Healthy Living with Alivia 

This is a powerful, compounded injectable medication used to help manage weight. It contains Semaglutide, which mimics a naturally occurring hormone (GLP-1) released by your gut when you eat. This hormone works in three main ways to promote weight loss: it signals your brain to feel fuller faster, it slows down the rate your stomach empties, and it helps regulate blood sugar. The addition of Vitamin B12 is primarily for support, helping to boost energy levels and prevent the fatigue that can occur while on a reduced-calorie diet.

Semaglutide + B12 is administered via subcutaneous injection (into the fatty tissue) once per week.

Timing: You should choose one day of the week (e.g., Sunday morning) and try to administer the injection on that same day each week. You can change your injection day as long as there are at least two days (48 hours) between doses. It can be taken at any time of day, with or without food.

How to Inject (Subcutaneous):

1. Preparation: Always store the vial in the refrigerator. Use a new, sterile insulin syringe for every injection. Clean the top of the vial with an alcohol wipe before drawing the medication.
2. Dosing: Your dose will be precisely measured in units on the syringe, as prescribed by your doctor. The dose must be increased gradually over several weeks (a process called titration) to minimize side effects. Never increase the dose faster than prescribed.
3. Site Selection: The injection should be administered into the fatty tissue of your abdomen (at least two inches away from your belly button), the thigh, or the back of the upper arm. Rotate the injection site each week (e.g., left abdomen one week, right thigh the next).
4. Injection: Clean the skin with an alcohol wipe and let it dry. Pinch about an inch of skin and fat, insert the needle at a 45-to-90-degree angle, and push the plunger until the full dose is dispensed. Withdraw the needle quickly and dispose of the syringe in an approved sharps container.

The most common side effects are gastrointestinal, including nausea, vomiting, diarrhea, or constipation. These usually occur when you start treatment or when the dose is increased. They are best managed by eating smaller portions, avoiding fatty foods, and sticking strictly to the gradual dosing schedule.

The slow, gradual increase in dosage is the single most important factor for success. Your doctor has provided a specific schedule (e.g., weeks 1-4 at dose A, weeks 5-8 at dose B). This is essential to allow your body time to adjust to the medication and manage side effects.

Based on the gradual, initial dosing schedule for weight loss, this 4mL vial should last you approximately 6 months.

Stopping abruptly is generally not recommended and can lead to weight regain. Your doctor will work with you on a maintenance phase, where the dose may be lowered or the frequency reduced to help you keep the weight off long-term.

Semaglutide + B12 (6 Months) $1339