Compounded Tirzepatide Injection
A compounded weekly injection that may be considered for women with PCOS metabolic symptoms when an FDA-approved option is not available or appropriate. Prescribed only if a licensed physician determines it’s clinically appropriate after reviewing your health intake.
Introductory pricing may apply for the first month. Free shipping. If prescribed.
Get StartedFree shipping · Cancel anytime · Physician review required · If prescribed

Licensed provider evaluates your health intake
Delivered to your door monthly
Not FDA-approved. Prepared by a licensed compounding pharmacy.
About Compounded Tirzepatide
Tirzepatide is the active ingredient in certain FDA-approved medications used for type 2 diabetes and chronic weight management in adults with specific clinical indications. The compounded tirzepatide dispensed through Oana is a compounded preparation that contains the same active ingredient. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality.
Tirzepatide is not FDA-approved for the treatment of PCOS. Some licensed physicians may consider compounded tirzepatide for women with PCOS metabolic symptoms when an FDA-approved option is not available or appropriate. Whether compounded tirzepatide is appropriate for your situation is a determination made solely by a licensed physician after reviewing your individual health intake.
Compounded tirzepatide dispensed through Oana is prepared by a licensed compounding pharmacy and shipped directly to patients with a valid prescription. Oana is not affiliated with Eli Lilly, the manufacturer of FDA-approved tirzepatide products.
Get StartedMechanism of Action
Dual Receptor Activity
Tirzepatide is described in published medical literature as a dual GLP-1/GIP receptor agonist. The mechanism information here references the active pharmaceutical ingredient as studied in clinical research on FDA-approved products. Compounded tirzepatide has not been independently evaluated by the FDA.
Insulin Sensitivity
GLP-1 receptor agonists are described in medical literature as supporting insulin sensitivity. Whether this is clinically meaningful for any individual depends on her specific health profile and is a determination for a licensed physician.
Appetite & Gastric Signaling
Published medical literature describes GLP-1 and GIP receptor activity as influencing appetite signaling and gastric emptying. Individual responses vary.
Individual Response
Individual responses to compounded tirzepatide vary. Your physician can discuss expected timelines and clinical expectations during your health intake review.
About Treatment Options
A licensed physician will discuss treatment options with you during your health intake review. Different medications work through different mechanisms, and the appropriate option for any individual depends on her specific symptoms, health history, and clinical situation. Compounded tirzepatide is not FDA-approved and is one of several options a physician may consider when an FDA-approved option is not available or appropriate.
What Some Patients Have Shared
“I’ve struggled with PCOS for years. Working with a physician through Oana has helped me feel more in control of my care.”
Individual results may vary. Testimonial reflects the experience of one Oana patient and is not necessarily typical.
“I appreciate the simplicity of the Oana process. The weekly routine is straightforward and I value having physician support along the way.”
Individual results may vary. Testimonial reflects the experience of one Oana patient and is not necessarily typical.
All testimonials reflect the individual experiences of actual Oana patients with their consent. Individual results vary and are not guaranteed. Testimonials are not intended to represent or guarantee that anyone will achieve the same or similar results.
How to Take It
Choose Your Injection Site
Inject subcutaneously in the abdomen, thigh, or upper arm. Rotate injection sites each week to minimize irritation.
Inject Once Weekly
Administer one injection per week, on the same day each week. You can inject at any time of day, with or without food.
Follow Physician Instructions
Your Oana physician will provide detailed instructions for proper administration with your first shipment, if prescribed.
Stay Consistent
Individual responses vary. Your physician will discuss expected timelines based on your specific situation.
Safety Information
Common Side Effects
- Nausea (usually temporary)
- Decreased appetite
- Mild GI discomfort
- Headache
Less Common
- Diarrhea
- Constipation
- Fatigue
Important
Not recommended during pregnancy. Patients with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome should not use this medication. Tell your provider about all medications you take.
Compounded tirzepatide has not been evaluated by the FDA for safety or effectiveness. Possible side effects may include but are not limited to those listed above. Report any concerning symptoms to your physician or to FDA MedWatch at 1-800-FDA-1088. Discuss all medications, supplements, and medical history with your physician before starting any treatment.
Also Available for PCOS
Metformin ER
FDA-approved for type 2 diabetes; off-label for PCOS
Learn moreMetSpiro Combo
Metformin + spironolactone for PCOS symptoms
Learn moreSpironolactone
Anti-androgen for acne, hair loss, hirsutism
Learn moreEflornithine Cream
A topical prescription option for facial hair
Learn moreFrequently Asked Questions
Metformin and tirzepatide are different medications that work through different mechanisms. Metformin is FDA-approved for type 2 diabetes and is commonly used off-label for PCOS-related insulin resistance. Tirzepatide is the active ingredient in certain FDA-approved medications, but the compounded tirzepatide dispensed through Oana is not FDA-approved. Whether either medication — or a different option — is appropriate for you is a determination made by a licensed physician based on your individual health intake.
Compounded tirzepatide is a weekly subcutaneous injection administered at home. Your Oana physician will include detailed instructions and ongoing support if prescribed.
No. Compounded medications, including compounded tirzepatide, are not FDA-approved. The FDA does not evaluate compounded medications for safety, effectiveness, or quality. Compounded medications may be considered when an FDA-approved option is not available or appropriate for an individual patient based on physician clinical judgment. Tirzepatide is not FDA-approved for the treatment of PCOS. Oana is not affiliated with Eli Lilly.
Your physician may discuss combination options with you, including FDA-approved medications, depending on your individual symptoms and health profile. Always discuss your full medication list, supplements, and medical history with your physician during your health intake.
Individual responses vary. Some patients notice changes earlier than others, and clinical effects develop over time. Your physician can discuss expected timelines based on your specific situation. Individual results vary and are not guaranteed.
If your current treatment isn't meeting your needs, your Oana physician can review your full health history and discuss options with you, including whether a different medication or treatment combination may be appropriate. Treatment decisions are made by a licensed physician.
Your Oana physician will review your full medical history, current medications, and individual risk factors during your health intake. Compounded medications have not been evaluated by the FDA. Discuss any concerns with your physician, and report any concerning symptoms during treatment. Compounded tirzepatide should not be used during pregnancy or breastfeeding, or by individuals with a personal or family history of medullary thyroid carcinoma or MEN 2 syndrome. Your physician will discuss the full safety profile with you before treatment.
No insurance is required. The cost for compounded tirzepatide through Oana is $199/month (introductory pricing may apply for the first month). Free shipping is included. FSA/HSA funds may be used. The $20 one-time physician review fee is separate. If prescribed.
Start Your Health Intake
Complete your online health intake. A licensed provider will review your information within 1–2 business days.
Start My Health Intake →