How it works
From your first question to your door
Step 1: Choose your medicine
Semaglutide + B12 or Tirzepatide + B12. Not sure which? Answer the questions and call us if you want to talk it through. New patients start on the lowest dose.
Step 2: Answer the medical questions
A medical questionnaire online, no office visit. You can add a photo ID, and you read and sign the telehealth consent. Rather do it by phone? Call us and we will help you with the form.
Step 3: A hold, not a charge
At the end of the form you see your price, and we place a hold on your card for your first box. A hold is not a charge. Your answers are checked against our physician's medical rules; anything that needs a closer look is reviewed by our team, who may call you. If we cannot prescribe for you, the hold is released.
Step 4: 4 pre-filled syringes at your door
If you are prescribed, you are charged for your first box and a licensed pharmacy prepares your medicine: four pre-filled syringes, one for each week, with no mixing or measuring. It is shipped to your home, and we email you the tracking.
Step 5: One injection a week
Your plan normally moves up one dose in month 2 and again in month 3, then stays. Before each step we email you to ask how you are doing, and you can choose to stay on your dose. In your account you can skip a box, pause or cancel.
A weekly injection, made easy
- • One injection a week, given at home.
- • Pre-filled syringes: nothing to mix and nothing to measure.
- • Clear instructions come with your medicine. If something is unclear, call us in office hours or write from your account.
What you receive every 4 weeks
- • 4 pre-filled syringes, one for each week
- • Alcohol prep pads
- • An injection guide
- • Access to our team by phone and from your account
Shipped discreetly to your home, with tracking by email. Shipping
The medicine
We offer two medicines: Semaglutide + B12 and Tirzepatide + B12. Both are compounded: a state-licensed pharmacy prepares them for each patient's prescription, and both contain vitamin B12.
Semaglutide is a GLP-1 medicine: it acts like a hormone the gut releases after eating. Tirzepatide acts on two gut-hormone receptors, GIP and GLP-1.
New patients start on the lowest dose. Choosing the other medicine or a higher starting dose means a conversation with our team first.
Compounded medicines are not FDA-approved: the FDA does not review them for safety, effectiveness or quality before they are sold. If you have questions about this, call us.
Your card
When you finish the form, you see your price, and we place a hold on your card for your first box. A hold is not a charge. You are charged only if you are prescribed; if not, the hold is released.
After that, you are charged every 4 weeks, about 10 days before your next box is due. Your plan normally moves up one dose in month 2 and again in month 3, then stays; your price follows your dose, and you see it before you confirm.
In your account, under Refills, you can skip a box, pause or cancel, or you can call us. A box that has already been charged or sent to the pharmacy still ships. Cancellations and refunds
Is it right for you?
For adults 18 and over, in the states we serve.
We do not prescribe for you if you:
- are under 18
- have had medullary thyroid cancer (MTC), a rare thyroid cancer, or a parent, brother, sister or child has had it
- have MEN2, a rare inherited condition that causes tumours in glands
- have had a serious allergic reaction to semaglutide or tirzepatide
- are pregnant, planning a pregnancy in the next 2 months, or breastfeeding
- have pancreatitis now, or long-term (chronic) pancreatitis
These need a closer look first:
- you take another medicine of this kind now, weekly or daily, as a shot or a pill (for example liraglutide, sold as Saxenda, or semaglutide tablets)
- you take insulin or a sulfonylurea
- you had pancreatitis in the past that has cleared up
- you have type 1 diabetes, gallbladder disease, diabetic eye disease, severe kidney or liver disease, or an eating disorder
Family history matters for one condition: if a parent, brother, sister or child has had medullary thyroid cancer, tell us in the form. Not sure what kind it was? Say “not sure”.
The form also checks your height and weight, and your state.
Important safety information
These medicines are used together with a reduced-calorie diet and more physical activity.
Do not use semaglutide or tirzepatide if you or a parent, brother, sister or child has had medullary thyroid cancer (MTC); if you have MEN2 (a rare inherited condition that causes gland tumours); if you have had a serious allergic reaction to semaglutide or tirzepatide; or if you are pregnant, planning a pregnancy in the next two months, or breastfeeding. In animal studies these medicines caused thyroid tumours; it is not known whether they do in people.
Get medical care right away for: a lump or swelling in your neck, trouble swallowing, or a hoarse voice that does not go away; severe stomach pain that does not go away, with or without vomiting; pain in the upper right belly, fever, or yellow skin or eyes; swelling of the face, lips or throat.
Nausea, vomiting, diarrhoea and constipation are common, mostly when the dose goes up. Drink enough fluids: losing fluids can harm the kidneys. If you take insulin or a sulfonylurea, your blood sugar can go too low. If you have diabetic eye disease, tell us about any change in your vision. Tell any doctor planning surgery or sedation that you take this medicine. Tirzepatide can make birth-control pills work less well for 4 weeks after you start and after each dose increase; use a backup method.
In an emergency, call 911.
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