1. Clinical review comes first
Before any medication is discussed, a licensed clinician reviews your medical history, current medications, and what you have already tried. This is where contraindications surface — thyroid cancer history, pancreatitis, pregnancy, certain medication interactions.
A good intake is uncomfortable in places. It asks about things you might not volunteer. That is the point.
2. The prescribing decision is the clinician's
If a GLP-1 is appropriate, the clinician selects the medication and starting dose. If it is not, they explain why and what else might help. No software makes that call, and neither do we.
This matters more than it sounds. The distinction between a clinician deciding and a platform deciding is the line between medicine and something else wearing its clothes.
3. Pharmacy, then the part nobody talks about
Medication ships from a licensed pharmacy. Then the real work starts: titration, managing nausea, adjusting when a dose stops being tolerable, and deciding what happens at the end.
Most weight regain after GLP-1 treatment happens after stopping. Any programme worth joining talks to you about that at the start, not month nine.
Common questions
- Is a video visit required?
- It depends on your state and on the clinician's judgement. Some states permit asynchronous review for certain medications; others require a live visit. A service that promises no visit anywhere is telling you it does not track state rules.
- Can a questionnaire alone get me a prescription?
- It should not. A form that approves nearly everyone is not a clinical review, and it is the pattern regulators look at first. Expect real questions and expect the possibility of being told no.
- What if the clinician says no?
- That is a legitimate outcome, not a failure of the service. GLP-1 medications carry contraindications — a personal or family history of medullary thyroid carcinoma or MEN2, pregnancy, and others. A clinician who never declines anyone is not protecting you.
- How long until I start?
- Typically days rather than weeks once a clinician has reviewed you and the pharmacy has the prescription, though this varies by state and by pharmacy stock.