Tailor Made Compounding Catalog - A4M

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Tailor Made Compounding Catalog - A4M
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Tailor Made Compounding Catalog - A4M
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 tailormadecompounding.com

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LOG
Tailor Made Compounding Catalog - A4M
Table of contents
Our Story....................................................................... 6

MARKETING SHEETS.................................................8
Anti-Aging Products............................................................................................... 9
Cosmeceuticals...................................................................................................... 10
Growth Hormone Products................................................................................ 11
Hair Restoration......................................................................................................13
Hormone Replacement Therapies................................................................. 14
Iontophoresis Products.......................................................................................17
Sexual Dysfunction............................................................................................. 20
Weight Loss Pack................................................................................................... 23
Weight Loss Products..........................................................................................24

MEDICATION FACT SHEETS................................. 26
3-DESOXY DHEA..................................................................................................28
AMLEXANOX.........................................................................................................29
APOMORPHINE....................................................................................................30
BUPROPION/NALTREXONE...........................................................................31
DANAZOL................................................................................................................ 32
DASATINIB/QUERCETIN.................................................................................. 33
DEXAMETHASONE IONTOPHORESIS PATCHES.................................34
ENCLOMIPHENE.................................................................................................. 35
ERGOLOID MESYLATES....................................................................................36
EXENATIDE + METHYLCOBALAMIN ......................................................... 37
GHK-Cu.....................................................................................................................38
GLYCYRRHETINIC ACID & AMINOPHYLLINE.........................................39
GONADORELIN................................................................................................... 40
HYALURONIC ACID & CHONDOROITIN...................................................41
KETAMINE...............................................................................................................42
KPV.............................................................................................................................43
MELANOTAN I....................................................................................................... 44
METFORMIN + DHEA + SERMORELIN.......................................................45
METHYLENE BLUE.............................................................................................. 46
NAD+.......................................................................................................................... 47
NANDROLONE......................................................................................................48
Tailor Made Compounding Catalog - A4M
Table of contents (cont.)
OXYTOCIN..............................................................................................................49
PENTOSAN POLYSULFATE............................................................................. 50
PTD-DBM................................................................................................................. 53
RAPAMYCIN............................................................................................................54
SCREAM CREAM................................................................................................... 55
SERMORELIN.........................................................................................................56
SERMORELIN/GLYCINE.................................................................................... 57
STANOZOLOL........................................................................................................58
TETRADECYLTHIOACETIC ACID (TTA)......................................................59
THYMOSIN ALPHA-1......................................................................................... 60
THYMOSIN BETA-4............................................................................................. 61
TRIMIX.......................................................................................................................62
VITAMIN D...............................................................................................................63
VIP.............................................................................................................................. 64
WHITENING CREAM...........................................................................................65

IV THERAPY...............................................................66
IV THERAPY PROTOCOLS...............................................................................67
IMPLEMENTING IV THERAPY IN YOUR PRACTICE............................. 74

PRICE LISTS............................................................... 77
CAPSULES & TABLETS.......................................................................................78
INJECTIONS........................................................................................................... 84
CREAMS & FOAMS...............................................................................................88
TROCHES & GUMMIES...................................................................................... 90
IV + PROTOCOLS.................................................................................................92
NASAL & EYE DROPS.........................................................................................94
SUPPLEMENTS & COSMECEUTICALS........................................................94
Tailor Made Compounding Catalog - A4M
Our Story
    Tailor Made Compounding was launched in the U.S. in January of 2016. We have
    since become a major contributor to peptide medicines in the integrative health
    space.

    Through our compounding expertise, knowledge and experience, we have quickly
    grown as one of the top compounding pharmacies in the nation. Together, with our
    sister pharmacies around the world, we have established a reputation for working
    closely with our physicians and are well known for obtaining difficult to source and
    hard to compound pharmaceuticals. Our sister facility and first establishment,
    Como compounding in Melbourne, has been working with peptide therapies for
    over a decade. After witnessing the success these products were having for both
    doctors and patients in Australia, we saw the demand to bring our compounding
    expertise to the United States.

    At Tailor Made, we pride ourselves in being partners with our practitioners and
    their staff. That’s why a major part of what we do involves educating our
    prescribers on the products we develop, including their clinical indications, and
    dosing. Through building these relationships and creating cutting-edge peptide
    therapies, we promise to maintain our status as leaders in the industry.
    Collectively, all of our locations work to support the same mission; To positively
    disrupt medicine using innovative technologies through education and
    partnership.

4
6
Tailor Made Compounding Catalog - A4M
Positively disrupting
medicine using
innovative technology.

                         7
Tailor Made Compounding Catalog - A4M
MARKETING
     SHEETS

8
6
Tailor Made Compounding Catalog - A4M
ANTI-AGING
                                                                        Anti-Aging Products
                                                                       PRODUCTS

Dasatinib-
Dasatinib is a targeted therapy, classified as a signal transduction inhibitor, used to treat certain cases of
chronic myelogenous leukemia (CML) and acute lymphoblastic leukemia (ALL). Dasatinib binds to and
inhibits the growth-promoting activities of SRC-family protein-tyrosine kinases, which interact with a variety
of cell-surface receptors and participate in intracellular signal transduction pathways.

Senescent cells, which can release factors that cause inflammation and dysfunction, the senescence-
associated secretory phenotype (SASP), accumulate with aging and at etiological sites in multiple chronic
diseases. Senolytics, including the combination of Dasatinib and Quercetin, selectively eliminate senescent
cells by transiently disabling pro-survival networks that defend them against their own apoptotic
environment. In the first clinical trial of senolytics, Dasatinib + Quercetin improved physical function in
patients with idiopathic pulmonary fibrosis (IPF), a fatal senescence-associated disease.

    Product: Dasatinib 50mg capsule
    Protocol: Take 2 capsules by mouth daily for 3 days

Rapamycin (Sirolimus)-
Rapamycin was initially discovered as an antifungal
metabolite produced by Streptomyces hygroscopicus from a
soil sample of Easter Island. This medication has been found
to possess immunosuppressive and anti-proliferative
properties in mammalian cells due to its ability to inhibit
mTOR. Rapamycin is a potent inhibitor of antigen-induced
proliferation of T cells, B cells, and antibody production.
Interest in sirolimus as an immunosuppressive therapy in
organ transplantation derives from its unique mechanism of
action, its unique side-effect profile, and its ability to synergize
with other immunosuppressive agents.Rapamycin’s
immunosuppressive and anti-proliferative properties have led
to its use in the prevention of organ transplant rejection.
mTOR has been implicated in many of the processes that are
associated with aging, including cellular senescence, immune
responses, cell stem regulation, autophagy, mitochondrial
function, and protein homeostasis (proteostasis). Furthermore,            Product: Sirolimus 3mg capsule &
Rapamycin’s inhibition of mTOR has been shown to regulate                 Sirolimus 0.001% cream in a 30mL
cell senescence thus reducing it’s age-related pathology and              Topi-CLICK®
loss of function. This will ultimately improve physiological              Protocol: Take 1 capsule by mouth once
function and extend longevity. The downstream events that                 weekly. Apply a thin layer of cream
follow the inactivation of TOR result in the blockage of                  topically to the face or inner forearms
cell-cycle progression at the juncture of G1 and S phase.                 once daily.

