Medication Safety Information
Revised 1/31/2026
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
Side Effects: Birdie provides access to care, not medical treatment itself. In an emergency, call 911 or go to the nearest emergency room. If you experience non-emergent side effects, contact your prescribing provider and dispensing pharmacy. To report serious reactions to the FDA visit fda.gov/medwatch.
Prescription Medications: All prescription treatments require a consultation with a licensed medical provider. Prescriptions are issued at the provider’s sole discretion, and access to medication is not guaranteed. Prescription medications carry risks. Review the Medication Safety Information below for intended use, risks, side effects, drug interactions, and use in specific populations before starting any prescription therapy. Please speak with your provider about potential side effects.
Compounded Medications: These products are not FDA-approved for safety or effectiveness but may be prescribed when standard FDA-approved medications aren’t suitable for a patient’s needs.
Jump to a Compounded Pharmacy Product
Vitamin B12 Injection (Cyanocobalamin or Methylcobalamin)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to vitamin B12, cobalt, or any ingredients in the formulation
You have Leber’s disease (hereditary optic nerve atrophy)
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding (consult your provider)
You have kidney disease
You have low potassium levels
You have a history of polycythemia vera
Drug Interactions
Always tell your provider about all medications and supplements you take. Vitamin B12 may interact with:
Metformin
Proton pump inhibitors (PPIs)
H2 blockers
Chloramphenicol
Colchicine
Certain anticonvulsants
Common Side Effects
Mild pain, redness, or irritation at the injection site
Mild diarrhea
Nausea
Headache
Mild itching or rash
Feeling of warmth or flushing
Temporary anxiety or restlessness
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Low potassium (hypokalemia): Rapid red blood cell production after starting B12 therapy may rarely lower potassium levels. Symptoms may include muscle cramps, weakness, irregular heartbeat, or extreme fatigue. Contact your provider if these occur.
Severe dizziness or fainting: Seek medical care if you experience persistent or severe symptoms.
Chest pain or irregular heartbeat: Seek immediate care if you develop chest pain, pressure, shortness of breath, or palpitations.
Severe or persistent headache or vision changes: Report new or worsening symptoms to your healthcare provider.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Chest pain, pressure, tightness, or shortness of breath
Irregular or rapid heartbeat with dizziness
Severe weakness or muscle cramps suggesting low potassium
Any other severe or rapidly worsening symptoms
Contact Your Provider If You Have:
Ongoing injection site irritation
Persistent nausea, diarrhea, or headache
New fatigue or muscle weakness
Palpitations without severe symptoms
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Do not freeze
Refrigerate if instructed
Keep out of reach of children
Vitamin B12 (Methylcobalamin) with Synapsin Nasal Spray
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to vitamin B12, cobalt, Synapsin components, or any ingredients in the formulation
You have Leber’s disease (hereditary optic nerve atrophy)
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have kidney disease
You have low potassium levels
You have a history of polycythemia vera
You have significant nasal irritation, recent nasal surgery, or frequent nosebleeds
Drug Interactions
Always tell your provider about all medications and supplements you take. Vitamin B12 may interact with:
Metformin
Proton pump inhibitors (PPIs)
H2 blockers
Chloramphenicol
Colchicine
Certain anticonvulsants
Common Side Effects
Mild nasal irritation or dryness
Sneezing
Runny nose
Mild headache
Nausea
Mild flushing or feeling of warmth
Temporary anxiety or restlessness
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Low potassium (hypokalemia): Rapid red blood cell production after starting B12 therapy may rarely lower potassium levels. Symptoms may include muscle cramps, weakness, irregular heartbeat, or extreme fatigue. Contact your provider if these occur.
Severe dizziness or fainting: Seek medical care if symptoms are persistent or severe.
Chest pain or irregular heartbeat: Seek immediate care if you develop chest pain, pressure, shortness of breath, or palpitations.
Severe or persistent headache or vision changes: Report new or worsening symptoms to your healthcare provider.
