Last updated: 4/23/2025

Elara provides access to wellness products, medications, and information for educational and support purposes only. We do not practice medicine, and the content on our website, marketing materials, or communications—whether digital or verbal—should not be interpreted as a substitute for professional medical advice, diagnosis, or treatment.

1. Not a Substitute for Medical Advice

• Always consult with your physician or licensed healthcare provider before starting any new treatment or discontinuing an existing one.
  
  
• Our services do not replace a relationship with your primary care physician.
  
  
• Never disregard medical advice or delay seeking it because of something you read on our site or heard through our services.
  
  

2. Products Requiring Medical Evaluation

All prescription products offered through Elara, including but not limited to:

• GLP-1 medications: Sublingual Semaglutide, Sublingual Tirzepatide, GLP-1 Gummy (Semaglutide), and branded versions of Semaglutide and Tirzepatide (e.g., Ozempic®, Wegovy®, Mounjaro®, Zepbound®)
  
  
• Hormonal therapies: Sermorelin, Enclomiphene, Tadalafil + Sildenafil melts
  
  
• Metabolic & recovery support: NAD+ (injections, creams, nasal spray), Lipo B12, Lipo C, Glutathione, Methylene Blue
  
  
• Topicals: Tretinoin, Women’s Passion Cream, RX Shampoo
  
  
• Hair Support: RX Hair Capsules
  
  

require a licensed healthcare provider to determine whether they are safe and appropriate for you. All prescriptions are issued only after a telehealth consultation and are subject to provider approval.

3. Individual Results May Vary

• The outcomes of any treatment can vary widely based on a number of factors including age, medical history, medication adherence, and lifestyle.
  
  
• Elara does not guarantee specific results from any product or service.
  
  

4. Risks, Side Effects, and Contraindications

• All medications carry potential risks. Side effects may include, but are not limited to, nausea, headaches, dizziness, fatigue, allergic reactions, hormonal shifts, or interactions with other medications or supplements.
  
  
• Do not use Elara products if you are pregnant, nursing, have certain chronic conditions (such as cardiovascular disease, cancer, or severe liver/kidney disease), unless specifically cleared by your healthcare provider.
  
  
• Inform your provider of all medications and supplements you are currently taking prior to beginning treatment with Elara.
  
  

5. Not for Emergency Use

• Elara is not an emergency service. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately.
  
  
• Our platform is not equipped to manage crisis situations such as suicidal ideation, overdose, or serious adverse reactions.
  
  

6. Product Information

• While we strive to provide accurate and up-to-date information about our products, Elara makes no representations or warranties as to the completeness, reliability, or suitability of the content provided.
  
  
• Medications and compounded products may not be FDA-approved for all listed uses. Your provider will discuss any off-label uses during your consultation.
  
  

7. Consent to Treatment

• By using Elara’s services, you acknowledge that you have read and understood this disclaimer.
  
  
• You consent to receiving telehealth-based care and understand the limitations of remote treatment.
  
  

8. Compounded Products Notice

• Some medications offered through Elara may be compounded by 503A or 503B pharmacies in accordance with applicable regulations. These formulations are not individually reviewed by the FDA for safety, efficacy, or quality, though the compounding pharmacies themselves are licensed and subject to oversight.

Contact Us

For questions or concerns about this Medical Disclaimer, contact:

Info@WithElara.com
Subject Line: “Medical Disclaimer Inquiry”

Sublingual Semaglutide

Class: GLP-1 Receptor Agonist
Form: Oral (sublingual) troche or tablet
Use: Weight loss support, improved glycemic control

What is Sublingual Semaglutide?

Sublingual Semaglutide is a formulation of a GLP-1 receptor agonist, originally approved for Type 2 Diabetes and now used off-label for weight loss. Unlike injectables, this form dissolves under the tongue and is absorbed directly into the bloodstream, potentially reducing gastrointestinal side effects for some users.

Who Should NOT Use Sublingual Semaglutide?

You should not take Semaglutide if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2)
  
  
• Have a known allergy to Semaglutide or any ingredients in the formulation
  
  
• Are currently pregnant, trying to conceive, or breastfeeding
  
  
• Have a history of pancreatitis
  
  
• Are under 18 years old
  
  

Caution Is Advised If You:

• Have Type 1 Diabetes or use insulin (this product is not a substitute for insulin therapy)
  
  
• Have kidney disease (Semaglutide may cause dehydration and exacerbate kidney issues)
  
  
• Have gastrointestinal disorders, such as gastroparesis or Crohn’s Disease
  
  
• Are taking other GLP-1 medications or drugs that lower blood sugar
  
  

Possible Side Effects

Most side effects are dose-dependent and often reduce over time. These may include:

• Nausea
  
  
• Vomiting
  
  
• Diarrhea or constipation
  
  
• Loss of appetite
  
  
• Acid reflux or burping
  
  
• Headache
  
  
• Fatigue
  
  
• Dizziness
  
  
• Injection site reactions (for injectable versions; not applicable here)
  
  

Serious (but rare) risks include:

• Pancreatitis (seek immediate medical attention if you experience severe abdominal pain)
  
  
• Gallbladder issues (gallstones, inflammation)
  
  
• Kidney problems due to dehydration
  
  
• Vision changes in people with diabetic retinopathy
  
  
• Hypoglycemia when used with other blood-sugar-lowering medications
  
  

Drug Interactions

Use caution or consult your provider if you’re taking:

• Insulin or sulfonylureas – risk of low blood sugar
  
  
• Diuretics – can increase dehydration risk
  
  
• Thyroid medications – some GLP-1s affect thyroid function
  
  
• Medications that require rapid absorption – Semaglutide can slow gastric emptying and affect how well other drugs are absorbed
  
  

Pregnancy & Breastfeeding

Sublingual Semaglutide should not be used during pregnancy. If you become pregnant, stop use immediately and consult your provider. The effects on nursing infants are unknown, and its use is not recommended while breastfeeding.

Monitoring & Follow-Up

We recommend:

• Regular weight, blood sugar, and blood pressure tracking
  
  
• Periodic lab testing including A1C, kidney function, and lipid panel
  
  
• Reporting any unusual symptoms or side effects to your provider promptly

Sublingual Tirzepatide

Class: Dual GIP and GLP-1 Receptor Agonist
Form: Oral (sublingual) troche or tablet
Use: Weight loss support, improved metabolic function, blood sugar regulation

What is Sublingual Tirzepatide?

Tirzepatide is a once-weekly dual agonist that targets both GLP-1 and GIP receptors. It is FDA-approved for Type 2 Diabetes under the brand name Mounjaro, and is also used off-label for weight management. The sublingual form dissolves under the tongue for direct absorption, offering an alternative to injectable routes.

Who Should NOT Use Sublingual Tirzepatide?

Avoid this medication if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2)
  
  
• Are pregnant, trying to become pregnant, or currently breastfeeding
  
  
• Have a history of pancreatitis
  
  
• Are under 18 years old
  
  
• Have a known allergy to Tirzepatide or any excipients in the troche or tablet

Caution Is Advised If You:

• Have Type 1 Diabetes (Tirzepatide is not a substitute for insulin)
  
  
• Have moderate to severe gastrointestinal disorders, such as gastroparesis
  
  
• Have kidney impairment or a history of dehydration
  
  
• Use medications that affect blood sugar levels, like insulin or sulfonylureas
  
  
• Are taking multiple drugs requiring timely gastric absorption (e.g. thyroid meds, antibiotics, etc.)

