5368 N. University Dr., Lauderhill, FL, 33351 | Phone: 954-395-1911 | Cell: 561-897-1562
SEMAGLUTIDE DOSAGE
Semaglutide 2.5mg/ml
0.25 (10 units on syringe) week one
0.25 (10 units on syringe) week two
0.50 (20 units on syringe) weeks three to six
Weeks seven and thereafter as per providers instructions
TIRZEPATIDE DOSAGE
Tirzepatide 5mg/0.5ml
The 30 mg vial lasts approximately 8 weeks following protocol below.
The 60 mg vial lasts approximately 12 weeks following protocol below.
The 90 mg vial lasts 15 weeks following the protocol below.
The 120 mg vial lasts approximately 18 weeks following the protocol below.
2.5mg (25 units on syringe) week 1 - 4
5mg (50 units on syringe) week 5 - 8
7.5mg (75 units on syringe) weeks 9 - 12
10mg (100 units on syringe) weeks 13 - 16
12.5mg (125 units on syringe) weeks 17 - 20
15mg (150 units on syringe) Maximum weeks 21+
or as per providers instructions
Patient Signature
Medical Provider Signature
Witness Signature
Date
mm/dd/yyyy