Severe nasal irritation or nosebleeds: Contact your provider if you experience persistent irritation, pain, or recurrent nosebleeds.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Chest pain, pressure, tightness, or shortness of breath
Irregular or rapid heartbeat with dizziness
Severe weakness or muscle cramps suggesting low potassium
Sudden or severe vision changes
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Ongoing nasal irritation, dryness, or nosebleeds
Persistent nausea or headache
New fatigue or muscle weakness
Palpitations without severe symptoms
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Do not freeze
Refrigerate if instructed
Keep out of reach of children
Compounded GLP-1 (semaglutide)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. FDA-approved semaglutide and tirzepatide products are available. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advise. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions to compounded tirzepatide, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Warnings
GLP-1 medications are contraindicated in individuals with:
A personal or family history of medullary thyroid carcinoma (MTC)
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
In rodent studies, GLP-1 medications caused thyroid tumors, including thyroid cancer. It is not known whether this risk applies to humans. Notify your provider immediately if you develop trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath.
Contraindications
Not recommended if:
You have a known allergy to any ingredients
Have or have had thyroid cancer
Have a personal or family history of medullary thyroid carcinoma (MTC)
Have MEN 2
Are pregnant, trying to become pregnant, or breastfeeding. Use effective contraception while taking this medication. If planning pregnancy, stop use at least 2 months before trying to conceive.
Have a history of severe gastrointestinal disease
NOT suitable for individuals with type 1 diabetes or diabetic ketoacidosis
Should not be used alongside other GLP-1 receptor medications
Gastric emptying may be delayed, requiring caution for procedures involving sedation or general anesthesia due to aspiration risk
Use caution in those with a history of diabetic retinopathy
Consult your healthcare provider if you have a history of pancreatitis, as the medication may increase risk
Drug Interactions
Aways tell your provider about all medications and supplements you take.
GLP-1 medications may interact with alcohol, prescription drugs, OTC medications, and herbal supplements
Increased risk of hypoglycemia (low blood sugar) with insulin or sulfonylureas (e.g., glipizide, glimepiride, glyburide)
Delays gastric emptying and may affect absorption of oral medications
Thyroid hormone medications may need timing adjustments
Medications with narrow therapeutic windows (e.g., warfarin) require close monitoring
Common Side Effects
Nausea, Vomiting
Diarrhea, Constipation
Indigestion, Acid Reflux, Belching
Hair Loss
Fatigue
Injection Site redness/irritation (injection form)
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you have swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; or fainting.
Low blood sugar (hypoglycemia): Watch for dizziness, sweating, shakiness, confusion, or a fast heartbeat and seek in-person care right away if this happens. 15–20g of fast-acting sugar (juice, regular soda, or hard candy) can be taken to raise your blood sugar quickly. If you use insulin or sulfonylureas (like glipizide, glimepiride, or glyburide), talk with your provider about adjusting your dose to reduce the risk of hypoglycemia.
Persistent Vomiting or Dehydration: Severe or ongoing stomach pain, nausea, vomiting, or diarrhea can occur. Contact your provider if symptoms are intense or do not improve.
Dehydration and kidney risk: Vomiting or diarrhea may lead to dehydration, which can strain the kidneys. Drink plenty of fluids and seek care if you cannot keep liquids down.
Gallbladder and Liver issues: Get medical help right away for upper-right or middle abdominal pain, fever, yellowing of the skin or eyes, or pale stools.
Pancreatitis: Stop the medication and call your provider if you develop persistent abdominal pain, with or without vomiting.
Gastroparesis: Severe or ongoing stomach pain, nausea, vomiting, or diarrhea can occur. Contact your provider if symptoms are intense or do not improve.
Increased heart rate: Seek immediate urgent care for a high heart rate that doesn’t slow with rest or if you have chest pain, pressure or tightness, shortness of breath, fainting, or severe dizziness. For milder symptoms, notify your provider for evaluation.
Vision Changes: Diabetic retinopathy complications (vision changes, especially in people with diabetes): Report any new or worsening vision problems to your healthcare provider.