Possible Side Effects

Common side effects, especially at the start of treatment or with dosage increases, may include:

• Nausea
  
  
• Vomiting
  
  
• Constipation or diarrhea
  
  
• Stomach pain or indigestion
  
  
• Decreased appetite
  
  
• Dizziness or fatigue
  
  
• Burping or reflux
  
  

Serious side effects, although rare, can include:

• Pancreatitis
  
  
• Gallbladder disease
  
  
• Kidney injury from dehydration
  
  
• Allergic reactions (rash, swelling, trouble breathing)
  
  
• Hypoglycemia, especially when used with other diabetes medications
  
  
• Worsening of diabetic retinopathy (particularly in poorly controlled diabetes)

Drug Interactions

Tirzepatide can delay gastric emptying, which may affect how your body absorbs other medications. Be cautious with:

• Oral contraceptives – effectiveness may be reduced
  
  
• Thyroid replacement therapy – timing may need adjustment
  
  
• Insulin or sulfonylureas – risk of low blood sugar
  
  
• Diuretics or ACE inhibitors – can raise dehydration risk

Pregnancy & Breastfeeding

Tirzepatide is not recommended during pregnancy. Discontinue use at least 2 months before planning conception due to its long half-life. It’s also not known whether it’s excreted in breast milk, so it should not be used while breastfeeding.

Monitoring & Follow-Up

For optimal safety and outcomes:

• Regularly track weight, blood pressure, and blood glucose
  
  
• Consider lab testing every 3–6 months, including A1C and kidney function
  
  
• Stay hydrated and promptly report symptoms like persistent nausea, vision changes, or abdominal pain to your provider

GLP-1 Gummy (Semaglutide)

Class: GLP-1 Receptor Agonist
Form: Oral gummy
Use: Weight loss support, appetite regulation, blood sugar stabilization

What is the GLP-1 Gummy?

The GLP-1 Gummy delivers Semaglutide—a glucagon-like peptide-1 (GLP-1) receptor agonist—through an innovative, chewable format. Designed for ease and convenience, this gummy offers an alternative to injections while supporting appetite suppression, blood glucose control, and long-term weight loss. Though Semaglutide is FDA-approved for Type 2 Diabetes and chronic weight management in injectable forms (e.g., Ozempic®, Wegovy®), the gummy format is used off-label.

Who Should NOT Use the GLP-1 Gummy?

Avoid this medication if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2)
  
  
• Are currently pregnant, trying to become pregnant, or breastfeeding
  
  
• Have a history of pancreatitis
  
  
• Are allergic to Semaglutide or any components in the gummy
  
  
• Are under 18 years old

Caution Is Advised If You:

• Have Type 1 Diabetes or require insulin
  
  
• Have gastroparesis or other severe gastrointestinal conditions
  
  
• Have kidney impairment, especially if prone to dehydration
  
  
• Use other medications that slow stomach emptying or alter blood sugar
  
  
• Rely on medications with critical timing or absorption needs (e.g. thyroid meds, seizure meds)
  
  

Possible Side Effects

Most side effects are gastrointestinal and dose-dependent:

• Nausea
  
  
• Vomiting
  
  
• Constipation or diarrhea
  
  
• Abdominal cramping or bloating
  
  
• Fatigue or dizziness
  
  
• Headache or heartburn
  
  

Serious but rare side effects may include:

• Pancreatitis (persistent abdominal pain, nausea)
  
  
• Gallbladder issues (pain, jaundice, fever)
  
  
• Kidney injury (especially with vomiting or low fluid intake)
  
  
• Severe allergic reaction (swelling, rash, breathing issues)
  
  
• Vision changes in those with diabetes (retinopathy flare-ups)

Drug Interactions

Since Semaglutide slows gastric emptying, it may affect the absorption of other medications. Be especially cautious with:

• Oral contraceptives – consider alternate birth control or timing adjustments
  
  
• Thyroid medications – monitor symptoms and timing of doses
  
  
• Insulin or sulfonylureas – monitor for hypoglycemia
  
  
• Diuretics or ACE inhibitors – increased risk of dehydration-related complications

Pregnancy & Breastfeeding

GLP-1 medications are not recommended during pregnancy. Discontinue use at least 2 months prior to trying to conceive. The gummy form has not been studied for safety in breastfeeding, and use during lactation is not recommended.

Monitoring & Follow-Up

To ensure safe and effective use:

• Track changes in appetite, mood, digestion, and weight
  
  
• Schedule routine labs every 3–6 months (A1C, kidney function, lipid panel)
  
  
• Stay well-hydrated and inform your provider of any new symptoms, especially nausea, vomiting, or abdominal pain
  
  
• Review medication list regularly with your provider to manage interactions

GLP-1 Brand Name Medications

Brands Covered: Ozempic®, Wegovy®, Rybelsus®
Class: GLP-1 Receptor Agonist
Form: Ozempic® and Wegovy® (injectable), Rybelsus® (oral tablet)
Use: Blood sugar regulation, weight loss support

What Are GLP-1 Brand Name Medications?

These medications are branded versions of Semaglutide, a powerful GLP-1 receptor agonist originally developed to treat Type 2 Diabetes but now widely used for medical weight loss.

• Ozempic®: Once-weekly injectable, FDA-approved for Type 2 Diabetes
  
  
• Wegovy®: Once-weekly injectable, FDA-approved for chronic weight management
  
  
• Rybelsus®: Daily oral tablet, FDA-approved for Type 2 Diabetes
  
  

All forms help regulate blood sugar, increase feelings of fullness, reduce food cravings, and support sustainable fat loss. While injectable forms tend to have stronger efficacy, all variants slow gastric emptying and reduce appetite over time.

Who Should NOT Use These Medications?

Do not use if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC)
  
  
• Have multiple endocrine neoplasia syndrome type 2 (MEN 2)
  
  
• Are pregnant, actively trying to conceive, or breastfeeding
  
  
• Have a history of pancreatitis or unexplained abdominal pain
  
  
• Are allergic to Semaglutide or formulation components
  
  
• Are under 18 years old

Use With Caution If You:

• Have gastroparesis or other serious GI disorders
  
  
• Are taking insulin or sulfonylureas (higher risk of hypoglycemia)
  
  
• Are on oral medications with narrow therapeutic windows (thyroid meds, seizure meds, etc.)
  
  
• Have kidney disease or dehydration risks
  
  
• Have a history of gallbladder disease or bariatric surgery

Potential Side Effects

Common (especially during dose escalation):

• Nausea
  
  
• Vomiting
  
  
• Diarrhea or constipation
  
  
• Fatigue
  
  
• Heartburn or indigestion
  
  
• Appetite suppression
  
  

Less common but serious:

• Pancreatitis (sudden upper abdominal pain, nausea)
  
  
• Gallstones or cholecystitis
  
  
• Kidney injury from dehydration
  
  
• Worsening of diabetic retinopathy (if poorly controlled diabetes)
  
  
• Serious allergic reactions (swelling, rash, difficulty breathing)

Drug Interactions

• May alter absorption of oral meds due to delayed gastric emptying
  
  
• Can enhance effects of antidiabetic drugs, increasing hypoglycemia risk
  
  
• Requires careful adjustment of medications like levothyroxine, warfarin, or seizure medications
  
  
• Oral contraceptives may be less effective if taken near dosing time (especially with Rybelsus®)

Pregnancy & Breastfeeding

These medications should not be used during pregnancy. If planning to conceive, discontinue at least 2 months prior to conception due to the long half-life of Semaglutide.
The effects during breastfeeding are unknown—avoid use unless benefits clearly outweigh risks.

Monitoring & Follow-Up

To use these medications safely and effectively, we recommend:

• Regular follow-ups every 3–6 months for labs and dosage review
  
  
• Blood tests including A1C, kidney function, electrolytes, and lipids
  
  
• Hydration tracking to prevent kidney complications
  
  
• Monitoring appetite, weight trends, and gastrointestinal tolerance
  
  
• Reporting any signs of abdominal pain, gallbladder issues, or changes in vision

NAD+

Also known as: Nicotinamide Adenine Dinucleotide
Forms Offered: Injections, Nasal Spray, Topical Cream
Use: Cellular energy production, anti-aging support, cognitive enhancement, recovery

What is NAD+?

