Liquid Mobile Guide to: Medical Weight Management

Table of Contents

Weight Loss Injections Intro
Liquid Mobile Weight Management Program
Semaglutide
Tirzepatide
How to Administer Injections
How to Store

Welcome to Medical Weight Management with Liquid Mobile!

Liquid Mobile Medical Weight Management Program
Includes initial consult, and follow-up visits via telehealth or in-person with a provider that is clinician, including nurse practitioners and physicians. Follow-up visits will align with your required refills. We recommend that you book your follow-up telehealth visit two weeks prior to requiring a refill to allow adequate time to receive the refill.

Medical Weight Management does require a commitment to losing weight, therefore there is a minimum program requirement of 2 months. Your program will be set up on a monthly billing cycle.

Recommended Labs
It is recommended that you manage your labs directly with your primary medical provider and your medical team. Labs often recommended by primary care teams include:

A1C: High levels of blood glucose or a consistently high A1c can harm your heart, blood vessels, kidneys, feet, and eyes. As you shed extra pounds, the insulin in your body lowers your blood sugar levels more efficiently, which will cause your A1c levels to drop over time. Taking steps to get your A1c in a healthy range lowers your risk of complications such as nerve damage, eye problems, and heart disease.
Complete Metabolic Panel: The panel also includes tests that measure kidney and liver function. These vital organs filter out proteins and waste products produced during the metabolizing process. Fluids, electrolytes, and minerals in the blood are also measured. If the body is low on fluids or electrolytes, the metabolic function slows down, leading to potential weight gain or trouble losing weight.
DHEA Sulfate: DHEA is involved in lipid (fat) breakdown and building lean muscle. Like other hormones, we tend to produce less of it with age, with the production of DHEA peaking around age 25 – 30.
Estradiol – Estradiol regulates body weight by decreasing appetite and increasing feelings of satiety. This could be particularly important for women whose estradiol levels are abnormal, perhaps as a result of ovarian dysfunction, or whose estradiol levels drop, as part of the normal estradiol decline during menopause.
Progesterone: A hormone imbalance, such as low progesterone, could potentially lead to weight gain as imbalances between estrogen and progesterone are one of the emerging causes of obesity. Healthy levels of progesterone support the thyroid, which produces hormones to regulate your metabolism or how quickly food is used for energy.
PSA – Men with obesity have been found to have lower serum levels of prostate specific antigen (PSA) than non-obese men of the same age. This has potential implications for the use of PSA for prostate cancer detection in obese men.
Testosterone: Being an overweight man can have a harmful effect on testosterone, while higher levels of testosterone in women can hinder losing weight.
Thyroid Panel – Losing weight can be challenging for many living with low thyroid hormone levels. Researchers have shown that a slight change in your thyroid hormone levels can lead to weight gain or even make it hard for you to lose weight.

Guest should always notify their primary care and all specialists of their Weight Management plan, related information, issues and recommendations.

What are weight loss injections?
Some injections work by mimicking the hormone which suppresses your appetite. This helps to reduce and regulate your hunger to ensure you consume fewer calories. These ‘slimming’ injections are not a quick-fix or magical tool, however. Instead, they are intended to complement other crucial aspects of weight loss, including exercise and a healthy diet. Semaglutide and Tirzepatide are the two weight loss injections offered by Liquid Mobile. They are long-term safe weight loss approved by the FDA when used with diet and exercise while monitored annually by your PCP.

In addition, there are weight management options and support such as Sermorelin, a growth hormone releasing hormone, Liraglutide which decreases appetite, Nitro Amino Blend – a potent mix of L-arginine, L-carnitine, L-citrulline, and L-ornithine, BioBoost Plus for fat burning and extra energy combines MIC, Pyridoxine (B6), Cyanocobalamin (B12), L-Carnitidine, L-Arginine and Lidocaine 0.1%; Testosterone for building muscle and of course Zofran if needed for nausea.

