Everything You Need to Know About the O-Shot and M-Shot
By: The Hidden Epidemic of Sexual Health and What We Can Do
 Tempe 480.968.5673
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 Tempe 480.968.5673
Glendale  602.374.3374
Phoenix  602.441.3305
Chandler480.447.1165
Walk into almost any pharmacy and you’ll find shelves filled with vitamins and supplements promising better energy, stronger immunity, healthier hair and improved overall wellness. With so many choices, it’s understandable that people aren’t always sure what they should be taking. One of the questions I want patients to consider
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Walk into almost any pharmacy and you’ll find shelves filled with vitamins and supplements promising better energy, stronger immunity, healthier hair and improved overall wellness. With so many choices, it’s understandable that people aren’t always sure what they should be taking.
One of the questions I want patients to consider before starting a new supplement is simple: What are you trying to improve, and do you know what’s causing the problem?
Someone experiencing fatigue might reach for vitamin B12. Someone noticing hair thinning might start taking biotin. Others take a multivitamin every day because they assume it’s something everyone needs.
These choices aren’t necessarily wrong, but they may not address what’s actually happening in the body.
Vitamins are essential to good health, but more isn’t always better. Understanding what your body needs is far more useful than taking several supplements and hoping one of them makes a difference.
For many healthy adults, a balanced diet can provide most or all of the vitamins and minerals they need. That said, eating well doesn’t guarantee that everyone will maintain adequate nutrient levels.
Dietary restrictions, digestive conditions, certain medications and changes in appetite can all influence nutritional status. Age also matters. As we get older, our ability to absorb certain nutrients, particularly vitamin B12, may change.
This is something worth paying attention to during weight loss, too.
When you’re eating less, whether because you’re intentionally reducing calories or taking medication that affects your appetite, it’s important to make sure you’re still getting enough protein, vitamins and minerals.
I encourage patients to think about the nutritional value of what they’re eating, not simply the number of calories. A smaller appetite doesn’t reduce the body’s need for essential nutrients.
The first place to look is usually your diet. If there’s reason to suspect a deficiency or a problem with absorption, we can look more closely at whether supplementation makes sense.
There are 13 essential vitamins, and each has a role in keeping the body functioning properly. Some help us convert food into energy, while others are involved in maintaining healthy bones, producing blood cells or supporting the nervous system.
You don’t need to memorize all 13, but it helps to understand a few of the nutrients that commonly come up in conversations about health and wellness.
Vitamin B12 is involved in red blood cell formation, DNA production and normal nerve function. When levels become too low, people may experience fatigue, weakness, numbness or difficulty concentrating.
It’s important to understand that B12 isn’t a stimulant. Taking extra B12 doesn’t necessarily increase energy when your levels are already adequate.
Adults over 60, people who follow vegan diets and those with certain digestive conditions may have a greater risk of deficiency. Some medications, including metformin and long-term acid-suppressing medications, can also affect B12 levels.
Food sources include fish, meat, eggs, dairy products and fortified foods.
Vitamin D helps the body absorb calcium and maintain healthy bones. It also plays a role in normal muscle and immune function.
Even in Arizona, where sunshine is plentiful, some people have low vitamin D levels. How much vitamin D your body produces depends on several factors, including sun exposure, skin pigmentation and age.
Fatty fish, fortified dairy products and egg yolks provide some vitamin D, although getting enough through food alone can be difficult for certain individuals.
Testing may be appropriate when there are risk factors for deficiency. High-dose supplementation should not be started without medical guidance because excessive vitamin D can be harmful.
The B vitamins work together in several important processes, including converting food into usable energy and supporting normal nervous system function.
A B-complex supplement generally contains several B vitamins, including thiamine, riboflavin, niacin, B6 and B12.
People sometimes assume that taking B-complex vitamins will automatically make them feel more energetic. In reality, the benefit depends on whether they have an inadequate intake, a deficiency or another medical reason for supplementation.
Food sources include whole grains, legumes, meat, eggs and leafy green vegetables.
One caution worth mentioning: high doses of certain B vitamins aren’t harmless. For example, taking excessive vitamin B6 over time can cause nerve damage.
Vitamin C supports normal immune function, collagen production and wound healing. It also helps the body absorb iron from plant-based foods.
