TZ/L-Carnitine SC INJECTION with E-Visit DESIGNER DRUGS RX 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.

*****PLEASE NOTE: THESE PACKAGES FROM DESIGNER DRUGS RX MUST BE INJECTED WEEKLY! IF YOU ARE SPREADING YOUR DOSES OUT TO EVERY 10-14 DAYS OR SKIPPING WEEKS, YOU MUST ORDER A 4-WEEK PACKAGE FROM ONE OF MY OTHER PHARMACIES. THE BUDs ON THESE VIALS WILL NOT ACCOMADATE SPREADING THE DOSES OUT.*****

***SHIPS TO ALL PATIENTS***

This product ships to ALL patients from DESIGNER DRUGS RX PHARMACY in Chattanooga, TN. It will be shipped cold on dry ice and will need to refrigerated upon arrival. ONLY ONE PACKAGE AT A TIME MAY BE ORDERED DUE TO BUD AND EXPIRATION DATES.

*SHIPPING DISCLAIMER: Please allow up to 7-10 days for shipping. This pharmacy ships via UPS and FedEx, but DOES NOT send tracking information to you. However, you may visit www.ups.com plus www.fedex.com and create a profile there with your shipping address; you should then receive shipping notifications anytime UPS is delivering you a package from any source. Please ship to an address that you have easy access to and plan to check daily, such as your home address. We can not be held responsible if you do not receive a delivery notification of your item. If you absolutely require a delivery notification, please consider ordering from another pharmacy.*

**Patients that take medication for hypothyroidism always need have thyroid hormone levels checked often with their primary care physician. While some studies indicate that carnitine can help with the fatigue symptoms associated with hypothyroidism, other studies indicate that it can interfere with your thyroid medication and make them not as effective. However, the pharmacist feels there is not enough carnitine in this medication to affect your thyroid medications.

With this formulation, there is 12.5mg of L-carnitine in 100 units. Injections range from 25-50 units a week on the lower doses, and from 15-30 units a week with the higher doses (these vials are more concentrated) so the maximum amount you would receive is 6.25mg a week. Many people use anywhere from 1-4mg a day for supplementation, so the injections have a relatively low dose of L-Carnitine.

***A syringe kit will be included (10 insulin syringes and 10 alcohol swabs)***

To avoid any confusion on dosage, you will choose one of the following options when ordering, and these will be the exact instructions on your vial. As long as you complete at least 4 weeks of a dose, you may move up after that. However, we recommend staying on the lowest dose possible and only move up to the next dose when your weight loss stalls. This pharmacy ships vials with BUDs (beyond use dates) around 6-8 weeks from the time they are compounded, so you should only order one package at a time.

Unlike some pharmacies which offer 4-week packages of one dose, this pharmacy offers alternative dosing packages for patients that are comfortable at a particular dose and want to stay on that dose longer than 4 weeks. You MUST be injecting weekly to order one of these packages.

PACKAGES

1) 2.5mg X 4 weeks PLUS 5mg X 1 week: $300

2) 2.5mg X 6 weeks: $300

3) 5mg dose X 7 weeks: $525

4) 7.5mg dose X 5 weeks: $525

5) 10mg dose X 7 weeks: $780

6) 12.5mg dose X 6 weeks: $750*

7) 15mg X 5 weeks: $675*

*Patients taking the higher doses on a weekly basis must order more frequently than others; therefore, the same amount of medication will not last as long as others taking smaller doses. To be consistent with patient fees, there is a discount with these packages. Also, to prevent the misuse of medications (such as ordering a much higher dose and then using a lower dose for a much longer time period than the vial is designed to be used for safely), there are guidelines in place to prevent this possibly unsafe misuse. These packages MUST be used as exactly as described.

To receive the discounted fees, you MUST be using these higher doses on a weekly basis. Your use will be evident by your ordering practices and you may not be allowed to order these packages with large amounts of medication if your reported dosing does not match your ordering schedule. In general, if you are using the packages correctly as directed, you should be ordering either package at least every 4-6 weeks. Also, if there are extended delays between ordering these largest two dose packages, you may be asked to start back at a lower dose to avoid risks of side effects, since you would likely have been on a much lower dose the previous 4 weeks.

Please do not order these larger packages if you are not planning to use them as prescribed, as it will not be prescribed if there are concerns of misuse. Life happens, so please explain any extended delays in ordering in the notes section.

ADDITIONAL DOSING GUIDE/INFORMATION (notice the change in units for each concentration)

Each vial from this pharmacy contains 1.5ml (150 units) of medication, but the concentration is different for each vial. Therefore, it is very important to follow the instructions on your particular vial. Each vial is designed to only be used for 6-7 weeks.

If you see this concentration on your vial:

TZ/L-Carnitine 10mg/12.5mg/ml, then: 2.5mg dose = 0.25ml (25 units), 5mg = 0.5ml (50 units) *PACKAGES 1 and 2 use this concentration.

TZ/L-Carnitine 25mg/12.5mg/ml, then: 5mg = 0.2ml (20 units), 7.5mg = 0.30ml (30 units)
*PACKAGES 3 and 4 use this concentration.

TZ/L-Carnitine 50mg/12.5mg/ml, then: 7.5mg dose = 0.15ml (15 units), 10mg dose = 0.2ml (20 units), 12.5mg = 0.25ml (25 units) 15mg = 0.3ml (30 units)
*PACKAGES 5, 6, and 7 use this concentration

WHAT IS L-CARNITINE?

L-carnitine is a naturally occurring amino acid in your body that helps turn fat into energy. It is naturally synthesized in the body from two amino acids, lysine and methionine. It works in 2 main ways, fat loss and muscle increase.

A FEW BENEFITS INCLUDE:

1) It increases strength and gains when trying to add muscle mass.

2) It assists with fat burning. L-carnitine transfers the long chain fatty acid in your body to be oxidized and converted into energy. It discourages your body from storing fat and increases your aerobic capacity, therefore helping you to burn more calories.

3) It has been shown to reduce fatigue and suppress the appetite.

4) By increasing your aerobic capacity L-carnitine will give you longer workout sessions and increased endurance. It also promotes faster muscle recovery.

5) Patients with diabetes may benefit from the increased glucose oxidation, glucose storage, as well as glucose uptake effects. L-carnitine can help stabilize your blood sugar and illuminate carb cravings.

6) L-carnitine helps protect the brain from age and stress-related damage. It also improves mental health and cognitive function.

7) L carnitine boosts the immune system. By serving as an antioxidant that can help prevent damage to your healthy cells by free radicals, it can boost the immune response.