What are the benefits of using weight loss injections and oral medications?
Semaglutide and Tirzepatide reduce your appetite and decrease your hunger by making you feel fuller for extended periods of time, helping you eat less. It also helps to reduce leptin resistance, a hormone that can affect your metabolism & weight. In addition, because these injections target fat cells and regulate blood sugar, your body can remain in “fat-burning” mode, so you don’t have to worry about losing muscle mass or results solely from water weight loss.

Other benefits include:

Helps avoid the urges for a quick sugar fix by promoting normal glucose levels.
Physical hunger is gone
Better sleep
Higher energy levels
A healthy lifestyle can help you to feel better and improve brain health and longevity
Weight loss helps to decrease risks associated with being overweight like coronary artery disease, stroke, high blood pressure, high cholesterol, sleep apnea, back and joint pain

Will this medication interact with my other medication?
These injections may interact with insulin and other medications for diabetes and should not be used together. This list may not describe all possible interactions. Be sure to consult your healthcare provider and provide a complete list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also, tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I report before taking this medicine?
Your Liquid Mobile care team should be notified of any of the following conditions and you should consult with your primary care team if you have a history of any of these contra-indications

Endocrine tumors (MEN 2) or if someone in your family had these tumors
Eye disease, vision problems
Gallbladder disease
History of depression or mental health disease
History of pancreatitis
Kidney disease
Stomach or intestine problems
Suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
Thyroid cancer or if someone in your family had thyroid cancer
Pregnant or trying to get pregnant
Breast-feeding

Please note this list may not include all potential contraindications or precautions related to taking Semaglutide or Tirzepatide. Please consult your primary care physician or pharmacist for a list of all contraindications and precautions.

Semaglutide: Source
What is Semaglutide?
Semaglutide promotes weight loss. It may also be used to maintain weight loss. Semaglutide is a small protein (peptide) that activates metabolic pathways in the body to increase blood sugar metabolism and reduce appetite. Changes to diet and exercise are often combined with this medication.

How does Semaglutide work?
This weight loss medication is a GLP-1 receptor agonist that mimics GLP-1, an incretin hormone our body makes when it senses food in the intestine. The small intestine releases these hormones minutes after eating and aids digestion and appetite suppression. Incretins trigger the pancreas to release the right amount of insulin when glucose levels are high, helping move sugar from the blood into other body tissues where it is used for energy. It blocks other sources of sugar. It was also found that the hormone helps with appetite suppression by decreasing the speed at which food leaves your stomach, leaving you feeling full longer. Semaglutide weight loss plus lifestyle interventions were associated with a sustained reduction in body weight.

What are the side effects of Semaglutide?
“The most common side-effect of Semaglutide is nausea and possibly other digestive issues. But we take proactive measures to ensure that the chances of this happening to you are slim. For your first month, we will start you at a lower dose of Semaglutide to allow your body to get used to it. We typically increase incrementally at month two and month three. However, everyone is different. The goal is to lose a few pounds a week with no nausea. The medication is also compounded with Vitamin B-6, which will help curb any nausea.” Side effects may include:

Diarrhea
Loss of appetite
Stomach pain
Vomiting
Constipation

Side effects that you should report to your primary care physician as soon as possible:

Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Change in vision
Dehydration—increased thirst, dry mouth, feeling faint or lightheaded, headache, dark yellow or brown urine
Gallbladder problems—severe stomach pain, nausea, vomiting, fever
Heart palpitations—rapid, pounding, or irregular heartbeat
Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
Pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting
Thoughts of suicide or self-harm, worsening mood, feelings of depression
Concerns for thyroid cancer – new mass or lump in the neck, pain or trouble swallowing, trouble breathing, hoarseness
Concerns for pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting

This list may not describe all possible side effects. Call your doctor for medical advice about side effects.

