Sema/B12 with Service Fee RED ROCK 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 product ONLY ships to my patients in: AZ, CO, CT, DE, FL, GA, IA, ID, IL, IN, KS, KY, MD, MI, MN, MO, MT, NE, ND, NH, NV, NY, OH, OK, PA, SC, SD, TX, TN, UT, VA, VT, WA, WI, WY***

1. This product ships from RED ROCK PHARMACY. Their current processing time is 7-10 business days.
2. Red Rock requires dosing regimens that are different from what's commercially available, so you will not see the standard dosing with them. The dosing will be 0.2mg, 0.4mg, 0.8mg, 1.5mg, 2.15mg, and 2.7mg.
3. There are two different vial concentrations used for this product. The TZ/B12 2.5mg/500mcg/ml vial is used for the 0.2mg and 0.4mg doses. The 5mg/500mcg/ml vial is used for the 0.8mg, 1.5mg, 2.15mg, and 2.7mg doses.
4. The vials have a BUD of 45 days, which translates to about 35-40 days once you receive it. Please discard your vial 4 weeks after first puncture. Please order one vial at a time.
5. You will note that Red Rock offers a 2.7mg dose for patients that feel that they have stalled on the lower doses. Please order this dose only after you have completed at least 2 months of the 2mg semaglutide dose or higher an feel that you have stalled.

DOSING

The vial concentration for the first 2 doses is 2.5mg/500mcg/ml. This means there is 2.5mg of sema and 500mcg of B12 (methylcobalamin) in each ml (100 units).

0.2mg dose = 8 units

0.4mg dose = 16 units

The vial concentration for the first 3 higher doses is 5mg/500mcg/ml. This means there is 5mg of sema and 500mcg of B12 (methylcobalamin) in each ml (100 units).

0.8mg dose = 16 units

1.5mg dose = 30 units

2.15mg dose = 43 units

2.7mg = 54 units

New patients not previously on an injectable weight loss medication will start at the 0.2mg dose for the first 4 weeks. You may then move up to the 0.4mg dose the next 4-weeks, then 0.8mg for 4 weeks, etc. If you are doing well on a certain dose, you do not have to move up until you are read. Most people move up once their weight loss stalls and side effects have resolved.

Your vial should be used for 4 doses only, and you must order the dose you plan to use. Please order only if using weekly and not spreading your doses out.

***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 0.2 mg dose may decide to remain on that dose after they complete the first 4 weeks.

**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.