After Consultation: Next Steps: Prescription Processing: Provider sends prescription to pharmacy (same day usually) Pharmacy begins compounding (for compounded semaglutide) Payment processed Shipping arranged Education: Review injection technique videos Read medication guides Prepare injection site rotation plan Set up medication tracking system Prepare for Delivery: Ensure someone home to receive cold-shipped package Clear refrigerator space Gather any additional supplies needed Schedule first injection Follow-Up Scheduling: First check-in often at 2 weeks Monthly appointments thereafter Mark calendar for follow-ups Set reminders for weekly injections Red Flags in Consultations: Watch out for: Provider who barely reviews your information Auto-approval without discussion Refusal to answer questions Pressure to start immediately Dismissal of your concerns No discussion of risks or side effects Unclear about costs or process A quality consultation takes time and involves real medical decision-making

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Processed foods: Fast food, chips, sugary snacks Sugary drinks: Soda, sweetened coffee, fruit juices Fried & greasy foods: Can increase nausea & stomach discomfort Excess alcohol: May worsen side effects & slow weight loss For more details, read an amazing blog Eating Tips to keep you on track by Dr
Of note, patients on immunosuppressive agents should stop taking them and start taking an antibiotic, and patients on anticoagulant or antiplatelet medications should be instructed to stop them one week before any intervention
Remaining sedentary or repeating the same eating patterns during a plateau often extends it indefinitely, whereas introducing new physical activity or dietary structure can shift the stalled scale within 3 to 4 weeks