Semaglutide at Liquid Mobile
We do not prescribe Semaglutide under the brand names associated with treating type 2 diabetes or weight loss you may be familiar with (Ozempic, Saxenda, Wegovy). Instead, we start all of our Guests off at a lower, compounded dose for the first month, then increase the dosage for the second and third months, respectively, as appropriate for your weight loss goals and response. Our compounded medication may include Vitamin B-6 and/or B-12 to help with potential side effects.

Does it work? Source
According to sources and in studies of people taking semaglutide, there was a 15% weight loss at 16 months. Studies show that shorter duration of treatment is associated with weight regain, so we encourage you to continue this medication long term. Individuals continuing semaglutide after 20 weeks continued to lose weight, while those switched to placebo regained weight over the subsequent 48 weeks.

Tirzepatide: Source
What is Tirzepatide?
Tirzepatide is the first medication in its class. It works by slowing digestion and helping you feel full while lowering blood sugar. Tirzepatide has an element that mimics a hormone called GIP which can reduce appetite and improve how well your body breaks down sugar and fat.

How does Tirzepatide work?
Tirzepatide works similarly to the other drugs in the GLP-1 family, but it contains an extra molecule that may give it a slight edge, GIP. The medication has a dual-action design, mimicking the action of not one but two incretin hormones involved in blood sugar control: Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP). Incretin hormones are released whenever food is consumed. Among other things, they help promote a feeling of fullness by delaying gastric emptying and activating the brain’s satiety centers. They also boost insulin production in the pancreas and suppress glucagon production, both of which help normalize blood sugar.

What are the side effects of Tirzepatide?
Like other GPI-1 medications, the most common side effect is nausea, to minimize the risk of this occurring with Tirzepatide. We choose a specific compounded formulation. The medication may be compounded with Vitamin B-6 and/or B-12, which helps curb any nausea. We also will start you at a lower dose of Tirzepatide to reduce side effects and increase. We typically increase incrementally at month two and month three. However, everyone is different.

Other side effects include:

Diarrhea
Decreased appetite
Stomach pain
Vomiting
Constipation
Indigestion

Side effects that you should report to your primary care physician as soon as possible:

Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting
Concerns for pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting
Change in vision
Dehydration—increased thirst, dry mouth, feeling faint or lightheaded, headache, dark yellow or brown urine
Gallbladder problems—severe stomach pain, nausea, vomiting, fever
Heart palpitations—rapid, pounding, or irregular heartbeat
Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
Thoughts of suicide or self-harm, worsening mood, feelings of depression
Concerns for thyroid cancer – new mass or lump in the neck, pain or trouble swallowing, trouble breathing, hoarseness

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Tirzepatide at Liquid Mobile
We do not prescribe Tirzepatide under the brand name associated with treating type 2 diabetes or weight loss you may be familiar with (Mounjaro). Instead, Tirzepatide at Liquid Mobile is used as a second-line option for our guests and will be prescribed at the discretion of your physician and nurse practitioner. Typically, Tirzepatide will be used for our guests who are not responsive to their current injection plan or have hit a plateau and struggled to continue to lose weight. If required, we start all of our patients off at a lower, compounded dose for the first month and then increase the dosage for the second and third months, respectively, and as appropriate for your weight loss goals and response. Our compounded medication may include Vitamin B-6 and/or B-12 to help with potential side effects.

Does it work? Source
A clinical trial of over 2,500 people with obesity or overweight experienced significant weight loss with weekly tirzepatide. Those treated with tirzepatide had an average weight loss of 15% to 20% of their starting body weight over 72 weeks.

How will I receive my medications?
You may receive your weekly injections in one of our local clinics, provided by a physician, nurse practitioner or registered nurse. Weekly injection clinic visits are for medication administration only and are not to be used for follow-up visits. Please book an appointment in the clinic or via telehealth for follow-ups, refills, and questions regarding your response to the current weight loss plan.

You may also elect to self-administer your injections at home. The medication will be shipped to your home.

