Important Safety Information

WARNING

Please contact your doctor ASAP and seek in-person care immediately if a side effect becomes problematic or you experience:

• Severe nausea and/or vomiting resulting in dehydration—it is important to stay well hydrated and drink plenty of fluids while on this medication
• Kidney problems/kidney failure - vomiting, nausea, diarrhea can cause dehydration and kidney issues and make kidney problems worse in individuals who have pre-existing kidney conditions; may sometimes lead to the need for hemodialysis
• Thyroid C-Cell Tumor: Trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath (see black box warning below)
• Pancreatitis: Severe pain in your abdomen or back that will not go away
• Acute gallbladder disease - Pain in the middle or right upper stomach, fever, white parts of your eyes turn yellow or skin turns yellow, nausea/vomiting
• Hepatitis/Elevated liver enzymes/Jaundice
• Diabetic retinopathy problems: Changes in vision in those with type II diabetes
• Severe gastrointestinal disease - may cause gastrointestinal disease; do not use if you have a history of severe gastrointestinal disease
• Signs of low blood sugar (dizziness, weakness, shakiness, jitteriness, headache, anxiety/mood changes, rapid heartbeat, confusion, slurred speech, sweating, or lightheadedness)
• Increasing heart rate
• Worsening depression, behavior changes, or suicidality

Never share semaglutide with other people.

Drug Interactions

As with other medications, compounded semaglutide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded semaglutide delays gastric emptying and may impact the absorption of oral medications. If you are on thyroid hormone medication, prior to starting compounded semaglutide, please review the timing of taking your thyroid hormone medication with the doctor who prescribes it as it may need to be adjusted. The drug levels of medications with narrow therapeutic windows (ie warfarin) should be monitored closely while on compounded semaglutide.

Serious Side Effects

Compounded tirzepatide carries the risk of severe side effects, which include:

• Gastrointestinal Issues: Reports indicate the possibility of severe stomach problems. Notify your healthcare provider if you experience persistent or severe stomach discomfort.
• Kidney Complications: Diarrhea, nausea, and vomiting may lead to dehydration, potentially resulting in kidney problems. Adequate fluid intake is crucial.
• Gallbladder Concerns: Some individuals may encounter gallbladder problems. Seek immediate medical attention if symptoms such as upper abdominal pain, fever, jaundice, or changes in stool color occur.
• Pancreatitis: Discontinue use and contact your healthcare provider if you experience persistent abdominal pain, with or without vomiting.
• Allergic Reactions: Cease tirzepatide usage and seek urgent medical assistance if you develop symptoms of a severe allergic reaction.
• Hypoglycemia: The risk of low blood sugar may increase when using tirzepatide alongside medications that lower blood sugar levels.
• Vision Changes: Notify your healthcare provider of any alterations in vision observed during tirzepatide treatment.
• Depression or Suicidal Thoughts: Pay close attention to changes in mood or mental state while using tirzepatide.

Common Side Effects

The most frequently reported side effects of compounded tirzepatide include:

• Nausea
• Diarrhea
• Vomiting
• Constipation
• Abdominal pain
• Indigestion
• Injection site reactions
• Fatigue
• Allergic reactions
• Belching
• Hair loss
• Heartburn

Drug Interactions

As with other medications, compounded tirzepatide can interact with alcohol and certain prescription and non-prescription medications and herbal products. The risk of hypoglycemia is increased when combined with insulin or insulin secretagogues such as sulfonylureas. Compounded tirzepatide delays gastric emptying and may impact the absorption of oral medications.

Birth Control: Tirzepatide may alter the efficacy of birth control pills. Talk with your doctor before starting tirzepatide if you are on birth control. Your healthcare provider may recommend another type of birth control for 4 weeks after you start tirzepatide and for 4 weeks after each increase in your dose.

Common Side Effects

• Injection site reactions (redness, swelling, pain)
• Flushing
• Headache
• Dizziness
• Nausea
• Drowsiness

Warnings

• Do not use if you have a history of cancer, particularly pituitary tumors
• Not recommended during pregnancy or breastfeeding
• May interact with glucocorticoids, thyroid hormones, and insulin
• Use with caution if you have hypothyroidism or diabetes

Contraindications

Do not use sermorelin if you have hypersensitivity to sermorelin or any of its components, active malignancy, or closed epiphyses (in children).

Common Side Effects

• Injection site reactions
• Flushing or warmth
• Mild nausea
• Headache
• Fatigue
• Muscle discomfort

Warnings

• Not recommended during pregnancy or breastfeeding due to limited safety data
• Use with caution if you have liver or kidney conditions
• Consult your provider if you are taking any medications that affect cellular metabolism
• Discontinue use if you experience persistent adverse effects

Contraindications

Do not use NAD+ if you have a known hypersensitivity to NAD+ or any of its components. Patients with active cancer should consult their oncologist before use.

Common Side Effects

• Decreased libido
• Erectile dysfunction
• Decreased volume of ejaculation
• Breast tenderness or enlargement
• Rash

These side effects may diminish over time with continued use. Not all users will experience side effects.

More Serious Side Effects (less common)

• Persistent sexual dysfunction after discontinuation
• Depression or mood changes
• Testicular pain
• Allergic reactions (e.g., rash, itching, swelling of the lips or face)

Contact your provider immediately if you experience breast lumps, nipple discharge, or signs of depression or suicidal thoughts.

Warnings

• Finasteride may increase the risk of high-grade prostate cancer in some individuals.
• May alter PSA (prostate-specific antigen) levels—inform your provider before any prostate cancer screening.
• Sexual side effects may persist even after discontinuation in rare cases (Post-Finasteride Syndrome).

Contraindications

Do not use finasteride if you:

• Are pregnant or may become pregnant (can cause birth defects if handled or absorbed)
• Are allergic to finasteride or any of its components
• Are under 18 years of age
• Have liver disease unless cleared by your provider

Pregnancy & Breastfeeding

Finasteride should never be used or handled by individuals who are pregnant or may become pregnant. The medication can be absorbed through the skin and may harm a developing male fetus. Tablets should not be crushed or broken.

Common Side Effects

• Scalp irritation or itching
• Dryness or flaking of the scalp
• Temporary increased hair shedding (first 2-4 weeks)
• Unwanted facial hair growth (if applied near face)

Serious Side Effects (rare)

• Chest pain or rapid heartbeat
• Swelling of hands or feet
• Dizziness or lightheadedness
• Sudden unexplained weight gain

If you experience any of these symptoms, discontinue use and contact your healthcare provider immediately.

Warnings

• For external use only—do not ingest
• Avoid contact with eyes, mouth, and broken skin
• Do not use on sunburned or irritated scalp
• May take 2-4 months to see results; continued use is required to maintain benefits

Contraindications

Do not use minoxidil if you:

• Are pregnant or breastfeeding
• Have heart disease or low blood pressure
• Are allergic to minoxidil or propylene glycol
• Have unexplained hair loss or hair loss from medication, poor nutrition, or other conditions