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com      9
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Tailor Made Compounding Catalog - A4M
COSMECEUTICALS
                                                         Cosmeceuticals

     GHK-Cu Cream
     GHK-cu is a highly effective cellular signaling peptide which can increase collagen by 70% in some studies and
     decreases fine lines and wrinkles by 27%. It also has other cellular signalling effects on remodeling that would
     accompany the PRP well.

     Benefits
     • Tighten loose skin and reverse thinning of aged skin.
     • Repair protective skin barrier proteins.
     • Improve skin firmness, elasticity, and clarity.
     • Reduce fine lines, depth of wrinkles, and improve structure of aged skin.
     • Smooth rough skin

     Content: 30mL Topiclick dispenser
     Dosing: apply 1mL (4 clicks) daily to clean dry skin. Each click is 0.25mL. Can be applied 1mL at one time or split
     as 0.5mL morning and 0.5mL evening.

     GHK-Cu / Argireline / Leuphasyl Combo Cream
     Building on the benefits of GHK-cu, a signaling peptide, we’ve been able to combine two botox like peptides in
     this formulation. This is a beautiful adjunct to enhance in-office procedures with respect to decreasing the
     contraction force of the muscles in the face. An ideal application for addressing crepiness under the eyes and
     on the eyelids. These cosmeceutical peptides penetrate skin and relax muscles, causing the reduction and
     softening of wrinkles and fine lines, offering a lux feel that absorbs nicely into the skin.

     Content: 30mL Topiclick dispenser
     Dosing: apply 1mL (4 clicks) daily to clean dry skin. Each click is 0.25mL.
     Can be applied 1mL at one time or split as 0.5mL in the morning
     and 0.5mL in the evening

10    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
GROWTH           HORMONE
                                                                Growth Hormone Products
                                                                PRODUCTS

Growth hormone (GH) also known as human growth hormone (hGH) in its human form, is a peptide
hormone that stimulates growth, cell reproduction, and cell regeneration in humans and other
animals.GH stimulates production of IGF-1 and increases the concentration of glucose and free fatty
acids.[1][2] GH is a 191-amino acid, single-chain polypeptide that is synthesized, stored and secreted
by somatotropic cells within the lateral wings of the anterior pituitary gland. When growth
hormone is released from the pituitary gland, it signals the liver to release a second hormone,
called insulin-like growth factor-1 (IGF-1). Together, growth hormone and IGF-1 tell the bones,
muscles, and other organs and tissues to grow by adding more cells

Norditropin FlexPro Pen
The FlexPro® pen is a delivery device that comes prefilled and preloaded.

  5mg: $700.00 10mg: $1,300.00 15mg: $2,020.00

Did you know that GH can also help the immune system?
In mammals, the thymus supports maturation of thymocytes into T-cells and to maintain immunological
tolerance. This is an important part of what makes your immune system work.

The thymus continually atrophies after childhood, it’s epithelia is replaced by adipose tissue, and it has been
hypothesized that at least some immune dysfunction associated with aging is caused by the loss of thymus
tissue. For example, infants whose thymus was removed during cardiac surgery at 18 years after surgery have
immune cell populations more reminiscent of 65-70
year olds. Multiple factors have been tested
preclinically to try and regenerate the Thymus.
The thymic epithelia not only express GH receptors,
but secrete GH in a positive feedback loop. By using
growth hormone, you can regenerate the thymus and
prevent immunosenescence!

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com    11
GROWTH HORMONE
                                                                    PRODUCTS

     Omnitrope
     Ready-to-use liquid cartridge eliminates the need to reconstitute or mix
     with a liquid

                       Injectable 5.8mg: $360.00

     Saizen
     Saizen is a human growth hormone produced by recombinant DNA technology

                         5mg vial: $789.00

     Zomacton
     Zomacton is a sterile, white, lyophilized powder, for
     subcutaneous use, after reconstitution with the
                                                                                    5mg: $348.00
     accompanying diluent

12    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
Hair Restoration

                                                               HAIR RESTORATION

PTD-DBM and Valproic Acid
The Wnt/b-catenin pathway has been implicated in hair follicle development and hair
regeneration in adults. Wnt/b-catenin activators like Valproic Acid promote human hair cell
proliferation. CXXC5 is a negative regulator of the Wnt/b-catenin pathway which was upregulated
in human balding scalps. However, scientists have found a way to black this negative feedback
using PTD-DBM. This peptide, PTD-DBM, is often used as a part of larger hair protocols in
conjunction with other peptides such as GHK-Cu, Zn-Thymulin, and Thymosin Beta with
tremendous results.

Zn-thymulin
Zn-thymulin is a combination of zinc and a nonapeptide called thymulin used for hair loss. Zinc is
an essential element and serum zinc deficiency can cause hair loss,Thymulin’s activity on the hair
follicle was recently published in an in vitro study where several thymic peptides and showed
thymulin could extend the anagen phase of the hair follicle. Serum thymulin concentrations are
critically dependent on the presence of zinc. GHK-Cu is a naturally occurring copper complex that
was first identified in human plasma, but has since been found in multiple locations such as saliva
and urine. GHK-Cu has a variety of roles in the human body including promotion of wound
healing, anti-oxidant and anti-inflammatory effects, stimulating collagen synthesis in skin
fibroblasts, promoting blood vessel growth and hair follicle stimulation. The concentration of
GHK-Cu in the body decreases with age.

For hair regrowth protocols, reach out to Tailor Made Compounding. We offer two protocols for
sustainable hair growth. One incorporates PRP and microneedling while the other uses power
topical agents that produce new growth within 6-8 weeks. Before and after pictures can be sent
upon request.

PTD-DBM drops .001% 25mL dropper = $54
Valproic Acid 5% spray 25mL = $35
Zn-Thymulin/GHK-cu 10mcg/5mg/mL 25mL dropper = $47

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com   13
HORMONE REPLACEMENT
     Hormone Replacement Therapies
                                                                              THERAPIES

        DHEA-
        DHEA is the most abundant hormone found in humans and is a precursor to many other steroids. DHEA
        declines steadily as we age, and low levels of DHEA have been associated with Alzheimer’s disease, cancer,
        and atherosclerotic disease. DHEA offers you an exciting option to help increase natural testosterone
        production.