How do I receive refills?
It is highly encouraged that you request a refill 2 weeks in advance to your medication running out. Visit www.LiquidMobileIV.com , click Telehealth, then Refill to schedule a call for a refill or call 855.954.7843. Increases in dosages will require a telehealth visit with a provider and will only be allowed after 4 weeks of being on current dosage.

How to do I store these medications?
Keep out of the reach of children and pets. Semaglutide will be dispensed by the pharmacy as a frozen product. Once you receive it, store it in the refrigerator in-between doses.

Dispose of needles in a sharps containers available at your retail pharmacy. If not assessable, place needles in a hard, closed container, such as a sealable detergent bottle.

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. You should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information.

What dose will I inject?
Dosages will depend on each individual, as you may titrate up about every 4 weeks at the discretion of the Liquid Mobile care team. The medication is administered once weekly, on the same day each week. Injections can be done at any time of the day, with or without meals.

Missed Doses:

If you are using Semaglutide injection, inject the missed dose as soon as you remember it. However, if more than 5 days passed since the missed dose, skip the missed dose and continue your regular dosing schedule. Do not inject a double dose to make up for a missed one.
If you are using Tirzepatide injections, take the missed dose as soon as you remember it. However, if more than 4 days have passed, skip the missed dose and continue your regular dosing schedule. Do not inject two doses within 3 days of each other.

Sermorelin
Sermorelin is the structurally truncated analog of Growth Hormone Releasing Hormone (GHRH). It consists of the first 29 amino acids of the naturally occurring neurohormone that is produced in the hypothalamus.^[¹^] Sermorelin is the most widely used member of the GHRH analogue drug class. It can significantly promote the synthesis and release of growth hormone (GH) from cells in the pituitary gland, improving the serum concentrations of GH and subsequently insulin-like growth factor 1 (IGF-1) in animals and humans.^[²^][³^] It is able to influence the concert of hormonal signals that affect GH secretion from the anterior pituitary including GHRH, somatostatin, and insulin like growth factor (IGF) and others. The positive and negative opposing regulation of growth hormone by GHRH and somatostatin, respectively, creates a rhythmic-circadian pattern of GH secretion.^[⁴^] Thus, modification of both pulse amplitude and frequency of GH secretion results from Sermorelin administration.^[⁵^] After sermorelin stimulates the release of GH from the pituitary gland, it increases synthesis of IGF-1 in the liver and peripheral tissues.^[⁵^]Sermorelin is used for weight loss to increase metabolism, Reduced fat mass, improved body composition, and enhanced muscle growth. Peptide that helps with muscle recovery and complements HRT well and can be added to NAD+, Semaglutide and Tirzepatide. Helps with sleep as well and good for that use.

First developed in the 1970’s, Sermorelin is a bioidentical synthetic hormone peptide sequence comprised of 29 amino acids, and is normally prescribed to be administered at night to maximize the body’s natural cycle of Human Growth Hormone (HGH) and stimulate the pituitary gland during REM sleep. Based on the literature, Sermorelin has been shown to be effective in raising growth hormone/insulin like-growth factor-1 levels which helps to:

Increase bone density and regenerate nerve tissue
Strengthen the cardiovascular system and immune system
Increase muscle mass and enhance energy levels
Improve ability to burn fat
Improve cognition and memory
Increase sex drive
Improve bone and mineral density

Mechanisms of Action
Sermorelin essentially mimics the hypothalamic peptide, GHRH. Sermorelin acts directly on the pituitary stimulating the somatotroph cells ability to produce and secrete GH.^[¹³^] Sermorelin increases proliferation of somatotroph cells during development.^[¹³^] With the increase of serum GH, downstream effects occur. A notable hormone that is commonly used as a surrogate for growth hormone therapy, insulin like growth factor 1 (IGF-1), is known to increase with the administration of Sermorelin. IGF-I negatively regulates GHRH-mediated GH secretion.^[¹⁴^]