Most people can obtain adequate vitamin C through fruits and vegetables, including citrus fruits, strawberries, bell peppers and broccoli.
Although vitamin C is frequently promoted during cold and flu season, taking large amounts doesn’t guarantee that you won’t get sick.
Biotin is involved in the metabolism of fats, carbohydrates and proteins. It’s also commonly marketed for stronger hair and nails.
However, biotin deficiency is uncommon, and evidence that extra biotin improves hair growth in people without a deficiency is limited.
If someone is experiencing noticeable hair loss, I’d rather see them investigate possible causes than assume biotin is the answer. Thyroid conditions, iron deficiency, hormonal changes and other factors may be involved.
High-dose biotin supplements can also interfere with certain laboratory tests, including some thyroid and cardiac tests, so it’s important to tell your healthcare provider if you’re taking them.
Subscribe for expert insights on building confidence, overcoming mental barriers, and achieving lasting weight loss success. Join patients who are transforming both body and mind.Join our newsletter for expert insights on treating melasma, hyperpigmentation, and other skin concerns. Our medical aesthetic team shares practical advice to help you achieve clear, radiant skin.
Vitamins get much of the attention, but minerals are equally important.
Iron, magnesium, calcium, zinc and potassium all contribute to normal body function. Like vitamins, they serve different purposes and shouldn’t be treated as interchangeable.
For example, low iron levels can contribute to fatigue, while magnesium is involved in muscle and nerve function. Calcium is important for bone health, and zinc supports normal immune function and wound healing.
But taking extra minerals without knowing whether you need them can create problems. Excessive iron can be harmful, and some mineral supplements can interfere with medications or the absorption of other nutrients.
This is why I prefer looking at someone’s diet, symptoms and medical history before recommending additional supplements.
Fatigue is probably one of the most common reasons people start looking into vitamins. Hair thinning, difficulty concentrating, muscle weakness and changes in mood are other concerns that can lead someone to the supplement aisle.
These symptoms can sometimes be associated with nutritional deficiencies, but they’re not specific enough to tell us which nutrient might be missing.
Consider fatigue. Low B12 or iron levels may contribute to it, but so can inadequate sleep, thyroid disorders, certain medications and numerous other health conditions.
The same applies to hair loss. Nutritional deficiencies are one possibility, but they aren’t the only explanation.
Rather than guessing, I recommend paying attention to how long symptoms have been present, whether anything has changed in your health or diet and whether there are other symptoms occurring at the same time.
A medical evaluation can help determine whether laboratory testing is appropriate. Not everyone needs an extensive vitamin panel, and testing should be selected based on the individual.
A daily multivitamin can be useful for some people, particularly when dietary intake is limited or certain nutritional needs aren’t being met. But it isn’t a substitute for eating well, and not everyone needs one.
Individual supplements may be more appropriate when a specific deficiency has been identified or someone has an established reason for needing additional nutrients.
For example, a person following a vegan diet may need vitamin B12 supplementation. Someone with iron deficiency may need iron, but the underlying reason for that deficiency should also be evaluated.
It’s also worth checking what’s already in the products you’re taking. Combining a multivitamin with several individual supplements can result in unnecessarily high doses of certain nutrients.
My preference is to keep supplementation as straightforward as possible. There should be a reason for what you’re taking, an appropriate dose and a way to determine whether it’s still needed.
For a closer look at injection delivery and how it compares with oral supplementation, read our article, What Is All the Buzz About Vitamin Injections?
Vitamin injections have become increasingly popular, especially among people interested in energy, wellness and nutritional support.
The difference between an injection and an oral supplement is primarily how the nutrient enters the body.
Oral vitamins are absorbed through the digestive system. Injections bypass that process, which can be useful for certain patients, particularly those with specific absorption problems or medical indications.
But bypassing digestion doesn’t automatically mean an injection is better for everyone.
For many people, oral supplements work well. Vitamin B12, for example, can often be treated with high-dose oral supplementation, although injections may be appropriate in certain circumstances.
At Valley Medical Weight Loss & Med Spa, we offer physician-supervised wellness injections, including vitamin B12 injections and B-complex injections, as part of our broader wellness services.
The decision to use an injection should depend on the patient’s needs, medical history and treatment goals. An injection shouldn’t be viewed as a shortcut to better health or a replacement for proper nutrition.
