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For those unfamiliar, direct-to-consumer (DTC) telehealth connects patients with licensed providers virtually, offering consultations and prescriptions without the need for traditional in-person visits

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Despite this, a recent meta-analysis demonstrates that rapid weight loss carries no increased risk of reduction in muscle mass (vs

A standard weight loss workup at our clinic includes: Fasting insulin and HOMA-IR, a direct measure of insulin resistance Hemoglobin A1C A full thyroid panel, including Free T3, Free T4, and Reverse T3 (not just TSH) Comprehensive sex hormone panels for both men and women Cortisol patterns Inflammatory markers Advanced lipid particle analysis A DEXA body composition scan to precisely measure fat mass, lean mass, visceral fat, and bone mineral density That diagnostic picture determines the protocol

We can only safely and legally prescribe Wegovy online if we check to make sure people meet the prescribing criteria