Telehealth Tirzepatide for Weight Loss in Houston, TX
Compounded tirzepatide, dual-acting, prescribed by an NP, shipped statewide.
A monthly subscription that includes your tirzepatide, all supplies, and ongoing clinical access from Joy Mbama, NP. Dual GIP and GLP-1 action, often the best fit for patients who didn't get the response they wanted from semaglutide.
The dual-action GLP-1.
The mechanism
Tirzepatide works on two hormone receptors: GIP and GLP-1. Semaglutide works on GLP-1 only. The second receptor adds an additional appetite-suppression and insulin-sensitivity effect, which is why average weight loss in head-to-head trials is higher for tirzepatide.
Clinical trials show average weight loss of 18-22% of body weight over 12-15 months with tirzepatide, compared to 12-18% for semaglutide. Individual response varies.
Nuovara prescribes compounded tirzepatide from Optimal Balance Pharmacy in Houston. The active ingredient is the same molecule used in the FDA-approved branded versions (Mounjaro, Zepbound).
- Once-weekly injectionSubcutaneous, self-administered. We walk you through it.
- Titration scheduleStart at 2.5mg, increase every 4 weeks based on response and tolerance.
- Higher response on averageBetter average weight loss in clinical trials versus semaglutide.
- Monthly shipmentsVial sized to one month at every titration step. Ships from Houston.
From first message to first dose.
Call or text to start
Reach out and we'll schedule your initial 30-45 minute consult. The first month covers your consult, labs review, and first vial.
Meet with Joy
Video visit, full history, goals. A1c and TSH labs required at intake ($75 if you don't have recent ones).
Pharmacy ships
Tirzepatide ships refrigerated from Optimal Balance, usually within 1-2 business days.
Inject and check in
One weekly injection. Joy follows up through the portal, adjusting dose every 4 weeks.
Per-dose pricing, fair scaling.
Tirzepatide is more expensive than semaglutide because the medication cost is higher per milligram, and that cost scales with dose. We pass it through honestly. Most patients live at 5.0 or 7.5 mg/wk maintenance.
How we approach your titration
Tirzepatide is most comfortable when you give your body time to adjust between dose steps. We titrate at a pace that works for you, not on a race to the highest number. Joy reviews your medical history at the consult to confirm tirzepatide is a good fit and stays available through the patient portal as you go.
Compounded tirzepatide is prepared in a Texas-licensed 503A pharmacy. The active ingredient is identical to the FDA-approved branded versions, but compounded medications are not themselves FDA-approved as finished products.
One membership for all of it.
If you see yourself using more than one Nuovara service, Concierge Medicine gives you unlimited access to Joy across everything she does, for one flat monthly price. Same-day answers, prescription management, and no per-visit fees.
What patients often ask.
Tirzepatide or semaglutide, which is better for me?
Can I switch from semaglutide to tirzepatide?
How long until I see results?
Do I have to live in Houston to enroll?
How does my medication get to me?
Do you take insurance?
What is your cancellation policy?
The dual-action GLP-1, fairly priced.
Call or text to schedule your initial consult and find your starting dose.