NAD+ is a naturally occurring coenzyme found in all living cells. It plays a critical role in energy metabolism, DNA repair, mitochondrial function, and cellular resilience.
At Elara, we offer three delivery forms:

• Injections: Most bioavailable, direct bloodstream absorption
  
  
• Nasal Spray: Faster CNS access for mental clarity, neuroprotection
  
  
• Topical Cream: Designed for localized support and systemic absorption over time
  
  

NAD+ levels decline with age, stress, poor diet, and illness. Supplementation is believed to restore vitality, support mental clarity, reduce fatigue, and enhance metabolic function.

Who Should NOT Use NAD+?

Do not use NAD+ supplementation if you:

• Are pregnant or breastfeeding (limited safety data available)
  
  
• Have a known allergy to nicotinamide, niacin, or injectable solutions
  
  
• Are experiencing active infection, fever, or systemic inflammation
  
  
• Are taking immunosuppressive medications without medical clearance
  
  

Use With Caution If You:

• Have liver or kidney disease
  
  
• Have a history of low blood pressure (NAD+ can cause mild hypotension in some users)
  
  
• Are undergoing chemotherapy or radiation (consult your oncologist)
  
  
• Are taking other supplements that affect mitochondrial function (e.g., CoQ10, resveratrol)
  
  

Potential Side Effects

Injection (most common reactions):

• Flushing or warmth at injection site
  
  
• Mild nausea or lightheadedness if administered too quickly
  
  
• Temporary fatigue or dizziness
  
  

Nasal Spray:

• Nasal irritation, sneezing, runny nose
  
  
• Rare: headaches or mild dizziness
  
  

Topical Cream:

• Skin sensitivity, redness, or irritation
  
  
• Rare: rash or allergic reaction
  
  

These symptoms typically subside with dosage adjustment or slower administration. Always follow usage instructions carefully.

Drug Interactions

• May interact with chemotherapy agents or certain antibiotics (consult provider)
  
  
• Can amplify effects of stimulants (e.g., caffeine, ADHD meds) due to mitochondrial enhancement
  
  
• NAD+ metabolism may affect methylation pathways, especially if taking methylated B vitamins or SAM-e
  
  

Pregnancy & Breastfeeding

There is currently insufficient data to support the safety of NAD+ during pregnancy or breastfeeding. Use is not recommended unless prescribed and monitored by a licensed provider.

Monitoring & Follow-Up

• For injectable use, we recommend monitoring blood pressure, energy levels, and hydration status
  
  
• For neurological goals (cognition, mental fatigue), track response over 4–6 weeks
  
  
• Blood work is not typically required, but consider labs if using NAD+ in combination with other regenerative therapies (e.g., peptides, hormone therapy)
  
  
• Always report any new symptoms or concerns to your provider

Sermorelin

Also known as: Growth Hormone-Releasing Hormone (GHRH) Analog
Form Offered: Injection
Use: Support for growth hormone (GH) production, anti-aging, improved recovery, better sleep, fat loss

What is Sermorelin?

Sermorelin is a synthetic peptide analog of growth hormone-releasing hormone (GHRH). It stimulates the pituitary gland to naturally produce and release human growth hormone (HGH). Unlike synthetic HGH injections, Sermorelin encourages the body’s own endocrine rhythm, which may reduce the risk of side effects or hormone imbalances.

Often used to improve:

• Energy levels and metabolism
  
  
• Sleep quality
  
  
• Muscle recovery and lean body mass
  
  
• Cognitive clarity and mood
  
  
• Skin elasticity and hair quality
  
  

Sermorelin is commonly used in longevity and age management protocols.

Who Should NOT Use Sermorelin?

Do not use Sermorelin if you:

• Have a known allergy to Sermorelin or any of its components
  
  
• Have active cancer or a history of cancer (especially hormone-sensitive tumors)
  
  
• Have a known pituitary gland tumor
  
  
• Are pregnant or breastfeeding
  
  

Use With Caution If You:

• Have untreated hypothyroidism (thyroid issues may blunt Sermorelin’s effectiveness)
  
  
• Have diabetes or are insulin-resistant (may affect glucose levels slightly)
  
  
• Have active autoimmune conditions (consult your physician first)
  
  
• Are taking medications that affect pituitary function
  
  

Potential Side Effects

Common, mild effects include:

• Redness or discomfort at injection site
  
  
• Temporary flushing or warmth
  
  
• Headaches
  
  
• Nausea or dizziness, especially early in therapy
  
  
• Vivid dreams (often a sign of enhanced deep sleep)
  
  

Less common effects:

• Water retention or bloating
  
  
• Tingling in extremities
  
  
• Joint stiffness or muscle aches
  
  

These are usually dose-related and subside with protocol adjustment.

Drug Interactions

• May have additive effects with other GH secretagogues, peptides, or testosterone therapy
  
  
• Could interact with corticosteroids, thyroid medication, or insulin
  
  
• Should be coordinated with any other anti-aging or hormonal therapy to avoid overstimulation of endocrine pathways
  
  

Pregnancy & Breastfeeding

Sermorelin has not been studied for safety in pregnant or nursing individuals. Its use is not advised during pregnancy or breastfeeding.

Monitoring & Follow-Up

• Most benefits are seen over 2–3 months of consistent use
  
  
• You may notice improved sleep, recovery, and skin quality early on
  
  
• Bloodwork (IGF-1 levels) may be used to track progress, especially in longer-term protocols
  
  
• Periodic review of sleep quality, energy, and body composition is recommended

Lipo C

Also known as: MIC Injection (Methionine, Inositol, Choline) with Vitamin C and additional B Vitamins
Form Offered: Intramuscular Injection
Use: Fat metabolism support, liver detox, energy production, and general wellness

What is Lipo C?

Lipo C is a combination injection commonly used to support metabolism, liver health, and fat utilization. It contains:

• Methionine – an essential amino acid that assists in breaking down fats and preventing excess fat buildup in the liver
  
  
• Inositol – supports mood regulation, insulin sensitivity, and fat metabolism
  
  
• Choline – essential for liver function and fat transport
  
  
• Vitamin C – a powerful antioxidant that supports immune health, tissue repair, and detox pathways
  
  
• Vitamin B Complex – may include B1, B2, B3, B5, and B6 for energy production and nervous system support
  
  

Lipo C is often used as part of medical weight loss programs or energy-boosting protocols.

Who Should NOT Use Lipo C?

Do not use Lipo C if you:

• Have a known allergy to any component (especially sulfa compounds if present in formulation)
  
  
• Are pregnant or breastfeeding (without physician supervision)
  
  
• Have severe liver disease or renal impairment without consulting a provider
  
  
• Have a history of oxalate kidney stones (Vitamin C in high doses can increase oxalate load)
  
  

Use With Caution If You:

• Have gout or elevated uric acid (Vitamin C may exacerbate)
  
  
• Have hypokalemia or low potassium levels
  
  
• Are on a low-oxalate diet
  
  
• Take high doses of iron supplements (Vitamin C may increase iron absorption, which could be harmful in excess)
  
  
• Are taking medications that affect choline or methionine metabolism
  
  

Potential Side Effects

Common, mild effects include:

• Temporary soreness or redness at the injection site
  
  
• Mild digestive discomfort (bloating, nausea)
  
  
• Headache or lightheadedness (rare)
  
  
• Mild body odor (from methionine metabolism)
  
  

Less common effects:

• Rash or allergic reaction
  
  
• Fatigue or restlessness (usually dose-dependent)
  
  
• Vitamin B-induced bright yellow urine (normal and harmless)
  
  

Drug Interactions

• May interact with levodopa, methotrexate, or anticholinergic medications
  
  
• High-dose Vitamin C may interfere with some lab test results
  
  
• May increase iron absorption, so use caution if iron overload is a concern
  
  

Pregnancy & Breastfeeding

Lipo C is not approved for use during pregnancy or lactation unless supervised by a healthcare provider. Several ingredients, particularly methionine and inositol, lack sufficient safety data in these populations.

