Protocol

• First 24 Hours: Keep skin clean. Gentle splash with cool water only. Apply healing serum if provided. Sleep on clean pillowcase
• Days 1-3: Gentle cleanser 2x daily. Avoid harsh products. Light, hydrating moisturizer. Physical SPF 30+ essential
• Days 4-7: Continue gentle routine. Skin may flake or peel - do not pick. Resume light exercise after Day 3
• After Day 7: Can resume active ingredients gradually per provider guidance

Protocol

• Day of Treatment: Keep skin clean and dry. No products except gentle moisturizer if needed. Drink plenty of water
• Days 1-2: Gentle cleansing. Light moisturizer. Physical sunscreen SPF 30+. Skin may feel tight or slightly flaky
• Days 3-7: Resume normal skincare routine. Avoid harsh exfoliants. Continue SPF protection
• Peeling: Some may experience light peeling Days 3-5. Do NOT pick - let skin shed naturally

Protocol

• Day 0 (Treatment Day): Leave peel on skin as instructed by provider (typically 4-6 hours). Use only provided post-peel kit products
• Days 1-2: Skin will look tan/bronze. No visible peeling yet. Continue with post-peel kit. Gentle cleansing. Moisturize frequently
• Days 3-4: Peeling begins. Do NOT pick. Apply moisturizer generously. Use provided towelettes as directed
• Days 5-7: Peak peeling. Skin will shed in sheets. Continue moisturizing. Physical SPF essential. Peeling should complete by Day 7
• After Peeling Complete: Resume normal skincare gradually. Continue strict sun protection for 2 weeks minimum

Protocol

• First 24 Hours: Avoid makeup if possible. No harsh products. Gentle moisturizer and SPF only. Avoid sweating/exercise
• Days 1-3: Skin may be slightly pink. Continue gentle routine. Normal skincare can resume after 24 hours. Always wear SPF 30+
• Optimal Results: Immediate radiance with peak results at 7 days. Regular treatments every 4 weeks maintain results

Maximize Your Results

• Avoid direct sun exposure for 24-48 hours
• Do not use retinol or acids for 24 hours post-treatment
• Hydrate skin well with gentle products
• Stay hydrated - drink plenty of water

Protocol

• First 24 Hours: Gentle cleansing only. Light, hydrating products. Physical SPF 30+ essential. Avoid makeup if possible
• Days 1-3: Continue gentle routine. Skin is more receptive to products - maximize with quality serums. Avoid direct sun
• Days 4-7: Can resume active ingredients gradually. Continue SPF protection. Skin will remain ultra-smooth
• Ongoing: Repeat treatment every 3-4 weeks for optimal results

Maximize Your Glow

• Apply serums immediately after cleansing - absorption is maximized
• Use a silk or satin pillowcase to protect your smooth skin
• Makeup application will be flawless - use clean brushes/tools
• Avoid touching your face to prevent irritation

Maintaining Your Glow

• First 24 Hours: Let your skin rest. Minimal products - gentle moisturizer and SPF only. Avoid makeup if possible to let skin breathe
• Days 1-7: Continue your at-home regimen as recommended by your esthetician. Your skin is primed for optimal product absorption
• Sun Protection: Always wear SPF 30+ daily. Avoid direct sun exposure for 24-48 hours post-treatment

Extend Your Results

• Follow the personalized skincare routine recommended by your esthetician
• Stay hydrated - drink plenty of water to flush toxins
• Use clean pillowcases and avoid touching your face
• Avoid harsh exfoliants for 48 hours if extractions were performed

The BR Method at Home

• Your Personalized Protocol: Follow the exact product sequence recommended by your BR-trained esthetician. Order and timing matter
• Lotion P50: Your cornerstone product. Use as directed (morning and/or evening) on dry skin before all other products
• Layering: Apply products in order of thinnest to thickest consistency. Allow 30 seconds between each layer for absorption
• Consistency: BR products work cumulatively. Daily use as prescribed is essential for optimal results

Post-Facial Care

• Skin may feel tight or slightly sensitive - this is normal with BR treatments
• Some active BR treatments may cause light peeling Days 2-5
• Avoid sun exposure and always wear SPF 50+
• Do not use other brands' products unless approved by your BR esthetician
• Monthly facials are recommended for transformative results

