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 |
|---|---|
| B12 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 |
| Ozempic Pen | FDA-approved medication · Prescription only |
| Semaglutide Weekly | Compounded · not FDA-approved · 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.
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.
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