Monitoring & Follow-Up

• Best results are seen with regular, weekly injections over a period of several weeks
  
  
• Users often report improved energy, mental clarity, and weight management support
  
  
• Periodic check-ins to assess liver enzymes, nutrient levels, and overall response are encouraged

Lipo B12

Also known as: MIC-B12 Injection (Methionine, Inositol, Choline) with Vitamin B12
Form Offered: Intramuscular Injection
Use: Fat metabolism, energy support, mood enhancement, liver detox

What is Lipo B12?

Lipo B12 is a combination of Methionine, Inositol, Choline, and Vitamin B12, which is used to enhance fat burning, support liver function, and provide a boost in energy levels. The formulation is often part of medical weight loss programs or general wellness protocols, and it is especially popular for people seeking to improve fat metabolism and energy levels.

• Methionine – helps with fat breakdown and liver health
  
  
• Inositol – involved in fat metabolism and improving insulin sensitivity
  
  
• Choline – supports liver detoxification and fat transport
  
  
• Vitamin B12 (Cyanocobalamin) – crucial for red blood cell production, nervous system health, and energy production

Who Should NOT Use Lipo B12?

Do not use Lipo B12 if you:

• Are allergic to any of the ingredients, especially B12 or any sulfa-based compounds
  
  
• Are pregnant or breastfeeding, unless directed by a healthcare provider
  
  
• Have a severe liver or kidney condition
  
  
• Have bipolar disorder or a history of mental health disorders (without proper supervision)
  
  
• Are sensitive to cobalt or have a history of cobalt toxicity (Vitamin B12 contains cobalt)

Use With Caution If You:

• Have hypokalemia or low potassium levels
  
  
• Are on medications affecting vitamin B12 absorption, such as certain antacids or diuretics
  
  
• Have a history of gout or high uric acid levels (Vitamin B12 can sometimes increase uric acid levels)
  
  
• Are on medications affecting liver function (e.g., statins, certain antibiotics)

Potential Side Effects

Common, mild effects include:

• Mild injection site irritation or redness
  
  
• Mild gastrointestinal upset, such as nausea or bloating
  
  
• Increased energy levels or occasional restlessness (which can subside over time)
  
  
• Bright yellow urine (harmless, a normal effect of vitamin B12 metabolism)
  
  

Less common effects:

• Allergic reaction, including rash or hives
  
  
• Headache or dizziness
  
  
• Swelling in the legs or feet (rare)
  
  
• Fatigue or mood swings (in some cases)

Drug Interactions

• Medications that affect B12 absorption, including metformin, H2 blockers, and antacids
  
  
• Anticonvulsants or chemotherapy drugs may interact with B12 metabolism
  
  
• Diuretics (such as furosemide) can deplete potassium levels, so combined use with Lipo B12 may require monitoring
  
  
• Anticoagulants (blood thinners) may interact with Vitamin B12 in some cases

Pregnancy & Breastfeeding

Lipo B12 is not recommended during pregnancy and breastfeeding unless specifically directed by a healthcare provider. B12 is important during pregnancy, but high doses or supplementation outside of normal nutritional needs should be avoided unless directed by a doctor.

Monitoring & Follow-Up

• Regular B12 testing may be recommended, particularly for those who use Lipo B12 frequently
  
  
• Increased energy and fatigue reduction are often reported benefits
  
  
• Monitoring kidney function and liver enzymes is suggested for people on long-term B12 injections
  
  
• Follow up to assess mood and mental clarity changes is advised in users with a history of mental health conditions

Glutathione

Also known as: GSH, Reduced Glutathione
Form Offered: Intramuscular Injection, Oral Supplements
Use: Antioxidant support, liver detoxification, skin brightening, immune function

What is Glutathione?

Glutathione is a powerful antioxidant that occurs naturally in the body and plays a crucial role in detoxification, immune system support, and free radical neutralization. It is known as the body’s “master antioxidant” and is involved in liver detoxification, skin health, and reducing oxidative stress. Glutathione is often used for its detoxifying effects, skin-brightening properties, and ability to support overall health.

• Antioxidant properties help protect cells from oxidative damage
  
  
• Supports liver function, reducing the risk of toxicity
  
  
• Aids in regenerating other antioxidants, like vitamin C and vitamin E
  
  
• Improves skin tone and may reduce hyperpigmentation and age spots
  
  

Who Should NOT Use Glutathione?

Do not use Glutathione if you:

• Are allergic to glutathione or any component of the formulation
  
  
• Are pregnant or breastfeeding, unless advised by a healthcare provider
  
  
• Have a history of asthma, as some people may experience respiratory issues after glutathione administration
  
  
• Have severe liver or kidney disease, as the body’s ability to process the glutathione may be impaired
  
  

Use With Caution If You:

• Are taking chemotherapy or immunosuppressive medications (consult your doctor before use)
  
  
• Have a history of lung disease, as there can be a risk of breathing difficulties or chest tightness in some individuals
  
  
• Are taking medications for autoimmune conditions or those that alter immune system function
  
  
• Are on medications that may affect liver enzymes (e.g., acetaminophen or alcohol consumption)
  
  

Potential Side Effects

Common, mild effects include:

• Injection site pain or irritation
  
  
• Mild headache or fatigue
  
  
• Mild gastrointestinal upset, such as nausea or bloating
  
  

Less common effects:

• Breathing difficulties (rare, typically seen in individuals with asthma or respiratory issues)
  
  
• Rash or skin reactions, including itching or redness
  
  
• Darkening of the skin or other unusual skin changes (can occur in some individuals during long-term use)
  
  

Drug Interactions

• Medications that reduce glutathione levels, including acetaminophen (Tylenol), may diminish its effectiveness
  
  
• Chemotherapy drugs, antioxidants, and immunosuppressive drugs could interfere with the body’s glutathione levels and its intended effects
  
  
• Alcohol consumption and tobacco use may counteract the antioxidant effects of glutathione
  
  
• Drugs affecting liver function, such as certain antifungal and antiviral medications, could affect glutathione metabolism
  
  

Pregnancy & Breastfeeding

Pregnant or breastfeeding individuals should avoid using glutathione unless directed by a healthcare provider. Though glutathione is naturally present in the body, supplementation during pregnancy or while nursing should be monitored closely to avoid unintended effects. Consult with a doctor to assess the safety based on individual circumstances.

Monitoring & Follow-Up

• Monitor for allergic reactions (rash, itching, difficulty breathing) during the first use
  
  
• Regular liver function tests are recommended, especially if used for extended periods
  
  
• If using for skin lightening, it is advisable to track skin tone and report any changes to a healthcare provider
  
  
• Follow up with your doctor if you experience any respiratory issues or unusual skin reactions

Tretinoin

Also known as: Retinoic Acid, Vitamin A Acid
Form Offered: Topical Cream, Gel, or Lotion
Use: Acne treatment, anti-aging, skin renewal

What is Tretinoin?

Tretinoin is a derivative of vitamin A used in the treatment of acne, fine lines, wrinkles, and hyperpigmentation. Tretinoin works by accelerating skin cell turnover, which helps unclog pores, reduces acne lesions, and promotes the development of new skin cells. It is also used for anti-aging treatments, as it stimulates collagen production and reduces the appearance of fine lines and dark spots.

