Last updated: July, 2025
After you submit your assessment, our medical team reviews it within 1-2 business days. Once approved, your prescription goes directly to our pharmacy network. The complete process typically takes 7-10 business days from submission to delivery. Thanks for your patience, and remember to factor in business days - our teams and pharmacy partners take well-deserved weekends off!
Here's the complete timeline:
Throughout this process, you'll receive text and email updates at key milestones:
Once the pharmacy processes your order, they create a shipping label and you'll receive an email directly from UPS with your tracking information. The pharmacy ships orders Monday through Thursday to avoid weekend delays with packages sitting in transit. From the time your prescription reaches the pharmacy, they require up to 5 business days to process and ship your order. Most patients receive their medication within 7-10 days of prescription approval. Please remember to take into account Business Days when considering the timeline!
Temperature control is important for medication stability. If your vials arrive warm or you have any concerns about the shipping conditions, contact the pharmacy immediately. They can assess whether the medication's integrity has been compromised and arrange for a replacement if necessary. The medications are shipped with appropriate packaging, but extreme weather conditions can sometimes affect delivery.
While manufacturers typically test multi-dose vials for sterility up to 28 days, pharmacies can extend this timeframe based on their own rigorous safety testing for specific medications. When you receive a 3-month supply in one vial, the pharmacy has verified it remains safe and effective for the entire treatment period.
We work exclusively with LegitScript-certified pharmacies—the industry's gold standard for quality and safety. Our primary partner, Striker Pharmacy, is licensed in all 50 states. While your specific pharmacy may vary by location and availability, every partner in our network meets the same strict regulatory standards and quality requirements.
Our medication programs follow a careful titration schedule designed to minimize side effects while maximizing effectiveness. Here's how each program progresses:
Compounded GLP-1 (compounded semaglutide) 4-Month Program:
Compounded GLP-1 (compounded semaglutide) 7-Month Program:
Compounded GLP-1/GIP (compounded tirzepatide) 3-Month Program:
Compounded GLP-1/GIP (compounded tirzepatide) 5-Month Program:
Understanding concentration is crucial for proper dosing. Every injectable medication has a specific concentration, expressed as milligrams per milliliter (mg/mL). This tells you how much active medication is in each unit of liquid. For example, if your medication concentration is 5mg/mL and you need a 2.5mg dose, you would inject 0.5mL.
When the pharmacy changes the concentration of your medication, the volume you inject may change, but your actual dose in milligrams remains the same. Always focus on the milligram dose rather than the volume - this is what determines the medication's effect on your body.
GLP-1 medications can be used both for active weight loss and long-term weight maintenance. Many patients use these medications for several months to a year during their active weight loss phase, then transition to a maintenance dose. Some individuals continue on a lower maintenance dose indefinitely to help maintain their results. The appropriate duration varies by individual and should be discussed with your healthcare provider based on your specific goals and health needs.
Side effects are common when starting medications and usually improve as your body adjusts. If you're experiencing side effects, do not increase your dose - this will likely make them worse. Instead, discuss your symptoms with your nurse or schedule an appointment with your provider. They may recommend staying at your current dose longer or even temporarily decreasing it. Only increase your dose every 4 weeks if you're tolerating the medication well without significant side effects.
Nausea is one of the most common side effects, but several strategies can help minimize it:
Constipation can occur as these medications slow down your digestive system. To manage this:
Initial results vary significantly between individuals, and it's completely normal not to see dramatic changes in the first month. GLP-1 medications require a gradual titration period to allow your body to adjust and minimize side effects. The first 4-6 weeks often feel slow because you're on the lowest doses, which are primarily for building tolerance. The medication is accumulating in your system during this time. Most patients begin seeing more consistent results once they reach the middle doses of their titration schedule. Remember, rapid dose increases are associated with more severe side effects, so patience during this initial phase is important for long-term success.
You can request refills through our mobile app, though we're aware some patients experience technical issues with certain refill options not displaying correctly. If you encounter problems with the app, our support team can send you a direct invoice for your refill. We're actively working on app improvements to make the refill process smoother and provide more flexibility in dosing options.
This situation often occurs due to the current refill system in our app. If you purchase a refill at a higher dose than you're currently using (for example, buying 7.5mg vials while still taking 3mg doses), simply continue with your current lower dose. Your supply will last longer than the stated duration since you're using less medication per injection. This can actually be cost-effective as you're buying in bulk.
Tapering off GLP-1 medications requires a strategic approach to maintain your results:
The most cost-effective approach is purchasing multi-month packages, which come with built-in discounts compared to monthly refills. These bundles not only save money but also ensure you have a consistent supply without worrying about monthly reorders. Additionally, we release promotional codes periodically throughout the year, so watch for email announcements about special offers.
Yes, bundle packages require full payment at the time of purchase to receive the discounted pricing. This upfront investment provides significant savings compared to paying month-by-month and ensures uninterrupted access to your medication throughout your treatment program.
Microdosing is a maintenance strategy used after achieving your weight loss goals. It involves using a lower dose than what was required for active weight loss - typically enough to maintain appetite control without continued weight reduction. The specific microdose varies by individual based on:
Some patients find success with doses 50-75% lower than their weight loss dose, while others need doses closer to their original therapeutic level. Work with your provider to find your optimal maintenance dose through gradual experimentation.
