Important safety information

This page describes the most serious risks of the treatments offered through Julora. It is general information, not medical advice, and it is not a substitute for your medication's label or your provider's instructions. Read the material VSDH sends with your prescription. If you are having a medical emergency, call 911.

Before you start any treatment, tell your provider about

• Every prescription medicine you take, including insulin and sulfonylureas.
• Every over-the-counter product and supplement.
• Every allergy and the reaction you had.
• Any surgery planned or recent.
• Whether you are pregnant, trying to become pregnant, or breastfeeding.
• Your full personal and family medical history.

Compounded semaglutide and compounded tirzepatide (GLP-1 receptor agonists)

• Serious risk of thyroid tumors. In animal studies, medicines in this class caused thyroid C-cell tumors. It is not known whether they cause these tumors in people. Do not use these medications if you or a family member has ever had medullary thyroid carcinoma, or if you have Multiple Endocrine Neoplasia syndrome type 2. Tell your provider right away about a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath.
• Pancreatitis. Inflammation of the pancreas can occur and can be serious. Stop the medication and seek care for severe stomach pain that will not go away, with or without vomiting, that may spread to your back.
• Gallbladder problems. Gallstones and gallbladder inflammation can occur. Seek care for pain in the upper right abdomen, fever, yellowing of the skin or eyes, or clay-colored stools.
• Low blood sugar. The risk is higher if you also take insulin or a sulfonylurea. Your provider may need to work with the clinician who manages those medicines.
• Kidney problems. Dehydration from vomiting or diarrhea can worsen kidney function. Keep drinking fluids and tell your provider if you cannot.
• Vision changes, allergic reactions, gastroparesis and severe stomach emptying problems, and changes in mood, including depression or thoughts of self-harm, have been reported. Tell your provider or seek care.
• Not for use in pregnancy. Do not use these medications if you are pregnant, trying to become pregnant, or breastfeeding. Tell your provider immediately if you become pregnant.
• Anaesthesia and procedures. Tell any surgeon, anaesthetist or endoscopist that you take a GLP-1 medication, because it slows stomach emptying.
• Common side effects include nausea, vomiting, diarrhea, constipation, stomach pain, indigestion, burping, tiredness, headache, dizziness, and reactions at the injection site. Most are mild and often ease over time. Tell your provider if they do not.

Compounded NAD+, glutathione, Lipo-C and vitamin B12 injections

These are not FDA-approved for the uses described on this website. They are compounded preparations, and the evidence for the uses discussed here is limited. Julora does not claim that they treat, prevent or cure any disease, slow or reverse ageing, or produce a particular result.

Injections can cause pain, redness, swelling, bruising, infection or an abscess at the injection site. Allergic reactions are possible. NAD+ injections are commonly associated with flushing, chest tightness, nausea and a feeling of pressure during or after administration. Glutathione has been associated with skin lightening, and reports of serious reactions including Stevens-Johnson syndrome and thyroid dysfunction exist for some routes of administration. Lipo-C contains B vitamins and amino acids and can cause nausea, urinary changes and injection-site reactions. High-dose B12 can cause diarrhea, itching, swelling and, rarely, changes in potassium levels.

Do not use these products if you are pregnant or breastfeeding unless your provider has specifically told you it is appropriate.

Who should not use treatment through Julora

• Anyone under 18.
• Anyone outside the United States.
• Anyone who needs emergency care, a physical examination, imaging or laboratory work that cannot be arranged remotely.
• Anyone who cannot give accurate medical information.
• Anyone for whom a provider determines online care is not appropriate.

If something feels wrong

Stop and seek care for chest pain, difficulty breathing, swelling of the face, lips or throat, severe or persistent abdominal pain, persistent vomiting, fainting, confusion, or thoughts of harming yourself. Call 911 for an emergency.

For non-emergency concerns, use your secure clinical channel, or contact VSDH using the information provided with your prescription, for questions about the medication itself.

Reporting a side effect

Report side effects through your secure clinical channel and to the dispensing pharmacy. You may also report them to the FDA MedWatch programme at 1-800-FDA-1088 or fda.gov/medwatch.

Disclaimer

Every product on this page is a compounded medication. Compounded medications are not approved by the FDA, and the FDA does not review them for safety, effectiveness or quality. They are prepared by VSDH, a state-licensed compounding pharmacy, under state board of pharmacy oversight. They are not generic versions of, and are not equivalent or interchangeable with, any FDA-approved brand-name product. A prescription is required. A provider may determine that treatment is not appropriate for you.

Clinical entity: Beluga Health LLC. Medication dispensed by VSDH, a state-licensed compounding pharmacy. See the states we serve on the state availability page. Last reviewed: September 11, 2026.