• Treats acne by reducing the formation of pimples and blackheads
  
  

• Reduces signs of aging such as wrinkles, fine lines, and age spots
  
  

• Evens skin tone and reduces hyperpigmentation or dark spots
  
  

• Promotes collagen synthesis to improve skin texture and elasticity
  
  

Who Should NOT Use Tretinoin?

Do not use Tretinoin if you:

• Are pregnant or planning to become pregnant (Tretinoin may cause birth defects and is contraindicated during pregnancy)
  
  

• Are breastfeeding, unless specifically advised by a healthcare provider
  
  

• Have hypersensitivity or an allergic reaction to Tretinoin or any other retinoid medications
  
  

• Have severe eczema or sunburned skin, as the product may worsen irritation and discomfort
  
  

• Have a history of chronic skin conditions, such as rosacea or eczema, without medical approval for use
  
  

Use With Caution If You:

• Have sensitive skin or a tendency to develop rashes or irritation when using topical products
  
  

• Are using other topical medications that may cause dryness or irritation, such as benzoyl peroxide or salicylic acid
  
  

• Are using other retinoids or topical vitamin A derivatives to avoid excessive skin irritation or dryness
  
  

• Have sun-sensitive skin (Tretinoin may increase sensitivity to sunlight)
  
  

Potential Side Effects

Common, mild effects include:

• Skin irritation, dryness, or flaking
  
  

• Redness or itching at the application site
  
  

• Burning or stinging sensation upon application
  
  

• Increased sensitivity to the sun, which may result in sunburns or sunspots
  
  

Less common effects:

• Severe peeling or scaling of skin, especially in the initial weeks of use
  
  

• Swelling or blistering at the application site (requires medical attention)
  
  

• Severe irritation or skin cracking, which may indicate that the dosage is too high
  
  

• Allergic reactions (rash, swelling, difficulty breathing)
  
  

• Hyperpigmentation or hypopigmentation, in rare cases, especially in individuals with darker skin tones
  
  

Drug Interactions

• Benzoyl peroxide, salicylic acid, and other acne treatments can increase skin irritation and dryness when used together with Tretinoin
  
  

• Topical corticosteroids or other anti-inflammatory creams may reduce the effectiveness of Tretinoin
  
  

• Vitamin C serums may cause irritation when used in conjunction with Tretinoin, leading to increased redness or dryness
  
  

• Other retinoids or vitamin A derivatives can lead to excessive skin irritation or peeling
  
  

Pregnancy & Breastfeeding

Tretinoin is not recommended during pregnancy. It is classified as Category X, meaning it may cause birth defects and should be avoided entirely during pregnancy. Women of childbearing potential should ensure they are not pregnant before using Tretinoin, and should use effective contraception during treatment.

Breastfeeding: Tretinoin is excreted in breast milk, and its use while breastfeeding should be discussed with a healthcare provider. The risk to a nursing infant is not fully known, so it is essential to weigh the benefits and risks.

Monitoring & Follow-Up

• Monitor for signs of irritation, including extreme dryness, redness, or peeling, and adjust usage accordingly
  
  

• Follow up with your doctor if you experience excessive irritation, blistering, or severe side effects
  
  

• Always wear sunscreen when using Tretinoin, as it can make your skin more prone to sunburn
  
  

• Regularly monitor skin health, especially during the first few weeks, as the skin can go through a period of adjustment and possible initial worsening of acne

Methylene Blue

Also known as: Methylthioninium Chloride
Form Offered: Injectable Solution, Oral Tablets, Topical Gel
Use: Treatment of methemoglobinemia, as a dye in diagnostic procedures, and in some experimental therapies

What is Methylene Blue?

Methylene Blue is a synthetic dye that has medical uses, primarily for the treatment of methemoglobinemia, a condition where the blood’s ability to carry oxygen is reduced. It works by reducing methemoglobin back to hemoglobin, which restores the blood’s oxygen-carrying ability. It is also used as a staining agent in certain diagnostic procedures. In addition, Methylene Blue has been explored in experimental treatments for neurodegenerative diseases, depression, and antioxidant therapies.

• Treats methemoglobinemia by converting methemoglobin back to hemoglobin
  
  

• Used as a dye for diagnostic and surgical procedures
  
  

• Shows promise in neuroprotective therapies for conditions like Alzheimer’s and Parkinson’s disease
  
  

• May have antioxidant properties and be beneficial in mitochondrial function
  
  

Who Should NOT Use Methylene Blue?

Do not use Methylene Blue if you:

• Are pregnant or planning to become pregnant, as its safety during pregnancy is not fully established
  
  

• Are breastfeeding, unless advised by your doctor (Methylene Blue is excreted in breast milk)
  
  

• Have a history of hypersensitivity or allergic reaction to Methylene Blue or related compounds
  
  

• Have severe renal (kidney) or hepatic (liver) impairment, as this may affect drug metabolism
  
  

• Are currently taking serotonergic medications (e.g., SSRIs, SNRIs, MAOIs) as this may lead to a serotonin syndrome—a potentially life-threatening condition
  
  

• Have glucose-6-phosphate dehydrogenase (G6PD) deficiency—use can lead to hemolysis (destruction of red blood cells)
  
  

Use With Caution If You:

• Have heart disease or any condition that could affect oxygen delivery in the blood
  
  

• Are using antidepressants or mood stabilizers (especially those that influence serotonin levels, as Methylene Blue can potentiate serotonin effects)
  
  

• Have a history of urinary tract disorders or kidney problems, as Methylene Blue may cause urinary retention or renal stress
  
  

• Have high blood pressure (Methylene Blue can have hypertensive effects when given in large doses)
  
  

• Have psychiatric conditions (as Methylene Blue can affect neurotransmitter systems, particularly serotonin)
  
  

Potential Side Effects

Common, mild effects include:

• Blue discoloration of urine, which is a harmless side effect
  
  

• Headache, dizziness, or lightheadedness
  
  

• Mild gastrointestinal upset, such as nausea or diarrhea
  
  

• Skin discoloration at the injection site (this may occur with injections and is generally temporary)
  
  

Less common effects:

• Serotonin syndrome (symptoms include agitation, confusion, rapid heart rate, and increased body temperature—requires immediate medical attention)
  
  

• Hypertension (elevated blood pressure, especially with larger doses)
  
  

• Hemolysis in individuals with G6PD deficiency
  
  

• Reversible cognitive changes or mild confusion in some individuals
  
  

• Allergic reactions, including rash, itching, or swelling (severe reactions require emergency medical care)
  
  

• Methemoglobinemia (rare, paradoxical worsening of methemoglobinemia, especially if misused)
  
  

Drug Interactions

• Serotonergic drugs (SSRIs, SNRIs, MAOIs, etc.) should not be used in combination with Methylene Blue due to the risk of serotonin syndrome
  
  

• Anticoagulants (e.g., warfarin) may interact with Methylene Blue, increasing the risk of bleeding
  
  

• Tricyclic antidepressants (TCAs) can have additive effects with Methylene Blue, leading to increased side effects
  
  

• Sympathomimetic drugs (e.g., epinephrine, dopamine) may interact with Methylene Blue and cause elevated blood pressure
  
  

• Other dyes or staining agents should be avoided in case of a known allergic reaction to them
  
  

Pregnancy & Breastfeeding

Pregnancy: Methylene Blue should only be used during pregnancy if absolutely necessary. It is classified as a Category C drug, which means that its effects on the fetus are not fully known. Always consult a doctor before using Methylene Blue if you are pregnant or planning to become pregnant.

Breastfeeding: Methylene Blue is excreted in breast milk, and its safety during breastfeeding is not well-established. Consult your healthcare provider before using Methylene Blue if you are breastfeeding.

