Dose in Insulin Syringe Units
and On Prescription Label**
Weeks 1-3 *
2.5 MG
0.25 ML
25 Units On Insulin Syringe
Weeks 3-7 *
5 MG
0.5 ML
50 Units On Insulin Syringe
Weeks 8-10 *
7.5 MG
0.75 ML
75 Units On Insulin Syringe
* Dosage based on Tolerability* If appetite is suppressed 3/4 of the week continue with current dosage, otherwise increase by 25 units** Note: Column 4 for proper RX label Instructions Format
Subcutaneous InjectionTirzepatide instructions
1.The correct angles and ways to hold the syringe
A Subcutaneous (SQ) Injection is given in the fatty layer of tissue just under the skin. Syringes
for Subcutaneous injections will use smaller needles than those used for injections into a muscle.
The typical Insulin or TB syringes will have ½ inch or less needle length because it only needs to
go slightly below the skin level. Only certain types of injections can be given through this
route.
Subcutaneous shots can be given straight in at a 90-degree angle, or at a 45-degree angle. You can
give the shot at a 90-degree angle if 2 inches of skin can be grasped between your thumb and first
(index) finger. If only 1 inch of skin can be grasped, give the shot at a 45-degree angle.
2.Where can I give a subcutaneous shot?
Upper Arm:
Uncover the arm to the shoulder to see the whole arm. Have the person receiving the shot stand
with hand on hip. Stand next to and a little behind the person. Find the area in the middle part
of the arm, halfway between the elbow and shoulder. Gently grasp the skin at the back of the arm
between your thumb and first 2 fingers. You should have 1-2 inches of skin.
Abdomen:
Uncover the abdomen to see the whole area. Find the waist area. You may give a shot bounded by
these landmarks: below the waist, to just above the hip bone, and from where the body curves at
the side to about 2 inches from the middle of the abdomen. Use the natural line in the middle of
the body as a marker. It may be hard to see, but it is there unless it was covered by surgery.
Avoid the surrounding area 2 inches from the belly button.
Thigh:
Uncover the entire leg. Find the area between the knee and hip. The middle of the thigh, from
mid-front to mid-side, on the outside part of the thigh is a safe site. Gently grasp the area to
make sure you can pinch 1-2 inches of skin.
However - we would recommend to inject the tirzepatide abdomen and bioboost vitamins either in
a back of the UPPER arm or in a thigh are (as on the right picture)
3.How do I inject medication into subcutaneous tissue?
Please read the section all tile way through before giving the shot. It is important to get a
general idea of what you are about to do before you begin. You may read t11is step-by- step
procedure again as you do it.
Wash your hands thoroughly with soap and dry them completely.
Open the foil covering the alcohol wipe.
Wipe the area where you plan to give the shot. Let the area dry.
Take the cover off the needle. Hold the syringe with your writing hand and pull the cover off
with your other hand, like taking a cap off a pen.
If you will give the shot at a 45-degree angle, hold the syringe with your writing hand. Place
the syringe between your thumb and your index and second fingers. The bevel of the needle should
be pointing upwards at the 45-degree angle you plan to use.
If you will give the shot at a 90-degree angle, hold the syringe with your writing hand. Hold
the syringe under your thumb and first finger. Let the barrel of the syringe rest on your second
finger. (Many people hold a pen this way when they write).
Grasp the skin with the hand not holding the syringe. Holding the syringe barrel tightly with
your writing hand, use your wrisl to Insert the needle through the skin. Sometimes the needle goes
In easily. Some people have tougher skin and a litlle more pressure or quickness will be required.
Once the needle is all the way in, push the plunger down slowly to inject the syringe's
contents.
Remove the needle at the same angle you put it in.
Dispose of the syringe and needle in a Sharps Container.
4.What items do I need to give a shot?
The correct size needle and syringe (included in your package)
Vial containing the medication
One alcohol wipe
You may want to use gloves for your protection or the protection of the person receiving the
shot
5.How can I get rid of used syringes and needles?
You can purchase a Sharps Container, which is a hard-plastic container made especially for used
syringes and needles, at your local pharmacy. If you did not purchase this container with your
medication, you can use a hard-plastic container with a screw-on top such as a clothing softener or
hard plastic detergent bottle. Make sure you can easily put both the syringe and the needle into the
container.
Whatever container you choose, make sure that I the needles cannot break through the sides,
bottom, or top.
Call your primary care physician or your local pharmacy to find out what your state or local
requirements are for disposing of used syringes and needles.
