
Tirzepatide + B12
Dual-action. Our most-chosen plan.
Medical weight loss
Compounded tirzepatide or semaglutide, prescribed online if it's right for you, with a care team that stays after the first box arrives.
Yes. With Rovymi you complete a 5-minute online health questionnaire. A U.S.-licensed clinician reviews it and, if it’s appropriate, prescribes compounded semaglutide or tirzepatide. A state-licensed pharmacy ships it free to your door in all 50 states. Plans start at $129/mo, no insurance needed.

Dual-action. Our most-chosen plan.

The longest track record. The lowest price.

No needles. Dissolves in your mouth.

No needles. Dissolves in your mouth.

The approach
GLP-1 medicines turn up your body's natural fullness signals, so eating less feels less like a fight.
Your dose starts low and changes at check-ins, based on how you feel, not on a fixed script.
Protein, strength, sleep and water. Simple guidance from your care team, so the weight you lose stays lost.
Beyond the medication
Medication quiets the noise around food. The habits you build alongside it, like water, protein and a daily walk, are what make the change last.
Clinician, medication, supplies and unlimited support. One price, every dose.

1. Choose a medication
2. Choose how you take it
Tirzepatide + B12. A once-weekly injection that acts on two appetite hormones, GLP-1 and GIP, compounded with vitamin B12. Your clinician sets and adjusts the dose.
Compounded for you by Perfect RX, a state-licensed pharmacy, on a clinician's prescription. Not FDA-approved and not the same as any brand-name product.
3. Choose how often you pay
About 5 minutes. A clinician reviews everything before anything ships.
Eligibility
It’s usually prescribed for adults with a BMI of 30 or more, or 27 or more with a weight-related condition like high blood pressure, prediabetes, high cholesterol or sleep apnea. It isn’t for people who are pregnant or breastfeeding, or who have a personal or family history of medullary thyroid cancer or MEN 2.
More about BMI and GLP-1 eligibilityNear you
Warning: possible thyroid tumors, including cancer. In studies in rodents, tirzepatide and semaglutide caused thyroid C-cell tumors. It is not known whether they cause these tumors in people. Do not use GLP-1 medication 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). Tell your clinician about a lump or swelling in your neck, trouble swallowing, hoarseness or shortness of breath.
Do not use if you are pregnant, planning to become pregnant or breastfeeding, or if you have had a serious allergic reaction to tirzepatide, semaglutide or any ingredient.
Serious side effects can include pancreatitis, gallbladder problems, low blood sugar, kidney problems, serious allergic reactions, vision changes in people with diabetes, and mood changes. Common side effects include nausea, diarrhea, vomiting and constipation. Compounded medications are not FDA-approved. Read the full Important Safety Information.
Answer a few questions online. A licensed clinician reviews them and, if it's right for you, your treatment ships to your door.
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