Monitoring & Follow-Up

• Monitor blood pressure regularly, especially with larger doses of Methylene Blue, as it can cause hypertension
  
  

• Serotonin syndrome symptoms should be watched for, especially if taking any serotonergic drugs
  
  

• Keep track of any changes in urine color or gastrointestinal distress
  
  

• Frequent blood tests may be needed to monitor for hemolysis or other adverse reactions, particularly if G6PD deficiency is present
  
  

• Follow up with your healthcare provider if you experience unexplained confusion, rash, or difficulty breathing

Rx Hair Capsules

Formulation for Women’s Version:

• Minoxidil
  
  

• Vitamin E
  
  

• Biotin
  
  

Formulation for Men’s Version:

• Minoxidil
  
  

• Vitamin E
  
  

• Biotin
  
  

• Finasteride
  
  

Use:
Rx Hair Capsules are dietary supplements formulated to support hair growth and reduce hair loss in both men and women. The capsules are available in two versions—one specifically for women and one for men. The key active ingredients include Minoxidil, which is known to stimulate hair growth, and Finasteride, which is included in the men’s version to help prevent further hair loss.

What is Rx Hair Capsules?

For Women’s Version:

• The formulation primarily contains Minoxidil, which is a topical treatment commonly used for androgenetic alopecia (pattern baldness). When taken orally, Minoxidil may improve blood flow to hair follicles, helping to stimulate new hair growth.
  
  

• Vitamin E is an antioxidant that supports scalp health and reduces oxidative stress around hair follicles.
  
  

• Biotin is a B-vitamin that plays a crucial role in keratin production, the protein that makes up hair, nails, and skin.
  
  

For Men’s Version:

• Minoxidil serves as the primary active ingredient to promote hair regrowth and increase hair follicle size.
  
  

• Finasteride works by blocking the action of 5-alpha-reductase, an enzyme that converts testosterone to dihydrotestosterone (DHT), a hormone associated with hair loss in men. By reducing DHT levels, Finasteride can help prevent hair thinning and slow male pattern baldness.

Who Should NOT Use Rx Hair Capsules?

Do not use Rx Hair Capsules if you:

• Are pregnant or planning to become pregnant (especially in the men’s version, which contains Finasteride, which is known to be teratogenic and may cause birth defects in male fetuses)
  
  

• Are breastfeeding (Minoxidil and Finasteride may be excreted in breast milk, posing a risk to the infant)
  
  

• Are allergic to Minoxidil, Finasteride, Biotin, Vitamin E, or any of the other inactive ingredients in the capsules
  
  

• Have a history of liver disease, as Finasteride can affect liver function
  
  

• Are under 18 (both versions are intended for adult use only)
  
  

• Have a history of prostate cancer (especially with Finasteride, as it may alter prostate-specific antigen (PSA) levels)
  
  

• Have hypersensitivity reactions such as rashes, itching, or difficulty breathing after using Minoxidil or Finasteride in the past

Use With Caution If You:

• Have a history of heart disease or high blood pressure (Minoxidil can affect cardiovascular function, and Finasteride may influence cholesterol levels)
  
  

• Are taking other hair loss treatments (combining multiple treatments may increase the risk of side effects)
  
  

• Have a history of scalp disorders (such as eczema or psoriasis) that may affect how Minoxidil is absorbed and its effectiveness
  
  

• Are taking medications that affect liver function (as Finasteride is metabolized by the liver, and liver impairment could alter its efficacy)
  
  

• Have a history of depression or suicidal thoughts (some users of Finasteride have reported mood changes, including depression and anxiety)
  
  

• Are taking other 5-alpha reductase inhibitors (e.g., dutasteride) as combining these may lead to excessive reductions in DHT levels

Potential Side Effects

For Women’s Version (Minoxidil, Vitamin E, Biotin):

• Scalp irritation (itching, redness, or dry flakes at the site of application)
  
  

• Excessive hair shedding in the early stages of treatment, which usually improves after a few weeks
  
  

• Dizziness or lightheadedness
  
  

• Headaches
  
  

• Nausea or stomach discomfort
  
  

• Changes in hair texture (e.g., hair may become finer or grow in different patterns before full regrowth occurs)
  
  

For Men’s Version (Minoxidil, Vitamin E, Biotin, Finasteride):

• Sexual side effects (e.g., reduced libido, erectile dysfunction, or decreased ejaculate volume, which may be linked to Finasteride)
  
  

• Breast tenderness or enlargement (gynecomastia) due to hormonal changes caused by Finasteride
  
  

• Depression or mood changes (a potential side effect of Finasteride, though rare)
  
  

• Dizziness or lightheadedness
  
  

• Skin rash or itching
  
  

• Changes in hair texture or unwanted body hair growth (e.g., on the face or chest, especially with Minoxidil use)
  
  

• Chest pain or palpitations (if Minoxidil is absorbed into the bloodstream in high amounts)

Drug Interactions

For Women’s Version:

• Other topical treatments for hair loss or scalp conditions (e.g., corticosteroids) should be used with caution, as they may interact with Minoxidil and reduce its effectiveness
  
  

• Blood pressure medications (e.g., ACE inhibitors, beta-blockers) may interact with Minoxidil and affect blood pressure regulation
  
  

• Anticoagulants (blood thinners) should be monitored if using Minoxidil, as it can occasionally affect platelet aggregation
  
  

For Men’s Version (Finasteride added):

• Other 5-alpha reductase inhibitors (e.g., dutasteride) should not be used together with Finasteride, as the combination may reduce DHT levels excessively
  
  

• Testosterone replacement therapy (TRT) may interact with Finasteride, as DHT suppression may reduce some benefits of testosterone treatment
  
  

• Alpha-blockers (e.g., tamsulosin) used for prostate conditions should be taken with caution, as combining with Finasteride may increase the risk of hypotension (low blood pressure)
  
  

• Medications for depression (e.g., SSRIs, SNRIs) can have interactions with Finasteride, although rare, leading to an increased risk of mood changes
  
  

Pregnancy & Breastfeeding

Pregnancy:

• Do not use the men’s version of Rx Hair Capsules during pregnancy, as Finasteride can cause birth defects in male fetuses. Minoxidil is also not recommended for pregnant women due to potential systemic absorption and effects on fetal development.
  
  

• Women’s version may be safer, but consult a healthcare provider before use to ensure the safety of Minoxidil and other ingredients during pregnancy.
  
  

Breastfeeding:

• Do not use the men’s version of Rx Hair Capsules if breastfeeding, as Finasteride is excreted in breast milk and can be harmful to the infant.
  
  

• Consult a doctor before using the women’s version during breastfeeding to assess any potential risks with Minoxidil and other active ingredients.
  
  

Monitoring & Follow-Up

• Regularly check for signs of irritation or scalp sensitivity, especially in the early stages of use.
  
  

• Keep an eye on any mood changes, sexual dysfunction, or other side effects (especially if using the men’s version with Finasteride).
  
  

• Monitor blood pressure if you have a history of cardiovascular issues, as Minoxidil may cause orthostatic hypotension.
  
  

• Follow up with a healthcare provider if you notice any unusual or persistent side effects, such as chest pain, swelling, or breast changes.

Enclomiphene

Formulation:

• Enclomiphene
  
  

Use:
Enclomiphene is a selective estrogen receptor modulator (SERM) used primarily for the treatment of male infertility and hypogonadism. It works by stimulating the pituitary gland to release hormones that promote testosterone production and spermatogenesis (sperm production). Enclomiphene is often used as an alternative to testosterone replacement therapy (TRT) for men with low testosterone levels, aiming to increase testosterone naturally by stimulating the body’s own hormone production.

Who Should NOT Use Enclomiphene?

