Your Health
Simplified.
Provider-reviewed treatment options delivered directly to your door
METABOLIC & WELLNESS PLANS
Wellness. Simplified.
Choose your treatment to view plans and pricing. Your provider will review your intake and may request a video appointment prior to issuing a prescription at their discretion.
KNOW YOUR TREATMENT
Your treatment. Explained.
Explore each treatment, what to expect, and helpful information for your care.
Growth-hormone signaling
Sermorelin
A synthetic peptide that mimics a signal telling the pituitary gland to release growth hormone. It stimulates hormone release rather than supplying growth hormone directly. [4]
- Growth hormone–releasing hormone analog
- Provider-directed injectable treatment
- Clinical evaluation and follow-up required
Your provider will help determine whether treatment is right for you. Follow the instructions supplied with your prescription.
Personalized care from the start
Your provider will review your health history, discuss whether sermorelin is appropriate, and explain the recommended follow-up.
How it works
Sermorelin signals the pituitary gland to release growth hormone and can increase downstream IGF-1 activity. A change in a hormone level does not necessarily mean an improvement in symptoms or wellbeing. [4]
Benefits depend on the condition being treated. The reference information does not establish anti-aging, weight-loss, sleep or fitness benefits in otherwise healthy adults.
What to expect & monitoring
Your clinician may monitor IGF-1, thyroid function and glucose according to your history and response. Discuss thyroid disease, diabetes, a pituitary or brain lesion, and any cancer history before treatment. There is no universal monitoring or dosing schedule in this guide. [4]
Possible side effects
- Injection-site pain
- Local redness or swelling
- Headache
- Flushing
- Dizziness
- Sleepiness or restlessness
Local reactions were the most frequently reported effects in historical studies. Other reactions occurred less often; these are not measured rates for your compounded product. Report persistent or worsening symptoms. [5]
Pregnancy & breastfeeding
Human pregnancy data are inadequate, and it is not known whether sermorelin enters breast milk. Discuss pregnancy plans or breastfeeding with the prescriber before starting or continuing treatment. [5]
Safety & medicine interactions
Do not use with a known allergy to sermorelin or an ingredient. Steroid medicines such as glucocorticoids can reduce its response. Review all medicines and supplements; do not stop prescribed drugs on your own. [5]
Follow-up with your care team
Follow the prescribed formulation and instructions. Your care team should review symptoms and monitoring results before any adjustment. Report significant new headaches, vision changes or swelling promptly. [4]
Combination nutrient formula
Lipo-B (MIC+B12)
Somira describes this compounded injection as methionine, inositol, choline and optional with vitamin B12. It is a combination formula—not the same product as standalone methylcobalamin. [1]
- MIC with or without vitamin B12 combination
- Ingredients and concentrations can vary
- Follow the dispensing pharmacy’s label
Your provider will help determine whether treatment is right for you. Follow the instructions supplied with your prescription.
Guidance for your prescription
Your pharmacist can explain the ingredients, B12 form and concentrations in your prescription. Follow the instructions provided for your specific formulation. [7]
What the ingredients do
Choline participates in cell membranes, nerve signaling and lipid transport. B12 option contributes to nerve and red-blood-cell function. These normal nutrient roles do not demonstrate that a combination injection burns body fat. [6] [2]
Possible side effects
- Injection-site discomfort
- Local redness or swelling
- Nausea or upset stomach
- Diarrhea
- Light-headedness
- Rash or itching
These are reported possibilities, not a reliable “common side-effect” rate for this exact compound. Rash or itching can signal allergy; contact your clinician before further doses. [7]
What to expect
Your provider will explain how to use your prescription and when to follow up. The response to treatment varies; weight loss or increased energy from this combination is not established by the ingredient references. [6] [7]
Safety & medicine review
Review cobalt/B12 allergies, other medicines, duplicate B12 products, kidney or liver disease and inherited optic-nerve disorders with your prescriber. [7] [8]
Pregnancy & breastfeeding
Do not assume that an injectable combination is appropriate because its ingredients are nutrients. Have your obstetric clinician review the exact product; safety data for compounded lipotropic combinations are limited. [7]
Nicotinamide adenine dinucleotide
NAD+
A coenzyme that occurs naturally in cells and participates in energy metabolism and cell signaling. Its biological role is distinct from the clinical benefits of injecting additional NAD+. [9]
- Naturally occurring cellular coenzyme
- Not the same as NR or NMN supplements
- Formulation and route require confirmation
Your provider will help determine whether treatment is right for you. Follow the instructions supplied with your prescription.
Your treatment, explained
Your provider will review your health history and explain your prescription, including how it is given and when to follow up. Reach out to your care team with questions along the way.
How it works
NAD+ participates in cellular energy production and other cell processes. Research into injectable NAD+ is still developing. The cited pilot study examined short-term changes in metabolites rather than improvements in energy, cognition or lifespan. [9]
Findings from oral supplements or a different injection route do not establish the benefits of your prescribed formulation.
