Wellness Institute for Sleep & Health
Compounded Tirzepatide Weight Loss — WISH Program
A real physician reviews your intake — not an algorithm. Async telemedicine, no video call, licensed in Washington, Oregon, and Montana.
*Promotional first-order rate. Standard pricing $249/order from month 2.
Board-Certified Physician Review
Licensed 503A Compounding Pharmacy
No Video Call Required
No Charge Unless Approved
What Is Compounded Tirzepatide?
Tirzepatide is a dual GIP/GLP-1 receptor agonist originally developed for type 2 diabetes (Mounjaro) and later approved for chronic weight management (Zepbound). Clinical trials (SURMOUNT-1) demonstrated average weight loss of approximately 20% body weight over 72 weeks — among the highest efficacy rates of any weight management medication studied. WISH uses compounded tirzepatide prepared by Hallandale, a licensed 503A compounding pharmacy. Compounded tirzepatide is not FDA-approved — it is a patient-specific preparation that is clinically equivalent to the active ingredient but distinct from branded products. Compounded tirzepatide is prescribed under a dose-flexibility protocol — your physician can titrate in smaller increments, hold a lower weekly dose longer than a fixed-dose pen allows, or adjust between refills based on how you’re responding, rather than a fixed monthly step-up. It’s also typically more affordable than the brand-name product.
Considering semaglutide instead? Compare both programs →
Dual Mechanism
GIP + GLP-1 receptor agonism reduces appetite, slows gastric emptying, and improves metabolic function. This dual action distinguishes tirzepatide from older GLP-1-only medications and is associated with greater average weight loss in trials.
Weekly Injection
Tirzepatide is self-administered once weekly via subcutaneous injection. Most patients find the injection quick and easy after the first time. Every order includes a complete injection kit (syringes, alcohol wipes, sharps disposal). Full injection & storage guide →
SURMOUNT-1 Results
In clinical trials, patients on tirzepatide lost an average of 15–21% of body weight over 72 weeks depending on dose. Individual results vary based on adherence, diet, starting weight, and health status.
How the WISH Tirzepatide Program Works
Fill out a secure online intake form covering your health history, goals, and eligibility. Takes about 10–15 minutes. No video call or in-person visit required.
A board-certified WISH physician reviews your intake within 1–3 business days. You will receive an email with the outcome — approval or a note if further review is needed.
If approved, your saved card is charged and a prescription is sent directly to our 503A pharmacy. If not approved, your card is never charged — no refund needed.
Your medication ships via temperature-controlled cold-chain courier and arrives within 2 business days of processing. Tracking info sent by email.
Tirzepatide Dose Levels and Pricing
Your physician selects your starting dose based on your health history. Most new patients begin at Level 1 and progress gradually based on tolerability and results. Each order is a 4-week (monthly) supply.
Medication · cold-chain delivery · injection kit · physician review
All pricing is for a 4-week (1-month) supply. Injection supplies and cold-chain shipping are included in the price shown — every order, every month, no itemized add-ons.
Who Qualifies for the WISH Tirzepatide Program
You likely qualify if…
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Are 18 years or older
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Live in Washington, Oregon, or Montana
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BMI 30 or higher, OR BMI 27–29.9 with a weight-related condition (type 2 diabetes, hypertension, sleep apnea, PCOS, high cholesterol, or joint pain)
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No personal or first-degree family history of medullary thyroid carcinoma or MEN2
This program is not for you if…
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Currently pregnant, trying to conceive, or breastfeeding
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Personal or first-degree family history of medullary thyroid carcinoma or MEN2
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History of severe pancreatitis
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Known allergy to tirzepatide or a GLP-1 / GIP agonist medication
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Current or past diagnosis of anorexia nervosa or a restrictive eating disorder
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Reside outside Washington, Oregon, or Montana
Transitioning From Another GLP-1 Program
Already on tirzepatide through another provider?
If you’re currently taking tirzepatide (Mounjaro, Zepbound, or compounded) through another provider and want to transfer your prescription to WISH, you can continue at your current dose level — no need to restart from Level 1. Your intake form asks about your current dose so we can match your prescription accurately. As a transfer patient, you get 10% off standard pricing automatically at Levels 2–5 — no code needed.
If you’re transitioning from semaglutide (Ozempic, Wegovy) to tirzepatide, your physician will typically start you at Level 1 and may titrate more quickly based on your prior GLP-1 experience.
Dr. Ankur N. Patel, M.D., M.S.
Dr. Patel is a board-certified physician working at the intersection of metabolic health, sleep medicine, and internal medicine — and he personally reads every intake himself, not a triage algorithm. WISH patients get real physician oversight without the in-person appointment or the long wait.
Frequently Asked Questions
Is compounded tirzepatide the same as Mounjaro or Zepbound?
Compounded tirzepatide contains the same active ingredient (tirzepatide) but is not the same product as the brand-name medications. It is prepared by a licensed 503A compounding pharmacy under physician oversight and is not FDA-approved. It’s prescribed this way specifically for dose flexibility — so your physician can adjust your dose in smaller increments or hold steady between refills based on your intake and refill reviews, instead of a one-size, fixed-dose schedule. It also tends to cost less than the brand-name version.
Do I need to schedule a video call?
No. WISH uses asynchronous (store-and-forward) telemedicine, which means our physician reviews your intake form without a real-time appointment. This is authorized under Washington, Oregon, and Montana telehealth law. You submit your intake; we review and respond by email.
How quickly will I see results?
Most patients notice appetite reduction within the first few weeks of starting. Meaningful weight loss typically becomes apparent by months 2–3. Clinical trials showed average weight loss of 15–21% over 72 weeks at maximum tolerated dose. Individual results vary based on adherence, diet, starting weight, and health status.
What if my prescription isn’t approved?
If our physician determines the program isn’t appropriate for you, your card is never charged. You may receive a recommendation to schedule a telehealth consultation instead. We review every intake individually.
Can I stay at the same dose, or do I have to escalate?
You are never required to escalate. Dose changes are discussed with your physician at each refill and are based on tolerability and your progress — not a fixed escalation schedule. Many patients reach their goal dose and maintain it comfortably for months.
Is this covered by insurance?
No. WISH Weight Management is a cash-pay telemedicine program. We do not bill insurance and do not provide superbills. The pricing shown is all-in: medication, physician review, shipping, and supplies.
What states do you serve?
Washington, Oregon, and Montana. WISH physicians are licensed in all three states. We are not currently able to prescribe in other states.
What happens if I want to stop?
Contact us at [email protected]. There is no subscription — each order requires a separate intake or refill approval. You may pause or stop at any time. Note that weight regain is common when GLP-1 medications are discontinued; your physician can discuss a tapering plan if relevant.
Is tirzepatide a short-term program or something I stay on long-term?
For most patients, long-term. Obesity is generally treated as a chronic condition, and the SURMOUNT trials followed patients for up to 72 weeks with continued benefit rather than a defined stopping point. Some patients eventually transition to a lower maintenance dose once they reach their goal; others stay at their effective dose indefinitely. Your physician revisits this with you at each refill — it’s never a one-size schedule.
Have Questions Before You Start?
Start Your Tirzepatide Program
Complete your intake in about 10–15 minutes. A WISH physician will review your health information within 1–3 business days — no video call, no waiting room.
Questions? [email protected] · Physician review within 1–3 business days.