Contraindications & Precautions
Tell your doctor of all prescription and nonprescription medication you may use, especially: corticosteroids and thyroid medications. This drug may affect the results of certain lab tests (e.g., inorganic phosphorus, alkaline phosphatase). Make sure laboratory personnel and your doctors know you use this drug. Do not start or stop any medicine without approval from your healthcare provider. Hypothyroidism: Untreated hypothyroidism can jeopardize the response to Sermorelin. Thyroid hormone determinations should be performed before the initiation and during therapy. Thyroid hormone replacement therapy should be initiated when indicated. Intracranial lesions: Patients with GH deficiency secondary to an intracranial lesion were not studied in clinical trials; Sermorelin treatment is not recommended in such patients. Obesity, hyperglycemia or hyperlipidemia: Subnormal GH responses have been seen in obesity and hyperglycemia, and in patients with elevated plasma fatty acids.

Adverse Reactions / Side Effects
Call your doctor for medical advice if pain/swelling/redness occurs at the injection site (occurring in approximately 16% of patients). Other possible, but less common side effects of rhGH (not Sermorelin) are upper respiratory conditions, nerve sensitivity, insomnia, depression, nausea, hypothyroidism chest pain, gynecomastia, headache, flushing, dysphagia, dizziness, hyperactivity, somnolence, urticaria and sore bones. Call your health care provider immediately if you are experiencing trouble swallowing, vomiting, and tightness in the chest. Antibody formation to Sermorelin has been reported after chronic subcutaneous administration of large doses but their clinical significance is unknown. Antibodies do not appear to affect growth hormone release nor appear to be related to a specific adverse drug reaction profile. No generalized allergic reactions have been reported. A temporary allergic reaction described by severe redness, swelling and urticaria at the injection sites has been reported in one patient who developed antibodies. Additionally, its use may reduce insulin sensitivity, thereby raising blood sugar to levels which could be harmful to diabetes sufferers. It may also decrease triiodothyronine (T3) levels due to its tendency to reduce the bodily levels of sodium, potassium, and phosphorous.

4 Week Holiday
After 12 weeks, take a 4 week holiday to give the receptors a break.

Liraglutide
Liraglutide decreases your appetite. It helps promote weight loss or maintain weight loss. A healthcare provider may recommend changes to your diet and exercise if you take this medication. It comes as an injection that a provider will teach you how to safely administer as directed. The brand name of this medication is Saxenda®.

What is this medication?
LIRAGLUTIDE (LIR a GLOO tide) promotes weight loss. It may also be used to maintain weight loss. It works by decreasing appetite. Changes to diet and exercise are often combined with this medication.

Assess for Contraindications
Review if Guest has any of these conditions:

Endocrine tumors (MEN 2) or if someone in your family had these tumors
Gallbladder disease
High cholesterol
History of alcohol abuse problem
History of pancreatitis
Kidney disease or if you are on dialysis
Liver disease
Previous swelling of the tongue, face, or lips with difficulty breathing, difficulty swallowing, hoarseness, or tightening of the throat
Stomach problems
Thyroid cancer or if someone in your family had thyroid cancer
An unusual or allergic reaction to liraglutide, other medications, foods, dyes, or preservatives
Pregnant or trying to get pregnant
Breast-feeding

What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. If you miss your dose for 3 days or more, call your care team to talk about how to restart this medicine.

What may interact with this medication?

Insulin and other medications for diabetes

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?
Visit your care team for regular checks on your progress. Drink plenty of fluids while taking this medication. Check with your care team if you get an attack of severe diarrhea, nausea, and vomiting. The loss of too much body fluid can make it dangerous for you to take this medication. This medication may affect blood sugar levels. Ask your care team if changes in diet or medications are needed if you have diabetes.

Women should inform their care team if they wish to become pregnant or think they might be pregnant. Losing weight while pregnant is not advised and may cause harm to the unborn child. Talk to your care team for more information.

