I have approved your request for treatment for [1]: S1, Semaglutide/B12, 1mg/250mcg/ml , 0.25mg weekly injection [2]: Semaglutide/B12, 1mg/250mcg/ml , 0.5mg weekly injection [3]: Semaglutide/B12, 2mg/250mcg/ml , 1mg weekly injection [4]: Ondansetron HCl Oral Tablet 4 MG [5]: Semaglutide 3 Month Service [6]: Outpatient metabolic lab testing
Below is more detailed information on your diagnosis and treatment.
Taking a GLP-1 medication while taking steps toward maintaining a healthy diet and lifestyle can help you achieve your target weight. This is a compounded medication which includes B12 which helps with nutritional support as you lose weight.
How to Take: Injection Instructions
Prepare the Injection Site: Choose an area of your body for the injection, such as the abdominal fat, upper arm, or outer thigh (never give an injection in the inner thigh area as this risks puncturing the femoral artery). Clean the injection site with an alcohol swab to reduce the risk of infection.
Administer the Injection: Use a subcutaneous injection technique by pinching a fold of skin and inserting the needle at a 45-degree angle. Slowly inject the solution according to your prescribed dosage: Inject 25 units (0.25mg) subcutaneously once weekly
Post-Injection Care: If you experience slight redness or discomfort at the injection site, apply a cool compress to reduce irritation. Rotate injection sites with each dose to avoid irritation or scar tissue buildup.
You can also find detailed video instructions on how to give yourself an injection here https://www.youtube.com/watch?v=wXjQHAxopzk
WHAT ARE THE COMMON SIDE EFFECTS OF SEMAGLUTIDE?
Nausea is most common in customers beginning treatment with Semaglutide. We are going to prescribe generic Zofran (Ondansetron) to help alleviate nausea that you may take ONLY AS NEEDED. Other common side effects are abdominal pain, headaches, fatigue, constipation, diarrhea, dizziness, upset stomach, and heartburn. Please let us know if you are experiencing any adverse symptoms and call 911 or go to the emergency room if you feel like you are experiencing a medical emergency.
Below is more detailed information about Semaglutide I would like you to review: ⚠️ Medicines like Semaglutide have caused thyroid tumors in lab mice. It is not yet known if Semaglutide will cause thyroid tumors or medullary thyroid carcinoma (MTC) in people. No studies have confirmed a linkage between Semaglutide and thyroid tumors in humans, but if you have a history of family thyroid cancer you may want to discuss taking Semaglutide with your primary care doctor. 🚨 If you develop any of the following while taking Semaglutide, or any other GLP-1, please immediately notify your New Self doctor, your PCP, and stop taking the medication:
Mass/swelling in the neck -Persistent pain or difficulty with swallowing -Persistent hoarseness
💊 Females using oral contraceptives should switch to a non-oral method or add a barrier method for 4 weeks after starting or increasing your dose.
🚫 Do NOT take Semaglutide if you have: ❌ Eating disorder ❌ Gallbladder disease (except gallbladder removal) ❌ Drug or alcohol abuse history ❌ Recent bariatric surgery ❌ Pancreatitis ❌ Personal/family history of medullary thyroid cancer or Multiple endocrine neoplasia type 2 syndrome (MEN-2) ❌ Are pregnant 🤰, breastfeeding 🤱, or planning pregnancy ❌ Retinopathy
Inform your provider if you are pregnant, breastfeeding, or planning pregnancy.
Tell your healthcare provider about all medications and supplements you are taking.
*Please make sure to follow up with your primary care physician for routine screening including evaluation of your cholesterol levels, thyroid levels, and other routine lab testing.
💡 Common side effects: Nausea, abdominal pain, headaches, fatigue, constipation, diarrhea, dizziness, upset stomach, and heartburn.
🚑 If severe symptoms occur, seek emergency care immediately.
🛑 When should you stop taking Semaglutide? ✔️ You reach your goal weight ✔️ Your doctor advises stopping
Vitamin B12 (Methylcobalamin) Supports red blood cell production, DNA synthesis, and nerve function. Helps prevent fatigue and boosts energy—especially helpful during periods of dieting or increased physical activity. Generally well tolerated. Mild side effects may include nausea, dizziness, or headache.
B12 RISKS/BENEFITS: (BENEFITS) Vitamin B12, or Methylcobalamin, is essential for energy production, neurological health, and red blood cell formation. It supports mood and cognitive function, helping you stay focused and mentally clear throughout your weight management journey. By maintaining adequate B12 levels, you can also help prevent nausea that can result from B12 deficiency. Though B12 doesn't directly counteract nausea from GLP-1 medications, it can reduce fatigue and support proper digestion, potentially minimizing discomfort.
(RISKS) Do NOT take Vitamin B-12 if you or anyone in your family history has ever been diagnosed with Leber's Disease or Leber's Optic Neuropathy. Taking B-12 in this situation can cause permanent blindness. If this applies to you, do NOT take this medication. Instead, consult an eye specialist to determine what next steps to take.
Remember, the goal is not to reach the highest dose—but to find the dose that best suppresses appetite and cravings.
When to Contact Your Healthcare Provider Call your doctor if you experience: Severe abdominal pain (possible pancreatitis) Signs of gallstones (sudden stomach or back pain, nausea, yellowing skin/eyes) Severe allergic reaction (swelling, rash, trouble breathing) Persistent vomiting, dehydration, or inability to keep fluids down Call 911 or go to the emergency room if you feel like you are experiencing a medical emergency.
Please note that compounded medicines are not approved by the FDA because they have not been subjected to the extensive safety, effectiveness, and manufacturing review required for approved medicines. The FDA nonetheless preserves safe access to compounded medicines to meet important patient needs; they are prescribed when a physician judges that the compounded formulation is better tailored to the needs of an individual patient than an approved medicine.
You can find out more about compounded medications and their risks and benefits at: https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers .
Storage & Handling Store unused vials in the refrigerator (36°F to 46°F / 2°C to 8°C). Do not freeze. Protect from light. Once removed from the refrigerator, vials can be stored at room temperature (up to 86°F / 30°C) for up to 21 days. Dispose of used needles in a sharps container. Keep out of reach of children and animals.
If you have any further questions or need additional information, please let me know.
I’ve reviewed your medical intake and created your weight loss treatment plan. Please read carefully and let me know if you have any concerns. Taking Semaglutide, along with a healthy diet and lifestyle, can help you achieve your weight loss goals.
📌 Follow the dosing instructions on your vial’s prescription label review the informative videos, dosing instructions and more.
⚠️ Each vial is meant to last the full month—each weekly dose is a small amount of liquid, which is normal.
🎯 The goal is not to reach the highest dose but to control cravings. Your dosage may be adjusted after your 12-week check-in or through our doctor chat.
❄️ Store your vial in the fridge to maintain potency.
FINALLY PLEASE WATCH THIS VIDEO REGARDING HOW TO PROPERLY INJECT YOURSELF. REMEMBER YOUR VIAL IS SUPPOSED TO LAST YOU THE ENTIRE MONTH AND THE AMOUNT YOU DRAW UP FROM IT EACH WEEK WILL LOOK LIKE A VERY SMALL VOLUME OF LIQUID. THIS IS NORMAL AS IT IS VERY POTENT.
VIDEO HOW TO INJECT SUBCUTANEOUS MEDICATION: https://www.youtube.com/watch?app=desktop&v=wXjQHAxopzk