Switch to a non-oral contraceptive method or use a barrier method of contraception for 4 weeks after starting Zepbound and for 4 weeks after each dose escalation, until you reach the maintenance dose
For broader medication safety in the compounded space, see (Hoffman et al., 2025) on FDA Adverse Event Reporting System data for compounded GLP-1 quality issues, is compound tirzepatide safe, and does compounded tirzepatide work
However, if you are uncertain about the severity of any symptom, err on the side of caution and contact your healthcare provider
Common : Nausea (up to 44%), vomiting, diarrhea, constipation Less common : Fatigue, dyspepsia, bloating, dizziness Rare : Cholelithiasis, acute pancreatitis Serious : Risk of thyroid tumors (animal data), kidney impairment due to dehydration Proper storage is critical to maintaining the products efficacy