r/tirzepatidecompound: rules, karma requirements and posting culture

Who posts here

A first-timer asking what to expect sits next to regulars comparing pharmacy formulas, additives, beyond-use dates and specific lot numbers. Beginner questions stay up and get a reply, and AutoModerator adds a link to the community's newcomer guide. A question about where to buy or how to dose is usually met with a pointer to the pinned posts rather than a direct answer.

• Patients who moved from brand-name tirzepatide or semaglutide to compounded after losing coverage.
• People prescribed tirzepatide off label or for reasons other than obesity, whom the description explicitly welcomes.
• Long-term users working out maintenance and whether they will stay on it for life.
• Experienced buyers who track pharmacies and formulas closely and report quality problems.
• Newcomers on their first few shots sharing photos, side effects and nerves.

Karma and account requirements

What it takes to get a post through in r/tirzepatidecompound.

What you can post

What happens to a new post

Where the most recent posts ended up. Sample size: 400.

• Stayed up81%
• Removed by Reddit's filters15%
• Held by AutoModerator3%
• Deleted by the author<1%

Reddit counts a removal by the subreddit's own AutoModerator rules as a moderator removal, so that share is not all human. Held by AutoModerator means the post is waiting in the mod queue.

The rules, in the mods' words

1. 1

   Sourcing / discussion from doctors / providers and compound pharmacies only

   Please do not discuss sourcing unless sourcing is from a medical doctor with a prescription for brand name or compounding. Compounding pharmacies can be discussed.

2. 2

   Reconstituting is not to be discussed

   Information pertaining to reconstituting your own peptides for injection and personal use is not to be discussed as these are for research purposes only & Reddit shut down our last forum because we allowed it to be discussed. Refer to peptide subs to discuss this.

3. 3

   Research Peptides

   Please seek a peptide forum for research purposes. Research peptides are not to be discussed in this forum due to Reddit red flagging these types of posts in these GLP-1 subs. Some have even been taken down due to it. Thank you

4. 4

   DM for sources prohibited

   Please do not solicit others for sources outside of medical providers and compound pharmacies

5. 5

   No Promo Codes

   Sharing promo codes or suggesting to visit your profile to obtain a promo code is prohibited

These are the rules as archived in January 2025. Rules change. Check the sidebar before you post.

The culture

r/tirzepatidecompound is the biggest room for compounded tirzepatide, about 200,000 members and around 74 posts a day, with a typical post drawing 14 comments. The description says plainly that it does not give medical advice and that tirzepatide is prescribed for many reasons, not just obesity. The rules were shaped by Reddit shutting down the moderators' previous forum, which is why research peptides and reconstitution are off limits.

Posts are text or photos. Text is about 80%, images most of the rest, and in our sample there were no link posts at all. The most common flair is Provider / Pharmacy: which telehealth service fills from which pharmacy, how formulas differ, and how a company handled a problem. Progress photos, non-scale victories and maintenance threads are the other half of the feed.

AutoModerator does a lot of the talking. It replies to provider and pricing questions with a pinned post and a community survey, to dosing questions with a reminder that the subreddit is not medical advice, and to common worries like warm shipments or half-empty vials with explainer posts. The live issue in our sample was a quality problem with one pharmacy's vials, with members posting lot numbers, photos and how each telehealth company handled replacements.

What lands

• Progress photos with dates, weights and an honest note about loose skin or slow weeks.
• Non-scale victories, like fitting into a tight parking space or a smaller clothes size.
• Detailed quality reports on a shipment, with the lot number, what was wrong and how the provider responded.
• Open questions about living with the medication, such as which foods became hard to eat.
• Maintenance threads from people at goal working out what comes next.

What gets removed or ignored

• Any discussion of research peptides or reconstituting your own, which the rules say got the previous forum shut down.
• Asking members to DM you sources outside of medical providers and compounding pharmacies.
• Promo codes, and posts or comments telling people to visit your profile for one.
• About 15% of posts were removed by Reddit's filters and about 3% held by AutoModerator. We saw no manual moderator removals in our sample.

The unwritten rules

• Read the pinned provider post before asking which company to use. AutoModerator will point you there anyway.
• Spell it vial. AutoModerator corrects "vile" so often it has a canned reply.
• Name pharmacies and formulas precisely. Regulars talk in those terms, and a vague question gets vague answers.
• Respect people's choices. The community's own surveys and AutoModerator remind posters that maintenance plans and risk decisions are personal, and judgment about someone's weight or dose is not welcome.
• Comments are short, about 21 words, and rarely link out. A reply pushing one provider stands out.

Self-promotion

There is no general self-promotion rule, but promo codes and "check my profile" offers are banned outright, and so is soliciting people by DM. Provider names are discussed openly under the Provider / Pharmacy flair, and the moderators keep their own pinned provider and pricing post that AutoModerator links to. In practice a company account posting about itself would be competing with that pinned post and with members who compare providers closely and publicly. An honest experience post holds up; an ad does not.

How people write here

Typical post length

75 words

Typical title length

5 words

Titles phrased as a question

39%

Typical comment length

21 words

Comments that include a link

4%

Posts that carry a flair

48%

The regulars

The accounts that showed up most in our sample. Worth reading before you post: they set the tone, and they are usually the first to reply.

Top keywords

The words and phrases that show up far more often here than in other communities, from recent posts in r/tirzepatidecompound.

• hyalo 56 posts
• vials 64 posts
• pharmacy 72 posts
• tirz 77 posts
• tirzepatide 70 posts
• floaters 33 posts
• dose 73 posts
• weight 74 posts
• hallandale 28 posts
• vial 44 posts
• bpi 20 posts
• pharmacies 27 posts
• telehealth 31 posts
• lbs 47 posts
• compounded 33 posts
• compound 28 posts
• shot 38 posts
• hyalo vials 11 posts
• glycine 21 posts
• rift 18 posts
• drug crafters 15 posts
• apothecary 13 posts
• order 42 posts
• medication 34 posts
• telehealths 11 posts
• loss 37 posts
• additive 12 posts
• meds 25 posts
• side effects 31 posts
• losing 30 posts
• maintenance 23 posts
• weight loss 26 posts
• healthwealth 8 posts
• drug 19 posts
• replacement 20 posts
• trillium 10 posts
• fifty410 9 posts
• bud 12 posts
• pounds 23 posts
• b12 15 posts

Recurring topics: tirz, question, looking, tirzepatide, dose, app, first, weight, bpi, start.

Related subreddits

• r/Semaglutide
• r/AskVet
• r/ibs
• r/hysterectomy
• r/Zepbound
• r/cfs
• r/AskDocs
• r/lupus
• r/Anxiety
• r/PCOS

Common questions