Aftercare Protocol

• Immediately After: Keep bandage on for 30-60 minutes. Monitor injection site for redness, swelling, or unusual symptoms. Rest for 15-30 minutes if you feel lightheaded
• First 24 Hours: Continue drinking water throughout the day (8-10 glasses). Avoid alcohol - it counteracts hydration benefits. No intense physical activity. Light walking is fine
• Days 1-3: Maintain balanced diet rich in nutrients. Monitor how you feel - note energy levels, mood, mental clarity. Keep injection site clean and dry
• Ongoing: Schedule regular treatments per provider recommendation for sustained benefits. Most clients benefit from sessions every 1-4 weeks

Maximize Your Results

• Stay hydrated with consistent water intake throughout the day
• Eat a balanced diet with protein, fiber-rich carbs, and healthy fats
• Honor your body's rest needs - some may need extra sleep initially
• Avoid stress when possible to allow body to absorb nutrients optimally
• Track your response and share feedback with your provider

Aftercare Protocol

• Day of Treatment: Rest and allow your body to process the treatment. Some feel energized immediately while others need rest - honor what your body needs. Drink plenty of water. Eat a light, balanced meal
• Days 1-2: Continue hydration (8-10 glasses daily). Light meals to avoid nausea if sensitive. Avoid alcohol and caffeine to maintain benefits. Take it easy - avoid intense workouts
• Days 3-7: Many notice peak benefits during this period - increased energy, mental clarity, improved mood. Resume normal activities gradually. Monitor and track improvements
• Ongoing: Loading dose: 4-6 sessions within 7 days (optional). Maintenance: Monthly sessions to sustain benefits. Fasting 4-6 hours before treatment enhances results

Maximize NAD+ Benefits

• Stay well-hydrated before and after treatment for optimal absorption
• Eat nutritious whole foods - fruits, vegetables, lean proteins, healthy fats
• Get adequate sleep to support cellular repair processes
• Avoid substances that deplete NAD+ (alcohol, tobacco, excessive caffeine)
• Consider stress management techniques - meditation, yoga, deep breathing
• Maintain consistent treatment schedule for cumulative benefits

Aftercare Protocol

• Immediately After: Mild soreness or redness at injection site is normal. May feel slight energy boost or need to rest - both are normal. Apply ice if bruising occurs (10-20 minutes)
• First 24 Hours: Drink plenty of water to aid absorption. Avoid vigorous exercise of injected area for 24 hours. Keep injection site clean and dry. Avoid alcohol and excessive caffeine
• Days 1-3: Energy and mental clarity typically improve. Monitor your response and track benefits. Resume normal activities. Rotate injection sites for future treatments
• Frequency: Weekly to bi-weekly injections depending on your goals. More convenient than IV with faster administration. Effects similar to NAD+ IV but may require more frequent dosing

Injection Site Care

• Mild tenderness, swelling, or redness is normal and resolves within 24-48 hours
• Do NOT rub or massage injection site immediately after treatment
• Rotate injection sites (thigh, upper arm, buttocks) to prevent irritation
• Cold compress can reduce swelling if needed
• Contact provider if unusual symptoms persist beyond 48 hours

Aftercare Protocol

• Immediately After: Apply ice pack for 10-20 minutes if bruising occurs. Mild discomfort, redness, or swelling at injection site is normal. No downtime required - resume daily activities immediately
• First 24-48 Hours: Drink plenty of water (1-2 hours before AND after treatment). Apply sunscreen SPF 30+ daily - essential for skin brightening results. Avoid vigorous exercise of injected area. Keep injection site clean
• Ongoing Care: Consistent sun protection maximizes brightening effects. Maintain hydration to support detoxification. Healthy diet enhances antioxidant benefits. Regular treatments yield cumulative results
• Treatment Schedule: Initial: 2-3x weekly for several weeks. Maintenance: Once every 2-3 weeks after desired results. Visible improvements at 2-4 weeks, progressive brightening continues

Possible Side Effects (Usually Mild & Temporary)

• Mild nausea or queasiness - eat healthy meals to minimize
• Temporary headache - hydrate well and rest
• Dizziness or lightheadedness - sit/lie down until it passes
• Injection site irritation, redness, or sensitivity (clears in days)
• Temporary digestive changes - typically resolves quickly
• All side effects are generally mild and short-lived