Worsening depression, mood changes, or suicidal thoughts: Monitor for worsening depression, anxiety, or suicidal thoughts and notify your provider immediately if they occur.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction: Swelling of face/lips/tongue/or throat, trouble breathing or swallowing, fainting or dizziness, very rapid heartbeat, severe rash or itching
Severe symptoms of low blood sugar (dizziness, shakiness, sweating, confusion, headache, rapid heartbeat) that can’t be controlled with oral sugars
Severe, persistent abdominal pain with or without vomiting
Severe dehydration and inability to keep down any food or water
High heart rate that doesn’t slow with rest or if you have chest pain, pressure or tightness, shortness of breath, fainting, or severe dizziness
Sudden vision changes
Immediate concern of suicide or other harmful actions
Any other emergent reactions
Contact your provider if you have:
Ongoing mild/moderate nausea, vomiting, or dehydration
Ongoing blood sugar dysregulation
Kidney, liver, or pancreas concerns
Elevated (non-emergent) heart rate
Gradual vision changes
Mood or behavior changes
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Keep refrigerated unless otherwise instructed
Protect from light
Do not freeze
Keep out of reach of children
Compounded GLP‑1+GIP (tirzepatide)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. FDA-approved semaglutide and tirzepatide products are available. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advise. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions to compounded tirzepatide, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Warnings
GLP-1 medications are contraindicated in individuals with:
A personal or family history of medullary thyroid carcinoma (MTC)
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
In rodent studies, GLP-1 medications caused thyroid tumors, including thyroid cancer. It is not known whether this risk applies to humans. Notify your provider immediately if you develop trouble swallowing, hoarseness, a lump or swelling in your neck, or shortness of breath.
Contraindications
Not recommended if:
You have a known allergy to any ingredients
Have or have had thyroid cancer
Have a personal or family history of medullary thyroid carcinoma (MTC)
Have MEN 2
Are pregnant, trying to become pregnant, or breastfeeding. Use effective contraception while taking this medication. If planning pregnancy, stop use at least 2 months before trying to conceive.
Have a history of severe gastrointestinal disease
NOT suitable for individuals with type 1 diabetes or diabetic ketoacidosis
Should not be used alongside other GLP-1 receptor medications
Gastric emptying may be delayed, requiring caution for procedures involving sedation or general anesthesia due to aspiration risk
Use caution in those with a history of diabetic retinopathy
Consult your healthcare provider if you have a history of pancreatitis, as the medication may increase risk
Drug Interactions
Aways tell your provider about all medications and supplements you take.
GLP-1 medications may interact with alcohol, prescription drugs, OTC medications, and herbal supplements
Increased risk of hypoglycemia (low blood sugar) with insulin or sulfonylureas (e.g., glipizide, glimepiride, glyburide)
Delays gastric emptying and may affect absorption of oral medications
Thyroid hormone medications may need timing adjustments
Medications with narrow therapeutic windows (e.g., warfarin) require close monitoring
Common Side Effects
Nausea, Vomiting
Diarrhea, Constipation
Indigestion, Acid Reflux, Belching
Hair Loss
Fatigue
Injection Site redness/irritation (injection form)
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you have swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; or fainting.
Low blood sugar (hypoglycemia): Watch for dizziness, sweating, shakiness, confusion, or a fast heartbeat and seek in-person care right away if this happens. 15–20g of fast-acting sugar (juice, regular soda, or hard candy) can be taken to raise your blood sugar quickly. If you use insulin or sulfonylureas (like glipizide, glimepiride, or glyburide), talk with your provider about adjusting your dose to reduce the risk of hypoglycemia.
Persistent Vomiting or Dehydration: Severe or ongoing stomach pain, nausea, vomiting, or diarrhea can occur. Contact your provider if symptoms are intense or do not improve.
Dehydration and kidney risk: Vomiting or diarrhea may lead to dehydration, which can strain the kidneys. Drink plenty of fluids and seek care if you cannot keep liquids down.
Gallbladder and Liver issues: Get medical help right away for upper-right or middle abdominal pain, fever, yellowing of the skin or eyes, or pale stools.