           Pricing:                                    Benefits of DHEA:
           25mg capsule $0.53                          Helps boost testosterone, aids in immune support, promotes
           50mg capsule $0.63                          weight loss, enhances libido, improves sports performance and
           100mg capsule $0.70                         muscle mass. DHEA is also thought to slow the aging process and
           Suggested dosage: Take 1                    combat bone density loss in women.
           capsule by mouth once daily

        Thyroid-
        The thyroid gland secretes two hormones (triiodothyronine and thyroxine). These hormones are responsible
        for regulating basal metabolic rate, neurotransmitter production and release (e.g., dopamine, serotonin,
        norepinephrine), neural development, and it protects against arrhythmias (abnormal heartbeat). Many
        patients with clinical or subclinical hypothyroidism may experience symptoms such as fatigue/lethargy,
        depression, memory loss, anxiety, constipation, dry skin and hair, cold sensitivity, insomnia, and unexplained
        weight gain or inability to lose weight. Given these factors, a combination of both T3 and T4 is often essential
        for thyroid optimization. Custom liothyronine and levothyroxine compounded formulations are available in
        addition to the commercial options.

           Benefits of Thyroid:
           Improves energy, aids in weight loss, better
           tolerance to temperature changes, better sleep,
           improved skin tone, decrease water retention,
           normalized bowel movements, resolve body aches,
           improve memory, reduce anxiety and depression.

            Pricing:
            Armour 15mg tablet $0.90
            Armour 30mg tablet $0.90
            Armour 60mg tablet $1.00
            Armour 90mg tablet $1.20
            Armour 120mg tablet $1.60
            Armour 180mg tablet $1.60
            NP 15mg tablet $0.75
            NP 60mg tablet $0.75
            Suggested dosage: Take 1
            tablet by mouth daily

14       Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
HORMONE REPLACEMENT
                                                                      THERAPIES

Progesterone-
Progesterone is a steroid sex hormone prominently produced by
the ovaries. It is of the steroid hormone class progestogens and is         Progesterone is available in
both the most abundant and important progestogen in the                     creams, capsules, and troches.
human body. Progesterone plays a prominent role in pregnancy,
embryonic development, and the menstrual cycle.                             Suggested dosage: as prescribed
                                                                            by your healthcare professional.

   Benefits of Progesterone:
   Amplify effects of estrogen, enhance libido, improve thyroid function, neuroprotection, increase
   metabolic rate to help utilize fat, improve thyroid function, reduce anxiety and upregulation on GABA,
   reduce blood pressure and risk of breast cancer and help to reduce cholesterol

Testosterone-                                                     For males: Traditionally, we understand
                                                                  testosterone as being responsible for the
For females: Testosterone is also vitally important for           development of male tissues. It plays a
females. There are several causes of low testosterone in          significant role in bone and muscle mass, body
women, often related to menopause & perimenopause.                hair growth, and causes a deepened voice due
That said, women may also experience low testosterone             to increased tension on the vocal cords. For
secondary to estrogen dominance, childbirth, cancer               men, testosterone can reduce the risk of heart
treatment, adrenal fatigue, use of birth control pills,           attack, stroke, cognitive dysfunction, sarcopenia,
depression, endometriosis, and statin drugs. For females,         obesity, fatigue, depression, inflammation,
testosterone replacement therapy has been shown to                cancer, diabetes, and sexual dysfunction.
increase libido, emotional well-being, muscle mass, pain
tolerance, and neurotransmitter production. Additionally,
it aids in memory retention, keeps skin from sagging,                 Testosterone available in creams,
reduces body fat, & maintains bone density.                           troches, & injections
                                                                      Suggested dosage: as prescribed by your
                                                                      healthcare professional

Estrogen-
Estradiol (E2) is a naturally occurring and bioidentical estrogen, or an agonist of the estrogen receptor, the
biological target of estrogens like endogenous estradiol. Due to it’s estrogenic activity, estradiol has
antigonadoptric effects and can inhibit fertility and suppress sex hormone production in both women and
men. It’s an estrogen and is used mainly in menopausal hormone therapy and to treat low sex hormone
levels in women. It can be used in hormonal birth control for women and in the treatment of hormone-
sensitive cancers like prostate cancer in men and breast cancer in women, among other uses.

    Estrogen combinations available in creams
   (Estradiol, estriol, bi-est), tablets, or injections

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com         15
HORMONE REPLACEMENT
                                                                            THERAPIES

     Enclomiphene-
     Enclomiphene, an estrogen receptor antagonist, can be used in              Pricing:
     the treatment of male hypogonadism. Enclomiphene is a                      12.5mg capsule $0.97
     nonsteroidal selective estrogen receptor modulator (SERM) and              25mg capsule $1.25
     acts by increasing the gonadal production of testosterone while            25mg veggie dye free capsule $1.25
     stimulating FSH and LH. Enclomiphene has the potential to
     improve metabolic profiles.                                                Suggested dosage: Take 1 capsule
                                                                                by mouth daily

       Benefits of Enclomiphene:
       Enclomiphene has been shown to increase testosterone levels while stimulating FSH and LH production.
       Studies have demonstrated that enclomiphene maintains the androgenic benefit of clomiphene citrate
       without the undesirable effects attributable to zuclomiphene

     Oxandrolone-
     Oxandrolone is a synthetic steroid, similar to the naturally occurring steroid testosterone. Oxandrolone is
     indicated as adjunctive therapy to promote weight gain after weight loss following extensive surgery, chronic
     infections, or severe trauma. It can also be used to offset the protein catabolism associated with prolonged
     administration of corticosteroids and for the relief of bone pain frequently accompanying osteoporosis.

        Pricing:
        5mg capsule $3.00               Benefits of Oxandrolone:
        10mg capsule $3.20              Weight gain, increased lean muscle
        15mg capsule $3.20              mass, decreased bone pain in patients
        20mg capsule $3.00              who suffer from osteoporosis
        25mg capsule $3.20
        2.5mg troche $1.00
        5mg troche $1.10

        Suggested dosage:
        Take 1 capsule daily

16    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
Iontophoresis Products
                                                               IONTOPHORESIS
                                                               PRODUCTS

Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Molecules are
transported across the stratum corneum by electrophoresis and electro-osmosis and the electric field can also
increase the permeability of the skin. This can help make many molecules permeable to the skin which
previously were only available through injections. The products below are some of the most successful to be
used in when delivered as transdermal patches.

NAD+
NAD+ is the second most popular cofactor in the human body. Anti-aging therapies becoming more
mainstream as aging is now more often being viewed as a disease. Now that this transition is happening, the
ability for NAD+ to activate PARPS, Sirtuins, and help with immune dysregulation has been thoroughly
investigated and NAD+ and its precursors have been highly popularized.

