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How it works

Follow the guide below to start your weight loss journey.

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Step 1 

Are you eligible for medical weight loss?

Start by calculating your body mass index (BMI)

Underweight

Healthy

Overweight

Obese

Severely Obese

A color coded BMI chart

<18.5

18.6 - 24.9

25 - 29.9

30 - 39.9

≥40

*Notate your BMI number for the Nudge Fit Intake Forms

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Step 2

Complete Nudge Fit intake forms

  • Complete the required weight loss intake forms here.

  • The provider will review your intake forms and we'll reach out to schedule you within 24-48 business hours. 

  • In order to be ready for your telehealth video appointment, please download the Spruce Health app

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Step 3

Have your first appointment

During the appointment

  • Introduction and thorough review of your medical history.

  • Discuss your weight loss goals, exercise regimen, nutrition plan, and available treatment options.

  • Schedule your 1-month follow-up visit at the end of your appointment.

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Step 4

We'll order your medication

After your appointment

  • We'll send you an invoice for your prescribed medication order. 

  • We'll submit your order to our partnered 503A compounding pharmacy within  24 - 48 business hours.

  • The pharmacy will ship your medication directly to your home. 

What to expect next

Follow-up appointments

  • Scheduled on a monthly basis during the start of your treatment to ensure safety and effectiveness. 

  • Once you have reached your maintenance or micro-dose, your follow up visits will be scheduled every 3-4 months. 

Required lab work

  • Our provider can give you a lab order during your initial consultation if needed.

  • Already have labs within the last 3 months from another provider?  Attach a picture of your lab results to the intake consultation form or send us a copy via Spruce Health app

Medical conditions and eligibility

Eligibility for services may be limited by certain medical conditions

  • Currently pregnant or planning to become pregnant within the next year

  • History of severe allergic reaction to Semaglutide or Tirzepatide

  • BMI of less than 20

  • Personal history of medullary thyroid cancer

  • Family history of thyroid cancer

  • MEN (Multiple endocrine neoplasia) syndrome

  • Eating disorders such as anorexia, bulimia, etc. 

  • Substance abuse

  • Type 1 diabetes

  • Pancreatitis 

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