Elementor #3558

What was your gender at birth?

This helps us understand your body better.

Are you currently pregnant, breastfeeding, or planning to become pregnant?

This treatment is not recommended for women who are pregnant or breastfeeding.

We recommend discussing your concern regarding potential weight loss treatment and guidance on weight management with your OB-GYN or primary healthcare provider.

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Are you currently taking any of the following prescription GLP-1 medications for weight loss?

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Do you have any allergies?

Include any allergies to food, dyes, prescription or over-the-counter medicines (e.g., antibiotics, allergy medications), herbs, vitamins, supplements, or anything else.

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Do you have any medical condition(s), a history of prior surgeries, or anything else you want to tell your doctor.

Click continue below when you are done!

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Ok, let’s talk about numbers.
How tall are you?

How much do you weigh?

This helps us calculate your BMI. BMI is one factor that we use to determine your weight care path, so it’s important to be as accurate as possible.

What is your goal weight? (lbs)

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