What side effects may I notice from receiving this medication?
Side effects that you should report to your care team as soon as possible:

Allergic reactions or angioedema—skin rash, itching, hives, swelling of the face, eyes, lips, tongue, arms, or legs, trouble swallowing or breathing
Fast or irregular heartbeat
Gallbladder problems—severe stomach pain, nausea, vomiting, fever
Kidney injury—decrease in the amount of urine, swelling of the ankles, hands, or feet
Pancreatitis—severe stomach pain that spreads to your back or gets worse after eating or when touched, fever, nausea, vomiting
Thoughts of suicide or self-harm, worsening mood, feelings of depression
Thyroid cancer—new mass or lump in the neck, pain or trouble swallowing, trouble breathing, hoarseness

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

Constipation
Dizziness
Fatigue
Headache
Loss of Appetite
Nausea
Upset stomach

Nitro Amino Blend
Nitro Amino Blend Injection, a potent mix of L-arginine, L-carnitine, L-citrulline, and L-ornithine. This blend is designed to give your body the boost it needs to feel and perform at its best. Nitro Amino Blend Injections, a cutting-edge formulation crafted to redefine vitality and weight management. This blend combines essential amino acids like L-Arginine, L-Carnitine, L-Citrulline, and L-Ornithine, promoting increased blood flow, energy metabolism, and muscle recovery. Designed to enhance both metabolic rate and endurance, this injection is crucial for optimal health and performance.

Benefits of Nitro Amino Blend
This special combination of amino acids has been shown to offer a range of amazing benefits:

L-Arginine: Known for improving blood flow and enhancing exercise performance.
L-Carnitine: Helps convert fat into energy, supporting weight loss and increasing endurance.
L-Citrulline: Aids in reducing muscle fatigue and improving recovery.
L-Ornithine: Supports detoxification and enhances athletic performance.

Concentration & Dosing
L-Arginine, L-Citruline, L-Carnitine, L-Omithine = 100 mg/50 mg/100 mg/50 mg/mL. 0.5mL to 1mL per week. For more athletic individuals, 3mL weekly.

Additional Benefits

Boost Metabolism: Accelerates fat burning, increases energy and supports healthy weight loss.
Enhance Athletic Performance: Improves endurance, strength, and recovery.
Support Heart Health: Increases nitric oxide production to enhance blood flow and lower blood pressure.
Promote Muscle Health: Aids in muscle recovery, muscle growth and reduces fatigue.
Improve Cognitive Function: Enhances cognition and memory.
Boost Immunity: Assists in detoxification, strengthening the immune system.
Fight Inflammation: Helps reduce body inflammation for overall well-being.

The Science Behind It
Research has shown that these amino acids can help increase nitric oxide levels in your body, which means better circulation, improved energy levels, and faster recovery times. With Nitro Amino Blend Injections, enhance your physicality, mental clarity, and metabolic efficiency. Ideal for athletes, those looking to improve metabolic health, or maintaining peak condition, this amino acid blend injection is a game-changer. Elevate your regimen and experience transformative health and vitality benefits.

Zofran
Zofran® (ondansetron) is a medication that prevents nausea and vomiting caused by chemotherapy, radiation or surgery. It blocks substances in your body that can cause nausea and vomiting. You can take this medication by mouth after using a specially marked spoon or container to measure your medication.

ONDANSETRON (on DAN se tron) prevents nausea and vomiting from chemotherapy, radiation, or surgery. It works by blocking substances in your body that may cause nausea and vomiting. It belongs to a class of medications called antiemetics.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Zofran, Zofran Solution

What should I tell my care team before I take this medication?
They need to know if you have any of these conditions:

Heart disease
History of irregular heartbeat
Liver disease
Low levels of magnesium or potassium in the blood
An unusual or allergic reaction to ondansetron, granisetron, other medications, foods, dyes, or preservatives
Pregnant or trying to get pregnant
Breast-feeding

How should I use this medication?
This medication is taken by mouth. Follow the directions on your prescription label. Use a specially marked spoon or container to measure your medication. Ask your pharmacist if you do not have one. Household spoons are not accurate. Take your doses at regular intervals. Do not take your medication more often than directed.

