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Treatment typically begins at a low dose with incremental increases every 4 weeks until reaching the maintenance dose or the maximum tolerated dose

At 2 mg/mL, 20 units equals 0.4 mg

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Pricing Although Hers does not accept insurance (more on that later), they do offer multiple payment options

Canada part of a multi-country global rollout Novo Nordisk's Canadian patent expired in January 2026, and generic semaglutide became legal in India on March 23, 2026 [Source: theglobeandmail.com/business/economy/article-apotex-fda-approval-generic-ozempic-drug-health-canada-decisions]

Understanding this two-phase timeline helps explain why some patients experience symptoms very quickly after starting tirzepatide, while others notice gradual changes over several months as their weight drops