Overview
BluefitMD connects you with licensed healthcare professionals and compounding pharmacies to support your wellness goals. Prescription treatments, including compounded medications, are only dispensed following a medical consultation and prescription approval. Results vary, and not all patients will be eligible for all treatments.

Emergency Protocol
For urgent medical issues, call 911 or seek care at your nearest emergency facility.

Medication Categories & Safety Disclosures
Below is important information for the compounded prescription therapies offered through BluefitMD.

Compounded Semaglutide & Tirzepatide

Common Side Effects:

• Nausea or vomiting
• Constipation or diarrhea
• Injection site irritation
• Decreased appetite

Serious Risks:

• Pancreatitis (abdominal pain, nausea, vomiting)
• Gallbladder disease
• Low blood sugar, especially if used with other diabetes medications

Contraindications:

• Personal or family history of medullary thyroid carcinoma
• History of MEN 2 (Multiple Endocrine Neoplasia syndrome type 2)
• Pregnancy or breastfeeding

Pregnancy & Breastfeeding:
These medications are not recommended for use while pregnant or breastfeeding. Discuss alternatives with your provider.

Storage:
Refrigerate between 36–46°F (2–8°C). Do not freeze. Protect from light.

MICC + B12 (Lipotropic Injections)

Common Side Effects:

• Mild soreness at the injection site
• Temporary flushing or dizziness
• Upset stomach

Warnings:

• Not a substitute for proper nutrition or medical weight management
• Avoid if allergic to B vitamins or any injection components

Pregnancy & Breastfeeding:
Consult your provider. MICC+B12 may be safe, but dosage and frequency must be personalized.

Storage:
Store in the refrigerator. Do not freeze.

Testosterone Replacement Therapy (TRT)

Common Side Effects:

• Acne or oily skin
• Mood changes or irritability
• Swelling of ankles or feet

Serious Risks:

• Increased red blood cell count (polycythemia)
• Risk of cardiovascular events in some individuals
• Prostate enlargement or stimulation of existing prostate cancer

Contraindications:

• Men with breast or prostate cancer
• Severe untreated sleep apnea
• Known hypersensitivity to testosterone

Pregnancy:
Not for use in women who are or may become pregnant.

Storage:
Store in original vial at room temperature away from light.

Methylene Blue

Common Side Effects:

• Blue or green discoloration of urine
• Mild dizziness or nausea
• Headache

More Serious Effects:

• Serotonin syndrome (especially if taken with SSRIs, SNRIs, or MAOIs)
• Hemolytic anemia in G6PD-deficient individuals

Contraindications:

• Known G6PD deficiency
• Concurrent use with serotonergic drugs without medical supervision

Pregnancy & Breastfeeding:
Not recommended. Safety in these populations has not been established.

Storage:
Store away from light. Follow pharmacy guidance for specific formulations.

NAD+ (Nicotinamide Adenine Dinucleotide)

Common Side Effects (Injection, Spray, Patch, Cream):

• Mild fatigue or flushing
• Local skin irritation
• Nasal dryness or irritation (nasal spray)
• Nausea or dizziness

Warnings:

• Use nasal or topical formulations as directed to avoid overuse
• Monitor for allergic reactions or unexpected fatigue

Contraindications:

• Known hypersensitivity
• Use in pregnancy or breastfeeding without provider approval

Drug Interactions:

• Use caution with insulin, metformin, or corticosteroids

Storage:
Injectables: Refrigerate. Others: Follow package directions.

Sermorelin (GHRH Analog)

Common Side Effects:

• Redness or discomfort at injection site
• Headache or flushing
• Mild nausea

Serious Risks:

• Rare allergic reactions

Contraindications:

• Pregnancy or breastfeeding
• Known hypersensitivity to Sermorelin or excipients

Storage:
Store reconstituted solution in the refrigerator. Do not freeze.

Additional Disclosures

Compounded Medications:
Not FDA-approved. Prescribed when FDA-approved options do not meet patient needs. Prepared by licensed U.S.-based 503A pharmacies.

Program Terms:
Prescription issuance is at the sole discretion of the licensed provider. BluefitMD does not practice medicine or dispense medications.

Trademarks:
Ozempic®, Wegovy®, and other branded medications are registered trademarks of their respective owners. BluefitMD claims no affiliation or ownership.

Adverse Reactions:
Report side effects to your prescribing provider and pharmacy. You may also contact the FDA at 1-800-FDA-1088 or visit www.fda.gov/medwatch.

Have Questions?
For questions about your treatment, side effects, or medication handling, contact your BluefitMD provider. Never adjust your dose or schedule without medical supervision.

‍