Which tirzepatide formulation am I on?
Most patients receive standard tirzepatide compounded with vitamin B6. If you reported a B vitamin allergy or sensitivity at intake, you receive either an
Belle Answers · GLP-1 · Updated Oct 23, 2026
Most patients now receive tirzepatide compounded with L-carnitine. Some patients receive tirzepatide compounded with vitamin B6 instead, depending on their state and plan. If you reported a B vitamin allergy or sensitivity at intake, you always receive a formulation without B vitamins.
Tirzepatide with L-carnitine
This is what most patients now receive. L-carnitine is not a B vitamin. Like every added ingredient, it does not change your dose or how your tirzepatide works.
If you used to receive tirzepatide with B6, your next order may arrive with L-carnitine instead, and the label or pharmacy name may look different. Only the added ingredient has changed. Your tirzepatide dose stays the same.
Tirzepatide with B6
Some patients still receive this version, depending on their state and plan. The solution appears clear to slightly yellow, which is normal for the B6 formulation.
If you have a B vitamin allergy or sensitivity
If you reported a B vitamin allergy or sensitivity at intake, your prescription is routed automatically to a pharmacy that makes a formulation without B vitamins (L-carnitine or glycine). You will not receive the B6 version. The solution appears clear or near-colourless.
- Tirzepatide with L-carnitine or glycine, depending on the pharmacy. Neither one is a B vitamin.
Belle no longer offers Pure tirzepatide (tirzepatide with nothing added).
Routing happens automatically based on your intake and your state. You do not need to request a formulation.
If you are unsure which one you have, check your vial label or message us and we will confirm.
Education only, not medical advice.