What to expect
Your provider will explain the prescribed amount, how it is given, and the follow-up recommended for you. Follow your pharmacy’s instructions and contact your care team with questions before changing your treatment.
Instructions for an IV infusion are not interchangeable with instructions for a self-administered injection.
Possible side effects
- Injection-site discomfort
- Nausea or stomach symptoms
- Headache or flushing
- Dizziness or fatigue
Somira lists these as potential reactions. Their frequency is not established for this exact compounded preparation. Your care team can advise on symptoms that persist or worsen. [1]
Important precautions
Use only the medication dispensed for you, by the prescribed route. Review preparation, storage and handling instructions with your pharmacist before use. [13]
Let your provider know about new, persistent or worsening symptoms. For symptoms needing immediate attention, read the urgent-help guidance below.
Medicine review & special situations
Review all prescriptions, supplements, allergies, significant illnesses and pregnancy or breastfeeding with your clinician. A short, small IV study does not establish long-term safety, complete interactions or safety in pregnancy. [9]
Support during treatment
Contact your care team if symptoms persist, worsen or concern you. For symptoms needing immediate attention, follow the urgent-help guidance below.
Standalone vitamin B12
Methylcobalamin (B12)
Methylcobalamin is an active form of vitamin B12, a nutrient needed for nerve function, healthy red blood cells and DNA synthesis. B12 replacement is used when a clinician identifies a deficiency or another appropriate need. [2]
- Single B12 ingredient, not MIC+B12
- Evaluate the reason for deficiency
- Provider determines formulation and route
Your provider will help determine whether treatment is right for you. Follow the instructions supplied with your prescription.
Understanding your B12 needs
Your provider may review blood tests, diet, absorption and medicines to understand your B12 needs. Fatigue can have several causes, so an evaluation helps guide appropriate care. [2]
Somira availability: Standalone methylcobalamin is currently unavailable in California. Reading this guide does not establish eligibility or unlock an intake. [1]
What it does & expected benefit
Correcting a deficiency is different from enhancing performance when B12 status is already sufficient. NIH reports no apparent performance or endurance benefit from extra B12 in people without a nutritional deficit. [2]
What to expect & follow-up
Your clinician selects the appropriate B12 form and follow-up. Oral replacement may be suitable for some people; injections are not automatically the best option for everyone. Do not substitute one formulation for another without advice. [2]
Possible side effects & allergy
The cyanocobalamin reference—a different B12 form describes diarrhea, swelling sensations and skin reactions. It does not establish rates for compounded methylcobalamin. [8]
Ask for product-specific counseling. Report rash or itching promptly; breathing or throat symptoms need emergency help. [8]
Safety & medicine review
Disclose cobalt/B12 allergies and all medicines. Some drugs, including metformin and stomach-acid reducers, can affect B12 status. Review them with your clinician instead of stopping them yourself. [2] [8]
Pregnancy & breastfeeding
During pregnancy or breastfeeding, have your obstetric clinician confirm the appropriate B12 treatment and approve this particular product. [8]
Tell your care team about allergies
B12 injections can cause serious allergy. Disclose prior B12, cobalt or ingredient reactions, and review duplicate B12 products with your care team. [8]
Antioxidant involved in cell function
Glutathione
Glutathione is a compound made from three amino acids that occurs naturally in the body. It participates in antioxidant reactions and other cellular functions. [11]
- Naturally occurring antioxidant
- Prescription injectable option
- Provider-reviewed care
Your provider will help determine whether treatment is right for you. Follow the instructions supplied with your prescription.
Care tailored to you
Your provider will review your health history, explain your prescription, and help you understand what to expect. Contact your care team whenever you have questions.
How it works
Glutathione helps protect cells from oxidative damage. This describes its role in the body, rather than a guaranteed benefit from an injection. Your provider can discuss the available evidence and whether treatment is appropriate for you. [11]
What to expect
Your provider and pharmacist will explain how to use your prescription, including its preparation, prescribed amount, route and storage. Follow those instructions and contact your care team about questions or changes in how you feel.
Possible side effects
Possible reactions include injection-site discomfort or an allergic reaction to an ingredient. Side effects can vary by formulation; reliable frequency data are not available for this specific compounded preparation. [3]
Contact your care team about symptoms that persist or worsen. For symptoms needing immediate attention, see the urgent-help guidance below.
Important precautions
Use only medication dispensed for you, following the prescribed route and your pharmacy’s preparation and storage instructions. Check with your care team before making changes to treatment. [13]
Tell your provider about allergies and any previous reaction to an injection. Do not use a product containing an ingredient to which you have a known allergy. [3]
Medicine review & special situations
Discuss allergies, all medicines, cancer treatment, major medical conditions and pregnancy or breastfeeding with the care team. The references here are not a complete interaction list or evidence of safety in every patient.
