Glycerin, Beeswax, and Light Liquid Paraffin retain hydration and provide a protective barrier
Cycling (using for 4-6 weeks then taking a break) helps maintain the sexual response
Empower Pharmacy , one of the largest 503B compounding facilities, has offered semaglutide-cyanocobalamin combinations, though formulation specifics vary over time

#14900/A TALC, CALCIUM SODIUM BOROSILICATE, ISONONYL ISONONANOATE, CALCIUM ALUMINUM BOROSILICATE, ETHYLHEXYL ISONONANOATE, PENTYLENE GLYCOL, MICA, SILICA, PEG-6 CAPRYLIC/CAPRIC GLYCERIDES, POLYBUTENE, PHENOXYETHANOL, ETHYLENE/PROPYLENE/STYRENE COPOLYMER, DIMETHICONE, TIN OXIDE, SORBIC ACID, BUTYLENE/ETHYLENE/STYRENE COPOLYMER, MAGNESIUM ALUMINUM SILICATE, HECTORITE, PINUS PENTAPHYLLA SEED OIL, CARTHAMUS TINCTORIUS (SAFFLOWER) SEED OIL, BHT, ALOE BARBADENSIS LEAF JUICE, GOLD, ROSA CANINA FRUIT OIL, [+/- :CI 19140 (YELLOW 5, YELLOW 5 LAKE), CI 42090 (BLUE 1 LAKE), CI 77007 (ULTRAMARINES), CI 77163 (BISMUTH OXYCHLORIDE), CI 77288 (CHROMIUM OXIDE GREENS), CI 77289 (CHROMIUM HYDROXIDE GREEN), CI 77491, CI 77492, CI 77499 (IRON OXIDES), CI 77510 (FERRIC FERROCYANIDE, FERRIC AMMONIUM FERROCYANIDE), CI 77742 (MANGANESE VIOLET), CI 77891 (TITANIUM DIOXIDE), ]