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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Introduction and 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
After your first appointment
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You’ll receive an invoice or have your prescription sent to your chosen pharmacy for name-brand options.
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We'll submit your order to a partnered 503A compounding pharmacy within 24-48 hours.
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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'll require you to check your blood pressure before each visit. Our recommendation is to invest in a home blood pressure machine.
If you're interested, here are the home blood pressure machines we recommend and use.
Required lab work
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Our provider can give you a lab order during your initial consultation if needed.
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If you've already had lab work done within the last 3 months from another provider? Request a PDF copy send it to us securely via Spruce Health app.
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