Do not use Enclomiphene if you:

• Are pregnant or planning to become pregnant (Enclomiphene may have an effect on fertility, but there is insufficient data regarding its safety during pregnancy)
  
  

• Are breastfeeding, as the effects of enclomiphene on breast milk production or infant health have not been studied thoroughly
  
  

• Are allergic to enclomiphene or any other components of the formulation
  
  

• Have a history of hormone-sensitive cancers, including breast cancer, uterine cancer, or ovarian cancer, as SERMs can have estrogenic effects on the tissues
  
  

• Are undergoing testosterone replacement therapy (TRT) or have high levels of testosterone already, as the medication works to naturally stimulate testosterone production, which could lead to overproduction
  
  

• Have a history of blood clots or stroke as Enclomiphene may increase the risk of thromboembolic events
  
  

• Are under 18 years of age (Enclomiphene is intended for adult male use only)

Use With Caution If You:

• Have liver or kidney problems, as the liver plays a role in the metabolism of enclomiphene, and pre-existing liver conditions could alter how the drug is processed
  
  

• Have a history of cardiovascular disease, including heart disease or hypertension, as hormonal treatments can affect heart function and blood pressure
  
  

• Are taking medications for hypothyroidism, adrenal disorders, or other hormone replacement therapies
  
  

• Have diabetes or other endocrine disorders, as Enclomiphene may interact with glucose metabolism and affect insulin sensitivity
  
  

• Are taking other fertility medications or hormonal treatments, as interactions may occur, leading to unwanted side effects or complications in treatment efficacy
  
  

Potential Side Effects

• Hot flashes (due to changes in estrogen levels, though typically mild and temporary)
  
  

• Headaches or migraines (due to hormonal fluctuations)
  
  

• Mood swings or irritability
  
  

• Fatigue or dizziness
  
  

• Nausea or stomach upset
  
  

• Breast tenderness or swelling (due to estrogenic effects)
  
  

• Changes in libido or sexual function (though this can vary depending on individual response to the medication)
  
  

• Acne or skin changes (in some individuals, due to increased testosterone levels)
  
  

• Gynecomastia (enlargement of breast tissue in men, though rare and typically reversible)
  
  

• Increased hematocrit (in rare cases, potentially leading to blood thickening)
  
  

• Thromboembolic events (such as deep vein thrombosis (DVT), pulmonary embolism, or stroke in rare instances, as Enclomiphene may increase clotting risk)

Drug Interactions

• Testosterone replacement therapy (TRT) should not be used simultaneously with Enclomiphene, as both treatments stimulate testosterone production, which could lead to an overproduction of testosterone and an imbalance in hormone levels
  
  

• Anticoagulants (e.g., warfarin) or blood thinners, as the use of Enclomiphene may increase the risk of blood clotting
  
  

• Thyroid hormone replacement or glucocorticoids, as these can interact with Enclomiphene’s hormonal activity
  
  

• Other fertility medications (e.g., clomiphene citrate, hCG), as the combined use may cause hormonal imbalances or increase the risk of side effects
  
  

• Corticosteroids, as they may influence the metabolism of Enclomiphene, potentially reducing its efficacy or increasing its side effects
  
  

• Certain antidepressants, including SSRIs or SNRIs, may interact with Enclomiphene, potentially altering mood regulation or increasing side effects
  
  

Pregnancy & Breastfeeding

Pregnancy:

• Enclomiphene is not recommended during pregnancy. It has not been studied in pregnant women, and its potential effects on a developing fetus are not well understood.
  
  

• Discontinue use immediately if pregnancy occurs while on this medication.
  
  

Breastfeeding:

• Consult a healthcare provider before using Enclomiphene if breastfeeding, as it is unknown whether the drug passes into breast milk and its effects on the infant.
  
  

Monitoring & Follow-Up

• Regular blood tests to monitor testosterone levels and blood counts, especially hematocrit and hemoglobin levels, as there can be a risk of blood thickening with prolonged use
  
  

• Regular monitoring of cardiovascular health, including blood pressure, as Enclomiphene may have an impact on heart function in some individuals
  
  

• Fertility monitoring (sperm count and motility) as part of the overall treatment plan to assess the effectiveness of Enclomiphene in improving male fertility
  
  

• Liver function tests to monitor for any signs of liver issues, particularly for long-term use
  
  

• Regular check-ins with a healthcare provider to assess for any side effects, particularly if thromboembolic events, gynecomastia, or changes in mood and libido occur

Women’s Passion Cream

Formulation:

• Arginine
  
  

• Sildenafil
  
  

• Apomorphine
  
  

Use:
Women’s Passion Cream is a topical product designed to enhance sexual pleasure and arousal in women. The cream is formulated with arginine, sildenafil, and apomorphine, each contributing to the increase of blood flow to the genital area, which may improve sensitivity and lubrication during sexual activity.

What is Women’s Passion Cream?

• Arginine is an amino acid that helps to boost nitric oxide production, which in turn dilates blood vessels and improves circulation. This increased blood flow can enhance sexual arousal and overall experience.
  
  

• Sildenafil, a PDE5 inhibitor, is typically used for erectile dysfunction but in this formulation is aimed at improving blood flow to the vaginal area, enhancing clitoral stimulation and sensitivity.
  
  

• Apomorphine is a dopamine agonist, and by stimulating dopamine receptors in the brain, it helps to improve sexual desire and arousal.
  
  

Who Should NOT Use Women’s Passion Cream?

Do not use Women’s Passion Cream if you:

• Are pregnant or planning to become pregnant (there is limited data on the effects of arginine, sildenafil, and apomorphine on pregnancy)
  
  

• Are breastfeeding (it is unknown whether the ingredients in the cream are excreted in breast milk)
  
  

• Are allergic to arginine, sildenafil, apomorphine, or any of the other inactive ingredients in the cream
  
  

• Have a history of severe cardiovascular conditions, including uncontrolled hypertension, heart attack, or stroke, as sildenafil can affect cardiovascular function
  
  

• Have a history of priapism (a condition involving prolonged erections) as sildenafil can sometimes trigger this in certain individuals
  
  

• Have hypersensitivity reactions to nitrates or PDE5 inhibitors
  
  

• Are under 18 years of age (intended for adult use only)
  
  

Use With Caution If You:

• Have a history of low blood pressure (sildenafil can cause a drop in blood pressure that may be dangerous)
  
  

• Have a history of cardiovascular conditions, including heart disease, arrhythmia, or angina
  
  

• Have a history of neurological disorders, including Parkinson’s disease, as apomorphine may affect dopamine receptors
  
  

• Are using other medications that affect blood pressure, including nitrates, alpha-blockers, or antihypertensive drugs
  
  

• Are using other sexual enhancement products or PDE5 inhibitors at the same time, as there could be an increased risk of side effects or overdose
  
  

• Have liver or kidney problems, as these may alter the metabolism of the cream’s ingredients
  
  

Potential Side Effects

• Skin irritation or redness at the application site (typically mild and temporary)
  
  

• Headaches (a common side effect of sildenafil, especially with higher systemic absorption)
  
  

• Dizziness or lightheadedness
  
  

• Flushing (due to increased blood flow to the applied area)
  
  

• Nausea or stomach upset
  
  

• Vaginal burning or tingling (a common effect of increased blood circulation)
  
  

• Priapism (rare, but could occur with sildenafil, especially if used excessively)
  
  

• Visual disturbances (rare with sildenafil, including color vision changes)
  
  

• Drowsiness or sedation (a potential side effect of apomorphine, especially with larger amounts)
  
  

Drug Interactions

• Nitrates (e.g., nitroglycerin or isosorbide), often used for chest pain or heart conditions, should not be used with sildenafil as this can lead to a dangerous drop in blood pressure
  
  

• Alpha-blockers (e.g., tamsulosin, used for prostate issues) can also lower blood pressure and should be used cautiously in combination with sildenafil
  
  

• Antihypertensive medications may interact with sildenafil, leading to low blood pressure (monitoring and adjustments may be required)
  
  

• Other PDE5 inhibitors (such as tadalafil or vardenafil) should not be used in conjunction with sildenafil, as this may lead to an increased risk of adverse effects
  
  

• Medications for depression (e.g., SSRIs, SNRIs) and dopamine antagonists (e.g., antipsychotics) may interact with apomorphine, as apomorphine stimulates dopamine receptors
  
  

Pregnancy & Breastfeeding

Pregnancy:

• Women’s Passion Cream is not recommended during pregnancy due to the lack of sufficient safety data regarding the effects of sildenafil, apomorphine, and arginine on pregnancy. Always consult a healthcare provider before use if pregnant.
  
