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Consultation Format: Asynchronous (Most Common): Complete detailed questionnaire online Provider reviews within 24-48 hours Responds with questions or approval Can message with questions Live Video/Phone: Scheduled appointment (15-30 minutes) Real-time discussion with provider Ask questions directly Decision made during visit What Provider Assesses: Eligibility for GLP-1 therapy Which medication is best for you Starting dose Contraindications Realistic expectations Commitment to treatment Step 4: Choose Your Medication Decision Framework: Choose Semaglutide If: Want excellent results at lowest cost Need to lose 20-50 pounds Budget is primary concern ($199/month) Have cardiovascular disease Choose Tirzepatide If: Want maximum results Need to lose 50+ pounds Can afford $349/month Want most effective medication Your provider will help you decide based on your goals, health status, and budget

JAMA 1990;264:723-6

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When the body isnt getting enough overall energy, or when carbohydrates are drastically reduced, these systems can shift into conservation mode