Liquid Mobile Guide to: Vitamin Injections 

Table of Contents

• Injections Intro
• Liquid Mobile Injection Program
• B12, Vitamin D, MIC, MICC, Skinny, Lipo, BioBoost, etc.
• How to Administer Injections
• How to Store

Welcome to Vitamin Injections with Liquid Mobile!

Liquid Mobile Vitamin Injection 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.

Vitamin injections do require a commitment to following protocol. Your program may be set up on a monthly billing cycle or you may be charged on a per vial and per service basis.

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.
• Vitamin & Electrolytes: This may be inclusive of B vitamins, D, etc.
• 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 Vitamin Injection plan, related information, issues and recommendations.

What are the various vitamins injections I can take?
There are a multitude of vitamin injections that may benefit you. Work closely with your primary care team and recommended labs to best decide which ones enhance your overall wellness plan. Below is a brief list of options, benefits, and sources. According to Mayo Clinic and Empower:

Vitamin B-12: Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information. Food sources of vitamin B-12 include poultry, meat, fish and dairy products. Vitamin B-12 is also added to some foods, such as fortified breakfast cereals, and is available as an oral supplement.

Vitamin B-12 injections or nasal spray might be prescribed to treat vitamin B-12 deficiency. Vitamin B-12 deficiency is not common in the U.S. However, people who follow a vegetarian or vegan diet might be prone to deficiency because plant foods don’t contain vitamin B-12. Older adults and people with digestive tract conditions that affect absorption of nutrients also are susceptible to vitamin B-12 deficiency. Left untreated, a vitamin B-12 deficiency can lead to anemia, fatigue, muscle weakness, intestinal problems, nerve damage and mood disturbances. Additional information.

Vitamin D: Vitamin D is a nutrient your body needs for building and maintaining healthy bones. That’s because your body can only absorb calcium, the primary component of bone, when vitamin D is present. Vitamin D also regulates many other cellular functions in your body. Its anti-inflammatory, antioxidant and neuroprotective properties support immune health, muscle function and brain cell activity.

Vitamin D isn’t naturally found in many foods, but you can get it from fortified milk, fortified cereal, and fatty fish such as salmon, mackerel and sardines. Your body also makes vitamin D when direct sunlight converts a chemical in your skin into an active form of the vitamin (calciferol). The amount of vitamin D your skin makes depends on many factors, including the time of day, season, latitude and your skin pigmentation. Depending on where you live and your lifestyle, vitamin D production might decrease or be completely absent during the winter months. Sunscreen, while important to prevent skin cancer, also can decrease vitamin D production. Additional information.

Methionine Inositol Choline, Lipotropic, MIC, MICC, BioBoost: Used to help release fat throughout the body by specifically targeting its primary fatty deposits. Lipotropic, or fat burning substances include: choline, which distributes cholesterol and prevents it from getting deposited in one part of the body, and methionine which amplifies it. Injections can be administered up to twice a week, and vitamin B-12 is purported by practitioners and users to help accelerate metabolic processes, while creating a greater feeling of overall energy.

Since lipotropics directly aid in the breakdown of fatty tissue, and are also closely related to B vitamins, when used together, they are thought to intensify each others’ effects and are usually injected together as part of the same treatment injection cycle. The amino acids that are injected into the body stimulate the liver into optimizing the process of metabolism. These injections boost the body’s metabolic power by providing a highly effective temporary increase of normal metabolic functions. As soon as the effect of these substances wears off, the body begins to gradually return to its normal metabolic rate.

When administered in combination with a low-calorie diet and regular exercise, our lipotropic formulas can help your body to rid itself of fat, while simultaneously increasing your energy levels both via the fat-released energy and the energy-promoting properties of vitamin B-12. The formula blends the following important ingredients may include B6, B12, L-Carnitidine, L-arginine, B12, Methionine, Inositol and Choline. Additional information.

What should I report before taking this medicine?
Your Liquid Mobile care team should be notified of any of the following conditions:

• 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
• Sulfa allergy

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

How will I receive my medications?
You will receive your medication in-clinic or shipped directly to your home. Please follow instructions provided by the pharmacy on storage and injecting.

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.

How to do I store these medications?
Keep out of the reach of children and pets. Medication will be dispensed by the pharmacy as chilled or unrefrigerated product. Once you receive it, store it in according to pharmacy directions.

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?
Your prescription is unique to you. Be sure to read the front of the prescription so you understand your starting dose. Most start with injecting once to twice per week with 0.5ml (50 units).  Follow the instructions from your Liquid Mobile clinician and pharmacy. Be sure to read the instructions provided.

What if I miss a dose?
If you miss an  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.

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

Additional Support
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 health and wellness program. For additional information on injections, complications and safety, click here. Additional information.