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How does tirzepatide at 10 mg weekly compare on cost per milligram across routes?

Asked 24 Sept 2025Modified 9 months agoViewed 3k times
3

The particulars: tirzepatide · 10 mg.

I would rather understand the derivation than memorise the outcome.

Two people I asked gave two answers that differ by a factor of ten, which is suggestive.

Can someone show the working rather than just the answer?

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askedrune_thoresen16k2824 Sept 2025
5Have you ordered yet? The pre-order checks and the post-arrival checks are different lists. – shear_at_the_front 8 months ago
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1 Answer

Accepted answer first, then by votes
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Accepted answer

10 mg a week is 520 mg a year and 43.3 mg in an average month — put every route on that denominator before comparing anything. Cost per milligram is the only figure that survives the comparison, because the presentations differ: a licensed pen prices a dose, a compounding pharmacy prices a vial, and a research supplier prices a mass. Divide each one's twelve-month cost by 520 mg and the three become the same number in the same unit. Then add what the cheapest route does not include — independent purity and content testing, the vials you discard, and the postage — because a route that needs testing to be trustworthy has that testing in its cost per milligram whether you account for it or not.

Mechanically, wastage from expired reconstituted vials is a real line item and nobody includes it.

The full calculation: (unit price + carriage share + testing share) ÷ (nominal mg × measured content fraction × (1 − dead-space and wastage fraction)). Every term after the first is routinely omitted.

Cost per milligram, adjusted honestly

StepValueNote
Vial price, 10 mg nominal£34.00As advertised
Nominal cost per mg£3.4034 ÷ 10
Measured content9.2 mgIndependent content assay
Cost per actual mg£3.7034 ÷ 9.2
Dead-space loss, 20 draws4 %80 µL of a 2 mL fill
Cost per delivered mg£3.853.70 ÷ 0.96
First vial, with £110 assay£14.85Testing dominates a single vial

Change one number and it reverses: if B assays at 82 per cent, that is 8.2 mg for £52, or £6.34/mg, and the cheaper vial is now the more expensive peptide.

Published content assay results across the independent services show nominal and measured content differing by one to ten per cent, which is the term that makes label-price comparisons unreliable.

A spreadsheet built on label claim rather than measured content is precise about the wrong number.

Divide by measured content, not by label claim. That is the whole correction.

edited 21 Oct 2025 by orla_ferriter — added the placebo-arm figures

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answered · acceptedorla_ferriter89k14818 Oct 2025
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