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Compounded Semaglutide/Tirzepatide: Personalized, Affordable Medical Weight Loss

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In recent years, medical weight loss has been transformed by breakthrough injectable medications like semaglutide and tirzepatide. These treatments, originally designed to manage blood sugar, are now used to help patients achieve safe, sustainable fat loss.

At Levesque Plastic Surgery, we prescribe compounded semaglutide and tirzepatide, enhanced with nutrients like glycine and vitamin B12 to support muscle preservation and energy—tailored to each patient’s individual needs.


What Are Compounded Semaglutide and Tirzepatide?

These medications work by mimicking natural hormones that control hunger and blood sugar. Patients often experience: 

  • Decreased appetite 
  • Improved insulin sensitivity 
  • Gradual and sustained weight loss



Name-brand options are excellent but unfortunately can be very expensive to those without insurance coverage.  We are able to offer compounded versions created by trusted compounding pharmacies. These custom formulations are available in a wider range of dosages and may be combined with additional supplements based on your medical profile.


Why Choose Compounded Medications? 

  • Lower Cost - brand-name injectables can cost $900–$1,300/month. Our compounded semaglutide and tirzepatide treatments typically range from $299–$550/month, offering a more accessible solution for patients seeking medical weight loss in Austin. 
  • Customized with Glycine and B12 - We tailor each prescription based on your lab results, body composition, and energy levels. For example: Glycine helps maintain lean muscle mass and supports tissue repair, which is crucial when losing fat rapidly. Vitamin B12 supports metabolism and energy production, helping to combat fatigue, especially in calorie-restricted diets. These enhancements promote fat loss without sacrificing muscle, and help patients feel their best throughout treatment. 
  • Better Availability - Due to ongoing shortages of commercial products, compounded versions offer a reliable alternative that helps patients stay consistent and avoid treatment gaps.

Is It Safe?

While compounded medications are not FDA-approved like their brand-name counterparts, they are regulated by state pharmacy boards and must be prepared in licensed compounding facilities using sterile protocols and quality-tested ingredients.

At Levesque Plastic Surgery, we only work with pharmacies that meet rigorous standards, and our patients receive: 

  • A full medical evaluation 
  • Ongoing clinical monitoring 
  • Transparent dosing protocols 
  • Access to a team that is committed to your health and safety


Understanding 503A vs. 503B Compounding Pharmacies

When it comes to compounded medications like semaglutide and tirzepatide, not all compounding pharmacies are the same. At Levesque Plastic Surgery, we only partner with pharmacies that meet the highest standards for safety and compliance—either 503A or 503B facilities.

Here’s what that means:

503A Pharmacies

503A pharmacies are traditional compounding pharmacies that prepare medications for individual patients based on a specific prescription from a licensed provider. 

These pharmacies: 

  • Are regulated by state boards of pharmacy 
  • Must follow USP <797> guidelines for sterile compounding  
  • Can only compound patient-specific prescriptions (not in bulk) 
  • Are ideal for personalized medications that include custom dosages or added ingredients, like glycine or vitamin B12


503B Outsourcing Facilities


503B pharmacies, also called outsourcing facilities, are regulated by the FDA in addition to state boards. These facilities are allowed to: 

  • Produce medications in larger batches for use by hospitals, clinics, and medical practices 
  • Ship across state lines without patient-specific prescriptions 
  • Follow stricter quality assurance and FDA inspection protocols 
  • Maintain cGMP compliance (Current Good Manufacturing Practices), similar to pharmaceutical manufacturers


Why This Matters for Your Safety

At Levesque Plastic Surgery, we really use 503A compounding partners as we prescribe for individual patient's home use.  The pharmacies we partner with using the Dr Well platform all: 

  • Use pharmaceutical-grade raw ingredients 
  • Adhere to sterility testing and quality control 
  • Provide certificates of analysis (COAs) and batch traceability 
  • Maintain the highest compounding standards available

Whether your compounded semaglutide or tirzepatide is prepared for individual use (503A) or sourced for in-office use (503B), your safety and treatment quality come first.


How Drug Patents Affect Compounding

Although semaglutide and tirzepatide are still under patent, compounding is legally permitted when there’s a clinical need that can’t be met by a commercial product—such as a customized dose, additive-free formulation, or improved tolerability.  We have found that improving tolerability to be a significant priority for our patients.

This allows our team to prescribe effective alternatives without infringing on patents or compromising care.


What to Expect from Our Medical Weight Loss Program

Our Medical Weight Loss Program in Austin Our Medical Weight Loss Program in Austin  includes more than just a prescription. We create a personalized plan that may include:
 

  • Compounded semaglutide or tirzepatide 
  • Glycine and B12 supplementation (as needed) 
  • Nutritional support with education 
  • Regular check-ins with our clinical team



Whether you're just starting your journey or have tried multiple diets in the past, our team is here to support you every step of the way.


Ready to Get Started?

If you're looking for medical weight loss in Austin that’s effective, affordable, and tailored to your needs, compounded semaglutide and tirzepatide may be the right solution.

Schedule your consultation today 

Let us help you take the first step toward lasting results—with expert care, proven science, and a plan made just for you.


Frequently Asked Questions

Q: What’s the difference between compounded and name-brand semaglutide or tirzepatide?

A: Compounded versions are custom-made by licensed pharmacies using the same active ingredients but without the brand name. They are often more affordable and may include added nutrients like glycine or vitamin B12, depending on your needs.


Q: Are compounded weight loss medications safe?

A: Yes—when prescribed by a licensed provider and prepared by a reputable compounding pharmacy. We only use pharmacies that meet strict quality standards and provide third-party testing for safety and purity.


Q: How much do compounded semaglutide and tirzepatide cost?

A: At Levesque Plastic Surgery, compounded treatments typically range from $350 to $500 per month, depending on dosage and customization. This is significantly more affordable than name-brand options.


Q: Will I need lab work before starting treatment?

A: Yes. Every patient undergoes a full medical evaluation and baseline lab work so we can create a personalized weight loss plan that’s safe and effective for you.


Q: How long do I need to be on the injections to see results?

A: Most patients begin seeing changes within 4–8 weeks. Optimal results are typically achieved after 3–6 months of consistent treatment, paired with nutrition and lifestyle adjustments.



* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.