Your Capsule May Contain One or More of the Following:

Semaglutide (7.5mg or 15mg)

Semaglutide is a prescription GLP-1 receptor agonist, also known as an incretin, which acts like a natural hormone produced in your body. This hormone plays a crucial role in regulating appetite, blood sugar, and other metabolic functions. By mimicking its effects, semaglutide helps to reduce appetite and food cravings, improve eating control, and potentially lower preference for fatty foods. While similar medications have shown weight loss in as little as four weeks, individual results and timelines vary.

Salcaprozate Sodium (SNAC) (100mg)

SNAC helps semaglutide work by briefly lowering stomach acid, which protects it from being broken down too soon. It also increases the fluidity of the stomach lining, which makes it easier for the medicine to move through the cells and into the bloodstream without being damaged.

Cyanocobalamin (1mg)

Cyanocobalamin, or Vitamin B12, is essential for producing red blood cells, maintaining nerve health, and providing energy. It is primarily found in animal products, so individuals who avoid these foods or have absorption issues are at risk for low B12 levels. Certain medications, such as metformin, antacids, and weight loss drugs, can further hinder absorption. Symptoms of deficiency include fatigue, numbness, balance problems, and hair thinning. If B12 levels are low, supplements may be beneficial.

Pyridoxine (1.3mg)

Pyridoxine or vitamin B6 helps the body use protein, carbs, and fat, supports brain function, and protects cells. Rapid weight loss and eating less—especially with GLP-1 medications—can lead to low B6, especially if there’s nausea, vomiting, or a very limited diet. Pyridoxine is known to help with mild nausea in pregnancy, and while there’s no specific evidence it helps with nausea from GLP-1 meds, it may be helpful. For people at risk of low B6 due to diet or medication, checking levels and supplementing may be useful. High doses (over 500 mg/day) should be avoided to prevent nerve damage.

Other Ingredients 

Microcrystalline cellulose 

Do not use this medication if:

• You or your family have been diagnosed with a condition called medullary thyroid cancer or multiple endocrine neoplasia type 2 (MEN2).
• You have been diagnosed with pancreatitis or active gallbladder disease.
• You are currently pregnant or planning to become pregnant in the next 2-3 months.
• You have had an allergic reaction to compounded semaglutide or another ingredient in this preparation.
• You are currently taking another GLP-1 medication like Wegovy®, Ozempic®, Mounjaro®, Zepbound®, Victoza® or Saxenda®.

Speak to your medical provider before starting compounded oral semaglutide if you have:

• A history of pancreatitis
• Severe stomach problems like gastroparesis
• Current or recent history of suicidal thoughts

Stop using compounded oral semaglutide and notify your clinician if you experience any of the following

• Allergic Reactions: Rash, hives, itching, swelling, or trouble breathing.
• Kidney Problems: Changes in urine, blood in urine, or significant weight gain.
• Gallbladder Problems: Pain in the upper belly or shoulder, changes in stool, dark urine, yellow skin or eyes, fever with chills.
• Low Blood Sugar: Dizziness, headache, sleepiness, shaking, fast heartbeat, confusion, hunger, or sweating.
• Pancreatitis: Severe stomach or back pain, severe nausea, or vomiting.
• Vision Changes: If you have type 2 diabetes, watch for vision changes and tell your doctor right away.
• Suicidal Thoughts*: Pay attention to mood changes, and seek in-person care if you notice new or worsening mental health changes.

Side effects may include:

• Nausea
• Diarrhea
• Vomiting
• Constipation
• Stomach pain
• Indigestion
• Headache
• Feeling dizzy, tired, or weak
• Bloating
• Burping
• Gas
• Heartburn
• Runny nose

Warnings

Discuss with your provider if you take any of the following medications to avoid potential drug interactions.

• Oral Medications:  Semaglutide delays gastric emptying. May impact absorption of concomitantly administered oral medications.

Storage guidance: Store at Controlled Room Temperature 68° to 77°F (20° to 25°C) away from light. Store in safe place where children and/or pets cannot access it.

*If you’re experiencing a mental health crisis, please call 911 or  go to your nearest emergency department. If you are contemplating suicide, call 911 or call/text the National Suicide and Crisis Lifeline at 988. These services are available 24/7.

Disclaimer: Information contained on this handout is provided as an informational aide and for reference use only. The content herein is not intended to be, act as, or replace medical advice or diagnosis for individual health conditions nor is it making evaluations as to the risks or benefits of particular compounded preparations. Please consult a licensed healthcare professional about diagnosis and treatment. Information and statements within this handout have not been evaluated by the Food and Drug Administration.