Before buying another supplement, I recommend considering a few things.
First, look at your diet. Are you regularly eating a variety of foods, including protein sources, fruits, vegetables and whole grains? Have you recently eliminated certain food groups or significantly reduced how much you’re eating?
Next, consider your health history. Digestive problems, previous deficiencies, medications and certain medical conditions can affect nutritional needs.
It’s also important to think about what you’re hoping to accomplish. If you’re taking vitamins because you’re constantly tired or experiencing other symptoms, identifying the cause matters more than choosing the most heavily advertised supplement.
Finally, review what you’re already taking. Supplements can interact with medications, affect laboratory results or provide more of a nutrient than your body needs.
Sometimes the appropriate recommendation is a supplement. Other times it’s a dietary change, additional testing or treatment for an unrelated condition.
And sometimes no supplement is needed at all.
Your nutritional needs depend on your diet, age, medical history, medications and other individual factors. A healthcare provider can review these factors and recommend specific laboratory tests when appropriate. Symptoms alone generally aren’t enough to identify a vitamin deficiency.
Vitamin B12, vitamin D and iron status may be worth evaluating in certain patients, but fatigue has many possible causes. Taking additional vitamins without knowing why you’re tired may not help. Persistent or unexplained fatigue deserves a medical evaluation.
Yes. Some vitamins, particularly fat-soluble vitamins such as A and D, can accumulate in the body. Excessive doses of certain water-soluble vitamins can also cause problems. It’s important to consider the total amount you’re getting from foods, multivitamins and individual supplements.
That depends on the nutrient and the reason you’re taking it. Some deficiencies require regular supplementation, while others may be addressed through dietary changes or a limited course of treatment. Your healthcare provider can help determine the appropriate dose and duration.
Not necessarily. Injections can be beneficial for some individuals, especially when absorption is impaired or a particular treatment requires them. However, many nutritional deficiencies can be managed with oral supplements. The best approach depends on the nutrient and the individual.
Valley Medical Weight Loss & Med Spa serves patients in Phoenix, Glendale, Tempe and Chandler. Our medical team can review your health concerns, nutritional needs and available wellness options to help determine whether additional supplementation or evaluation may be appropriate.
There’s no shortage of supplements available, and new products seem to appear every day. That doesn’t mean you need to keep adding them to your routine.
I believe the more useful approach is to understand what your body needs and make decisions based on that information.
Good nutrition remains the foundation. Supplements can help fill certain gaps, and injections have a place in medical care, but neither should replace an appropriate evaluation when something doesn’t feel right.
If you’re unsure whether the vitamins you’re taking are helping, or whether you need them at all, that’s a reasonable conversation to have with your healthcare provider.
Valley Medical Weight Loss & Med Spa offers physician-supervised wellness services at our Phoenix, Glendale, Tempe and Chandler locations.
Walk-In Hours: Mon, Tues, Thurs, Fri: New patients until 5:00 PM, existing patients until 5:30 PM; Sat: until 3:00 PM; Wed & Sun: Closed.
Valley Medical Weight Loss has been serving the Phoenix area for over 15 years, helping patients achieve optimal health through evidence-based, physician-supervised programs. With over 80,000 successful transformations, we understand that health is highly individualized.
We offer personalized weight loss programs, GLP-1 medications, supplement recommendations, micronutrient testing, vitamin injections, and comprehensive medical supervision. We’re proud to serve Phoenix, Tempe, Glendale, Chandler, and surrounding communities.
General Disclaimer: The information on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new supplement regimen, especially if you have existing health conditions or take medications.
Supplement Disclaimer: Dietary supplements are not regulated by the FDA in the same way as medications. Valley Medical Weight Loss recommends only high-quality, third-party tested supplements. Always consult with your healthcare provider before starting supplements, as some may interact with medications or health conditions. Valley Medical Weight Loss does not guarantee outcomes. Results vary by individual based on adherence to recommendations, overall health, and lifestyle factors.
Nutrient Deficiency Testing: Micronutrient testing should be ordered and interpreted by a qualified healthcare provider. Results may vary based on individual factors, including diet, absorption capacity, and health status.
