My answer became to messy, so I had to give up and let chatgpt structure it for me. It even went ahead and added some sources
Half-life can be quite complex, and there isn't a one-size-fits-all answer.
The standard recommendation for
weekly dosing of tirzepatide works well for most patients because it maintains therapeutic effect and is easier for compliance. The reported half-life of tirzepatide ranges from
5 to 7 days, with
5 days being more commonly cited due to variability in individual metabolism
Alpha MD
Drugs.com
Half-life is a gradual process—drug clearance doesn't occur all at once but rather decreases steadily over time. Individual differences in how people metabolize tirzepatide account for the variation in its half-life. The drug’s extended-release formulation is designed to keep
blood levels stable over time. This is likely why dosing every 5 days is sometimes suggested if someone experiences a dip in effect before the next injection, indicating that their body
may be metabolizing the drug faster than average
Alpha MD
Lilly Medical
Statistically, dosing every 5 days may be closer to optimal for those with faster metabolism, but I would caution against exceeding the recommended weekly dosage due to the risk of
drug accumulation if your body metabolizes it more slowly.
Accumulation could lead to side effects like nausea, hypoglycemia, or gastrointestinal issues(
Drugs.com
When it comes to dosing every 5 vs. 7 days, it is very
individualized—if weekly injections work without a dip in effect, there’s no need to change the schedule. However, if you experience a
loss of effect (e.g., a drop in appetite suppression) before the next dose, dosing every 5 days could be a better option. This would suggest that your body
metabolizes tirzepatide faster, making a shorter interval between doses more appropriate(
Alpha MD
If a dip in effect persists even at 5-day intervals, splitting doses further to every 2.5 or 3.5 days would complicate the regimen and might not be beneficial. Tirzepatide is designed for
slow release, and more frequent dosing could disrupt its absorption pattern, potentially
causing irregularities or even increased side effects.
Summary: The ideal dosing schedule is
individualized—for most, weekly or every 5 days should be sufficient. If you're doing well on weekly injections without a dip in effect, stick with it. If you notice diminished results before the next injection, every 5 days might be more effective for you.