SEM XD and TZP XD are clinician-guided, extended-dose semaglutide and tirzepatide. For people who have plateaued or maxed out their current dose and want to keep going.

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00 / The two options

SEM XD and TZP XD.

Your clinician sets the molecule and how far the dose goes. Here is each one, with its extended-dose steps.

SEM XD, semaglutide injection
SEM XDGLP-1
  • 3.6 mg146 units
  • 4.8 mg196 units
  • 6 mg246 units
  • 7.2 mg296 units
TZP XD, tirzepatide injection
TZP XDGLP-1 + GIP
  • 16 mg160 units
  • 17 mg170 units
  • 19 mg190 units
  • 20 mg200 units

Doses shown are the available steps, not a recommendation. A licensed clinician determines whether an extended dose is appropriate and titrates it to you.

01 / Why XD

The short list.

01

Doses past the standard ceiling

Extended dosing for people who stalled, titrated by your clinician.

02

Both molecules, matched to you

Semaglutide or tirzepatide, chosen on clinical fit, not guesswork.

03

No membership or recurring fees

Pay for the medication, not a platform. No required subscription.

04

Clinician-guided, never DIY

Reviewed, titrated, and monitored. You are not dosing alone.

05

Continuity, no refill gaps

Your protocol stays on schedule so momentum does not break.

06

Flat, transparent pricing

One price per molecule. No membership, no recurring fees.

02 / How it works

Three steps.

1

Assessment

Two minutes. Your history and your current dose.

2

Clinician review

A licensed clinician decides if XD fits, and at what dose.

3

Compounded and shipped

Your pharmacy compounds it and ships it cold-chain, on schedule.

03 / Common questions

What people ask first.

Is a higher dose safe? +
Only when a clinician decides it is. XD is titrated and monitored, not unlimited. You move up by response, under supervision.
Is this the real medication? +
The active molecule is semaglutide or tirzepatide, the same compounds used in standard programs. It is compounded by a licensed pharmacy rather than mass-manufactured.
How do I know what is in the vial? +
The active ingredient is verified by HPLC and mass spectrometry at a US licensed compounding pharmacy, and every order ships cold-chain to stay stable in transit.
Do I need a prescription? +
Yes. It starts with a clinical assessment, not a checkout. A licensed clinician reviews it.
What if I plateau again, or get side effects? +
Your clinician adjusts the plan. GLP-1 medications can cause side effects, most commonly digestive. You stay in contact and are monitored throughout.
What does it cost? +
SEM XD is $375 and TZP XD is $450 per fill, flat. No membership and no recurring platform fees.
IVUSE+ semaglutide and tirzepatide injection vials
SEM XD
$375
Per fill
TZP XD
$450
Per fill
Flat price per fill. No membership, no recurring fees.
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Important information

SEM XD and TZP XD are compounded semaglutide and tirzepatide preparations available by prescription after a clinical evaluation. They are not FDA-approved products, and compounded medications are not reviewed by the FDA for safety or effectiveness. Prescribing is at the discretion of a licensed clinician based on individual evaluation.

GLP-1 medications can cause side effects, including nausea and other digestive symptoms, and carry important safety considerations that your clinician will review with you. Dosing is determined by a licensed clinician and titrated to the individual. This page is educational and does not replace medical advice. Consult a licensed healthcare professional before starting or changing any treatment.

For full prescribing and safety details, see our Important Safety Information. This content is for adults 18 and over.

SEM XD & TZP XDExtended dose, by assessmentOpening soon
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