 The clinical importance of maintaining cellular NAD+ levels was established early in the last century with the
finding that pellagra, a disease characterized by diarrhea, dermatitis, dementia and death, could be cured with
foods containing the NAD+ precursor niacin. Additionally, cellular concentrations of NAD+ have been shown
to decrease under conditions of increased oxidative damage such as occur during aging

Altered levels of NAD+ have been found to accompany several disorders associated with increased
oxidative/free radical damage including diabetes, heart disease, age-related vascular dysfunction, ischemic
brain injury, misfolded neuronal proteins, and Alzheimer’s dementia .

Interventions targeted at restoring NAD+ have been shown in animal models to support healthy aging and
improve metabolic function, and dementia as well.

Dexamethasone
The most popular and well researched iontophoresis application is the use of dexamethasone, a
corticosteroid in a sodium phosphate solution. In this form, the drug is composed of negatively charged ions
of dexamethasone phosphate and, when loaded into a negatively charged reservoir or electrode pad, the
electrical force of the like charges pushes the medication molecules into the desired area. This causes pain
relief for many hours via direct application.

KPV
KPV is a fragment of Alpha-MSH which has shown some incredible anti-inflammatory capabilities. This is able
to be driven across the skin to help with healing, inflammatory conditions, and psoriasis.

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com    17
IONTOPHORESIS
                                                                          PRODUCTS

      The following table shows some other popular uses of iontophoresis. If you
           have any questions about these applications please give us a call!

            Medication            Principal Indication(s)           Treatment Rationale                     Iontophoresis
      Acetic acid                 Calcific tendinitis             Acetate is believed to increase     2%–5% aqueous solution from
                                                                  solubility of calcium deposits      negative pole
                                                                  in tendons and other soft
                                                                  tissues
      Calcium chloride            Skeletal muscle spasms          Calcium stabilizes excitable        2% aqueous solution from
                                                                  membranes; appears to               positive pole
                                                                  decrease excitability threshold
                                                                  in peripheral nerves and
                                                                  skeletal muscle
      Dexamethasone               Inflammation                    Synthetic steroidal                 4 mg/mL in aqueous solution
                                                                  anti-inflammatory agent             from negative pole

      Hydrocortisone               Inflammation                   Anti-inflammatory steroid           0.5% ointment from positive
                                                                                                      pole

      Hyaluronidase               Local edema (subacute           Appears to increase                 Reconstitute with 0.9% sodium
                                  and chronic stage)              permeability in connective          chloride to provide a 150
                                                                  tissue by hydrolyzing               mcg/ml solution from positive
                                                                  hyaluronic acid, thus               pole
                                                                  decreasing encapsulation and
                                                                  allowing disbursement of local
                                                                  edema
      Iodine                     Adhesive capsulitis and other    Iodine is a broad-spectrum          5%–10% solution or ointment
                                 soft-tissue adhesions;           antibiotic, hence its use in        from negative pole
                                 microbial infections             infections, etc.; the sclerolytic
                                                                  actions of iodine are not fully
                                                                  understood
      Lidocaine                  Soft-tissue pain and             Local anesthetic effects            4%–5% solution or ointment
                                 inflammation (e.g., bursitis,                                        from positive pole
                                 tenosynovitis)

      Magnesium sulfate          Skeletal muscle spasms;          Muscle relaxant effect may be       2% aqueous solution or
                                 myositis                         caused by decreased                 ointment from positive pole
                                                                  excitability of the skeletal
                                                                  muscle membrane and
                                                                  decreased transmission at the
                                                                  neuromuscular junction

      Salicylates                Muscle and joint pain in acute   Aspirin Like drugs with             10% trolamine salicylate
                                 and chronic conditions (e.g.,    analgesic and                       ointment or 2%–3% sodium
                                 overuse injuries, rheumatoid     anti-inflammatory effects           salicylate solution from
                                 arthritis)                                                           negative pole

      Tolazoline hydrochloride   Indolent cutaneous ulcers        Increases local blood flow and      2% aqueous solution or
                                                                  tissue healing by inhibiting        ointment from positive pole
                                                                  vascular smooth muscle
                                                                  contraction

      Zinc oxide                 Skin ulcers; other               Zinc acts as a general              20% ointment from positive
                                 dermatologic disorders           antiseptic; may increase tissue     pole
                                                                  healing

18   Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
ActivaPatch®
                                                                  IontoGoTM 4.0
                                                                                                                A
 INSTRUCTIONS FOR TREATMENT
 1. Open pouch and remove contents: (1) ActivaPatch® IontoGoTM 4.0;
    (1) alcohol wipe

 2. Inspect area where ActivaPatch® IontoGoTM 4.0 is to be placed and ensure
    skins intact. Clean treatment site with alcohol and wipe thoroughly.

 3. Ensure that treatment site is dry before applying ActivaPatch® IontoGoTM
    4.0.                                                                                                        B

 4. With a marked syringe, draw 2.0 cc of ionic solution and hydrate the active                           Pull
    ionic solution reservoir (see diagram A).

 5. Do not under- or overfill the reservoir.

 6. Note: Make sure that there are no visible dry spots. If dry spots are visible,
    touch up lightly with tip of syringe until they are gone (do not overfill).

 7. Gently apply your thumb to the battery case and remove the pull tab to
                                                                                                                C
    activate the patch (see diagram B).

 8. Peel liner and place patch directly on treatment area (see diagram C).
    Do not compress the electrode on reservoir area, or solution may leak.

 9. Once treatment has begun, pull off remaining release liner over pull tab
    (see diagram D).

 10. After 4 hours, remove patch.                                                                               D
 11. Properly dispose of electrode after use.

                                                                                                         Peel
 Average treatment time for 80mAmp* dosage is 4 hours.

                                                                             EACH BOX CONTAINS:
x6                       x6                        x6
                                                                             - (6) ActivaPatch® IontoGoTM 4.0
                                                                               patches

                              ALCOHOL WIPE                                   - (6) Alcohol Wipes

                                                                             - (6) Syringes

                                                                                                                    19
Sexual Dysfunction
                                                                       SEXUAL
                                                                       DYSFUNCTION

     Wanting something beyond Tadalafil? Have you tried Apomorphine?
     Whether you’re a male or female looking for a more spontaneous and natural sexual experience our novel
     approach may be exactly what you’ve been looking for.

     Apomorphine is a dopaminergic agonist with affinity for dopamine receptor sites, mostly D(2), within the
     brain known to be involved in sexual function. It enhances normal neurological signaling in sexual response.
     It stimulates dopamine receptors in the hypothalamus, causing neural signals that relax smooth muscle and
     allowing erections to happen more easily.

     Like Apomorphine, Tadalafil is a proven ED medication and its effects are cumulative and improve with daily
     use. For females, Tadalafil orally can be effective to increase sexual desire, sexual arousal, sexual orgasm and
     sexual satisfaction. It not only increases nitric oxide in the corpus cavernosum of men, but in women it also
     results in the relaxation of clitoral and vaginal smooth muscle and increased blood flow in these sites, a
     normal step in arousal and necessary to achieve orgasm.

