No appointment. No waiting room. No insurance needed. Complete a quick online questionnaire, get reviewed by a licensed Nevada provider, and have compounded Tirzepatide + B12 shipped directly to you.
Three quick questions before we get started. This takes about 15 seconds.
Are you at least 18 years old?
Are you currently pregnant, trying to get pregnant, or breastfeeding? (Applies to all genders)
Have you ever been diagnosed with Type 1 Diabetes, Medullary Thyroid Carcinoma, Multiple Endocrine Neoplasia, or Pancreatitis?
Step 2 — Your Information
Tell us about yourself
Basic information needed for your consultation. All data is encrypted and HIPAA-compliant.
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Nevada Residents Only
This service is currently available only to patients residing in Nevada.
Body Measurements
Your BMI
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Are you currently taking a GLP-1 medication (semaglutide, tirzepatide, liraglutide)?
Labs are optional but can help your provider make a faster decision.
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Upload Lab Results (optional)
PDF, JPG, or PNG — Max 10MB
Step 3 — Medical Screening
Medical history review
Your provider needs this information to safely prescribe your medication. Answer each question honestly.
Allergies & Prior Reactions
Have you ever had an adverse or allergic reaction to Tirzepatide, Semaglutide, or Liraglutide?
Have you ever had an adverse reaction to another GLP-1 receptor agonist (Trulicity, Bydureon, Byetta, Victoza, Saxenda, Ozempic, Wegovy, Mounjaro, Zepbound)?
Medical History
Do you have Type 2 Diabetes? ⚑ FLAG
Do you currently have a known HbA1C greater than 8%?
Diabetic Retinopathy? ⚑ FLAG
Diabetic Ketoacidosis? ⚑ FLAG
Gallbladder Disease? ⚑ FLAG
Kidney disease, insufficiency, transplant, or acute kidney injury? ⚑ FLAG
Stomach problems? ⚑ FLAG
Bariatric surgery or other GI surgery? ⚑ FLAG
Liver disease or cirrhosis?
Leber Hereditary Optic Neuropathy?
Mental Health & Lifestyle
Are you currently experiencing, or have you experienced, depression with a history of suicidal attempts, thoughts, or ideation?
Do you currently consume alcohol?
Do you have any family history of Multiple Endocrine Neoplasia Type 2 (MEN2) or Medullary Thyroid Carcinoma (MTC)?
Are you currently receiving chemotherapy?
Current Medications
Are you currently taking Abiraterone Acetate?
Are you currently taking Somatrogon-GHLA?
Are you currently taking Chloroquine or Hydroxychloroquine?
Are you currently taking Insulin?
Are you taking insulin secretagogues or other diabetic medications? ⚑ FLAG
Vitals (Self-Reported)
If you don't know your blood pressure, you can enter "unknown" — your provider may request you check this before approval.
Step 4 — Verification
Photo & identity verification
Your provider needs current photos to assess your treatment plan, and a valid ID for identity verification.
Full Body Photos (Required)
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Front-Facing Photo
Full body, head to toe
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Side Profile Photo
Full body, head to toe
Government-Issued ID (Required)
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Upload Photo ID
Driver's license, passport, or state ID — must show name, DOB, and photo
Your ID is used solely for identity verification and is stored securely per HIPAA requirements.
Step 5 — Your Treatment
Choose your medication
Tirzepatide + B12 compounded injection. Your provider will determine the exact dosing based on your profile.
Select Your Vial Size
Best Value
Tirzepatide + B12
17mg/0.5mg per ml — 4ml vial
Approximately 3-month supply depending on prescribed dose. Ideal for patients on an established or escalating protocol.
$499
~$166/month
Tirzepatide + B12
8.5mg/0.5mg per ml — 2ml vial
Approximately 1-month supply depending on prescribed dose. Great for patients just getting started or on lower doses.
$299
/month avg
Upgrade Your Experience
TKO Pro Membership
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Medication, consults, and labs
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Concierge Support
Direct line to your care team
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Patient Portal Access
Interactive bloodwork viewer & more
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Priority Refills
Skip the line on reorders
Billed monthly. Cancel anytime. Your medication discount applies immediately.
Order Summary
Select a medication above to see your order summary
Step 6 — Consent & Payment
Review and confirm
Please review and acknowledge each consent before proceeding to payment.
Telehealth Consent — I consent to receive medical consultation and treatment via telehealth technology. I understand the consultation will be conducted asynchronously by a licensed provider who will review my submitted information.
Health Data Authorization — I authorize To Know Oneself Health & Wellness and its affiliated medical providers to use and disclose my health information for the purpose of providing telemedicine services, in accordance with HIPAA regulations.
Not a Primary Care Replacement — I understand that this service does not replace my existing relationship with my primary care physician, and I am solely responsible for follow-up care.
Voluntary Participation — I am requesting these services voluntarily, without influence from another party, and I am choosing to obtain these products and services on a cash basis outside of any federal or state healthcare program.
Commercial Relationships — I am aware of the commercial and/or financial relationship between To Know Oneself Health & Wellness and its affiliated medical providers, pharmacies, and other vendors.
Payment Summary
Billing Address
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Application submitted
Your information has been securely submitted for provider review. You'll receive an email within 24 hours with your provider's decision and next steps.
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BMI—
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Medication—
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Flags for ReviewNone
Consult TypeAsynchronous
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We're unable to proceed
Based on your responses, you do not currently qualify for GLP-1 treatment through our platform. We recommend consulting with your primary care physician.
Reason:—
No payment has been collected. Your information has not been stored.