Step 1 of 7

First, what’s your age range?

Your age helps the physician tailor your program and dosing protocol. Tirzepatide is approved for adults 18 and over.

Step 2 of 7

What best describes your situation?

This helps us understand what your body is responding to so your Wellness Coordinator can tailor your program.

Step 3 of 7

How much would you like to lose?

There’s no wrong answer. Your goal helps us pace the program realistically.

Step 4 of 7

Have you used a GLP-1 before?

Any prior experience helps us pick the right starting dose and set realistic expectations.

Step 5 of 7

A quick safety check.

Do any of these apply? Select any that do. This is standard physician intake — be honest so you stay safe.

Step 6 of 7

What matters most to you?

We’ll use this to customize your coaching focus and weekly check-ins with your Wellness Coordinator.

Step 7 of 7 • Last step

Great. Where should we send your results?

A Wellness Coordinator will review your intake and reach out within 24 hours. No obligation to start — you’ll see your full recommendation on the next page.

Please complete all fields to continue.

Building your recommendation...

Analyzing your answers against our program framework.

Thanks for being honest — let’s talk first.

Based on your answers, our program may not be the safest fit right now. A quick conversation with our team will help determine the right next step for you — and if we’re not a fit, we’ll point you toward better options.