     Apomorphine with Tadalafil is often the perfect combination for both men and women to experience a
     spontaneous and natural sexual encounter. Apomorphine is effective in 43% of men who don't respond to
     tadalafil alone. Daily use allows sexual activity to happen any time, without needing to wait for a pill to start
     working.

       Apomorphine - 2mg troche $2.00
       Tadalafil / Apomorphine - 20mg/4mg troche $4.15
       Tadalafil / Apomorphine - 40mg/4mg troche $4.15
       Tadalafil / Apomorphine - 20mg/6mg troche $4.15

20    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
SEXUAL
                                                                  DYSFUNCTION

TMC Options to Overcome Sexual Dysfunction

Tadalafil
Tadalafil is a proven ED medication and its
effects are cumulative and improve with daily         Available dosing:
use. It’s effective for both male and                 - 5mg capsule $1.25
females.Tadalafil orally can be effective to          - 10mg capsule $1.50
increase sexual desire, sexual arousal, sexual        - 20mg capsule $1.75
orgasm and sexual satisfaction. It not only           - 6mg gummy $2.50
increases nitric oxide in the corpus
cavernosum of men, but in women it also
results in the relaxation of clitoral and vaginal   - Tadalafil 40mg/oxytocin 125iu $3.00
smooth muscle and increased blood flow in           - Tadalafil 10mg/oxytocin 100iu/PT-141 1000mcg troche $3.25
these sites, a normal step in arousal and           - Tadalafil 10mg/oxytocin 100iu/PT-141 2000mcg troche $4.00
necessary to achieve orgasm.                        - Tadalafil 20mg/oxytocin 100iu/PT-141 2000mcg troche $4.50

Sildenafil

Sildenafil is used to treat men who have erectile dysfunction (also called
sexual impotence). Sildenafil belongs to a group of medicines called                        Available dosing:
phosphodiesterase 5 (PDE5) inhibitors. These medicines prevent an                        - 100mg tablet $5.00
enzyme called phosphodiesterase type-5 from working too quickly. The                     - 150mg troche $5.00
penis is one of the areas where this enzyme works. By controlling the
enzyme, sildenafil helps to maintain an erection after the penis is stroked.

Oxytocin

While Oxytocin certainly lives up to its reputation as the “Love
Hormone,” it also has broader applications like weight management              Available dosing:
                                                                               - 20 IU sublingual troche $1.00
and a performance enhancer. Oxytocin levels reach extreme levels
                                                                               - 50 IU sublingual troche $1.25
during childbirth and breastfeeding, however they have also found to           - 100 IU sublingual troche $1.50
be elevated during sexual arousal, skin to skin contact, and orgasm. Due       - 20 IU nasal spray $67.50
to this, research has been conducted and shown that exogenous                  - Oxytocin drops 24iu/0.1 10ml $75.00
administration of Oxytocin can improve libido, orgasm                          - Oxytocin drops 100iu/0.1 10ml $100.00

intensity/frequency and sexual pleasure.

  Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com          21
SEXUAL
                                                                           DYSFUNCTION

     PT141 NOW available in intranasal formulation
     Bremelanotide PT 141 is a very exciting drug
     which is frequently used by both men and
     women. It works on the central nervous system
     to directly induce an increase in libido and
     induce erections. It works in 80% of men who
     don't respond to PDE5 inhibitors and most will               Available dosing:
     now use it as a first line therapy. The results              10000 mcg/mL 2mL sterile injectable $115.00
     with women are much less objective but there                 2.5mg/0.1mL Nasal spray 3mL $150.00
     is far more research showing its success. It is
     FDA approved for women and is known to
     increase sexual gratifying experiences by 50%.

     Trimix       NOW available in transdermal gel
     Trimix is also used for sexual function. It is an intracavernosal three-drug
     injectable prescribed medication used to treat erectile dysfunction. This
     is most useful for men who cannot take oral medication or for those for
     which oral medication has not been shown effective.

       Available dosing:
       - Alprostadil/Papaverine/Phentolamine 60mcg/30mg/3mg/mL 3mL: $50.00
       Inject 0.02-0.04ml(max 0.08ml) into the base of the penis as needed for sexual activity
       - Transdermal Gel: Alprostadil/Papaverine/Phentolamine 10mcg/30mg/0.5mg 5mL TopiClick® applicator $135.00
       0.5ml- 1mL applied to the base of the penis 30 minutes prior to sexual activity

     Scream Cream
     This is a topical cream made of l-Citrulline, Aminophylline, Ergoloid Mesylate, and Pentoxifylline. The primary
     mechanism of action is substantial vasodilation to the area of application which increases sensitivity. It has
     been reported that only ~25% of women achieve orgasm from sexual intercourse, and even with clitoral
     stimulation that number only increases to 43%. Women have reported adding Scream Cream significantly
     increased libido, intensity of orgasm, and also vaginal lubrication.

          Available dosing:
          Citrulline 120mg/ml, Aminophylline 30mg/ml, Ergoloid Mesylate 0.5mg/ml, Pentoxifylline
          50mg/ml 5mL syringe- $20.00
          Dosage: Apply up to 0.5mL to clitoris 30 minutes prior to sexual activity

22    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
Weight Loss Pack
                                                                WEIGHT LOSS PACK

Have you heard about the NEW Sermorelin / Glycine Combo Pack?
Get to your goal faster with the TMC Weight Loss Pack
Sermorelin is a synthetic hormone peptide similar in structure to a growth hormone releasing hormone
(GHRH). It’s commonly utilized to optimize growth hormone levels in adults, offering a variable IGF-1 increase.
Sermorelin works to burn fat, increase lean muscle, improve hormonal balance, enhance energy and boost
the immune system by stimulating the production and release of hormones by the pituitary.

Glycine plays an important role in the control of hypothalamic-pituitary function, specifically impacting
growth hormone release. Glycine is an amino acid that acts as a stimulatory agent inducing the pituitary
gland to secrete hGH. Together, Sermorelin and Glycine make the ideal synergistic combination. The benefits
of Glycine go far beyond encouraging weight loss and enhancing lean muscle mass. Enjoy a better night's
sleep, less daytime fatigue, enhance mental clarity/cognition, significantly improved skin elasticity, tone and
texture, while receiving an enhanced synergistic boost to IGF1.

Product: Sermorelin 2000mcg/Glycine 5mg/mL 4mL
Protocol: 0.2mL subcutaneous injection, 5 of 7 nights a week. Taken 90
minutes after last caloric intake.

 Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com    23
Weight Loss Products
                                                                      WEIGHT LOSS
                                                                      PRODUCTS

     There are many ways to address fat loss. Some of these ways include increasing insulin
     sensitivity, reducing appetite, increasing metabolism, and increasing utilization of fat stores
     Below we will detail the ways each of these products can assist with fat loss.