Talk to your care team regarding the use of this medication in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medication?
Do not take this medication with any of the following:

Apomorphine
Certain medications for fungal infections like fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole
Cisapride
Dronedarone
Pimozide
Thioridazine

This medication may also interact with the following:

Carbamazepine
Certain medications for depression, anxiety, or psychotic disturbances
Fentanyl
Linezolid
MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
Methylene blue (injected into a vein)
Other medications that prolong the QT interval (cause an abnormal heart rhythm) like dofetilide, ziprasidone
Phenytoin
Rifampicin
Tramadol

What should I watch for while using this medication?
Check with your care team right away if you have any sign of an allergic reaction.

What side effects may I notice from receiving this medication?
Side effects that you should report to your care team as soon as possible:

Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
Bowel blockage—stomach cramping, unable to have a bowel movement or pass gas, loss of appetite, vomiting
Chest pain (angina)—pain, pressure, or tightness in the chest, neck, back, or arms
Heart rhythm changes—fast or irregular heartbeat, dizziness, feeling faint or lightheaded, chest pain, trouble breathing
Irritability, confusion, fast or irregular heartbeat, muscle stiffness, twitching muscles, sweating, high fever, seizure, chills, vomiting, diarrhea, which may be signs of serotonin syndrome

Side effects that usually do not require medical attention (report to your care team if they continue or are bothersome):

Constipation
Diarrhea
General discomfort and fatigue
Headache

BioBoost Plus
This is a favorite for individuals looking to boost energy, burn fat, and protect lean muscle. This specially compounded blend includes Methionine 25mg/ml/ Inositol 50mg/ml/ Choline Chloride 50mg/ml/ Pyridoxine HCL 25mg/ml/ Dexpanthenol 25mg/ml/ Cyanocobalamin 1mg/ml/ L-Arginine HCL 15mg/ml/ L-Carnitine 15mg/ml/ Benzyl Alcohol 0.2ml/ml/ Lidocaine 0.001mg/ml In Sterile Water for injection. BioBoost Plus is a lipotropic injection, which means it encourages fat burn to help patients work toward fat loss goals. When combined with a healthy diet and exercise, lipotropic injections like BioBoost Plus have assisted individuals in achieving healthier body composition. BioBoost Plus is particularly effective at encouraging the body to burn fat from hard-to-lose areas like:

The tummy
Inner thighs and buttocks
Neck
Hips

BioBoost Plus injections are powerful and cost-effective because they go directly into the bloodstream, rather than through the digestive tract. That way, all the lipotropic blend can be used by the body. BioBoost is a custom lipotropic blend of B vitamins meant to increase natural energy levels, activate and support weight loss, help regulate sleep, increase mood & mental clarity, and boost the immune system.

Methionine, Inositol, Choline (MIC) – Lipotropic nutrients play an important role in the breakdown and metabolism of fat in the body. These compounds enhance the liver and gallbladder’s role of decreasing fat deposits and speeding up metabolism of fat and its removal. MIC is the foundational ingredient within Lipo-C injections.
Dexpanthenol (Vitamin B5) – critical in the formation of Coenzyme A, a molecule that helps a large amount of enzymes function in the body and for energy production in general.
Pyridoxine (Vitamin B6) – Vitamin B6 is involved in the process of making serotonin and norepinephrine, as well as the formation of myelin and red blood cells.
Cyanocobalamin (Vitamin B12) – Vitamin B12 plays a key role in fat metabolism, and a deficiency can be linked to increased fat accumulation and obesity. Increasing your intake of vitamin B12 can help fight fatigue, boost energy levels, and speed up your metabolism.
L-Carnitine & L-Arginine (amino acids) – amino acids are required for the transport and breakdown of body fat for the generation of metabolic energy. Studies show that supplementation can decrease overall fat mass, preserve muscle during exercise, and reduce muscle fatigue.

