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Tirzepatide, 20 mg. Tirzepatide is a dual agonist stimulating the GLP-1 and GIP receptors at once, and in registered form a prescription medicine.

What is in this vial

Genheal fills tirzepatide as powder in a 20 mg vial, with one solvent ampoule in the box. The powder has no concentration of its own: it is set when you add the water. This vial with 2 ml of bacteriostatic water gives 10 mg per millilitre, and with twice that volume, half as much.

The conversion of an amount into insulin syringe units is worked through in the guide on syringe units, and the rules that change once the powder is dissolved are in storage.

Genheal as the manufacturer

Genheal covers the growth hormone axis more completely than the other two brands and is the only one here supplying the BPC-157 and TB-500 blend and tesamorelin. Its vials carry a code under the hologram and a batch certificate, checked the same way as any other brand in this shop.

What the evidence says

In SURMOUNT-1 at 15 mg it reduced body weight by 20.9 percent over 72 weeks against 3.1 percent on placebo, and it beat semaglutide in the only head-to-head trial. The full account, with the sources and the limits, is on the Tirzepatide page, and the background in the guide on why tirzepatide acts on two receptors.

We publish no dosing schedules. Sold as research material, not as a medicine.

Concentration in this vial

Water added Concentration Per unit on a U-100 syringe
1 ml 20 mg/ml 200 mcg
2 ml 10 mg/ml 100 mcg
5 ml 4 mg/ml 40 mcg

The table is arithmetic and nothing else: it converts the 20 mg in this vial into the concentration you get for a chosen volume of bacteriostatic water. It is not a dosing recommendation, and we publish none.

This vial next to the other Tirzepatide vials

Tirzepatide is sold here in two other versions: Bio-Peptide, 20 mg, the same amount of powder with two solvent ampoules, and Nouveaux Ltd., 40 mg Quick Pen, a ready solution in a pen with nothing to dissolve. The molecule is identical in all three.

Also from Genheal in this group

Within Weight loss peptides, Genheal also supplies Retatrutide 20 mg.

Twenty milligrams in one millilitre

The Genheal box holds one solvent ampoule of one millilitre. Dissolving the whole vial in it gives 20 mg of tirzepatide per millilitre. A U-100 insulin syringe holds one hundred units per millilitre, so at this concentration one mark on the scale equals 0.2 mg of substance, or 200 micrograms.

The most costly mistake with this vial: a unit on an insulin syringe is not a millilitre. Drawing half a millilitre at this concentration gives 10 mg at once, fifty marks instead of a dozen or so. At 20 mg per millilitre the margin for such a mistake is narrower than with a 3 or 5 mg vial, and the conversion is worked through in the guide on syringe units.

Genheal and the two other tirzepatide versions

Version What is in the box Concentrations possible
Genheal 20 mg (this vial) Powder and one 1 ml ampoule One, 20 mg per ml
Bio-Peptide 20 mg Powder and two 1 ml ampoules Two, down to 10 mg per ml
Nouveaux Ltd. 40 mg Quick Pen Ready pen and six needles Ready solution, nothing to dissolve

Bio-Peptide gives two ampoules and so a finer scale. The Nouveaux pen removes reconstitution and works out cheapest per milligram. This vial is the choice for the simplest set-up: one vial, one ampoule, one concentration.

Powder and ready solution

A closed vial of powder tolerates room temperature much better than a solution. Once dissolved, time starts to count, because a peptide in water is less stable. The ready solution is kept in the fridge, away from light and not frozen. The whole procedure is in the guide on how to reconstitute peptides, and storage conditions in how to store peptides.

What this vial is not

Tirzepatide is the active substance of the registered medicine Mounjaro, dispensed on prescription. The content of this vial is research material: the same molecule, a different legal status and different batch quality control. A research label does not change the legal status of the substance and gives no guarantee of the kind a medicine carries. The reasons for this split are in the guide on why semaglutide and tirzepatide are prescription-only, and the action on two receptors in why tirzepatide acts on GLP-1 and GIP.

Tirzepatide and blood pressure: what studies showed

Tirzepatide is the active substance of the drug Mounjaro. The numbers below come from clinical studies of that drug, run under medical supervision. The research material in this vial is not the drug and has neither its label nor its quality control.

The effect on blood pressure was measured most precisely with a 24-hour monitor in 600 participants of the SURMOUNT-1 trial. The monitor measured blood pressure every 30 minutes during the day and every hour at night, at the start and after 36 weeks.

Dose studied Fall in systolic pressure against placebo after 36 weeks
5 mg 7.4 mm Hg
10 mg 10.6 mm Hg
15 mg 8.0 mm Hg

The fall was visible by day and by night, regardless of age, sex and BMI. After 72 weeks, 58.0 percent of people on tirzepatide and 35.2 percent on placebo had normal blood pressure. Body weight explained about 70 percent of the fall in pressure, so the rest comes from other routes.

Strongest where blood pressure was high

An analysis of five SURPASS trials in people with type 2 diabetes showed an important pattern. The largest fall was seen in people with a systolic pressure above 140 mm Hg. In people with a pressure below 122 mm Hg there was no further fall. The authors write that this pattern eases concerns about blood pressure dropping too low.

Episodes of low blood pressure did occur, though rarely, and more often at higher doses. People with low blood pressure or taking medication for high blood pressure should measure it regularly. Dosing in these studies was set by the drug's protocol, and choosing a dose is a matter for a doctor. All the results are described in the guide Semaglutide, tirzepatide and blood pressure.

Sources: de Lemos et al., Hypertension 2024, Krumholz et al., Heart 2024, Lingvay et al., Cardiovascular Diabetology 2023, Chen et al., Endocrine 2026.

Questions

How much Tirzepatide is in this vial?

20 mg of lyophilised powder from Genheal, in one vial.

What concentration does 2 ml of water give?

10 mg per millilitre, which is 100 mcg per unit on a U-100 insulin syringe. Other volumes are in the table above.

Is Tirzepatide available from another manufacturer here?

Yes. Bio-Peptide supplies a 20 mg vial with two solvent ampoules, and Nouveaux Ltd. a 40 mg ready-to-use pen.

Verification and delivery

Every vial carries a code under the hologram and comes from a batch with a certificate of analysis; how to check both is described in check your product. We ship within Poland and abroad. Outside Poland shipping costs 30 EUR paid in advance or 80 EUR cash on delivery, the same for every country: shipping and payments.