Pancreatitis: Stop the medication and call your provider if you develop persistent abdominal pain, with or without vomiting.
Gastroparesis: Severe or ongoing stomach pain, nausea, vomiting, or diarrhea can occur. Contact your provider if symptoms are intense or do not improve.
Increased heart rate: Seek immediate urgent care for a high heart rate that doesn’t slow with rest or if you have chest pain, pressure or tightness, shortness of breath, fainting, or severe dizziness. For milder symptoms, notify your provider for evaluation.
Vision Changes: Diabetic retinopathy complications (vision changes, especially in people with diabetes): Report any new or worsening vision problems to your healthcare provider.
Worsening depression, mood changes, or suicidal thoughts: Monitor for worsening depression, anxiety, or suicidal thoughts and notify your provider immediately if they occur.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction: Swelling of face/lips/tongue/or throat, trouble breathing or swallowing, fainting or dizziness, very rapid heartbeat, severe rash or itching
Severe symptoms of low blood sugar (dizziness, shakiness, sweating, confusion, headache, rapid heartbeat) that can’t be controlled with oral sugars
Severe, persistent abdominal pain with or without vomiting
Severe dehydration and inability to keep down any food or water
High heart rate that doesn’t slow with rest or if you have chest pain, pressure or tightness, shortness of breath, fainting, or severe dizziness
Sudden vision changes
Immediate concern of suicide or other harmful actions
Any other emergent reactions
Contact your provider if you have:
Ongoing mild/moderate nausea, vomiting, or dehydration
Ongoing blood sugar dysregulation
Kidney, liver, or pancreas concerns
Elevated (non-emergent) heart rate
Gradual vision changes
Mood or behavior changes
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Keep refrigerated unless otherwise instructed
Protect from light
Do not freeze
Keep out of reach of children
Glutathione
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to glutathione or any ingredients in the formulation
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have asthma (inhaled glutathione may worsen bronchospasm)
You have kidney or liver disease
You are receiving chemotherapy or other cancer treatments
You have a history of electrolyte imbalances
Drug Interactions
Always tell your provider about all medications and supplements you take. Glutathione may interact with:
Chemotherapy agents
Nitroglycerin
Activated charcoal (may reduce absorption of oral glutathione)
Common Side Effects
Mild injection site pain, redness, or irritation (injectable form)
Nausea
Abdominal discomfort or bloating
Headache
Mild rash
Temporary flushing or warmth
Unpleasant taste (oral or inhaled forms)
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Bronchospasm (more common with inhaled formulations): Wheezing, shortness of breath, or chest tightness. Seek immediate care if this occurs.
Severe abdominal pain or persistent vomiting: Contact your provider if symptoms are severe or do not improve.
Low zinc levels (rare, long-term high-dose use): Symptoms may include fatigue, immune changes, or hair thinning. Monitoring may be recommended.
Chest pain or irregular heartbeat: Seek immediate care if you develop chest pain, pressure, shortness of breath, or palpitations.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Severe shortness of breath or wheezing
Chest pain, pressure, or tightness
Severe or persistent vomiting
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Ongoing injection site irritation
Persistent nausea, bloating, or headache
Mild shortness of breath
Skin rash that does not improve
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Do not freeze
Refrigerate if instructed
Keep out of reach of children
Low Dose Naltrexone (LDN)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You are currently using opioid medications (such as morphine, oxycodone, hydrocodone, fentanyl, tramadol, or codeine)
You have a known allergy to naltrexone or any ingredients in the formulation
You have acute hepatitis or severe liver failure
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have liver disease or elevated liver enzymes
You have kidney disease
You are scheduled for surgery or may require opioid pain control
You consume alcohol regularly
Drug Interactions
Always tell your provider about all medications and supplements you take. Low Dose Naltrexone may interact with:
Opioid-containing medications (including cough syrups, anti-diarrheal medications like loperamide in high doses, and certain pain medications). Low Dose Naltrexone (LDN) blocks the same receptors that opioid pain medications use to work. This means opioid medications may not work as well or may not work at all while you are taking LDN. If you take opioids while on LDN, it can also cause sudden withdrawal symptoms such as nausea, sweating, body aches, anxiety, or restlessness.
