Nausea
Timing: Common within the first 24–72 hours after an injection; typically improves over time.
Tips to Manage:
Increase water intake, especially on dosing days.
Eat small, frequent meals to avoid going too long without eating or overeating, both of which can trigger nausea.
If needed, a Zofran prescription can help. Contact us through the portal with your pharmacy details, and we will call it in.
Constipation
Prevention is Key: This is one of the most common side effects.
Tips to Manage:
Use daily stool softeners like MiraLAX, Colace, Metamucil, fiber tablets, or magnesium sulfate.
Ensure adequate water and fiber intake.
Only use laxatives as needed.
If your current regimen is ineffective, notify us for further guidance.
Diarrhea
Timing: Often occurs in the first week or with dose increases.
Triggers to Avoid: Fried, fatty, greasy foods, and alcohol.
Tips to Manage:
If diarrhea persists for several days, contact us. Dehydration is a concern while on this medication.
Acid Reflux
Triggers to Avoid: Fried, fatty, greasy, or spicy foods, and alcohol.
Tips to Manage:
Over-the-counter medications like Pepcid or Nexium can help if not already on anti-reflux medication.
Avoid eating late at night.
Opt for small, frequent meals to minimize symptoms.
Fatigue
Management Options:
Consider additional B12 or BioBoost injections:
B12: Helpful for those with B vitamin deficiencies.
BioBoost: A lipotropic injection containing B12, B6, B5, L-Arginine, L-Carnitine, and MIC (Methionine, Inositol, Choline) to boost energy and support cellular/fat metabolism.
Ensure adequate daily food intake, especially protein.
Rare but Serious Side Effects
Pancreatitis or Gallbladder Issues:
Symptoms to watch for:
Abdominal pain.
Continuous vomiting.
Fever.
Action: Contact us and seek medical attention immediately. You should never feel extremely unwell while on this medication.
For further questions or concerns, please reach out via the patient portal. Your health and safety are our top priorities.
Disclaimer:
Compounded medications are pharmaceutical products that are specifically prepared by a licensed compounding pharmacy to meet the unique medical needs of an individual patient. These medications are not reviewed or approved by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality. Instead, they are prescribed when an FDA-approved drug is not suitable or available for a particular patient, as determined by a licensed healthcare provider.
The decision to use a compounded medication is based on the professional judgment of the prescribing provider, who considers factors such as allergies to ingredients in commercially available products, required dosage forms not available on the market, or specific formulation needs that cannot be met with standard medications.
All compounded medications provided through our service are prepared in licensed U.S. pharmacies that comply with applicable federal and state laws and regulations governing compounding practices. These pharmacies follow rigorous standards for cleanliness, ingredient sourcing, and compounding protocols, including those established by the United States Pharmacopeia (USP.
While compounded medications can offer valuable therapeutic options, patients should be aware that these formulations do not undergo the same clinical testing or regulatory scrutiny as FDA-approved drugs. If you have any questions or concerns about your prescribed compounded medication, we encourage you to speak directly with your healthcare provider or the dispensing pharmacy.