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Important safety information

Last updated: October 27, 2026

This page explains the most important risks of the treatments offered through Kalpa Vitality. It's general information, not medical advice, and does not replace your medication label or your provider's instructions. In an emergency, call 911.

Before you start, tell your provider about

Every prescription and over-the-counter medicine and supplement you take, any allergies, recent or planned surgery, whether you are pregnant, planning a pregnancy or breastfeeding, and your full personal and family medical history.

Weight care

Vitality Loop Start (injection, compounded medication) · Vitality Loop Advanced (injection, compounded medication)

Compounded medication. Prepared and dispensed by VSDH, a state-licensed compounding pharmacy, under an individual prescription from a licensed provider. Compounded medications are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. They are not generic versions of, and are not equivalent or interchangeable with, any FDA-approved brand-name product. Do not use if you or a family member has had medullary thyroid cancer or Multiple Endocrine Neoplasia type 2 (MEN2); medicines in this class caused thyroid tumors in animal studies. Possible serious risks: pancreatitis, gallbladder problems, low blood sugar (higher with insulin or sulfonylureas), kidney problems from dehydration, changes in vision for people with diabetic eye disease, and allergic reactions. Not for use in pregnancy or breastfeeding, or if you are trying to conceive. Tell any surgeon or anesthetist you use this medicine. Common side effects: nausea, vomiting, diarrhea, constipation, stomach pain and tiredness. Get emergency help for severe stomach pain that won't go away, signs of an allergic reaction, or a lump or swelling in your neck.

Women's health

Balance Loop Tablet (tablet, FDA-approved generic) · Balance Loop Patch (topical patch, FDA-approved generic)

Hormone therapy may increase the risk of stroke, blood clots, heart attack, breast cancer and dementia. If you have a uterus, estrogen-only therapy increases the risk of endometrial cancer, so your provider may add another medicine. Your provider uses the lowest effective dose for the shortest time needed and reviews it with you regularly. Do not use if you have had breast cancer, a blood clot, stroke, heart attack, liver disease or unexplained vaginal bleeding, or if you are pregnant. Tell your provider about migraines, high blood pressure, smoking, gallbladder disease and any planned surgery. Common side effects: breast tenderness, headache, nausea, bloating and spotting. Get emergency help for chest pain, sudden shortness of breath, pain or swelling in one leg, sudden severe headache, vision changes, or weakness or numbness on one side of the body.

Men's sexual health

Connection Response Tablet (tablet, FDA-approved generic) · Connection Daily Ease (tablet, FDA-approved generic) · Connection Weekend Window (tablet, FDA-approved generic)

Never take with nitrate medicines for chest pain or a heart condition, or with "poppers". This can cause a dangerous drop in blood pressure. Tell your provider about heart problems, stroke, low or high blood pressure, liver or kidney problems, or blood-pressure and prostate medicines (alpha-blockers). Get emergency help for chest pain, an erection lasting more than 4 hours, or sudden loss of vision or hearing. Common side effects: headache, flushing, indigestion, stuffy nose, back pain and muscle aches.

Hair restoration

Rootline Defense Tablet (tablet, FDA-approved generic)

For men only. Women who are or may become pregnant should not handle crushed or broken tablets, because the medicine can harm a male baby. Possible side effects: lower sex drive, erection or ejaculation problems, breast tenderness or enlargement, and mood changes including depression; tell your provider straight away about any mood change. It can lower PSA blood test results, so tell any clinician who checks your prostate that you take it. Results take 3 to 6 months and fade if you stop.

Rootline Growth Tablet (tablet, FDA-approved medication, off-label use for hair)

The medication is FDA-approved; use for hair loss is off-label. Not if pregnant, breastfeeding or trying to conceive, or with low blood pressure, heart rhythm problems, heart failure or serious kidney/liver disease. May cause unwanted hair growth, dizziness, ankle swelling or fast heartbeat. Results take 3–6 months and vary. Anyone pregnant, breastfeeding or trying to conceive. Anyone with low blood pressure, heart rhythm problems or heart failure. Anyone with serious kidney or liver disease. Unwanted hair growth. Dizziness. Ankle swelling. Fast heartbeat. Chest pain. Fainting. Fast heartbeat. Sudden swelling or weight gain. Blood-pressure medicines

Rootline Scalp Serum (scalp solution, compounded medication)

Compounded medication, not FDA-approved. Not if pregnant, breastfeeding or trying to conceive. Pregnant partners should not touch the treated scalp. Do not apply to broken or irritated scalp. May cause irritation, unwanted hair growth or changes in sexual function. Results take 3–6 months and vary. Anyone pregnant, breastfeeding or trying to conceive. Anyone with broken or irritated scalp. Pregnant partners should not touch the treated scalp. Redness. Dryness. Itching. Flaking. Unwanted hair growth. Changes in sexual function. Dizziness. Chest pain. Mood changes. Severe irritation

Add-ons for an active plan

Settle Support Tablets (tablet, FDA-approved generic): may cause headache, constipation or tiredness; rarely, heart-rhythm changes. Tell your provider about heart-rhythm problems or medicines that affect heart rhythm.

Pure Energy Shot (injection, compounded medication): Compounded medication, not FDA-approved. Not with an allergy to cobalt/B vitamins or any ingredient, Leber's disease, or serious kidney/liver disease. May cause injection-site soreness, mild diarrhea or itching. Seek care for signs of an allergic reaction. Does not replace diet and exercise.

Lipo-B Energy Shot (injection, compounded medication): Compounded medication, not FDA-approved. Not with an allergy to cobalt/B vitamins or any ingredient, Leber's disease, or serious kidney/liver disease. May cause injection-site soreness, mild diarrhea or itching. Seek care for signs of an allergic reaction. Does not replace diet and exercise.

Lipo-C Energy Shot (injection, compounded medication): Compounded medication, not FDA-approved. Not with an allergy to vitamin C or any ingredient, a history of kidney stones, or serious kidney/liver disease. May cause injection-site soreness, mild diarrhea or itching. Seek care for signs of an allergic reaction. Does not replace diet and exercise.

Who should not use Kalpa Vitality

Anyone under 18, outside a state we serve, needing emergency or in-person care, or unable to give accurate medical information.

Report a side effect

Contact your care team at support@kalpavitality.com. You can also report to FDA MedWatch at 1-800-FDA-1088 or fda.gov/medwatch.

Prescriptions are issued only if a licensed provider from LocumTele determines they are appropriate. Compounded medications are prepared and dispensed by VSDH, a state-licensed compounding pharmacy. Kalpa Vitality is a telehealth platform. It is not a pharmacy and does not compound or manufacture medications.