TZ STANDARD INJECTION with Service Fee PERFECT RX

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 CURRENTLY SHIPS

TO ALL OF MY PATIENTS***

1. This product is manufactured by PERFECT RX PHARMACY.
2. VITYL RX will be assisting me with fulfilling and shipping your orders. If you have questions about your order, please reach out to us.
3. This is a "clean" version of TZ with no additional ingredients. It is available for all of my patients.
4. Injection supplies are included.
5. There are 6 different vials, and your injection instructions will be different for each dose.
6. Be sure to read the directions on your vial for proper dosing!
7. Please allow 7 business days for you order to be shipped to you.
8. It will arrive to you cool and will need to be kept in the refrigerator.
9. You must order the dose you intend to take! If you need to alter your dose in any way, please discuss this with our team by reaching out through your Push Health account.
10. Patients in the weight loss phase should be injecting weekly for best results. For patients in maintenance, you may inject every 10-14 days with these. The BUD on their current batch is 9/14/25.
11. If you are injecting weekly, you may order two vials at a time, keeping the above BUD in mind.

DOSING

New patients not previously on an injectable weight loss medication will start at the 2.25mg for the first 4 weeks (from another pharmacy). You may then move up to the 4.5mg dose for the next 4 weeks, then 6/75mg 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.

Patients in the weight loss phase should be injecting weekly for best results!

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.