What a legitimate program includes
A real medical intake, licensed prescribers in your state, lab guidance when indicated, dose-titration plans, and clear dose-hold rules. Portals for questions with defined response times and an escalation path for urgent concerns.
Pricing models explained
Subscriptions (visit + coaching + medication) feel simple—ask for line-item breakdowns. Visit-only looks cheap until pharmacy costs are added. À la carte refills can add up if you message often. Transparent programs name their pharmacy partners and products.
Safety and legality checklist
• Prioritize FDA-approved products; reserve compounded versions for true shortages with documentation.
• Display clinician licensure and physical address.
• Provide informed consent covering boxed warnings and pregnancy planning.
• Show pharmacy transparency, shipment tracking, and after-hours protocols.
Red flags
• Guaranteed results in X weeks.
• Pressure to buy compounded meds when approved options exist.
• No licensure info, no address, or vague about pharmacies.
• No adverse-event plan or unwilling to coordinate with your PCP.
How to compare programs
1. Create a grid: monthly fee, included services, medication access, dose-change rules, cancellation terms.
2. Ask who reviews labs, turnaround times, and how refills work during shortages.
3. Request sample timelines: weeks to reach maintenance dose and follow-up cadence.
Lifestyle support that matters
Programs that coach protein-forward eating, resistance training, sleep hygiene, and electrolytes reduce side-effects and preserve lean mass. Superficial tips don’t move results.
FAQ
• Insurance coverage? Sometimes for visits; medication coverage varies by plan.
• Do I need labs? Personalized; good programs decide based on risk, not a one-size panel.
• Are compounded GLP-1s safe? Not FDA-approved; use only when approved products are truly unavailable with documentation.
Sources
• FDA — Guidance on compounded semaglutide and approved GLP-1 medications.
• Obesity Medicine Association — Telehealth best practices and patient safety.
• Academic health systems — Patient guidance on GLP-1 monitoring.
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