Rare but Serious Side Effects While uncommon, more serious side effects can occur: Lactic acidosis: A rare but potentially serious condition, particularly in people with significant kidney disease or diminished renal function 11 Vitamin B12 deficiency: Long-term use may reduce B12 absorptionregular monitoring and supplementation can address this Low blood sugar: Risk increases when combined with insulin or other diabetes medications Dosage Guidelines Standard dosing ranges from 500-1000 mg once daily, with a maximum dose of 2000 mg per day
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Anchor meals with protein Include a protein source at each meal to support muscle growth and satiety
1 Consider treatment response and tolerability when selecting the maintenance dosage 1 Recommended maintenance doses: Adult CV risk reduction: 1.7 mg or 2.4 mg (recommended) Adult weight reduction: 1.7 mg, 2.4 mg (recommended), or 7.2 mg (when additional weight reduction is clinically indicated) Adolescent weight reduction: 1.7 mg or 2.4 mg (recommended) CV, cardiovascular
Honorable Mention: Mounjaro (tirzepatide) Indication(s): Type 2 diabetes, chronic weight management Manufacturer(s): Eli Lilly 2024 Sales (USD): $11.54 billion 2025 Outlook: While Mounjaro itself is not approved for weight loss, it drove significant off-label use before Zepbounds launch and helped set the stage for the obesity-focused branding strategy that now powers Lillys market dominance