Microdosing seems to be overwhelmingly targeted to women who either dont qualify for prescription GLP-1s, and/or have very little to no weight to lose (which is why they dont qualify for the rx in the first place)
Increase gradually, just as you would with once-weekly dosing
Most compounded tirzepatide can tolerate room temperature for a limited period, typically 24 to 48 hours, but this should be confirmed with GobyMeds specifically for the formulation they ship
The phase 2a data relative hepatic-fat reductions above 80% at the higher doses, with most participants reaching a normal liver-fat level in 24 weeks are consistent with exactly that prediction
Aroda VR, Bauer R, Hertz CL, et al
Since oral versions of GLP-1 medications or the gastric slowing caused by injectables can delay absorption, many clinicians recommend taking your blood thinner at a consistent time, separate from your GLP-1 dose if possible