Tirzepatide Dosage Chart: a Quick Guide

If you’re interested in medical weight loss, you may have come across tirzepatide (sold under the brand name Mounjaro). This medication has demonstrated promising results for significant weight loss, especially when paired with healthy lifestyle choices. However, knowing the right dosage is essential for both safety and effectiveness. In this article, we’ll clearly explain tirzepatide dosage guidelines, provide easy-to-read reference charts, and discuss what dosing in “units” means, along with an overview of microdosing.

Tirzepatide is a once-weekly injectable medication that was initially developed to help manage blood sugar levels in people with type 2 diabetes. More recently, healthcare providers have found that it can also support weight loss, leading to its rising popularity at medical spas and weight loss clinics.

Tirzepatide is supplied in pre-filled injection pens with various strengths. The prescribed doses are measured in milligrams (mg), unlike insulin, which is measured in units. However, because some injection pens or syringes display “units” on their markings, you might hear people refer to their tirzepatide dose in units—an aspect we’ll explain further in this article.

Here is a standard dosing schedule for tirzepatide when used for weight loss:

Important: Your provider will help you find the right dose for your body and goals. Most people start at a low dose and increase slowly to minimize potential side effects (like nausea or stomach upset).

Unlike insulin, which is usually measured in “units,” tirzepatide doses are measured in milligrams (mg). But if your clinic provides tirzepatide in a multi-dose vial, you might use an insulin syringe—these syringes are marked in units, which can be confusing.

Keep in mind:

• 1 milligram (mg) does NOT always equal 1 unit on your syringe.
• The number of “units” you use depends on how strong (concentrated) your tirzepatide is.

For example:

• If your tirzepatide vial says “10mg/mL,” that means each milliliter (mL) has 10 milligrams of medication.
• If your doctor tells you to take 2.5 mg, here’s how to figure out what to draw up:

1. Dose needed: 2.5 mg
2. Concentration: 10 mg/mL
3. Volume to inject: 2.5 mg divided by 10 mg/mL = 0.25 mL
4. On a standard insulin syringe (where 100 units = 1 mL), 0.25 mL is marked as 25 units.

Important:
Your clinic should always tell you how many units to draw up based on your vial’s concentration. Never guess the amount—always double-check with your healthcare provider to make sure you’re taking the correct dose.

To make this easier to understand, here’s an example chart using a common concentration. Remember, always follow your clinic’s specific instructions, since compounding pharmacies may use different strengths!

Example concentration: 10 mg/mL

If your vial is a different strength (such as 5 mg/mL), the number of units you need will change. Always ask your provider for your specific dosing instructions!

Microdosing means starting with much smaller amounts of tirzepatide than usual, especially when first beginning the medication. Some clinics recommend this gentle approach, using very low doses so your body can get used to it and to help you avoid side effects.

Why do people microdose?

• It can lower the chance of common side effects, such as nausea, vomiting, diarrhea, or an upset stomach.
• It’s helpful for people who are sensitive to medications or have had side effects from similar drugs before.

What does microdosing look like?

• Instead of the regular starting dose of 2.5 mg per week, you might begin with just 0.125 mg, 0.25 mg, or 0.5 mg each week.
• Because these doses are so small, you may only need to draw up a few “units” on your syringe.

Are there any risks?

While rare, some people can have more serious side effects, like pancreatitis (swelling of the pancreas), gallbladder issues, or allergic reactions.

Who might benefit from microdosing?

Microdosing is often a good choice for people who prefer a slow and steady start, are worried about side effects, or have had bad reactions to other weight loss injections.

Not everyone needs to microdose, but for some, it’s a useful way to make starting tirzepatide easier and more comfortable.

Here’s what you need to know about taking tirzepatide:

Disclaimer: The information provided here is for general knowledge only and should not be considered medical advice. For any questions or concerns about your health or medications, please consult your physician or healthcare provider. They are best equipped to provide guidance specific to your medical needs.