These medications are prescription-only and cannot be purchased over the counter
JAMA 327 (24), 23802382
The question of combining semaglutide and tirzepatide together involves redundant receptor agonism, and even alternating between the two requires careful transition planning
In other words, you would receive one month (4 injections) of 0.25 mg, one month (4 injections) of 0.5 mg, and so forth to 1.0 mg, 1.7 mg, and finally 2.4 mg, assuming your side effects are minimal
Injecting too deeply into muscle or too shallowly into the dermis can result in more pain and inconsistent medication absorption
[1] Prescribing decisions should be individualised, taking into account the patient's overall metabolic profile, comorbidities, treatment goals, and preferences