  

Breastfeeding:

• Consult your healthcare provider before using this product if breastfeeding, as it is unknown whether any of the active ingredients are excreted in breast milk. Apomorphine may be absorbed into the bloodstream, and potential effects on infants are not well-documented.
  
  

Monitoring & Follow-Up

• Regularly monitor for any signs of irritation or adverse skin reactions at the application site. If irritation persists or worsens, discontinue use and consult a doctor.
  
  

• Monitor for any headaches, dizziness, or visual changes, particularly when using the product for the first time.
  
  

• If you experience nausea, flushing, or other cardiovascular symptoms (e.g., chest pain, palpitations), discontinue use and seek immediate medical advice.
  
  

• Follow-up with a healthcare provider if you are using this product long-term to ensure that there are no negative interactions with other medications or underlying conditions.

Tadalafil + Sildenafil Melts

Formulation:

• Tadalafil
  
  

• Sildenafil
  
  

• Apomorphine
  
  

Use:
Tadalafil and Sildenafil are phosphodiesterase type 5 inhibitors (PDE5 inhibitors) used to treat erectile dysfunction (ED) in men. These medications help increase blood flow to the penis, enabling an erection to occur during sexual activity. Apomorphine is a dopamine agonist that works by stimulating dopamine receptors in the brain, which can help improve erectile function by influencing sexual arousal and penile blood flow.

Together, these ingredients form a potent combination that addresses both the physical (blood flow) and psychological (dopamine regulation) components of ED.

Who Should NOT Use Tadalafil + Sildenafil Melts?

Do not use this product if you:

• Are taking nitrates (e.g., nitroglycerin) or nitric oxide donors, as combining these with PDE5 inhibitors can lead to a severe drop in blood pressure, which may result in dizziness, fainting, or even a heart attack
  
  

• Have a history of heart problems, such as heart attack, stroke, or irregular heartbeat, as these medications can place additional strain on the cardiovascular system
  
  

• Have severe liver or kidney disease, as both Tadalafil and Sildenafil are metabolized by the liver and excreted by the kidneys; impaired liver or kidney function can lead to higher drug levels in the body, increasing the risk of side effects
  
  

• Have low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension)
  
  

• Have a history of vision loss due to non-arteritic anterior ischemic optic neuropathy (NAION), a condition that has been associated with PDE5 inhibitors, as this can result in permanent vision impairment
  
  

• Are allergic to Tadalafil, Sildenafil, Apomorphine, or any other component of the formulation
  
  

• Are pregnant or breastfeeding, as the safety of this combination in pregnant or breastfeeding individuals is not established
  
  

• Are under 18 years of age, as this medication is only approved for adult use

Use With Caution If You:

• Have cardiovascular issues, including heart disease, coronary artery disease, or high blood pressure, as the use of PDE5 inhibitors can have an impact on heart function and blood pressure
  
  

• Are taking medications for hypertension (e.g., alpha-blockers, antihypertensive drugs), as the combination with PDE5 inhibitors may result in excessive drops in blood pressure
  
  

• Have a history of priapism (painful or prolonged erections), as this combination may increase the risk of this condition in some individuals
  
  

• Have dehydration or electrolyte imbalances, which could increase the likelihood of side effects like dizziness or fainting
  
  

• Are using alpha-blockers (e.g., tamsulosin, doxazosin), as combining with PDE5 inhibitors may lead to dangerous drops in blood pressure
  
  

• Have a bleeding disorder or take blood thinners, as Apomorphine could increase the risk of bleeding
  
  

• Have a history of kidney or liver disease, as Sildenafil and Tadalafil are metabolized in the liver, and impaired function can affect their clearance
  
  

• Are on medications that impact dopamine receptors, such as antipsychotics, antidepressants, or dopamine antagonists, as these can interfere with the action of Apomorphine

Potential Side Effects

Common side effects of Tadalafil + Sildenafil Melts may include:

• Headache
  
  

• Flushing (warmth, redness, or a feeling of heat in the face, neck, or chest)
  
  

• Dizziness or lightheadedness
  
  

• Indigestion or upset stomach
  
  

• Nasal congestion (stuffed nose)
  
  

• Back pain (particularly with Tadalafil, as this can affect muscle tissue)
  
  

• Vision changes, such as blurred vision or color perception changes (due to Sildenafil)
  
  

• Muscle pain or aches
  
  

• Rashes or skin irritation
  
  

Serious side effects that require immediate medical attention include:

• Prolonged erections (lasting more than 4 hours), which can result in permanent damage to the penis if untreated (priapism)
  
  

• Sudden vision loss in one or both eyes, which could be a sign of NAION (non-arteritic anterior ischemic optic neuropathy)
  
  

• Severe dizziness, fainting, or chest pain, which could be a sign of cardiovascular complications
  
  

• Hearing loss or ringing in the ears (tinnitus), which has been reported in rare cases
  
  

• Difficulty breathing, swelling in the limbs, or hives, which may indicate an allergic reaction
  
  

• Unusual bleeding, bruising, or blood in urine (due to the effects of Apomorphine)

Drug Interactions

Do not combine Tadalafil + Sildenafil Melts with:

• Nitrates (such as nitroglycerin, isosorbide dinitrate), as this can cause a dangerous drop in blood pressure
  
  

• Alpha-blockers (e.g., tamsulosin, doxazosin), as it can cause excessive blood pressure reduction
  
  

• Other PDE5 inhibitors (e.g., Cialis, Viagra, Levitra), as they can cause an overdose of these types of drugs
  
  

• Antifungal medications (e.g., ketoconazole, itraconazole) or antibiotics (e.g., erythromycin, clarithromycin), as these may inhibit the breakdown of PDE5 inhibitors, leading to higher drug levels and increased risk of side effects
  
  

• Ritonavir, protease inhibitors, or HIV treatments, as they can also alter the metabolism of PDE5 inhibitors
  
  

• Blood pressure medications (e.g., ACE inhibitors, calcium channel blockers, or beta-blockers) that may interact with these drugs, requiring dose adjustments
  
  

• Antidepressants (e.g., SSRIs, SNRIs), as they may interfere with Apomorphine’s action and impact sexual function

Pregnancy & Breastfeeding

Pregnancy:

• Tadalafil + Sildenafil Melts is not recommended for use in pregnant women. The safety of these medications during pregnancy is not well understood, and there is no known benefit of using them during pregnancy.
  
  

Breastfeeding:

• Consult with a healthcare provider before using this combination if breastfeeding. It is unknown whether Tadalafil, Sildenafil, or Apomorphine pass into breast milk, and their effects on an infant are not well established.

Monitoring & Follow-Up

• Blood pressure monitoring is crucial, especially for those with pre-existing cardiovascular conditions or when combined with medications that lower blood pressure
  
  

• Regular kidney and liver function tests to monitor for any adverse effects of the medication on organ function, particularly for individuals with pre-existing liver or kidney conditions
  
  

• Vision and hearing assessments in cases of prolonged use, as these medications have been associated with rare cases of vision and hearing disturbances
  
  

• Heart health monitoring if using Tadalafil + Sildenafil Melts in individuals with cardiovascular concerns
  
  
• Sexual health follow-up to monitor for effectiveness in treating erectile dysfunction and any associated side effects