How to take tirzepatide

Weekly injection — the practical guide

Quick read · 5 min

Last reviewed: April 2026Every claim linked to source

Tirzepatide (Zepbound or Mounjaro) is a once-weekly injection you give yourself at home with a pre-filled pen. It can be taken any day, any time, with or without food. The whole injection takes under 10 seconds.


The injection, step by step

Most people master this in 2–3 tries.

1
Let it warm up

Take the pen out of the fridge 5–10 minutes before you inject. Cold medicine feels sharper. Never use heat to warm it.

2
Check the liquid

Look through the window. It should be clear and colourless. If it's cloudy, discoloured or has bits in it, don't use it.

3
Pick and clean a spot

Choose belly (at least 2 inches from your navel), front/outer thigh, or back of upper arm. Clean with an alcohol wipe if visibly dirty, let it dry.

4
Remove the cap

Unscrew the cap straight off (about 3 turns). Keep it — you'll use it to cover the needle afterwards.

5
Pinch and press

Pinch a small fold of skin. Push the pen straight in at 90 degrees. Press the button on top of the pen.

6
Wait for the click

You'll hear a click when the needle retracts and the dose is delivered. Hold it in place for 3 more seconds, then pull straight out.

Three safe injection sites
  • Belly (abdomen) — at least 2 inches from your belly button
  • Front or outer thigh
  • Back of the upper arm

Rotate sites week to week so the same spot doesn't get sore or thickened.

Do this
  • Let the pen reach room temperature first
  • Rotate sites (belly, thigh, arm) week to week
  • Listen for the click — that's how you know it's done
  • Pick a consistent day and time each week
  • Store unopened pens in the fridge
Don't do this
  • Reuse a pen — each one is single-use
  • Warm the pen in hot water or microwave
  • Inject into bruised, scarred or tender skin
  • Massage or rub the site after injecting
  • Inject twice in one week to make up

Storage

Fridge before you start, then room temperature is fine.

Before first use
Fridge, 36–46°F
After first use
Room temp OK for up to 21 days
Never
Freeze or leave in the heat

If you miss a dose

Simple rules — no double-dosing.

1
Remember within 4 days of your usual day
Take it as soon as you remember. Resume your normal schedule next week.
2
More than 4 days late
Skip the missed dose entirely. Take the next one on your usual day.
3
Never
Double-dose to catch up. Only one injection per week.

Next step most people take

Backed by evidence · Every claim linked to its source

Last reviewed: April 2026

Medical disclaimer: This website is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before starting, stopping, or changing any treatment.