Compounded by Nordic Pharmacy in Poulsbo, Washington
Tirzepatide + B12, lower weekly doses
Tirzepatide at doses below the standard schedule, set with a Seattle provider and made at Nordic Pharmacy in Poulsbo.
With the 3-month plan. $179 month to month.
On a full dose now? Your provider can work out a lower dose with you. How switching works
You only pay if a provider prescribes.
Syringes, alcohol wipes and everything else you need to inject come with every order.
Every prescription gives 50 meals a month to those in need.
Microdosing means taking tirzepatide at lower doses than the standard schedule, often 2.5 mg a week or less, and moving up slowly or not at all.
A lower dose and slower changes are how providers usually handle nausea and other stomach side effects.
Some people move to a lower dose once they've reached where they want to be.
Moving down gradually, with your provider, instead of stopping all at once.
Same medication as our standard tirzepatide, made at a lower concentration so small doses are easier to measure. See standard tirzepatide
There's no set microdose schedule. Your provider picks a starting dose with you and adjusts it based on how you feel and what you're working toward.
Standard weekly doses, and where microdosing sits
Your provider picks a starting dose based on your history and goals, often at or below 2.5 mg a week.
Changes are smaller and further apart than the standard schedule. Some people stay at one low dose.
If a microdose isn't doing enough, your provider can move you to standard tirzepatide.
Message your provider in your patient portal, or book a video visit at no extra cost.
Standard dose steps from the FDA prescribing information for Zepbound (tirzepatide). Microdose schedules are set by your provider.
Many online GLP-1 platforms don't say which pharmacy makes their medication.
In Washington and Oregon, BrightSide offers locally compounded, high-quality treatment, made at Nordic Pharmacy in Poulsbo and prescribed by providers in Seattle.
"Consumers who purchase compounded drugs online, such as through online pharmacies and telehealth platforms, may not know the identity of the compounder that produced the drug"
U.S. Food and Drug Administration
BrightSideOn a full dose now? Tell us what you take. Your provider can work out a lower dose with you, made at a concentration built for small doses.
An example. Your provider reviews your history and current dose before prescribing.
Semaglutide and tirzepatide doses don't convert one to one. Your provider works out your starting dose with you.
After a longer break, your provider may suggest restarting low and building back up.
The medication, your dose and when you took your last one.
They can set a lower dose with you if it's right for you.
Compounded in Poulsbo, Washington, and shipped to your door.
You only pay if a provider prescribes.
Microdosing hasn't been tested in randomized clinical trials. The large trials behind tirzepatide used the standard dose schedule.
No randomized trials have tested tirzepatide microdosing for weight loss or maintenance. A 2026 study of health records said prospective trials are needed to know whether microdosing helps.
Murugadoss et al., Biology Methods and Protocols, 2026, as reported by Epocrates, September 2026.Average weight loss after 72 weeks in 2,539 adults. The lowest dose in this trial was 5 mg. The FDA label calls 2.5 mg a starting dose, not a maintenance dose.
SURMOUNT-1. Jastreboff et al., New England Journal of Medicine, 2022.Results from Zepbound trials do not predict results with compounded tirzepatide at any dose. Compounded tirzepatide is not FDA approved. Individual results vary.
State attorneys general and reporters have both reported altered and AI-generated before-and-after photos in weight-loss advertising.
In December 2025, 35 state attorneys general wrote to Meta about weight-loss ads. Their announcement said:
"Often, these ads use unlabeled AI-generated content including fake before and after images and nonexistent spokespeople."
On a GLP-1 telehealth company's first website, The New York Times reported:
"before-and-after weight-loss photos from around the web with the faces changed"
The results on this page are clinical trial averages for Zepbound, each linked to its source.
The only people pictured are Dr. Shannon Arora and Dr. Sean Arora. The review quoted below is a public Google review.
The first month is about finding a dose that feels right. Here's what happens, in order.
Nordic Pharmacy ships your vial with syringes, alcohol wipes and everything else you need. Put it in the refrigerator when it arrives and follow the storage directions on the label.
Pick a day of the week you can stick with. The injection goes just under the skin of your stomach or thigh, or the back of your upper arm if someone else gives it. Switch spots each week.
Your provider sets your starting dose. Nausea, diarrhea, constipation and an upset stomach can still happen at lower doses, most often at the start and after a change.
Smaller meals, stopping when you feel full, less greasy food and more water all help. If side effects don't settle, message your provider in your patient portal.
Your provider reviews how the first month went and decides with you whether to stay, adjust, or move to a standard dose.
Take it within four days. If it's been longer, skip it and take your next dose on your usual day.
Tirzepatide can make them less effective. Use a backup or non-pill method for four weeks after you start and for four weeks after each dose increase.
For severe stomach pain that won't go away, or signs of an allergic reaction like swelling of your face, lips or throat.
Dosing and side effect details from the FDA prescribing information for Zepbound (tirzepatide). Your provider's directions and your pharmacy label come first.
A local compounding pharmacy filling prescriptions for patients in Washington and Oregon.
A physician-led medical group. A licensed provider reviews every visit and every dose change.
"I’m new to the medicine I’m taking and Nordic pharmacy made me so comfortable with starting it! The videos of how to administer it and the information they give you with every dose is supportive and informative."
It's the same medication at lower doses. Nordic Pharmacy makes it at a lower concentration so small doses are easier to measure.
It hasn't been tested in randomized clinical trials, so no one can say how well it works for weight loss or maintenance. Your provider can talk through whether a lower dose or the standard schedule fits your goals.
Yes. Your provider can move you to standard tirzepatide at any point.
Tell us what you take now and your current dose. A licensed provider reviews it and can set a lower dose with you if it's right for you.
No. Zepbound and Mounjaro are FDA-approved drugs made by Eli Lilly. Compounded tirzepatide is made by a state-licensed pharmacy for one patient, from a prescription. It is not FDA approved, and the FDA does not review compounded drugs for safety, effectiveness or quality.
Cold. Nordic Pharmacy packs your medication to stay at the right temperature from Poulsbo to your door. Put it in the refrigerator when it arrives. If anything about your delivery looks off, email hello@jointhebrightside.com before you use it.
You're not charged. Your card is only charged if a licensed provider prescribes your treatment.
Yes. Outside Washington and Oregon, microdosing is available through our national pharmacy network.
With the 3-month plan. $179 month to month.
Tirzepatide may cause thyroid tumors. In studies in rats, tirzepatide caused thyroid C-cell tumors. It is not known whether it causes these tumors in people. Do not use tirzepatide if you or a family member has ever had medullary thyroid carcinoma (MTC), or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Other serious side effects can include inflammation of the pancreas, gallbladder problems, low blood sugar, kidney problems, serious allergic reactions and, in people with type 2 diabetes, changes in vision. Tell your provider about every medication you take, and if you are pregnant, breastfeeding or planning to become pregnant. Tell your provider before any surgery or procedure that uses anesthesia or sedation.
Based on the FDA prescribing information for Zepbound (tirzepatide). Compounded tirzepatide is not FDA approved.
