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Treatment options may include: Semaglutide (Ozempic, Wegovy) Tirzepatide (Mounjaro, Zepbound) Compounded options when clinically appropriate All medications are prescribed based on your medical evaluation and monitored by a licensed provider

For supporting gut health, I often suggest starting with one capsule per day and working up to 1000-1500 mg daily (one capsule of Rootcology Berberine, two to three times a day), as tolerated, alongside oil of oregano (Rootcology has a version of Oil of Oregano here)

Safety Considerations for Compounded Medications Compounded medications might be easier to get in some situations, but they come with risks you should think about

Step 3: Provider Review and Consultation Consultation Formats: Asynchronous (Message-Based): Provider reviews your intake information Responds with questions or approval within 24-48 hours Follow-up messaging available No scheduled appointment needed Common for straightforward cases Live Video Consultation: Scheduled virtual appointment (15-30 minutes) Real-time discussion with provider Ability to ask questions immediately Visual assessment Preferred by some patients and providers Phone Consultation: Scheduled call with provider Discussion of medical history and goals Less common than video but available Some patients prefer to prescribers What Providers Evaluate: Eligibility Criteria: BMI 30+ (or 27+ with weight-related conditions like hypertension, type 2 diabetes) No contraindications (thyroid cancer history, MEN 2, pregnancy) No medications that interact dangerously Appropriate candidate for weight loss medication Realistic expectations about results and commitment Medical Appropriateness: Is semaglutide the right choice for this patient