Buprenorphine or methadone
Alcohol
Certain liver-metabolized medication
Common Side Effects
Vivid dreams
Sleep disturbances or insomnia
Headache
Nausea
Mild gastrointestinal discomfort
Fatigue
Anxiety or restlessness
These side effects are often temporary and may improve with dose adjustment.
More Serious, Less Common Side Effects
Precipitated opioid withdrawal: If opioids are in your system, symptoms may include agitation, sweating, nausea, vomiting, diarrhea, muscle aches, and anxiety. Seek medical care immediately.
Liver injury (rare at low doses): Symptoms may include yellowing of the skin or eyes, dark urine, severe fatigue, abdominal pain, or persistent nausea. Contact your provider immediately if these occur.
Severe allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Severe mood changes: Report worsening depression, severe anxiety, or suicidal thoughts to your provider immediately.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Symptoms of opioid withdrawal
Yellowing of the skin or eyes
Severe abdominal pain
Suicidal thoughts or behaviors
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Ongoing insomnia or vivid dreams
Persistent nausea or headache
Mood changes or increased anxiety
Fatigue that does not improve
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Keep at room temperature unless otherwise instructed
Keep out of reach of children
MIC+B12 (Methionine, Inositol, Choline + Vitamin B12 Cyanocobalamin)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to methionine, inositol, choline, vitamin B12, cobalt, or any ingredients in the formulation
You have Leber’s disease (hereditary optic nerve atrophy)
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have kidney or liver disease
You have low potassium levels
You have a history of polycythemia vera
You have cardiovascular disease
You have a history of bipolar disorder (high-dose methyl donors may affect mood in susceptible individuals)
Drug Interactions
Always tell your provider about all medications and supplements you take. MIC+B12 may interact with:
Metformin
Proton pump inhibitors (PPIs)
H2 blockers
Chloramphenicol
Colchicine
Certain anticonvulsants
Other methyl-donor supplements (e.g., SAMe, high-dose folate)
Common Side Effects
Mild injection site pain, redness, irritation or swelling
Nausea
Mild diarrhea
Headache
Feeling of warmth or flushing
Mild anxiety or restlessness
Increased energy
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Low potassium (hypokalemia): Rapid red blood cell production after starting B12 therapy may rarely lower potassium levels. Symptoms may include muscle cramps, weakness, irregular heartbeat, or extreme fatigue. Contact your provider if these occur.
Mood changes: Report significant anxiety, agitation, insomnia, or mood swings to your provider.
Chest pain or irregular heartbeat: Seek immediate care if you develop chest pain, pressure, shortness of breath, or palpitations.
Severe or persistent headache or vision changes: Report new or worsening symptoms to your healthcare provider.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Chest pain, pressure, tightness, or shortness of breath
Irregular or rapid heartbeat with dizziness
Severe weakness or muscle cramps suggesting low potassium
Sudden or severe vision changes
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Ongoing injection site irritation
Persistent nausea, diarrhea, or headache
New or worsening anxiety or insomnia
Palpitations without severe symptoms
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Refrigerate if instructed
Do not freeze
Keep out of reach of children
NAD+ (Nicotinamide Adenine Dinucleotide)
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to NAD+ or any ingredients in the formulation
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have cancer or a history of cancer. Higher levels of NAD+ may increase cellular energy production, which could potentially help cancer cells grow.
You have liver or kidney disease
You have cardiovascular disease
You have a history of gout (niacin-related compounds may affect uric acid levels)
Drug Interactions
Always tell your provider about all medications and supplements you take. NAD+ may interact with:
Niacin or high-dose vitamin B3 supplements
Blood pressure medications
Diabetes medications
Blood thinners
Common Side Effects
Flushing or feeling of warmth
Injection site pain, redness, or irritation (injectable form)
Nausea
Headache
Dizziness
Fatigue
Mild abdominal discomfort
Temporary chest tightness during IV infusion
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Low blood pressure: Symptoms may include lightheadedness, dizziness, fainting, or blurred vision. Seek medical care if severe or persistent.
