SELANK Consent Form STEP 2 - SELANK CONSENT SELANK FREQUENTLY ASKED QUESTIONS Q: What is a Peptide? A: A peptide is a short chain of amino acids. The amino acids in a peptide are connected to one another in a sequence by bonds called peptide bonds. Typically, peptides are distinguished from proteins by their shorter length, although the cut-off number of amino acids for defining a peptide and protein can be arbitrary. Peptides are naturally occurring biological molecules. Peptides are found in all living organisms and play a key role in all manner of biological activity. Many health and cosmetic products contain different peptides for many uses, such as their potential anti-aging, anti-inflammatory, and muscle-building properties. Q: What is Selank? A: Selank is a synthetic peptide that was created from an immune peptide called tuftsin. Tuftsin was one of the first peptides of the immune system for which a distinct influence on the functions of the CNS was described. It also has many effects on the immune system by activating antigen detection and increasing T cell activity. In addition to its effect on immune cells, Selank can also be used to help with anxiety. It is a potent anxiolytic which can help reduce anxiety and improve a sense of wellbeing. Q: What can Selank help with? A: Selank can be used to help reduce symptoms of viral conditions like herpes and help reduce influenza and other respiratory viral infections through its ability to stimulate the immune system. Selank also has pronounced neuropsychotropic, antidepressant, and antistress effects, which means it can have positive clinical applications in anxiousness and those with a high amount of stress. Q: What is the recommended dosing schedule? A: Most doctors will prescribe this product as a nasal spray, which is given at 750mcg-1.5mg once to twice daily. This is the dose for anxiousness and immune stimulation. Q: Are there any side effects? A: Side effects with Selank are rare but can include nasal irritation and sore throat. It should also be avoided with anyone taking blood-thinning medications. Q: Can this product be taken by pregnant or women or women who are nursing? A: It is not recommended that this product be taken by those who are pregnant or nursing without consulting with a medical professional first. Q: Can men and women take this medication? A: Selank poses no issues that would be sex-dependent and has been shown to be successful in both men and women. Q: Can children take this medication? A: It is not recommended that this product be taken by children without consulting with a medical professional first. Q: Can I drink alcohol while taking Thymosin Alpha-1? A: Selank does not exhibit any chemical properties that would require any kind of food or dietary restrictions while taking. Q: How can I be sure of the sterility and safety of the product? A: All chemicals and components used must come from an FDA-registered manufacturing facility with a certificate of analysis to authenticate the identity and purity of each chemical. All products are compounded in correspondence with USP 797 guidelines. Each solution is sterilized using a 0.22um sterile syringe filter within an ISO 5 (sterile) environment. A sample from each batch is sent out to a third-party analytical laboratory for USP 71, endotoxin, and USP 81 testing and must indicate passing results before the batch is released for dispensing. Q: Does Selank require refrigeration? A: Selank should be stored under refrigerated conditions. However, stability data does indicate that it is stable outside of refrigerated conditions for up to 7 days without compromising the stability of the medicine. Q: Is it safe to travel with this product? A: As a 503A pharmacy, we require patient-specific prescriptions for all items. As a prescribed medication, each product is safe to travel with and should not be seized. All products are stable for up to 7 days outside of refrigeration but should be limited, if possible, during travel. Stability data also indicates that this medication is not damaged or compromised when exposed to x-rays during standard security checks. Name Date Signature Clear Agreement I have read and understand the information above. I have been encouraged and have had the opportunity to ask questions regarding this peptide therapy. All of my questions have been answered to my satisfaction. I understand and accept any possible side effects. I understand there is no guarantee. reCAPTCHA Submit If you are human, leave this field blank.