     Increasing metabolism
     Sermorelin/Glycine: Sermorelin works to burn fat by stimulating the production and release of hormones by
     the pituitary. Glycine plays an important role in the control of hypothalamic-pituitary function, specifically
     impacting growth hormone release. Together, Sermorelin and Glycine make the ideal synergistic
     combination to increase IGF1 and help your body to burn fat.

     Increasing insulin sensitivity:
     Amlexanox has been shown to selectively inhibit TBK1 and IKK-ε, producing reversible weight loss and
     improved insulin sensitivity. It is through this mechanism that it has produced substantial results in terms of
     reducing HbA1C levels and increasing insulin sensitivity.

     Victoza is an analog of human GLP-1 and acts as a GLP-1 receptor agonist. Liraglutide increases intracellular
     cyclic AMP (cAMP) leading to insulin release in the presence of elevated glucose

24    Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com
WEIGHT LOSS
                                                                     PRODUCTS

Decreasing appetite
Oxytocin for weight management has been shown to decrease overall weight through reduced caloric consumption in
both animal and human models. Data suggests this is done by modulating the activation of hedonic food motivation
pathways. The ventral tegmental area (VTA) is one part of this pathway and the origin of dopaminergic bodies. The VTA
also has oxytocin receptors, and it is believed that saturating these receptors with exogenous oxytocin administration is
what leads to the downstream effect of decreased food desire.

Phentermine increases release of neurotransmitters which simulate metabolism and suppress appetite. Phentermine is
a “sympathomimetic” because it simulates the release and inhibition of certain neurotransmitters in your brain,
specifically dopamine and norepinephrine. Essentially it tricks your mind into feeling full

Bupropion/Naltrexone is a novel weight loss drug that combines a noradrenaline/dopamine reuptake inhibitor with a
non-selective opioid receptor antagonist. Research on the pathways that regulate food intake and body weight has
identified the hypothalamic melanocortin system and the mesolimbic reward system, which are the targets of this
combination.

Phentermine/Topiramate- Phentermine is a noradrenergic drug, which is theorized to affect food intake primarily via
the enhancement of norepinephrine release and possibly via the blockade of norepinephrine reuptake as well.
Topiramate has been shown to exhibit weight loss with a reduction in visceral body fat. Topiramate acts via modification
of excitatory voltage-activated sodium and calcium channels, antagonism AMPA/KA receptors, and enhancement of
gamma-aminobutyric acid receptor-mediated inhibitory currents. Among these actions, decreased calorie intake
appears to be a significant factor associated with topiramate-induced weight loss in humans

Increasing utilization of fat
MIC B12 L-Carnitine 25/50/50/1/50mg/ml 10mL injectable

Methionine, an essential amino acid, helps the liver breakdown fats, lowers cholesterol, relieves fatigue and helps
allergies by lowering histamine release. Inositol, a B vitamin, helps the breakdown of fats, lowers cholesterol, and helps
control mood and appetite. Choline, an essential nutrient, helps the liver breakdown fats and excrete toxins. B12, a
vitamin that boosts energy and overall metabolic rate, assists in the burning of stored body fat, helps detox, and helps
regulate sleep, mood, and appetite. The addition of L-Carnitine will assist in converting body fat to fuel and elevate
certain enzymes needed to metabolize sugars, starches, and other carbohydrates. It is used to facilitate fatty acid
oxidation, aiding in the reduction of body fat, both systemically and site specifically.

Fat Loss Cream (Aminophylline/Glycyrrhetinic acid)
Aminophylline and glycyrrhetinic acid transdermal cream is used for fat loss. Aminophylline and glycyrrhetinic prevent
cAMP breakdown. Cyclic AMP (cAMP) functions in several biochemical processes including the regulation of glycogen,
sugar, and lipid metabolism. cAMP works by activating protein kinase A (PKA) which assists in glycogen, sugar, and lipid
metabolism. Aminophylline has displayed topical fat reduction from the waist. Aminophylline and glycyrrhetinic acid
fat loss cream yields the best results through topical application.

GOAL (Glutamine, Ornithine, Arginine and Lysine)
GOAL is an amino acid blend which is commonly utilized for weight loss and endurance. Glutamine improves immunity,
aids in cellular repair, healing, and intestinal health. Ornithine helps to manage fatigue by stabilizing energy levels and
promoting better sleep. It’s utilized to reduce fatigue and improve measures of athletic performance such as speed,
strength, and power in some people. Also, taking ornithine in combination with arginine seems to improve strength and
power in male weightlifters. Arginine is known to support blood vessel tone and boost nitric oxide levels. While Lysine
together with its fatty acids helps to burn calories, thus giving the body a necessary source of energy. Lysine as an amino
acid may boost the energy levels, promote weight loss process and support the digestive system. This combination is
often the power punch patients are looking for to improve overall health while improving body composition
encouraged by improved metabolic function resulting in weight loss.

     Tailor Made Compounding Pharmacy | Ph: 1 859 887 0013 | Fax: 1 859 406 1242 | admin@tailormadecompounding.com            25
MEDICATION
     FACT SHEETS

26
Our fact sheets
          contain the
         following for
        each product:

Description         Protocol

         Clinical
        Research

                               27
3-DESOXY DHEA
     Purity:
     >98% (HPLC on request)
                                    3-Desoxy DHEA is a competitive aromatase inhibitor for use in controlling estrogen
     Molecular Formula:             and increasing endogenous testosterone production. This compound is shown to
                                    potently reduce aromatase activity through binding to the enzyme and blocking
     R1=H, R2=CH3                   access to endogenous estrogen precursors (androstenedione, testosterone). The
                                    competitive inhibition offers a more short term solution to estrogen control, as
     Molecular Weight:              aromatase inhibition only occurs while 3-Desoxy DHEA is present in the body.
     288.43 g/mol                   3-Desoxy DHEA is a relatively quickly metabolized compound and has an excellent
                                    potency with IC50 and Ki values. 3-Desoxy DHEA offers you a new option for
     Sequence:                      estrogen control and natural testosterone elevation along with a high potency
     Non-peptide                    coupled with better dose control.

     PROTOCOL:
     Content & Potency: 100mg capsules provided in a quantity of 30.
     Suggested dosage: Take 1 capsule by mouth once daily.

     CLINICAL RESEARCH:
     What is desoxy-DHEA and How Does it Work?

