TZ/B3/B5 Service Fee SMARTPHARMARx

***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 2.5mg dose package or lower of TZ.

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.

CURRENTLY SHIPS TO PATIENTS IN
AZ, CO, DE, FL, GA, ID, IL, IA, KS, ME, MD, MN, MO, MT, NE, NH, NJ, NY, ND, OH, OK, PA, RI, SD, TN, UT, WA, WI, WY.

More states pending and coming soon!

1. This TZ is compounded with both B3 and B5.
2. You will receive ONE vial for each package ordered. Injection supplies are included.
3. This product will be shipped to you from SMARTPHARMARx. Each package will be shipped in one vial. Packages and order guidelines assure you will be able to use all of your medication before the BUD. You may order 1-2 vials at a time for the 4 or 5-week packages and 1 vial for the 6 week packages.
4. If you are stretching your injection out to every 10-14 days, please select a 4 or 5-week package only.
5. Please allow 5-7 business days for shipping. It will arrive to you cool and will need to be kept in the refrigerator.
6. Please order the dose you plan to take. If you need to alter your dosing from what is on your packaging, please message us through your patient portal.
7. Please note that the 5mg dose uses two different vial concentrations depending on the package. Please refer to instructions on your package to assure proper dosing.
8. There are TWO DIFFERENT vial concentrations for this product. There is a 10mg, 20mg, 30mg, and 60mg vial.
   
   1. The 2.5mg and 5mg four-week packages use one concentration, 10mg/5mg/10mg/ml.
   2. The 5mg X 6 weeks package and the 7.5mg package X 4 weeks package use the same vial, which has a 30mg/5mg/10mg/ml concentration.
   3. The 10mg X 6 weeks, 12mg X 5 weeks, and 15mg X 4 weeks packages all use the same 60mg vial, which also has a 30mg/5mg/10mg/ml concentration.
   4. Therefore, please note that the 5mg dose will either be 50 units or 17 units, depending on your vial and package.
9. The 12.5mg dose is best given as a 12mg dose X 5 weeks to maximize the usage of your vial.
10. Add on the DD RX Super Lipo-B FAT BURNER SC/IM Injection at checkout and save!

DOSING

While these are the dosages and vial concentrations used for the packages, please see chart for any approved dosage adjustments.

TZ/B3/B5 10mg/5mg/10mg/ml vial:

2.5mg = 25 units

5mg = 50 units

7.5mg = 75 units

10mg = 100 units

TZ/B3/B5 30mg/5mg/10mg/ml vial:

5mg = 17 units

7.5mg = 25 units

10mg = 33 units

12mg = 40 units

15mg = 50 units

*These HIGHLIGHTED dose directions will be used on your packaging. Please note that the amount you inject for the 5mg dose will differ depending on package.

New patients not previously on an injectable weight loss medication will start at the 2.5mg for the first 4 weeks. You may then move up to the 5mg dose for the next 4 weeks, then 7.5mg for 4 weeks, etc. However, you do NOT have to move up in dosing until you are ready. If you are having successful weight loss on a certain dose, you do not have to move up. Also, if you are having significant side effects on a dose, you should spend another 4 weeks on your current dose before you move up.

VITAMIN B3

Vitamin B3, particularly niacinamide, can be a useful supportive nutrient for patients who are losing weight, especially when appetite and overall food intake are reduced. Although it does not directly cause weight loss, it plays an important role in helping the body use the nutrients it consumes efficiently.

B3 helps convert carbohydrates, fats, and proteins into usable cellular energy. This can be helpful for patients who are eating less and may notice lower energy levels during weight loss. Niacinamide is also involved in the production of NAD and NADP, coenzymes that are essential for normal metabolism, cellular energy production, and many repair processes throughout the body.

For patients using GLP-1 medications, reduced appetite can sometimes lead to lower intake of vitamins and nutrients. Adding B3 may help provide nutritional and metabolic support during this period. It may also support normal nervous system function, skin health, and overall cellular function.

B3 is a supportive addition to a weight-loss program, rather than a fat-burning ingredient. Its potential value is in helping support energy production, metabolism, and nutritional adequacy while patients are consuming fewer calories.

VITAMIN B5

Vitamin B5, also known as pantothenic acid, can be a helpful supportive nutrient for patients who are losing weight, particularly when appetite and calorie intake are reduced. Like B3, it does not directly cause weight loss, but it plays an important role in normal energy metabolism.

B5 is needed to make coenzyme A (CoA), which helps the body break down and use carbohydrates, fats, and proteins for energy. Because of this, adequate B5 supports the body’s ability to efficiently process the nutrients patients are eating during a reduced-calorie diet.

For patients using GLP-1 medications, lower food intake can sometimes contribute to fatigue or reduced nutrient intake. B5 may help support normal cellular energy production and overall metabolic function during this period. It also contributes to the production of certain hormones and other compounds the body uses for normal physiologic function.

B5 is a supportive addition to a weight-loss program, not as a fat-burning ingredient. Its potential benefit is in supporting energy production, metabolism, and nutritional balance while patients are eating less and working toward weight-loss goals.

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 discard any leftover medication 28 days after first puncture and select a 4 week package.