This follow-up form is documenting the health changes that have occurred since starting on the peptides and to adjust your medication dose if necessary. Please allow up to 48-78 business hours for us to review this form.
A follow-up to refill your medication is $99. The refill consists of a new prescription order of 8 weeks sent to the compounding pharmacy.
Please be as detailed about past medical history and abnormal bloodwork (elevated lipids, elevated glucose, elevated A1C, hypertension, cardiovascular risk factors, PCOS, binge eating disorder) to support the medically necessary use of your medication. What diets and medication you have tried in the past and failed on to lose weight or maintain weight.
Please be as detailed as possible and how they’ve improved, such as:
Reduced frequency or severity of binge eating episodes
Decreased appetite or food noise
Improved blood sugar control or insulin resistance
Weight reduction that led to lower blood pressure, cholesterol, or joint pain
Increased energy, mental clarity, or physical activity tolerance
These real-life examples help demonstrate to pharmacies and regulatory bodies that the medication is effectively supporting your treatment plan and health outcomes.
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