     Although Desoxy DHEA is an effective competitive inhibitor of aromatase it is not nearly as potent as SERMs or
     other steroidal and non-steroidal suicide inhibitors. The structure- activity relationships mentioned are notcompre-
     hensive as there undoubtedly exists additional structural manipulations that occur to further enhance aromatase
     anity. Therefore, it is NOT an appropriate replacement to prescription compounds when heavy aromatase inhibition
     is required. It does however, offer a cost-effective, safe, and legal method of estrogen management as validated by
     independent lab tests and selected in vitro data. Competitive aromatase inhibition works differently than suicide
     substrate inhibition, which is the mode of action through which other over the counter aromatase inhibitors such as
     6-OXO and ATD work. Competitive inhibition offers a more short term solution to estrogen control, as aromatase
     inhibition only occurs while Desoxy DHEA is present in the body. Desoxy DHEA is a relatively quickly metabolized
     compound. So with Desoxy DHEA Tailor Made offers you a new option for estrogen control.
     Ben Esgro, BS,CSCS,CIS

28
AMLEXANOX
Purity:
>98% (HPLC on request)

Molecular Formula:
C16H14N2O4
                                      Amlexanox is an anti-inflammatory and anti-allergic compound which has
Molecular Weight:                     traditionally been used to treat ulcers by reducing healing time and pain. It has
                                      multiple mechanisms of action such as inhibiting inflammation by inhibiting the
298.3 g/mol                           release of histamine and leukotrienes. It has been shown to selectively inhibit TBK1
                                      and IKK-ε, producing reversible weight loss and improved insulin sensitivity. It is
Sequence:                             through this mechanism that it has produced substantial results in terms of
Non-peptide                           reducing HbA1C levels and increasing insulin sensitivity.

PROTOCOL:
Content & Potency: 40mg capsules provided in a quantity of 90.
Suggested dosage: Take one capsule by mouth 3 times daily.

CLINICAL RESEARCH:
Inhibition of IKKε and TBK1 improves glucose control in a subset of patients with type 2 diabetes.

Numerous studies indicate an inflammatory link between obesity and type 2 diabetes. The inflammatory kinases
IKKε and TBK1 are elevated in obesity; their inhibition in obese mice reduces weight, insulin resistance, fatty liver
and inflammation. Here we studied amlexanox, an inhibitor of IKKε/TBK1, in a proof-of-concept randomized,
double blind, placebo-controlled study of 42 obese patients with type 2 diabetes and nonalcoholic fatty liver
disease. Treatment of patients with amlexanox produced a statistically significant reduction in Hemoglobin A1c and
fructosamine. Interestingly, a subset of drug responders also exhibited improvements in insulin sensitivity and
hepatic steatosis. This subgroup was characterized by a distinct inflammatory gene expression signature from
biopsied subcutaneous fat at baseline. They also exhibited a unique pattern of gene expression changes in response
to amlexanox, consistent with increased energy expenditure. Together, these data suggest that IKKε/TBK1 inhibitors
may be effective therapies for metabolic disease in an identifiable subset of patients.
Oral, Elif A et al. “Inhibition of IKKε and TBK1 Improves Glucose Control in a Subset of Patients
with Type 2 Diabetes.” Cell metabolism 26 1 (2017): 157-170.e7 .

                                                                                                                             29
APOMORPHINE
     Purity:
     >98% (HPLC on request)

     Molecular Formula:
     C17H17NO2

     Molecular Weight:                Apomorphine is a dopaminergic agonist with affinity for dopamine receptor sites,
                                      mostly D(2), within the brain known to be involved in sexual function. Apomorphine
     267.32 g/mol
                                      induces selective activation in the nucleus paraventricularis leading to erectogenic
                                      signals. It exerts its effect on hypothalamic centres involved in the triggering of the
     Sequence:
                                      erection cascade. It dissolves rapidly and results in an erection in responders in
     Non-peptide                      approximately 20 min.

     PROTOCOL:
     Content & Potency: Troche 2mg
     Suggested Dosage: Dissolve 1 troche under the tongue for 15 minutes before desired effect.

     CLINICAL RESEARCH:
     Oral treatment of erectile dysfunction with apomorphine SL.

     Apomorphine SL (Ixense, Uprima) is a new oral medication shown to be effective in the treatment of erectile
     dysfunction. This compound is a dopaminergic agonist with affinity for dopamine receptor sites - mostly D(2) -
     within the brain known to be involved in sexual function. Apomorphine induces selective activation in the
     nucleus paraventricularis leading to erectogenic signals. More than 5,000 men with erectile dysfunction participat-
     ed in phase II/III clinical trials assessing the safety and efficacy of doses ranging from 2 to 6 mg. The most favorable
     risk/benefit ratio is seen with a dose-optimization regimen of 2-3 mg: the 3-mg dose provides efficacy comparable
     to that of 4 mg but with fewer side effects. Consequently, review of clinical studies focuses on data with the 2- to
     3-mg dose, the registered dose for use in clinical practice. The primary efficacy endpoint in most clinical trials with
     apomorphine SL was the percentage of attempts resulting in erections firm enough for intercourse - one of the
     most rigorous endpoints used in ED trials to date. These data were collected from both patients and their partners
     by reviewing entries in patient diaries and partner BSFI questionnaires. Secondary endpoints included percentage
     of attempts resulting in intercourse and improvement in ED severity based on the International Index of Erectile
     Function (IIEF). The proportion of attempts resulting in erections firm enough for intercourse was 49.4% with 3 mg
     compared with the baseline value of 24.3%. Partner evaluations corresponded with those of the patients. Erections
     occurred between 18 and 19 min after taking apomorphine SL 2 or 3 mg. The most common side effect was nausea
     which declined with continued use. Vasovagal syncope was reported in
BUPROPION/NALTREXONE
Purity:                               Bupropion/Naltrexone is a novel weight loss drug that combines a noradrenaline/dopamine
                                      reuptake inhibitor with a non-selective opioid receptor antagonist. Research on the pathways
>99% (HPLC on request)
                                      that regulate food intake and body weight has identified the hypothalamic melanocortin
                                      system and the mesolimbic reward system, which are the targets of this combination.
Molecular Formula:                    Pro-opiomelanocortin (POMC)-producing neurons in the hypothalamus release
Bupropion: C13H18ClNO                 melanocyte- stimulating hormone (MSH) and beta-endorphin. MSH mediates the anorectic
Naltrexone: C20H23NO4                 effect of POMC, whereas beta-endorphin is responsible for autoinhibitory feedback, which
                                      inactivates the anorectic effect. Bupropion can be used to stimulate the POMC neurons,
                                      whereas naltrexone can be used to block the autoinhibitory feedback that is associated with
Molecular Weight:                     a decline in weight reduction. The combination’s mechanism of action might also regulate
Bupropion: 239.74 g/mol               the mesolimbic reward pathways, which may lead to further weight reduction by modulating
Naltrexone: 341.4 g/mol               reward values and goal-oriented behaviors. Bupropion/Naltrexone has a well-studied safety
                                      and tolerability profile. Three long-term (56 weeks) studies have shown that patients who add
Sequence:                             CONTRAVE® lose approximately 2 to 4 times more weight than with diet and exercise alone.
                                      In one study, patients who also participated in an intensive diet and exercise program for a
Non-peptide                           full year lost 25 pounds on average.

