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Microdosing tirzepatide and semaglutide: a clinician-directed approach

Microdose semaglutide from $149 a month and microdose tirzepatide from $249 a month, both once weekly at 0.05mg to 0.5mg. Lower doses, the same clinical oversight.
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Microdosing a GLP-1 medication is not an FDA approved regimen. Semaglutide and tirzepatide are approved with specific titration schedules toward target maintenance doses, and the published trial evidence was generated at those doses. What is described on this page is individualized prescribing at the low end of the dose range, decided by a licensed practitioner for one patient at a time. It is a clinician-directed maintenance approach, not a recognized standard of care and not a shortcut around the approved treatment path. Never adjust your own dose, split a vial, or change a schedule without your practitioner.
Definition

What is microdosing a GLP-1?

Microdosing means using a GLP-1 medicine at a dose below the standard maintenance target, deliberately and under clinical supervision.

To make that concrete: the approved weight management ladder for semaglutide steps from 0.25mg weekly up to 2.4mg, and for tirzepatide from 2.5mg up to 15mg. The lowest rungs are labeled as starting doses whose job is to let the gut adapt, not to treat. Society's microdose plans sit below even those starting doses, at 0.05mg to 0.5mg once weekly for either molecule.

The term itself comes from patients and from telehealth marketing, not from the drug labels or from clinical guidelines. There is no official definition and no agreed threshold.

What sits underneath it is an ordinary and well-established principle of prescribing: use the lowest dose that achieves the clinical goal. Some patients get a meaningful appetite response at 0.25mg of semaglutide or 2.5mg of tirzepatide and never need more. Holding a patient there is a legitimate clinical decision. Calling it microdosing is branding on top of that decision.

What is microdosing a GLP-1?

Maintenance
Microdose Semaglutide
long-term appetite control
Price
From $149
Active Ingredient
Low-Dose
Semaglutide
Dosage
0.05mg - 0.5mg
Injectable
Once a week
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Important safety information
Maintenance
Microdose Tirzepatide
Low-dose, lasting results
Price
From $249
Active Ingredient
Low-Dose
Tirzepatide
Dosage
0.05mg - 0.5mg
Injectable
Once a week
Get started
Important safety information

What the evidence does and does not show.

Being straight about this is more useful than being persuasive.

What is established. These medicines have a dose-response relationship. In SURMOUNT-1, mean weight reduction at 72 weeks was larger at higher tirzepatide doses (approximately 15% at 5 mg, rising to approximately 20.9% at 15 mg, versus approximately 3.1% for placebo). Lower doses on average produce smaller reductions. Anyone telling you a microdose performs like a full dose is not describing the trial data.

What is also established. Continued treatment is what maintains the result. In the STEP 4 withdrawal trial, participants moved to placebo regained weight while those who continued kept losing. Treatment interruption is followed by regain across this drug class.

What is not established. There is no large randomized trial testing a deliberately sub-therapeutic maintenance dose against a standard maintenance dose after a patient has reached their goal. The question of whether a low dose can hold a result is clinically reasonable and currently unanswered by high-quality evidence.

What that means for you. A microdose plan is a considered clinical decision made with incomplete evidence, with the trade-off stated openly: less medicine, usually fewer side effects, and less certainty about the outcome. If you want the approach with the most evidence behind it, that is standard titration to a maintenance dose.

Microdose pricing, next to the standard plans.

Plan
Microdose semaglutide
Microdose tirzepatide
Standard semaglutide
Standard tirzepatide
Metformin
Dose range
0.05mg to 0.5mg
0.05mg to 0.5mg
0.25mg to 2.4mg
2.5mg to 15mg
500mg to 2000mg
Frequency
Once a week
Once a week
Once a week
Once a week
Daily oral tablet
Society price
From $149/month
From $249/month
From $149/month
From $249/month
From $99/month
A microdose plan starts at the same price as the standard plan for the same molecule, so choose one for clinical reasons and not to save money. Every figure above is a starting price, and what you pay depends on the plan your practitioner prescribes.

All plans include the clinician review, your personalized treatment plan, your medication dispensed through US licensed pharmacies, labs, dose adjustments, continuous clinical assistance and free, discreet, expedited delivery. There is no separate consultation fee and no insurance requirement.

There are no long-term contracts, and you can pause, switch or cancel anytime. Read that alongside the refund policy: the first two (2) months of any treatment plan are strictly non-refundable under any circumstances, and cancelling stops future billing cycles rather than refunding charges already processed. Budget for two months before you start.