Are there any side effects from injections?
Side effects, such as pain, itching, or swelling at the injection site, are possible when you get a peptide injection. However, these side effects are usually mild and go away within a few days. It is unlikely that you will experience any serious side effects because peptide injections are similar to the peptides that are found naturally in the human body and in the food we eat.

What is ODT and how do I take it?
ODT stands for orally disintegrating tablet, a medication dosage form designed to dissolve on the tongue rather than being swallowed whole, offering an alternative for those with difficulty swallowing or for improved compliance. To take an ODT, place the tablet on your tongue and allow it to dissolve, then swallow the dissolved medication with your saliva; no water is needed. Here’s a more detailed explanation:

What is an ODT?
Orally disintegrating tablets (ODTs) are a type of medication dosage form that is designed to dissolve on the tongue rather than being swallowed as a whole tablet or capsule.

Why use ODTs?
ODTs are particularly useful for individuals who have difficulty swallowing (dysphagia) or for whom taking a tablet or capsule might be difficult. They can also be helpful for improving medication adherence, as they are easy to take and don’t require water.

How to take an ODT:

Place the tablet on your tongue: and allow it to dissolve.
Do not chew or crush: the tablet.
Swallow the dissolved medication: with your saliva.
No additional liquid is needed .

Benefits of ODTs:

Faster absorption: Medications absorbed in the mouth can enter the bloodstream more quickly than those taken orally.
Convenience: ODTs can be taken without water, making them easier to administer in situations where water is not readily available.
Improved compliance: The ease of taking an ODT can lead to better adherence to medication regimens.

How do I inject these medications?

1. Gather your supplies:

Medication vial
Syringe
Alcohol wipe

2. Wash your hands and prepare injection site.

3. Clean the injection site with alcohol wipe, and let the skin dry.

4. Draw up medication

Remove the seal on the top of the vial and wipe with alcohol
Remove the cap off the needle
Hold the syringe like you hold a pen or a dart, inserting the needle into the middle of the rubber stopper perpendicular, so the needle does not bend.
Together, turn the vial and syringe upside down.
Make sure the tip of the needle is in the liquid.
Pull the plunger down, past the dosage prescribed. Then, push up to the prescribed dosage, as this will remove all air bubbles.
Once you have the correct amount of liquid, pull the entire syringe out of the vial.

5. Inject into subcutaneous tissue. Subcutaneous injections will be very little pain because it is only injected directly under the skin. It can be injected into the stomach, thighs, and back of the upper arm.

Pinch the injection site to create a firm surface. Alternate injection sites between either side of the stomach, back of the arm, or thigh.
Inject two inches from the belly button on either side.
Insert the needle into the skin between the index finger and thumb at 90 degrees.
Using a slow and constant pressure, push the plunger rod until it reaches the bottom.
Gently pull the syringe out of the skin.
Discard of the needle in a sharps container.

Additional Suggestions
It is recommended that you work closely with your primary physician and medical team, along with a wellness consultant, fitness trainer and nutritionist, to best round out your Weight Management program and to build good weight management habits.

There is no single anti-inflammatory diet plan. Generally it emphasizes eating a wide variety of fruits and vegetables, unsaturated fats, minimally refined whole grains, tea, coffee, herbs, spices, and oily fish. The Mediterranean diet and DASH diet are popular dietary plans that already showcase many anti-inflammatory foods. Diets that have been suggested include:

An anti-inflammatory diet plan not only highlights specific foods and food groups but limits other foods that may contribute to metaflammation such as fatty cuts of red meat, refined sugary foods and beverages, and excess alcohol.
Mediterranean Diet: Source
DASH Diet: Source

To learn more about getting started on your weight loss journey, visit the CDC Healthy Weight website.
Source

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