Vitamin Injection Disclaimer: Vitamin injections should only be administered by qualified healthcare professionals. Some individuals may experience mild side effects such as soreness at the injection site. Always inform your healthcare provider of any allergies or sensitivities before receiving injections.
By Dr. Samuel Zuniga, ND
Valley Medical Weight Loss | Chandler, Arizona
Walk into almost any pharmacy and you’ll find shelves filled with vitamins and supplements promising better energy, stronger immunity, healthier hair and improved overall wellness. With so many choices, it’s understandable that people aren’t always sure what they should be taking.
One of the questions I want patients to consider before starting a new supplement is simple: What are you trying to improve, and do you know what’s causing the problem?
Someone experiencing fatigue might reach for vitamin B12. Someone noticing hair thinning might start taking biotin. Others take a multivitamin every day because they assume it’s something everyone needs.
These choices aren’t necessarily wrong, but they may not address what’s actually happening in the body.
Vitamins are essential to good health, but more isn’t always better. Understanding what your body needs is far more useful than taking several supplements and hoping one of them makes a difference.
For many healthy adults, a balanced diet can provide most or all of the vitamins and minerals they need. That said, eating well doesn’t guarantee that everyone will maintain adequate nutrient levels.
Dietary restrictions, digestive conditions, certain medications and changes in appetite can all influence nutritional status. Age also matters. As we get older, our ability to absorb certain nutrients, particularly vitamin B12, may change.
This is something worth paying attention to during weight loss, too.
When you’re eating less, whether because you’re intentionally reducing calories or taking medication that affects your appetite, it’s important to make sure you’re still getting enough protein, vitamins and minerals.
I encourage patients to think about the nutritional value of what they’re eating, not simply the number of calories. A smaller appetite doesn’t reduce the body’s need for essential nutrients.
The first place to look is usually your diet. If there’s reason to suspect a deficiency or a problem with absorption, we can look more closely at whether supplementation makes sense.
There are 13 essential vitamins, and each has a role in keeping the body functioning properly. Some help us convert food into energy, while others are involved in maintaining healthy bones, producing blood cells or supporting the nervous system.
You don’t need to memorize all 13, but it helps to understand a few of the nutrients that commonly come up in conversations about health and wellness.
Vitamin B12 is involved in red blood cell formation, DNA production and normal nerve function. When levels become too low, people may experience fatigue, weakness, numbness or difficulty concentrating.
It’s important to understand that B12 isn’t a stimulant. Taking extra B12 doesn’t necessarily increase energy when your levels are already adequate.
Adults over 60, people who follow vegan diets and those with certain digestive conditions may have a greater risk of deficiency. Some medications, including metformin and long-term acid-suppressing medications, can also affect B12 levels.
Food sources include fish, meat, eggs, dairy products and fortified foods.
Vitamin D helps the body absorb calcium and maintain healthy bones. It also plays a role in normal muscle and immune function.
Even in Arizona, where sunshine is plentiful, some people have low vitamin D levels. How much vitamin D your body produces depends on several factors, including sun exposure, skin pigmentation and age.
Fatty fish, fortified dairy products and egg yolks provide some vitamin D, although getting enough through food alone can be difficult for certain individuals.
Testing may be appropriate when there are risk factors for deficiency. High-dose supplementation should not be started without medical guidance because excessive vitamin D can be harmful.
The B vitamins work together in several important processes, including converting food into usable energy and supporting normal nervous system function.
A B-complex supplement generally contains several B vitamins, including thiamine, riboflavin, niacin, B6 and B12.
People sometimes assume that taking B-complex vitamins will automatically make them feel more energetic. In reality, the benefit depends on whether they have an inadequate intake, a deficiency or another medical reason for supplementation.
Food sources include whole grains, legumes, meat, eggs and leafy green vegetables.
One caution worth mentioning: high doses of certain B vitamins aren’t harmless. For example, taking excessive vitamin B6 over time can cause nerve damage.
Vitamin C supports normal immune function, collagen production and wound healing. It also helps the body absorb iron from plant-based foods.
Most people can obtain adequate vitamin C through fruits and vegetables, including citrus fruits, strawberries, bell peppers and broccoli.
Although vitamin C is frequently promoted during cold and flu season, taking large amounts doesn’t guarantee that you won’t get sick.