Support during treatment
Contact your care team if symptoms persist, worsen or concern you. For symptoms needing immediate attention, follow the urgent-help guidance below.
Using your prescription
Use only medication dispensed for you, following the prescribed route and pharmacy instructions. Ask your care team to explain preparation and injection steps before getting started. [13]
Use a new sterile needle and syringe each time. Do not share supplies or vials. Ask for hands-on instruction before giving an injection yourself. [13]
Know when to get urgent help
Call 911 for trouble breathing, face or throat swelling, chest pain, collapse or signs of a severe allergic reaction. Do not wait for a portal reply in an emergency. [8]
Seek urgent assessment for severe chills, shaking, fever, persistent vomiting or faintness after an injection. Do not take another dose while awaiting advice about a serious reaction. [10] [12]
About compounded preparations. Compounded medications are not FDA-approved. FDA does not review their safety, effectiveness or quality before marketing. Reference information for an ingredient or a different product does not establish equivalent results for your prescription. [3]
The product-specific label and your prescriber’s and pharmacist’s advice take priority over this general summary. Read Somira’s compounding notice.
Dosing, storage & handling questions
- Confirm before injecting: the product name, concentration, route, prescribed amount and syringe marking. Do not copy “units” from another vial or an online example.
- Mixing: use only the diluent and instructions specified by your pharmacist. Do not combine products in one syringe or vial without explicit instructions.
- Storage: follow the pharmacy’s product-specific directions, including light protection, refrigeration when required, and the discard date after opening or mixing. Do not borrow a shelf life from another formulation.
- Uncertain product quality: contact the pharmacy before use if the vial is damaged, looks different than expected, was stored incorrectly, or has a recall notice.
- Follow-up: ask what to do about a missed dose, a treatment gap, symptoms or an adverse reaction. This guide intentionally provides no dose calculations.
These are questions to resolve with your care team, not a substitute for pharmacy instructions. Safe preparation and single-use needles and syringes are essential. [13]
About this treatment information
These descriptions explain the roles of the ingredients and summarize available treatment information. Evidence varies between products and formulations, and results are not guaranteed.
“Possible side effects” means reactions that may occur; it is not a measured frequency for your exact prescription. Your prescriber and pharmacist can explain the information relevant to your formulation. [3] [9]
Review your medicines, allergies, medical conditions, and pregnancy or breastfeeding with your care team.
Sources & full reference information
Sources checked September 17, 2026. Pharmacy references are educational sources, not confirmation of Somira’s dispensing pharmacy. This summary is not complete prescribing information; medical and pharmacy review of the actual product is required.
- Somira: metabolic and wellness treatments (new tab)
Product names, existing descriptions and standalone B12 availability; not independent proof of effectiveness.
- NIH Office of Dietary Supplements: vitamin B12 (new tab)
Nutrient function, deficiency assessment, treatment context and medication effects; not approval of compounded methylcobalamin.
- FDA: risks of compounded drugs (new tab)
Compounded products are not FDA-approved; quality and efficacy are not reviewed before marketing.
- Sermorelin: pharmacy reference monograph (new tab)
Reference only, not a statement that Somira dispenses this pharmacy’s product. Adult outcomes are not guaranteed.
- Sermorelin: historical prescribing-information excerpt (new tab)
Historical FDA-drug-information section, revision date October 2, 2001, reproduced by RxList. Not a current label for Somira’s formulation; no doses copied.
- NIH Office of Dietary Supplements: choline (new tab)
Normal nutrient roles; not evidence that MIC injections cause weight loss.
- Lipo-B: pharmacy reference monograph (new tab)
Reference formulation differs: it lists methionine/choline/cyanocobalamin, without inositol. Do not substitute its ingredient list or dose for Somira’s MIC+B12 formulation.
- MedlinePlus: cyanocobalamin injection (new tab)
Injectable B12 safety reference for a DIFFERENT B12 form. Does not establish a side-effect rate for compounded methylcobalamin or Lipo-B.
- Grant et al., 2019: pilot study of intravenous NAD+ (new tab)
Small, short-term IV study of metabolites; not evidence of clinical benefit from Somira’s formulation or injection route.
- FDA: injectable NAD+ preparation and safety (new tab)
Reference for significant injection reactions and appropriate preparation; not a measured rate for this prescription.
- National Cancer Institute: glutathione definition (new tab)
Describes biochemical roles, not proof of clinical wellness, detoxification or anti-aging benefits.
- FDA: injectable glutathione preparation and safety (new tab)
Reference for significant injection reactions; does not establish that Somira products are affected.
- CDC: preventing unsafe injection practices (new tab)
Safe injection principles. Product-specific storage and beyond-use dates still come from the pharmacy.
Educational information, not a diagnosis or personalized medical advice. Prescription and provider approval required. This summary does not include every risk, interaction or instruction. Availability and medical content may change and are not updated automatically.