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Some providers manage this transition by overlapping vials, having you use the new concentration for a supervised injection at the clinic before sending you home with the new vials
However, the telehealth providers that partner with these pharmacies sometimes offer BNPL at the point of sale, even though the pharmacy itself does not
Others may have you start at the next highest dose of 5 mg weekly
These reports appear anecdotal rather than supported by robust clinical evidence
At the same time, telehealth companies like Mochi Health are transitioning patients to custom doses, while some providers have started offering untested custom formulations now that standard 503B compounded tirzepatide is off the table
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