TIER PLANS TIER 1 (5mg total) $195 total for 8-10 week supply Monthly cost breakdown: $78-$97 based on weekly dose Recommended if new to treatment or for those on 0.2-0.6mg/week TIER 2 (10mg total) $230 total for 8-10 week supply Monthly cost breakdown: $92-$115 based on weekly dose Recommended for those on 0.7-1.2mg/week TIER 3 (20mg total) $260 total for 8-10 week supply Monthly cost breakdown: $104-$130 based on weekly dose Recommended for those on 1.3mg/week and up TIER 4* (30mg total) $300 total for 8-10 week supply For patients approved to be on high dose therapy of 3-4mg per week Monthly cost breakdown: $120-$150 based on weekly dose TIER 5* (40mg total) $350 total for 8-10 week supply For patients approved to be on high dose therapy of 4-5mg per week Monthly cost breakdown: $140-$175 based on weekly dose Southend Pharmacy - Semaglutide/B6 Injection Up to 90 days BUD

A practitioner asking should I offer MIC? in 2026 is implicitly asking why would I, when I can prescribe a GLP-1? The honest answers are narrower than the marketing, but they are real: Patients who cannot or will not take a GLP-1
These are vendor and community figures for laboratory research settings, not validated human clinical doses, and this article is not dosing guidance
Use may result in positive drug tests, sanctions, and disqualification from competition
Ideal maintenance candidates include: People on plant-based diets who need regular B12 supplementation to prevent gradual depletion
Can I Return to Normal Activities