Medical Weight Loss
Tirzepatide
A dual-agonist GLP-1 / GIP program for patients seeking advanced metabolic results — physician-directed, concierge-supported, transparently priced.
By private consultation
Clinical Overview
How Tirzepatide works
The first medication in its class to engage two metabolic pathways at once — and the reason its trial outcomes set a new ceiling.
Engages the GIP receptor
Targets glucose-dependent insulinotropic polypeptide — a metabolic pathway most weight-management medications do not address.
Engages the GLP-1 receptor
Simultaneously mimics GLP-1 — suppressing appetite and slowing how quickly food leaves the stomach.
Combined metabolic effect
The dual mechanism produces the highest average weight loss recorded in any GLP-1-class clinical trial to date.
Candidacy Profiling
A considered fit, not a funnel.
Adults seeking the most advanced GLP-1-class protocol, with the supervision and titration discipline this medication deserves.
- Adults 18+ with a BMI of 27 or higher, or 25+ with weight-related conditions
- Patients who have plateaued on a single-agonist GLP-1 and want to escalate under supervision
- Those for whom faster onset and higher trial averages are clinically appropriate
- Personal or family history of medullary thyroid carcinoma or MEN 2
- Pregnancy, breastfeeding, or planning pregnancy
- Active pancreatitis or untreated severe gastrointestinal disease
Expected Timeline
What to Expect
Tirzepatide tends to act faster and reach further than single-agonist GLP-1s. Your physician titrates carefully to the dose that fits your body.
- 01
Month 1
Titration
Faster initial response than single-agonist GLP-1s. Careful dose escalation begins.
- 02
Month 3
Established
Therapeutic dose reached. Strong metabolic momentum; appetite consistently reduced.
- 03
Month 6
~20%
Average body weight reduction in published trials. Many patients exceed this range.
- 04
Year 1+
Sustained
Sustained reduction for the majority of patients who remain in the program.
Outcomes referenced from SURMOUNT-1 trial data. Individual results depend on starting weight, dose, and adherence.
Your Concierge Support
A licensed clinician, matched to you.
Sterling is built on access. Your care is directed by a licensed physician and supported by a concierge team that knows your name and your history — reachable through secure messaging on your schedule, around the clock. You are looked after by people, not routed through a call center.
- 01Compounded medication
- Prepared by partner compounding pharmacies in the USA and shipped on a structured cadence.
- 02Your own physician
- Care is directed by a licensed physician who knows your history — not a rotating call center.
- 03Physician-directed dosing
- Titration and adjustments at every transition under careful clinical supervision.
- 04Around-the-clock messaging
- Reach your care team between check-ins through your secure, private patient portal.
- 05Structured check-ins
- Cadenced reviews that keep your protocol and wider plan calibrated to your response.
- 06Discreet direct delivery
- Temperature-controlled, unmarked packaging delivered straight to your door.
Clinical Safety
No medication is right for everyone.
Common side effects
Most common during titration: nausea, decreased appetite, and digestive changes. Typically mild and resolve as the body adjusts to each step in the protocol.
Clinical Contraindications
Not appropriate for patients with a personal or family history of medullary thyroid carcinoma or MEN 2, or for patients who are pregnant or breastfeeding. Full medical history is reviewed before any prescription is authorized.
Clinical Experience
From members of the Tirzepatide program.
- “
I had plateaued for months. The move to Tirzepatide was a second wind — down another twenty-two pounds in four months, and my physician walked me through every step.
- “
The speed surprised me. By week three I was setting reminders to eat. My energy is up, my labs are the best they have been in a decade, and the team is always a message away.
- “
I wanted to know someone was actually paying attention to me, not a queue. At Sterling that is exactly what I got — and the results speak for themselves.
Frequently Asked
Questions worth asking before you begin.
Every program begins with a private online consultation. If your physician authorizes treatment, your protocol is prepared by a partner compounding pharmacy and delivered discreetly to your door, with structured check-ins and around-the-clock messaging access to your care team throughout.
Concierge does not mean opaque. Our programs feature flat, transparent pricing with no hidden fees, no consultation charges, and no dose-change surcharges. The price we quote is the price you pay.
Sterling is a concierge practice spanning medical weight loss, hormone and vitality care, and healthy-aging protocols for both men and women. Our flagship online programs are physician-directed GLP-1 weight management; broader concierge services are arranged through your physician.
Your consultation is reviewed and authorized by a licensed physician. Every patient receives consistent, physician-directed clinical care with private messaging access.
Memberships may be canceled with 30 days' notice prior to the next billing cycle. Consultations, medical visits, and fulfilled prescriptions are non-refundable once services begin or medication is processed.
Yes. Sterling Private Medical is HIPAA compliant and discretion is built into everything we do. Your medical information is shared only with your physician and the dispensing pharmacy. We never sell or share your data.
Comparison Protocol
Semaglutide
The foundational single-agonist GLP-1 program. Lower trial averages, often the right starting point.
Begin Consultation
The Tirzepatide program begins with a conversation.
Your consultation is reviewed by your dedicated provider. If authorized, your protocol is prepared by a partner compounding pharmacy and delivered direct to your door.