s used for

  • Weight loss for people with obesity or overweight plus a health problem
  • Type 2 diabetes
  • Obstructive sleep apnoea linked to obesity (US)

What the research shows

  • Large clinical trials with thousands of people.
  • At the highest dose, people lost around 20% of their body weight on average.
  • Weight usually comes back if treatment stops.

Side effects & risks

  • Nausea, diarrhoea, vomiting and constipation, mainly when the dose is increased
  • Gallbladder problems and, rarely, pancreatitis
  • Can make some birth-control pills work less well

Is it legal?

Approved in the EU (Mounjaro), US (Mounjaro, Zepbound) and UK. Prescription-only — use only under a doctor's supervision.

Storage & safe handling

  • Keep unused pens in the fridge (2–8 °C); never freeze them.
  • Use a new needle for each injection and rotate sites (stomach, thigh or upper arm).
  • Follow your doctor's instructions and the patient leaflet — don't change the dose yourself.
  • Get medical help for severe stomach pain, signs of an allergic reaction or persistent vomiting.
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Sources: EMA product information (EPAR) for Mounjaro; FDA prescribing information for Mounjaro and Zepbound.
Last updated 12 October 2026. Information — not medical advice. PepTimer does not replace a doctor. Many peptides are not approved medicines in the EU, UK or US. Talk to a qualified healthcare provider before starting, changing or stopping any treatment.