Congratulations on completing the first month of your compounded semaglutide program! In the next step, we will be doubling your dosage of the medication. Continue to watch out for side effects, most commonly:
- Nausea and/or vomiting
- If you are having a lot of issues, we can send an anti-nausea prescription to your pharmacy. Just give us a call at (513) 559-1222 or text us during business hours at (513) 572-1718.
- Constipation
- It’s a good idea to use over the counter stool softeners (colace, Senekot), fiber, or Miralax if you are having trouble with constipation.
- GERD
- Acid reflux/GERD symptoms can be treated with over the counter Pepcid (famotidine) or Prilosec (omeprazole).
If you are having major trouble with side effects, it is recommended to go back to your previous dosage for a week or two and then try increasing again.
Weeks 5-8 (Month 2)
- You will need a new 1mL semaglutide vial. (You may have enough left for 1-2 weeks from your starter vial)
- In weeks 5-8, you will advance to 0.5mg once a week, which is 25 units.
What's Next?
You will need a new vial of semaglutide for next month. A live or virtual appointment is required for month 3, and you will receive injection instructions after this visit. Failure to attend this visit will result in termination of the program!
Sharps Disposal
IMPORTANT: DO NOT DISCARD USED NEEDLES/SYRINGES DIRECTLY IN THE TRASH. Place your used needles and syringes into a thick plastic container (such as an empty bleach bottle). Use a sharpie to mark “SHARPS” on the bottle. Once it is full, or when you are done with the program, use tape to secure the lid and place it in a trash receptacle.