Subscribing to this thread. Cheapest place to get is exactly what I've been researching. 🙏

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Cheapest place to get.

To answer pete_manc_UK: yes, I am on compounded sema from a 503B pharmacy.

Quick update: things are still going well. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Relevant to Cheapest place to get sema — here is my latest bloodwork comparison:

Key improvements: A1C 7.6% → 5.5%, triglycerides 233 → 103 mg/dL, hsCRP 8.0 → 0.9 mg/L. All on tirzepatide for 13 months.

The inflammatory marker drop is what impresses me most. Consistent with the SELECT trial's cardiovascular findings.

mona_PHX said:

Thank you all for the thoughtful replies on Cheapest place to get

This is exactly right. mona_PHX articulated what I have been trying to explain to my friends for months. The Cheapest place to get aspect is what made the difference for me.

Slightly tangential to Cheapest place to get but RunnerRach reminded me — does anyone have experience combining this with metformin?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.