Important Safety Information
Every product we offer is listed below with its regulatory status. Prescription products are available only if a licensed provider decides they are appropriate for you.
| Product | Status |
|---|---|
| NAD+ Injectable | Compounded · not FDA-approved · Prescription only |
| B12 Injectable | Compounded · not FDA-approved · Prescription only |
| Enclomiphene Tablets | Compounded · not FDA-approved · Prescription only |
| Glutathione Injectable | Compounded · not FDA-approved · Prescription only |
| HCG Injectable | Compounded · not FDA-approved · Prescription only |
| Lipo B12 Injectable | Compounded · not FDA-approved · Prescription only |
| Metformin ER | FDA-approved medication · Prescription only |
| Mounjaro Pen | FDA-approved medication · Prescription only |
| Niagen NR | Dietary supplement |
| Ozempic Pen | FDA-approved medication · Prescription only |
| Semaglutide Weekly | Compounded · not FDA-approved · Prescription only |
| Sermorelin Peptide | Compounded · not FDA-approved · Prescription only |
| Tesamorelin Peptide | Compounded · not FDA-approved · Prescription only |
| Testosterone Cream Daily | Compounded · not FDA-approved · Schedule III controlled substance · Prescription only |
| Testosterone Cypionate Injectable | Compounded · not FDA-approved · Schedule III controlled substance · Prescription only |
| Tirzepatide Weekly | Compounded · not FDA-approved · Prescription only |
| Wegovy Pen | FDA-approved medication · Prescription only |
| Zepbound Pen | FDA-approved medication · Prescription only |
Important Safety Information
GLP-1 medications (semaglutide, tirzepatide)
Boxed warning
Risk of thyroid C-cell tumors. In studies in rodents, semaglutide and tirzepatide caused thyroid C-cell tumors. It is not known whether they cause thyroid tumors, including medullary thyroid carcinoma (MTC), in humans. Do not use if you or a family member has ever had MTC, or if you have Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Who should not use it
Anyone with a personal or family history of MTC or with MEN 2, anyone who has had a serious allergic reaction to semaglutide, tirzepatide or any ingredient in the product, and anyone who is pregnant. Do not use two GLP-1 medications at the same time.
Serious side effects
Inflammation of the pancreas (pancreatitis), gallbladder problems, low blood sugar (especially with insulin or sulfonylureas), kidney problems, serious allergic reactions, vision changes in people with type 2 diabetes, increased heart rate, depression or thoughts of suicide, and food or liquid entering the lungs during surgery or procedures under anesthesia or deep sedation.
Tell your provider right away if you get a lump or swelling in the neck, trouble swallowing, hoarseness or shortness of breath.
Common side effects
Nausea, diarrhea, vomiting, constipation, stomach pain, headache, tiredness, upset stomach, dizziness, bloating and heartburn.
Pregnancy and birth control
Tell your provider if you are pregnant, plan to become pregnant or are breastfeeding. Tirzepatide may reduce the effectiveness of oral birth control.
More information
This is not a complete list of risks. Talk to your provider and read the Medication Guide or patient information that comes with your medication.
Compounded medications
Compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness or quality.
About compounded medications
Compounded medications are prepared by a state-licensed pharmacy for an individual patient under a valid prescription when a licensed provider determines a compounded product is medically appropriate. They are not generic versions of any brand-name drug, and results from clinical studies of FDA-approved products do not apply to compounded products.
Injection-site reactions
Common side effects of injectable medications include redness, pain or swelling where you inject. Contact your provider about any side effect that bothers you or does not go away.
Testosterone
Testosterone is a Schedule III controlled substance and can be abused. It can raise blood pressure, which can increase the risk of heart attack, stroke and cardiovascular death.
Who should not use it
Men with known or suspected breast or prostate cancer, and women who are pregnant or may become pregnant; testosterone can cause birth defects. Children and women should avoid contact with skin where testosterone cream was applied.
Serious side effects
Increased blood pressure, increased red blood cell count (hematocrit) that may raise the risk of blood clots, worsening of an enlarged prostate, reduced sperm count and fertility, sleep apnea, fluid retention, liver problems and changes in cholesterol. Your provider may order blood tests before and during treatment.
Common side effects
Acne, injection-site or skin reactions, and increased red blood cells.
Safe use
Keep testosterone in a safe place and never share it.
Enclomiphene
Enclomiphene is not FDA-approved. Stop taking it and contact your provider if you notice changes in your vision.
Possible side effects
Headache, hot flashes, nausea, mood changes, visual disturbances and increased red blood cell count. Your provider may order blood tests during treatment.
hCG (human chorionic gonadotropin)
hCG has not been shown to be effective for weight loss and should not be used for that purpose.
Possible side effects
Headache, irritability, fatigue, breast enlargement, injection-site pain and, rarely, blood clots. Tell your provider about any history of prostate cancer, hormone-sensitive tumors, or heart, kidney or seizure conditions.
Metformin
Boxed warning
Lactic acidosis. Metformin can cause a rare but serious condition called lactic acidosis, which can be fatal. Get emergency help if you have unusual muscle pain, trouble breathing, unusual sleepiness, stomach pain with nausea or vomiting, dizziness, or a slow or irregular heartbeat.
Who is at higher risk
People with kidney or liver problems, heavy alcohol use, dehydration or heart failure, and people having contrast dye procedures or surgery.
Common side effects
Diarrhea, nausea, upset stomach and a metallic taste. Long-term use can lower vitamin B12 levels.
Dietary supplements
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.
Before you use it
Talk to your provider before use if you are pregnant, nursing, taking medication or have a medical condition.
Report side effects to your provider through your patient portal, or to the FDA at www.fda.gov/medwatch or 1-800-FDA-1088. All safety information