What is Tirzepatide and How Does It Work?
Tirzepatide is an innovative medication that has demonstrated remarkable effectiveness in weight management. It uniquely works as a dual agonist, mimicking two important hormones in your body:
Glucagon-like peptide-1 (GLP-1)
Glucose-dependent insulinotropic polypeptide (GIP)
When administered, Tirzepatide:
Targets areas of the brain that regulate appetite and food intake, helping you feel satisfied with smaller portions
Delays gastric emptying, creating a longer-lasting feeling of fullness after meals
Significantly improves insulin sensitivity, enabling your body to metabolize calories and fat more efficiently
Reduces food cravings, particularly for high-calorie and sugary foods
Works through multiple mechanisms to support sustainable weight loss when combined with lifestyle changes
Many patients experience not only substantial weight reduction but also improvements in metabolic health markers, including blood glucose levels, blood pressure, and cholesterol profiles.
Common Side Effects
The most common side effects experienced by patients include:
Nausea (typically mild to moderate and often improving with continued use)
Fatigue (may diminish as your body adjusts to the medication)
Less Common Side Effects
Vomiting
Constipation
Abdominal pain
Headache
Upset stomach
Dizziness
Bloating
Belching and gas
Gastroenteritis (stomach flu)
Heartburn
Upper respiratory symptoms (runny nose, sore throat)
Rare Side Effects
Burning sensation in the chest or stomach
Indigestion
Stomach upset
Tenderness in the stomach area
Most side effects are temporary and tend to decrease in intensity as your body adapts to the medication. Staying well-hydrated, eating smaller, more frequent meals, and avoiding greasy or spicy foods can help manage digestive side effects.
Medical Warnings
Risk of thyroid C-cell tumors: Tirzepatide has been associated with thyroid tumors in animal studies (human relevance not determined)
Acute pancreatitis: Stop treatment and seek medical attention if severe abdominal pain occurs
Acute gallbladder disease: May increase the risk of gallstones or other gallbladder problems
Hypoglycemia: Can cause low blood sugar, especially when used alongside other diabetes medications
Allergic reactions: Ranging from mild skin reactions to severe systemic responses; seek immediate medical care for severe reactions
Diabetic retinopathy: Monitor for vision changes, particularly important for patients with pre-existing diabetes
Increased heart rate: May elevate heart rate; use with caution in patients with cardiac conditions
Suicidal behavior and ideation: Monitor for changes in mood, behavior, or thoughts of self-harm
Contraindications
Tirzepatide should not be used in the following cases:
Pregnancy: Not recommended (classified as Pregnancy Category C)
Breastfeeding: Effects unknown; discuss risks and benefits with your healthcare provider
Pediatric patients: Not approved for patients under 12 years of age
Personal or family history of medullary thyroid carcinoma (MTC)
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
Previous serious allergic reaction to Tirzepatide or any component of the formulation
Always provide your complete medical history and list of medications to your healthcare provider before beginning Tirzepatide treatment.
For patients self-administering injections at home:
Store in refrigerator between 36°F to 46°F (2°C to 8°C)
Do not freeze the medication under any circumstances
Protect from direct light exposure
Keep all medications out of reach of children and pets
Dispose of used needles and pens in a sharps container
For detailed instructions on how to properly administer Tirzepatide:
Ask our office staff for an injection guide pamphlet (downloadable here) with step-by-step injection instructions
Ask our nursing staff for assistance if you're unsure about the injection technique
Consider using a reminder app to maintain your regular dosing schedule
Follow the recommended dose escalation schedule as prescribed
To achieve optimal outcomes with your Tirzepatide treatment:
Follow a balanced nutrition plan as recommended by your healthcare team
Incorporate regular physical activity appropriate for your fitness level
Attend all scheduled follow-up appointments to monitor your progress
Report any concerning or persistent side effects promptly
Maintain adequate hydration to minimize side effects
Keep a journal of your weight, measurements, and how you're feeling
Be patient with the process – significant results typically develop over several months of consistent treatment
We're committed to supporting your health journey. Please don't hesitate to contact our office with any questions or concerns about your Tirzepatide treatment.
All our laparoscopic procedures are performed by our highly trained surgical team using state-of-the-art equipment and techniques.
We're committed to providing you with the most advanced, minimally invasive options because we believe you deserve:
Significant and sustainable weight loss
Convenient at-home administration
Minimal disruption to your daily routine
No surgical incisions or recovery time
Lower risk compared to surgical interventions
Improved metabolic health outcomes
Dr. Richard Nguyen is a board-certified General Surgeon with over 20 years of surgical expertise and fellowship training in Minimally Invasive and Bariatric Surgery from Vanderbilt University. Since establishing his practice in San Jose in 2007, he has pioneered innovative surgical techniques, including single-incision laparoscopic procedures and mastery of the da Vinci Robotic Surgical System. Beyond his acclaimed bariatric surgery practice, he has earned national recognition for his specialized expertise in both non-mesh and advanced mesh hernia repairs, while also serving as a critical approach surgeon for anterior spine access procedures. Dr. Nguyen combines technical precision with personalized care across multiple premier facilities throughout the South Bay Area.
I would refer Doctor Nguyen to anyone, in fact I have and they have all had the same experience as me. He is truly great. I owe all my success to Doctor Nguyen and I thank him for all the work he has done for me and continues to do so. He is extremely amazing, and I am very grateful to him.
At 50, I now have a life I had only dreamed of a year before. My body tells me if I am done eating. This surgery is a tool that I have used to the fullest. It is not an easy way out. It still took work. But I honestly know that I would not be living this amazing new life if I didn’t step forward to embrace this life-saving surgery.
Dr. Nguyen has changed my life completely. I feel so much better and I also feel like I’ve got control of my life again…I had high blood pressure, diabetes and cholesterol. I took at least 5 different medications for the past 30 years. NOW, after surgery I take no medications only vitamins!
Wondering which weight loss medication might be right for your body type? We're here to help you understand your treatment options and develop a personalized plan with either Semaglutide or Tirzepatide.
Contact our office today to schedule a consultation.Your path to sustainable weight loss may be more achievable than you think—with advanced pharmaceutical therapies leading to consistent results, minimal side effects, and a significantly enhanced relationship with food and your body.