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Tirzepatide

Mounjaro, Zepbound

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Dual-agonist drug for profound metabolic health improvement and weight management.

Tirzepatide is a dual GIP and GLP-1 receptor agonist that promotes insulin sensitivity, significant weight loss, and reduces inflammation. Its primary healthspan relevance stems from its profound impact on metabolic health, a cornerstone of longevity, by mimicking the effects of powerful satiety and glucose-regulating hormones.

Verdict

A powerful tool for metabolic health, but requires medical guidance.

HEALTHSPAN IMPACT

Foundational

RISK LEVEL

Moderate

EVIDENCE GRADE

A

MONTHLY COST

$1000 - $1300

Protocol

  • Start at 2.5 mg weekly via subcutaneous injection, titrating up slowly based on tolerance and goals.

Flags

  • Common side effects include nausea, diarrhea, and constipation, especially during dose escalation.
  • Risk of muscle mass loss alongside fat loss; resistance training is crucial.
  • Boxed warning for risk of thyroid C-cell tumors based on rodent studies.
  • May reduce the efficacy of oral contraceptives due to delayed gastric emptying.
  • Requires a prescription and ongoing medical supervision.