topamax and tirzepatide together Qsymia (phentermine / topiramate ER): Uses, Side Effects, Dosage & More Phentermine and Tirzepatide Together: Safety,
Description
Research is ongoing, and the full picture is still developing

From there it can go up by 2.5 mg no faster than every 4 weeks, up to a maximum of 15 mg once weekly

doi: 10.1001/jama.2023.24945 [DOI] [PMC free article] [PubMed] [Google Scholar] 34

It is generally much cheaper than GLP-1 medications and widely available
Tirzepatide injection (subcutaneous)