Safety

The part most sites bury.

Most telehealth pages describe who a treatment is for. This one describes who it is not for, what can go wrong, and what to do about it - because that is the information that actually keeps people safe.

Who is generally not a candidate

These are examples, not a complete list, and a licensed clinician makes the determination after reviewing your full history. Any one of them can mean a decline or a different plan.

Personal or family history of medullary thyroid carcinoma, or Multiple Endocrine Neoplasia syndrome type 2 - GLP-1 and dual-agonist medicines carry a boxed warning regarding thyroid C-cell tumors observed in rodents.

Pregnancy, attempting pregnancy, or breastfeeding. These medicines are not used in pregnancy; discuss contraception and planning timelines with your clinician.

History of pancreatitis or unexplained recurrent abdominal pain.

Severe gastrointestinal disease, including gastroparesis or significant motility disorders.

Active or prior eating disorder, which changes the risk calculus of appetite-suppressing treatment substantially.

Type 1 diabetes, or diabetic retinopathy requiring close monitoring.

Known hypersensitivity to the active ingredient or to an excipient in the preparation.

Concurrent medications that interact - insulin and sulfonylureas raise hypoglycemia risk; nitrates are a hard contraindication with ED medicines.

Side effects you should expect to hear about

For GLP-1 and dual-agonist medicines, digestive effects dominate: nausea, diarrhea, constipation, indigestion, and reflux. They cluster in the days after starting or increasing a dose and usually ease as the body adjusts. Fatigue and headache are also commonly reported.

Less common but serious risks described in prescribing information include pancreatitis, gallbladder disease, kidney injury from dehydration, hypoglycemia when combined with certain diabetes medicines, and severe allergic reaction. Hair shedding during rapid weight loss is well documented and generally temporary.

Get medical help right away for

Severe or persistent abdominal pain, especially radiating to the back - a possible sign of pancreatitis

Repeated vomiting or an inability to keep fluids down

Signs of severe allergic reaction: swelling of the face, lips, or throat; difficulty breathing; widespread rash

Symptoms of very low blood sugar: confusion, shaking, sweating, fainting

Sudden vision or hearing change, or chest pain (with ED medicines in particular)

An erection lasting longer than four hours

Yellowing of the skin or eyes, or severe upper-right abdominal pain

The compounded-medication disclosure, in full

Compounded medications are prepared for an individual patient by a licensed compounding pharmacy against a prescription. They are not FDA-approved, and FDA does not review compounded medications for safety, effectiveness, or quality before marketing.

We do not describe any compounded preparation as a generic version of, equivalent to, the same as, or proven in clinical trials to match an FDA-approved product. Where we cite evidence for an approved molecule, that evidence concerns the approved product - not the compounded preparation.

FDA-approved brand-name products - the pens and tablets sold under their manufacturers’ names - are a different category, and we label which is which on every product.

How eligibility is actually decided

You complete a health intake covering weight and medical history, current medications, allergies, and family history. A licensed clinician reviews it and may request labs or additional detail. If treatment is appropriate, they prescribe; a licensed U.S. pharmacy dispenses and ships where permitted.

Completing an intake is not a purchase and does not guarantee a prescription. Being declined is a real outcome - and if you are not prescribed, you are refunded in full. Availability also varies by state and by pharmacy.

Your part of the safety system

Disclose every medication and supplement, including ones you think are irrelevant

Read your own vial or bottle label and dispensed instructions with every fill - concentrations can change between fills

Never dose from a number you found online; your label governs

Message your care team about side effects rather than quietly stopping

Dispose of needles in an FDA-cleared sharps container