How it works
Follow the steps below to start your weight loss journey.
Attend first appointment
Download the Spruce Health app. Spruce is a HIPAA secure platform for telehealth video visits and secure messaging.
What we'll cover on your first visit
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Review of your medical history.
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Discuss your weight loss goals, exercise regimen, nutrition plan, and available weight loss options.
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Schedule your 1-month follow-up visit.
We'll order your medication
Once your treatment plan is approved
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If you've had lab work within last year, send copy through the Spruce app. If you haven't had lab work done within last year, we'll provide a lab order during your first appointment. ​​
​*Lab work will be required before ordering your medication for your safety.
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After review of your lab results, you'll receive an invoice for your medication order or we'll send your prescription to your preferred pharmacy.
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The pharmacy will ship your medication directly to your home.
What to expect next
Follow-up appointments
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Scheduled on a monthly basis during the start of your treatment to ensure safety and effectiveness.
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Once you have reached your maintenance or micro-dose, your follow up visits will be scheduled every 3-4 months.
Blood pressure checks
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Since we offer our weight loss services through telehealth, we may require you to check your blood pressure periodically. Our recommendation is to invest in a home blood pressure machine.
* If you're interested, here are the home blood pressure machines we recommend.
Medical conditions and eligibility
Eligibility for services may be limited by certain medical conditions
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Currently pregnant or planning to become pregnant within the next year
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History of severe allergic reaction to Semaglutide or Tirzepatide
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BMI of less than 20
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Personal history of medullary thyroid cancer
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Family history of thyroid cancer
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MEN (Multiple endocrine neoplasia) syndrome
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Eating disorders such as anorexia, bulimia, etc.
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Substance abuse
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Type 1 diabetes
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Pancreatitis