Biotin is involved in the metabolism of fats, carbohydrates and proteins. It’s also commonly marketed for stronger hair and nails.
However, biotin deficiency is uncommon, and evidence that extra biotin improves hair growth in people without a deficiency is limited.
If someone is experiencing noticeable hair loss, I’d rather see them investigate possible causes than assume biotin is the answer. Thyroid conditions, iron deficiency, hormonal changes and other factors may be involved.
High-dose biotin supplements can also interfere with certain laboratory tests, including some thyroid and cardiac tests, so it’s important to tell your healthcare provider if you’re taking them.
Subscribe for expert insights on building confidence, overcoming mental barriers, and achieving lasting weight loss success. Join patients who are transforming both body and mind.Join our newsletter for expert insights on treating melasma, hyperpigmentation, and other skin concerns. Our medical aesthetic team shares practical advice to help you achieve clear, radiant skin.
Vitamins get much of the attention, but minerals are equally important.
Iron, magnesium, calcium, zinc and potassium all contribute to normal body function. Like vitamins, they serve different purposes and shouldn’t be treated as interchangeable.
For example, low iron levels can contribute to fatigue, while magnesium is involved in muscle and nerve function. Calcium is important for bone health, and zinc supports normal immune function and wound healing.
But taking extra minerals without knowing whether you need them can create problems. Excessive iron can be harmful, and some mineral supplements can interfere with medications or the absorption of other nutrients.
This is why I prefer looking at someone’s diet, symptoms and medical history before recommending additional supplements.
Fatigue is probably one of the most common reasons people start looking into vitamins. Hair thinning, difficulty concentrating, muscle weakness and changes in mood are other concerns that can lead someone to the supplement aisle.
These symptoms can sometimes be associated with nutritional deficiencies, but they’re not specific enough to tell us which nutrient might be missing.
Consider fatigue. Low B12 or iron levels may contribute to it, but so can inadequate sleep, thyroid disorders, certain medications and numerous other health conditions.
The same applies to hair loss. Nutritional deficiencies are one possibility, but they aren’t the only explanation.
Rather than guessing, I recommend paying attention to how long symptoms have been present, whether anything has changed in your health or diet and whether there are other symptoms occurring at the same time.
A medical evaluation can help determine whether laboratory testing is appropriate. Not everyone needs an extensive vitamin panel, and testing should be selected based on the individual.
A daily multivitamin can be useful for some people, particularly when dietary intake is limited or certain nutritional needs aren’t being met. But it isn’t a substitute for eating well, and not everyone needs one.
Individual supplements may be more appropriate when a specific deficiency has been identified or someone has an established reason for needing additional nutrients.
For example, a person following a vegan diet may need vitamin B12 supplementation. Someone with iron deficiency may need iron, but the underlying reason for that deficiency should also be evaluated.
It’s also worth checking what’s already in the products you’re taking. Combining a multivitamin with several individual supplements can result in unnecessarily high doses of certain nutrients.
My preference is to keep supplementation as straightforward as possible. There should be a reason for what you’re taking, an appropriate dose and a way to determine whether it’s still needed.
For a closer look at injection delivery and how it compares with oral supplementation, read our article, What Is All the Buzz About Vitamin Injections?
Vitamin injections have become increasingly popular, especially among people interested in energy, wellness and nutritional support.
The difference between an injection and an oral supplement is primarily how the nutrient enters the body.
Oral vitamins are absorbed through the digestive system. Injections bypass that process, which can be useful for certain patients, particularly those with specific absorption problems or medical indications.
But bypassing digestion doesn’t automatically mean an injection is better for everyone.
For many people, oral supplements work well. Vitamin B12, for example, can often be treated with high-dose oral supplementation, although injections may be appropriate in certain circumstances.
At Valley Medical Weight Loss & Med Spa, we offer physician-supervised wellness injections, including vitamin B12 injections and B-complex injections, as part of our broader wellness services.
The decision to use an injection should depend on the patient’s needs, medical history and treatment goals. An injection shouldn’t be viewed as a shortcut to better health or a replacement for proper nutrition.
Before buying another supplement, I recommend considering a few things.
First, look at your diet. Are you regularly eating a variety of foods, including protein sources, fruits, vegetables and whole grains? Have you recently eliminated certain food groups or significantly reduced how much you’re eating?