Who a microdose plan may suit, and who it does not.

It may suit patients who
Have reached a weight they are satisfied with on a standard dose and want a maintenance strategy rather than stopping altogether.

Respond well at a low dose and see no clinical reason to escalate, or whose side effects at standard doses are persistent and not resolving with the usual supportive measures.

Have found their appetite drop so far that adequate protein and calorie intake has become difficult, or who are restarting after a break and want to re-enter treatment cautiously.
It does not suit
Anyone who has not yet been assessed by a practitioner. This is not a starting point chosen from a menu.

Patients with a clinical need for greater glycemic control, where under-dosing means under-treating the actual condition.

Anyone with the contraindications that apply to this drug class: personal or family history of medullary thyroid carcinoma, Multiple Endocrine Neoplasia syndrome type 2, pregnancy or breastfeeding, known hypersensitivity, type 1 diabetes, a history of pancreatitis or significant gastrointestinal disease pending assessment, or a history of an eating disorder.

Anyone planning to manage their own dose. Microdosing means a prescribed low dose, not a self-modified one, and you are never asked to draw a fraction of a standard vial or split a pen on a Society plan.

How to get started in three steps.

Step 1
Start your free 2-minute evaluation
Complete a quick health questionnaire. A licensed provider reviews your information, no referral needed.
Step 2
Get your treatment plan
Once approved, receive a personalized treatment plan with medications, labs, or both, tailored to your biology.
Step 3
Start your treatment
Your medication ships straight to your door, delivered in 1 to 2 days, free and discreet.
If you are interested in a microdose approach, or you are already on a GLP-1 and want to move to maintenance, say so in the free-text field at intake. Your practitioner recommends either a microdose plan or standard titration, with the reasoning explained, and escalation stays available if a lower dose stops controlling appetite.

Microdosing questions we get asked most.

Important safety information
GLP-1 based treatments may carry risks, including the potential for thyroid C-cell tumors. These medications should not be used by individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Side effects may include nausea, headaches or dizziness, fatigue or changes in appetite, gastrointestinal discomfort, and injection-site reactions.

Compounded medications are not FDA-approved and have not been evaluated by the Food and Drug Administration for safety, efficacy, or quality.

A lower dose usually means milder gastrointestinal side effects. It does not mean no side effects and it does not change the safety profile of the drug class. Microdosing GLP-1 medicines is not an FDA approved regimen and is not an established standard of care.

Ask a practitioner whether a low dose fits your plan.

Microdose plans are prescribed, reviewed and adjusted by licensed US practitioners, never self-selected from a menu.
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* Individual results may vary, and not all patients will qualify for treatment. Always consult a licensed healthcare provider before starting or modifying any medical treatment.

Society facilitates access to consultations with independent, licensed healthcare providers who evaluate each patient and determine eligibility for treatment. Prescription products require an online medical evaluation. Medications are prescribed by independent physicians and dispensed by licensed U.S. pharmacies or a patient's preferred pharmacy. Only a qualified healthcare provider can determine whether a treatment is appropriate for an individual's specific medical needs.
Providers are licensed in the state where the patient is located at the time of consultation, and availability may vary by state.
Society's services are intended for individuals 18 years of age or older. Age verification may be required as part of the intake process.
‍Society partners with licensed U.S. pharmacies. Certain treatments may include compounded medications, which are not FDA-approved and have not been evaluated by the Food and Drug Administration for safety, efficacy, or quality. Compounded medications may be prescribed by a healthcare provider based on individual patient needs or during periods of drug shortages. FDA-approved GLP-1 medications—such as Ozempic® (semaglutide), Wegovy® (semaglutide), and Zepbound® (tirzepatide)—are not compounded. Society is not affiliated with, endorsed by, or sponsored by the manufacturers of these products. All trademarks and brand names belong to their respective owners.
GLP-1–based treatments may carry risks, including the potential for thyroid C-cell tumors. These medications should not be used by individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Please consult a healthcare provider for complete prescribing and safety information.
Prescription medications are dispensed only when determined appropriate by a licensed healthcare provider following an online medical evaluation. No prescription is guaranteed, and treatment decisions are made solely at the prescriber's clinical discretion.
Statements on this website have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Images shown are for illustrative purposes only; actual product appearance may vary.