LDN (Low Dose Naltrexone) Flex-Tabs with Service Fee STRIVE PHARMACY

THIS ITEM REQUIRES A PRESCRIPTION FROM DR.K. NEW PATIENTS MUST PAY THE NEW PATIENT FEE AND BE SENT AN *APPROVAL MESSAGE* PRIOR TO ORDERING. DO NOT ORDER PRIOR TO THIS OR YOUR ORDER WILL BE CANCELLED MINUS A 5% PROCESSING FEE. RETURNING PATIENTS MAY PLACE AN ORDER WHEN READY AND DO NOT NEED PERMISSION PRIOR TO PLACING A NEW ORDER.


***THIS ITEM CAN SHIP TO ALL OF MY PATIENTS***

INFO:

1. Please fill out the LDN form BEFORE ordering to receive approval to order LDN. The form can be found here:
   
   https://app.formdr.com/practice/MzUxMTQ=/form/am8N...
   
   
2. These oral flex-tabs will be shipped to you from STRIVE Pharmacy's Missouri location and will ship to all patients.
3. This product can be stored at room temperature.
4. Please ORDER THE DOSE YOU PLAN TO TAKE. Use the 4.5mg flex-dose tablets for the 4.5mg or lower doses. Use the 8mg flex-tabs only for the 6mg and 8mg doses.
5. Patients that have been on the Synergy Bella Capsules from Empower or the Stella Capsules from Artisan/Rush within the past 4-6 weeks may start at the 8mg dose if desired.

DOSING:

• The most common dose for most conditions is 4.5mg a day. Some patients using LDN for obesity may need higher dosing of 6-8mg daily. Although it’s rare, some patients using the medication for obesity and food addition may need to take a 16mg daily dose (8mg twice daily). The best dose for each patient may vary.
  
  
• Strive offers Flex-dose tablets in several dosing options. I will be using the 4.5mg and 8mg flex-dose tabs. These tablets are designed to support a gradual tapering process, enabling adjustments in dosing. They can be taken whole or divided into 2, 3, and even 4 doses, depending on where you are in your taper.
  
  
• FIRST TIME ORDERING STARTER DOSING: You will be sent #30 flex-dose 4.5mg tablets and have the choice of three dose escalation options. I recommend the first option to minimize any side effects and to allow you to experience the effects of each dose to help determine the right dose for you. Increasing your dose more gradually can also help minimize side effects.
  
  
  • Option 1: This will be printed on your prescription.
    • Take 1/4 tablet a day X 14 days
    • Take ½ tablet a day X 14 days
    • Take ¾ tablet a day X 14 days
    • Take 1 full tablet a day thereafter (9 days left)
    • This initial supply will last you 51 days initially with this schedule.
      
      
  • Option 2: For those that want to reach the 4.5mg dose a little more quickly.
    • Take 1/4 tablet a day X 10 days
    • Take ½ tablet a day X 10 days
    • Take ¾ tablet a day X 10 days
    • Take 1 full tablet a day thereafter (15 days left)
    • This initial supply will last you 45 days initially with this schedule
      
      
  • Option 3: For those that want to reach the 4.5mg dose quickly
    • Take 1/4 tablet a day X 7 days
    • Take ½ tablet a day X 7 days
    • Take ¾ tablet a day X 7 days
    • Take 1 full tablet a day thereafter (19 days left)
    • This initial supply will last you 40 days initially with this schedule
      
      
• REPEAT ORDERING: Most patients will have reached the 4.5mg (full tablet) dose by the end of the above starter period. When you are ready to reorder to continue the 4.5mg dose, you may select #30, #60, or #90 tablets. You will take one full tablet a day. For best results, DO NOT SKIP OR MISS doses. LDN is most effective when taken regularly. Some patients see results right away, while some need 1-3 months.
  
  
• HIGHER DOSING: Patients that are using LDN for obesity, food addiction, and/or appetite suppression may need to use a higher 6mg or 8mg daily dose.
  
  
  • After competing your initial dose escalation to the 4.5mg daily dose, I recommend using the 4.5mg daily dose for at least another 30 days before moving up in dosing. However, this is not an absolute rule.
  • You will be using the 8mg flex-dose tablet for the 6mg and 8mg doses only. For the lower doses, please use the 4.5mg flex-tab.
  • Most patients will need the full tablet (8mg), but I recommend using ¾ tablet (6mg) for at least 2 weeks before moving up to the full 8mg dose. However, to avoid multiple directions and confusion for the pharmacy, your dosing instructions will be to take a full tablet daily.