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This is a custom-compounded injectable formulation combining two active ingredients: Semaglutide a GLP-1 receptor agonist known for appetite suppression, improved glucose control, and weight loss effects Empower Pharmacy+1 Cyanocobalamin a version of vitamin B12, important for energy metabolism, neurological function, and red blood cell production Empower Pharmacy+2Wikipedia+2 Empower Pharmacy produces this injectable under their compounding operations and offers it through their 503A compounding pharmacy (patient-specific prescriptions) and 503B facility for larger sterile compounding needs Empower Pharmacy+3Empower Pharmacy+3Empower Pharmacy+3 Because its a compounded product, it is not FDA-approved as a branded drug

Redness or Irritation Mild swelling or discomfort at the injection site

GLP-1 Medications Can Increase Testosterone Levels in Men With Obesity. Pharmacy Times, 21 July 2025, Kristensen, Sren L., et al

Potentially yes especially if harm results

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