Irregular heartbeat or chest pain: Seek immediate care if you develop chest pain, pressure, shortness of breath, or palpitations.
Severe nausea or vomiting: Contact your provider if symptoms are intense or do not improve.
Electrolyte imbalance (rare with high-dose IV infusions): Symptoms may include muscle cramps, weakness, or abnormal heart rhythm.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Chest pain, pressure, or tightness
Severe dizziness or fainting
Irregular or rapid heartbeat
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Persistent nausea or headache
Ongoing flushing or fatigue
Injection site irritation that does not improve
Mild lightheadedness
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Protect from light
Refrigerate if instructed
Do not freeze
Keep out of reach of children
Sermorelin
Disclaimer
PLEASE REFER TO THE PHARMACY PROVIDED CONSUMER MEDICATION INFORMATION (CMI) INSERT THAT COMES WITH YOUR MEDICATION. THE INFORMATION BELOW IS FOR YOUR REFERENCE AND NOT INTENDED TO REPLACE CMI.
DO NOT SHARE THIS MEDICATION WITH OTHER PEOPLE.
Compounded medications are not FDA-approved or reviewed for safety, effectiveness, or quality. This product is not intended to diagnose, treat, cure, or prevent any disease. This information is not medical advice. Consult your healthcare provider for personalized medical advice.
This is not a complete list of all possible side effects. Other side effects may occur. To report serious or unexpected reactions, contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.
If you experience unusual or severe symptoms, stop use and contact your healthcare provider for guidance. In an emergency, call 911 or go to the nearest emergency room.
Contraindications
Not recommended if:
You have a known allergy to sermorelin or any ingredients in the formulation
You have active cancer
You have uncontrolled pituitary disorders
You have acute critical illness following surgery, trauma, or respiratory failure
Use caution and consult your healthcare provider if:
You are pregnant or breastfeeding
You have diabetes or impaired glucose tolerance
You have thyroid disease
You have adrenal insufficiency
You have a history of brain tumors or lesions
You have scoliosis (growth hormone changes may influence progression in some individuals)
Drug Interactions
Always tell your provider about all medications and supplements you take. Sermorelin may interact with:
Corticosteroids (may blunt growth hormone response)
Thyroid hormone medications
Insulin or other diabetes medications
Hormone replacement therapies or other growth hormone–stimulating agents
Common Side Effects
Injection site redness, swelling, or irritation
Headache
Flushing
Dizziness
Nausea
Mild fluid retention
Increased hunger
Temporary fatigue
More Serious, Less Common Side Effects
Serious allergic reactions: Discontinue use and seek urgent care if you develop swelling of the face, lips, tongue, or throat; trouble breathing; severe rash; hives; or fainting.
Elevated blood sugar: Symptoms may include increased thirst, frequent urination, blurred vision, or fatigue. Contact your provider if these occur.
Intracranial hypertension (rare): Symptoms may include severe headache, vision changes, nausea, or vomiting. Seek immediate medical care.
Joint pain or swelling: Report persistent or severe symptoms to your provider.
Carpal tunnel symptoms: Numbness, tingling, or pain in the hands or wrists should be reported.
Seek Care
Seek emergent in-person care if you have:
Signs of a serious allergic reaction (swelling of face/lips/tongue/throat, trouble breathing or swallowing, severe rash, fainting)
Severe or persistent headache with vision changes
Chest pain or shortness of breath
Sudden swelling of the face or limbs
Any other severe or rapidly worsening symptoms
Contact your provider if you have:
Ongoing injection site irritation
Increased thirst or urination
Persistent joint pain
Numbness or tingling in hands
Any other concerning non-urgent side effects
Storage
Store as directed on the pharmacy label
Refrigerate if instructed
Protect from light
Do not freeze
Keep out of reach of children