How does Belle's telehealth service work?

Belle is a telehealth service for GLP-1 weight loss treatment. You complete an online assessment that takes about ten minutes, a licensed provider reviews it, and if approved, your medication ships directly to your door from a licensed pharmacy. Ongoing clinical support is free and you can message the care team anytime.

STEP-BY-STEP

1. Complete your online assessment at apply.joinbelle.com. It takes about ten minutes — you'll share your health history, goals, and current medications. You'll also select your preferred GLP-1 medication and plan length.
2. Provider review and approval. The medical team reviews your assessment within 1-2 business days. If it's clinically appropriate, your prescription is approved --- no live consultation required (though you can request one). If you're not approved, you'll receive your money back.
3. Pharmacy fulfillment and shipping. Your medication is prepared by a licensed compounding pharmacy and shipped directly to your address with tracking.
4. Free ongoing support. Message the care team anytime about dose changes, side effects, or lifestyle questions --- at no extra cost. Every patient can also join our dietitian's free weekly live webinar.

Before a refill or after intake, your provider may ask you a few questions. Once you answer them in the patient portal, your prescription goes into the provider review queue. After approval, it is sent to the pharmacy, and your medication typically ships 1 to 2 days later.

Talking to the medical team costs nothing extra. Messaging your care team or a provider about side effects, dose questions, or your plan is included in your treatment at no additional cost.

Sharing your current prescription or other documentation: If you want to continue at your current dose, it's important to upload photos of your current prescription, recent labs, or any other supporting documentation during intake. If anything is missing, you'd hear from the medical team in your patient portal. Without that documentation, your provider may not be able to continue you on your previous dose and may need to start you at the standard beginning dose.

What counts as proof of your current dose: any one of these can help your provider confirm what you are taking:

• A photo of your current prescription, label, or vial showing the dose
• The concentration and the number of units you take
• A letter from your previous provider
• A screenshot from your previous provider's or pharmacy's patient portal showing your dose

If you cannot upload a photo, you can tell the care team your dose in writing or by message instead.

If you have nothing to show: your provider may start you at the standard beginning dose and increase it every 4 weeks as you tolerate it. This is a safety step, since your body may not tolerate a higher dose after a break or when the source of the medication cannot be confirmed. If you were previously a Belle patient, your Belle history may also help your provider decide.

Once your provider approves your prescription, you no longer need to send photos for that order.

If your upload will not work or does not show up:

1. Try uploading again, or try a different device or browser.
2. If it still does not work, message the care team in the patient portal. They will pass your information to the medical team and can add it to your profile for you.
3. If you cannot provide a photo at all, tell the care team your dose, concentration, or units instead (see above).

If the medical team asks for your documentation again, it usually means the earlier upload did not reach your profile. A quick reply with the information is all that is needed.

Choosing your dose plan on the intake form: you choose how you want your dose handled, and the provider reviews your selection and follows up if they have any questions. An increasing-dose plan steps your dose up over time (typically each month) as the provider approves. Maintenance keeps you at the same dose each month unless you ask to increase (this is different from maintenance after you reach your goal weight). Either way, choosing increasing-dose vs maintenance does not change your price.

If you are new to GLP-1 medication: you do not need to upload a prescription photo. Your provider will start you at the standard starting dose (for tirzepatide, 2.5 mg) and increase it about every 4 weeks as you tolerate it.

If you have taken a GLP-1 before and want to start higher: your provider decides, based on three things: the dose you were taking, when you last took it, and whether it can be verified (see above). Starting at a dose above the standard starting dose is a decision your provider makes for you individually, so share your history during intake and your provider will follow up if they need more.

If you are coming from another provider: share your current dose and, if you can, one of the proofs listed above. Your provider can then review whether to continue at that dose or start somewhat lower and increase over time.

Why you are asked about your current dose even though Belle has your history: the dose you were prescribed and the dose you are actually taking can be different. Confirming what you actually take lets your provider base their recommendation on your real situation.

If your current dose is not one Belle offers: Belle offers standard doses up to 15 mg. If yours is not one of them, your provider can work out the units from the nearest available dose, as long as it has been less than 4 weeks since your last injection. If it has been longer, your provider may restart you at a lower dose.

Transparent pricing: Flat-rate pricing regardless of dosage. No membership fees, no monthly contracts, no hidden costs. Plans renew automatically. There is no switch to turn auto-renew off; to stop renewals, pause or cancel your plan in the patient portal.

Your dose does not change your price. Price is based on the total amount of medication in your plan, not on the dose you take. If you go up in dose, down in dose, or your concentration changes, the price stays the same for the same plan.