Lipotropic (Lipo B12) Injection Consent

Treatment Overview

Lipotropic injections (Lipo B12) contain a combination of amino acids and vitamins including Methionine, Inositol, Choline, and Vitamin B12 to support fat metabolism, energy production, and liver function.

These injections are intended to support weight loss efforts when combined with proper diet and exercise.

Potential Benefits

• May assist with fat metabolism and weight loss
• Increased energy levels
• Improved metabolism
• Support liver detoxification
• Enhanced mood and cognitive function

Risks & Side Effects

• Pain, redness, or swelling at injection site
• Bruising
• Allergic reaction
• Nausea or upset stomach
• Headache or dizziness
• Infection (rare)

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Medical Disclosure & Contraindications

• I have disclosed all medications, supplements, and medical conditions.
• I am not pregnant or breastfeeding unless discussed with my provider.
• I do not have a known allergy to any components of the injection.
• I understand individuals with sulfa allergies may not be candidates.

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No Guarantee

I understand that results vary and are not guaranteed. Multiple treatments may be required to achieve desired results.

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Consent

I have had the opportunity to ask questions and understand the risks, benefits, and alternatives. I voluntarily consent to treatment.