***DISCLAIMER***
You are requesting a service from Dr. K, which includes a chart review for eligibility. If approved, the listed item above will be shipped to the specified address on the order. Because this requires a prescription, you must be a registered patient under Dr. K on Push Health. If you have not registered, please click HERE to get started. Unless otherwise approved, new patients must request a 0.25mg dose package or lower of SEMA.
This service request will not be completed until all enrollment steps have been taken. New patients will receive an “Approval Message” through your Push Health account when you are approved for the program and another message once your service has been competed. Returning patients may return and place a new order request when ready and do not need prior approval. Please message us through your Push Health account with any questions before requesting a service.
**AVAILABLE FOR ALL PATIENTS EXCEPT CA
If you need injection supplies, please add them this to your order. Your order will NOT be sent with injection supplies unless you add them to your cart with this order. Click the following link for the supplies.
https://topdocstore.company.site/products/Easy-Tou...
IMPORTANT INFO:
1) There are four different vials available now with two different concentrations, and it is very important to pay very close attention to the directions on your vial for accurate dosing. The vials for the three higher doses are FIVE TIMES stronger than the vials for the lowest two doses.
*Do not make the mistake and inject the wrong amount, or you can become VERY sick! For example, with the weaker vial, 25 units is the starter dose of 0.25mg. However, on the stronger vial, 25 units would be 2.5mg (five times stronger), a little over the MAX dose!*
2) Although your vial may have a Beyond Use Date (BUD) several months in the future (if left unpunctured in your refrigerator), the vials are designed to be discarded around 30 days after the first puncture. Therefore, I have restructured the packages to enable each vial to be used for a maximum or 5 weekly punctures in a row to allow for these guidelines.
3) There will be a different type vial for each dose, with the 1.75mg and 2.5mg sharing a vial as the exception.
4) Please only order the dose you plan to take to avoid any confusion with dosing. Please only select one of the packages if you plan to continue with that dose for the duration of the package. These packages are designed for patients who are in maintenance or who may be a bit more sensitive to side effects and need to move up in dosing a little more slowly.
STANDARD DOSING SCHEDULE:
Month 1: Inject 0.25mg weekly X 4 weeks
Month 2: Inject 0.5mg weekly X 4 weeks
Month 3: Inject 1mg weekly X 4 weeks
Month 4: Inject 1.75mg weekly X 4 weeks
Month 5+: Inject 2.4mg weekly X 4 weeks
*As long as you stay on a particular dose for at least 4 weeks, you are welcome to move up after that. For instance, patients on the 0.25 mg dose may decide to remain on that dose after they complete the first 4 weeks. Again, as long as you complete at least a 4-week course of each dose, you may move up after that.
**Please note that these packages include 5 weeks of several doses due to the package sizes and formulations. There are no "4-week" packages available for any dose but the 0.25mg starter dose.
***If you are having a lot of side effects with a particular dose, I would recommend not moving up until the side effects lessen.
****Although many people like to stick to the same pharmacy when they reorder, you may order from any pharmacy available for your state. However, please note that the formulations are different across pharmacies, and the units you use for a particular dose may change drastically with a new pharmacy. Please pay careful attention to your vial and refer here for correct dosing.
Vitamin B12 (Cyanocobalamin)
Known as the "energy vitamin", vitamin B12 can increase your energy level and help prevent fatigue. Vitamin B12 increases energy, aids in fat and carbohydrate metabolism, and has been shown to suppress your appetite. It also stimulates the utilization of proteins, fats, and carbohydrates in the body.
One of the ways vitamin B12 works in your body is by reducing energy. This energy allows you to be active and not feel fatigued. Energy is very important when it comes to losing weight. Vitamin B12 injections help with this process by increasing your energy, which ramps up your metabolism. A faster metabolism burns more calories This vitamin is also used to help your body get rid of fat more efficiently. It plays an important role in the metabolism of fat through your liver. Some research shows that low levels of vitamin B12 in the body actually contributes to weight gain and obesity. Sufficient levels of the vitamin in your body have been linked to a decreased risk of obesity.
Joint Commission guidelines for proper use of many multi-dose vials include the recommendation to discard the vial 4 weeks after first puncture, even though the Beyond Use Date (BUD) may be longer. These guidelines are generally followed in office and hospital settings, particularly when the vial is used for multiple different patients. However, this same suggestion is made for vials punctured several times a day or only once a week. With certain vial sizes/doses/packages, using all of the medication in the vial without wasting any could result in a patient using the vial for longer than 28 days after first puncture. If you choose to use your vial longer than 28 days after first puncture due to package size or maintenance dosing, you must acknowledge that you understand the Joint Commission recommendations to discard the vial 28 days after first puncture, even if you only puncture the vial once a week. You will be using the vial at your own discretion.
If you have any concerns about this issue and for best safety practices, please choose a 4-week package and discard any medication leftover 28 days after first puncture.