Agrawal recommends discussing: All medications youre taking, especially those that may increase hypoglycemia risk Your typical drinking habits and frequency Any history of pancreatitis, liver disease, or heavy alcohol use Whether nausea, vomiting, or severe hangovers have already occurred on the medication How to recognize and treat low blood sugar if it happens while drinking These discussions allow providers to give individualized advice instead of generic warnings, Agrawal says
But we go beyond peptides
After tirzepatide came off the FDA shortage list and compounding wound down in early 2025, compounded tirzepatide now requires a documented personalized-dosing need rather than being available simply because it is cheaper or more convenient
Once a year, provider check in to review medical history and lab results Monthly includes vials (as needed depending on dose *subject to dosage rate), weekly check in's with RNs or as needed, titration recommendations and symptom management Anti-nausea medication, 10 tablets Monthly IV therapy: B complex and Minerals Wanting to add on wrinkle relaxers or additional IV therapy
"We found gastrointestinal AEs to be the most common adverse events tied to tirzepatide use, including constipation, diarrhoea, decreased appetite, dyspepsia, vomiting, and nausea," the researchers wrote