Tailor Made Compounding Catalog - A4M
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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
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
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
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 7
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 33
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