Sun Protection is Essential

• Wear SPF 30+ sunscreen daily - non-negotiable for results
• Avoid tanning beds and direct sun exposure when possible
• Wear protective clothing and hats outdoors
• Reapply sunscreen every 2 hours when in sun
• Sun damage will counteract brightening benefits

Injection Protocol

• Administration: Inject subcutaneously (under skin) in abdomen, thigh, or upper arm. Rotate injection sites with each dose. Same day each week, any time of day. At least 3 days between doses required
• Storage: Keep refrigerated (36-46°F) in original carton to protect from light. Can be exposed to room temp (up to 86°F) for max 21 days. Never freeze. Dispose of used needles in sharps container

Aftercare & Side Effect Management

• Gastrointestinal Effects (Common, Especially Week 1-2): Nausea, diarrhea, constipation, or stomach discomfort. Usually decreases as body adjusts. Eat smaller, frequent meals. Avoid fatty or spicy foods initially. Stay well hydrated
• Injection Site Care: Mild redness, pain, or swelling is normal. Rotate sites to prevent irritation. Use clean, sterile technique. Watch for signs of infection (unusual redness, warmth, swelling)
• Managing Nausea: Eat light, bland meals. Take prescribed anti-nausea medication if provided. Avoid lying down immediately after eating. Ginger tea may help. Symptoms typically improve over time
• Preventing Constipation: Increase fiber intake gradually. Drink plenty of water throughout day. Exercise regularly. Consider OTC stool softener if recommended by provider

Lifestyle for Success

• Nutrition: Balanced diet with lean proteins, vegetables, whole grains, healthy fats. Smaller portions throughout day. Stay hydrated - aim for 8-10 glasses water daily
• Exercise: Start gradually with light activity. Build to 150+ minutes moderate exercise weekly. Avoid strenuous exercise immediately after injection if you feel nauseated
• Monitor Progress: Regular follow-ups with provider essential. Track weight, side effects, and how you feel. Blood work as recommended. Dose adjustments based on response and tolerance

Important Considerations

• May affect absorption of oral medications - take other meds as directed by provider
• Not recommended during pregnancy - use effective contraception
• Inform all healthcare providers you're taking tirzepatide
• Keep all scheduled follow-up appointments
• Never share pens or needles with others

Aftercare Protocol

• Immediately After: Mild burning sensation at injection site for a few minutes is normal - will dissipate as muscle is used. Resume daily activities immediately. May feel energized or need short rest - both are normal responses
• First 24 Hours: Drink plenty of water to support absorption. Gentle massage of injection area can help disperse vitamin. Avoid strenuous exercise of injected muscle for 24 hours. Keep injection site clean - avoid touching excessively
• Days 1-7: Notice increased energy within hours to days. Improved mood and mental clarity commonly reported. Pain, redness, or itching at injection site may occur but passes quickly. Effects typically last 1-4 weeks depending on individual needs
• Treatment Schedule: Most patients receive injections every 2-4 weeks. Weekly injections for those with deficiency or specific goals. Maintenance plan customized to your needs

Maximize Your B12 Benefits

• Stay Hydrated: Proper hydration helps your body utilize B12 effectively. Drink 8-10 glasses of water daily
• Balanced Nutrition: While B12 provides a boost, maintain healthy diet rich in essential nutrients. Focus on whole foods, lean proteins, vegetables, fruits
• Regular Exercise: Physical activity enhances circulation and nutrient delivery. Supports overall energy and wellness
• Quality Sleep: Adequate rest allows body to utilize B12 for cellular repair and energy production
• Consistent Treatments: Regular injections maintain optimal B12 levels for sustained benefits

Injection Site Care

• Slight soreness, mild redness, or tenderness is normal
• Gentle massage after a few minutes can help with absorption
• Rotate injection sites (arm, hip, thigh) to prevent irritation
• Avoid rubbing site immediately after injection
• Monitor for unusual swelling or persistent symptoms beyond 48 hours

Possible Side Effects (Rare & Mild)

• Pain, redness, or itching at injection site (most common, resolves quickly)
• Mild diarrhea (temporary, passes within days)
• Mild dizziness or headache (hydrate well)
• Feeling of increased energy or mild restlessness (positive sign!)
• All side effects are typically very mild and short-lived