Next, consider your health history. Digestive problems, previous deficiencies, medications and certain medical conditions can affect nutritional needs.
It’s also important to think about what you’re hoping to accomplish. If you’re taking vitamins because you’re constantly tired or experiencing other symptoms, identifying the cause matters more than choosing the most heavily advertised supplement.
Finally, review what you’re already taking. Supplements can interact with medications, affect laboratory results or provide more of a nutrient than your body needs.
Sometimes the appropriate recommendation is a supplement. Other times it’s a dietary change, additional testing or treatment for an unrelated condition.
And sometimes no supplement is needed at all.
Your nutritional needs depend on your diet, age, medical history, medications and other individual factors. A healthcare provider can review these factors and recommend specific laboratory tests when appropriate. Symptoms alone generally aren’t enough to identify a vitamin deficiency.
Vitamin B12, vitamin D and iron status may be worth evaluating in certain patients, but fatigue has many possible causes. Taking additional vitamins without knowing why you’re tired may not help. Persistent or unexplained fatigue deserves a medical evaluation.
Yes. Some vitamins, particularly fat-soluble vitamins such as A and D, can accumulate in the body. Excessive doses of certain water-soluble vitamins can also cause problems. It’s important to consider the total amount you’re getting from foods, multivitamins and individual supplements.
That depends on the nutrient and the reason you’re taking it. Some deficiencies require regular supplementation, while others may be addressed through dietary changes or a limited course of treatment. Your healthcare provider can help determine the appropriate dose and duration.
Not necessarily. Injections can be beneficial for some individuals, especially when absorption is impaired or a particular treatment requires them. However, many nutritional deficiencies can be managed with oral supplements. The best approach depends on the nutrient and the individual.
Valley Medical Weight Loss & Med Spa serves patients in Phoenix, Glendale, Tempe and Chandler. Our medical team can review your health concerns, nutritional needs and available wellness options to help determine whether additional supplementation or evaluation may be appropriate.
There’s no shortage of supplements available, and new products seem to appear every day. That doesn’t mean you need to keep adding them to your routine.
I believe the more useful approach is to understand what your body needs and make decisions based on that information.
Good nutrition remains the foundation. Supplements can help fill certain gaps, and injections have a place in medical care, but neither should replace an appropriate evaluation when something doesn’t feel right.
If you’re unsure whether the vitamins you’re taking are helping, or whether you need them at all, that’s a reasonable conversation to have with your healthcare provider.
Valley Medical Weight Loss & Med Spa offers physician-supervised wellness services at our Phoenix, Glendale, Tempe and Chandler locations.
Walk-In Hours: Mon, Tues, Thurs, Fri: New patients until 5:00 PM, existing patients until 5:30 PM; Sat: until 3:00 PM; Wed & Sun: Closed.
Valley Medical Weight Loss has been serving the Phoenix area for over 15 years, helping patients achieve optimal health through evidence-based, physician-supervised programs. With over 80,000 successful transformations, we understand that health is highly individualized.
We offer personalized weight loss programs, GLP-1 medications, supplement recommendations, micronutrient testing, vitamin injections, and comprehensive medical supervision. We’re proud to serve Phoenix, Tempe, Glendale, Chandler, and surrounding communities.
General Disclaimer: The information on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider before starting any new supplement regimen, especially if you have existing health conditions or take medications.
Supplement Disclaimer: Dietary supplements are not regulated by the FDA in the same way as medications. Valley Medical Weight Loss recommends only high-quality, third-party tested supplements. Always consult with your healthcare provider before starting supplements, as some may interact with medications or health conditions. Valley Medical Weight Loss does not guarantee outcomes. Results vary by individual based on adherence to recommendations, overall health, and lifestyle factors.
Nutrient Deficiency Testing: Micronutrient testing should be ordered and interpreted by a qualified healthcare provider. Results may vary based on individual factors, including diet, absorption capacity, and health status.
Vitamin Injection Disclaimer: Vitamin injections should only be administered by qualified healthcare professionals. Some individuals may experience mild side effects such as soreness at the injection site. Always inform your healthcare provider of any allergies or sensitivities before receiving injections.
By: The Hidden Epidemic of Sexual Health and What We Can Do
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