PROTOCOL:
Content & Potency: 180mg/12mg Capsule, 90mg/8mg Capsule, 90mg/6mg Capsule
Suggested dosage: The dosing of bupropion/naltrexone must be titrated. Starting with 90mg/6mg per day, increasing
over four weeks to 180mg/12mg twice daily

CLINICAL RESEARCH:
Effect of naltrexone plus bupropion on weight loss in overweight and obese adults (COR-I): a multicentre, ran-
domised, double-blind, placebo-controlled, phase 3 trial.
Despite increasing public health concerns regarding obesity, few safe and effective drug treatments are available.
Combination treatment with sustained-release naltrexone and bupropion was developed to produce
complementary actions in CNS pathways regulating body weight. The COR-I study assessed the effect of such
treatment on body weight in overweight and obese participants. 1742 participants were enrolled and randomised to
double-blind treatment (naltrexone 32 mg plus bupropion, n=583; naltrexone 16 mg plus bupropion, n=578;
placebo, n=581). 870 (50%) participants completed 56 weeks of treatment (n=296; n=284; n=290, respectively) and
1453 (83%) were included in the primary analysis (n=471; n=471; n=511). Mean change in body weight was -1.3% (SE 0.3)
in the placebo group, -6.1% (0.3) in the naltrexone 32 mg plus bupropion group (p
DANAZOL
     Purity:
     >99% (HPLC on request)

     Molecular Formula:
     C22H27NO2
                                          Danazol is a prescription medication approved to help treat endometriosis and
                                          hereditary angioedema. It is also known to significantly decrease levels of sex
     Molecular Weight:
                                          hormone binding globulin (SHBG) and thereby increase the amount of free
     337.5 g/mol                          testosterone. It’s thought that it does this by inhibiting the hepatic synthesis of
                                          SHBG on a dose dependent basis and may be accentuated by endogenous
     Sequence:                            androgen concentrations. Danazol has been shown to reduce levels of SHBG by up
     Non-peptide                          to 80% depending on the dose administered.

     PROTOCOL:
     Content & Potency: 25mg, 50mg, 75mg, 100mg, 150mg capsule, 200mg capsule
                           50mg, 100mg, 150mg, 200mg troche
     Suggested dosage: Take 1 capsule/troche by mouth every day

     CLINICAL RESEARCH:
     Changes in the SHBG concentration during danazol treatment.
     Serum levels of sex hormone binding globulin (SHBG) were measured before and during administration of danazol
     in daily doses varying between 200 and 800 mg for a period of 1-6 months. A rapid proportional decrease in SHBG
     was seen at all dose levels starting within the first 24 hours and reaching statistical significance by 48 hours. After
     approximately one month of treatment, the SHBG concentrations began to approach a new steady state at a level
     of approximately 20-30% of the original concentration, depending on the dose of danazol. The mean proportional
     reduction following a certain dose was almost identical in premenopausal and postmenopausal women. The
     findings of the present investigation suggest that danazol exerts a direct inhibitory effect on the hepatic synthesis of
     SHBG, which is dependent of the dose of danazol, independent of estrogen concentration, but possibly accentuated
     by endogenous androgens.
     Acta Obstet Gynecol Scand Suppl. 1984;123:117-23.

32
DASATINIB/QUERCETIN
 Purity:                              Dasatinib is a targeted therapy, classified as a signal transduction inhibitor, used to treat certain cases of
                                      chronic myelogenous leukemia (CML) and acute lymphoblastic leukemia (ALL). Dasatinib binds to and
 >98%                                 inhibits the growth-promoting activities of SRC-family protein-tyrosine kinases, which interact with a
                                      variety of cell-surface receptors and participate in intracellular signal transduction pathways.
 Molecular Formula:
                                      Quercetin is a pentahydroxyflave, one of the most abundant flavonoids found in our diet. It’s beneficial
 Dasatinib: C22H26ClN7O2S             effects include antibacterial, anti-thrombotic, anti-inflammatory, and antineoplastic properties as well as
 Quercetin: C15H10O7                  acts as a protein kinase inhibitor. It is an excellent antioxidant that scavenges many naturally occurring
                                      reactive oxygen species, including O2- and ONOO−. It also facilitates zinc trafficking into cells, which in
                                      turn functions as an antioxidant.
 Molecular Weight:
 Dasatinib: 488.01 g/mol              Senescent cells, which can release factors that cause inflammation and dysfunction, the senescence-
 Quercetin: 302.23 g/mol              associated secretory phenotype (SASP), accumulate with aging and at etiological sites in multiple chronic
                                      diseases. Senolytics, including the combination of Dasatinib and Quercetin, selectively eliminate
 Sequence:                            senescent cells by transiently disabling pro-survival networks that defend them against their own
                                      apoptotic environment. In the first clinical trial of senolytics, Dasatinib + Quercetin improved physical
 Non-peptide small molecule           function in patients with idiopathic pulmonary fibrosis (IPF), a fatal senescence-associated disease.

PROTOCOL:
Content & Potency: Dasatinib 50mg capsule & Quercetin 250mg capsule
Suggested dosage: Dasatinib: Take 2 capsules by mouth daily for 3 days
                       Quercetin: Take 4 capsules by mouth daily for 3 days

CLINICAL RESEARCH:
Senolytics decrease senescent cells in humans: Preliminary report from a clinical trial of Dasatinib plus Quercetin in
individuals with diabetic kidney disease.
Senescent cells, which can release factors that cause inflammation and dysfunction, the senescence-associated
secretory phenotype (SASP), accumulate with ageing and at etiological sites in multiple chronic diseases. Senolytics,
including the combination of Dasatinib and Quercetin (D+Q), selectively eliminate senescent cells by transiently
disabling pro-survival networks that defend them against their own apoptotic environment. In the first clinical trial
of senolytics, D + Q improved physical function in patients with idiopathic pulmonary fibrosis (IPF), a fatal senes-
cence-associated disease, but to date, no peer-reviewed study has directly demonstrated that senolytics decrease
senescent cells in humans.D + Q reduced adipose tissue senescent cell burden within 11 days, with decreases in
p16INK4A-and p21CIP1-expressing cells, cells with senescence-associated β-galactosidase activity, and adipocyte
progenitors with limited replicative potential. Adipose tissue macrophages, which are attracted, anchored, and
activated by senescent cells, and crown-like structures were decreased. Skin epidermal p16INK4A+ and p21CIP1+
cells were reduced, as were circulating SASP factors, including IL-1α, IL-6, and MMPs-9 and -12.
Hickson, LaTonya J et al. “Senolytics decrease senescent cells in humans: Preliminary report from a
clinical trial of Dasatinib plus Quercetin in individuals with diabetic kidney disease.” EBioMedicine
vol. 47 (2019): 446-456. doi:10.1016/j.ebiom.2019.08.069

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