
How it works
Follow the steps below to start your weight loss journey.

STEP 2
Attend first appointment
We'll reach out to schedule you.
Download Spruce Health, the app we use for telehealth visits and messaging.

STEP 3
Start your medication
We'll place your medication order and have it delivered directly to your front door.
What's next?
Follow-up appointments
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Monthly visits may be necessary while adjusting to your new medication. Once stable, follow-ups are typically every 3–4 months.
Blood pressure checks
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Because our weight loss care is provided through telehealth, you may need to check your blood pressure periodically. We recommend having a home blood pressure monitor.
We recommend these blood pressure machines from Amazon
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
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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








