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Compounded tirzepatide uses the same active drug and can cost less, but it does not get FDA review and has a much narrower legal path in 2026

However, there are some safety considerations to keep in mind

Plateaus typically last 2 to 4 weeks before weight loss resumes, assuming caloric intake remains controlled and physical activity continues

Who Faces Higher Risk While Taking Ozempic, Wegovy, or Mounjaro Female sex, older age, a personal or family history of gallstones, very rapid weight loss, high triglycerides, and certain medical conditions raise risk

Oral berberine capsules delivering 1,000+ mg daily cost $10 to $15 per month