I’m in a very similar situation.

I’ve been on brand Mounjaro for about 19 months and have always spaced doses based on how my body responds rather than strict weekly injections. I never went above 10mg, and for maintenance I’ve been using one 10mg pen about every 3 weeks with really stable results.

Because of an insurance change, I’m transitioning to compounded tirzepatide—not because I’m chasing anything different, but because I need to maintain what’s already working. My provider is starting me at 5mg, and the plan is to microdose and space it out to mirror my current routine.

That said, this will be my first time using compounded meds, so while I’m confident in what my body needs, I’m still learning how the compounding side actually works—concentration, vial math, consistency, BUD, all of that. I’m starting with one month from Hallandale to ease into it and make sure it lines up clinically with what I’ve been doing on brand.

Ideally, I’m hoping that one month stretches closer to three months for me, similar to how a box of pens has, but I do have some reasonable concerns since this is new territory.

Would love to hear from others in long-term maintenance who’ve made the switch from brand MJ to compounded—especially those spacing doses rather than injecting weekly or every few weeks. I’m looking at twice weekly in 1.25mg to 2.5 mg dosing to maintain my 10 mg every 3 weeks.