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Some studies suggest that regulating stress state and HPA through fecal bacteria transplantation may be significant in treating depression (Liang et al., 2018)

"It improves insulin sensitivity, which reverses that insulin resistance and also, slows down gastric emptying, which means you don't eat as much

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Questions Provider May Ask: About Your Goals: Whats your target weight? What motivated you to seek treatment now? What has prevented success in the past? What support do you have? About Your Health: Any thyroid cancer in you or your family? Have you had pancreatitis? Are you pregnant or planning pregnancy? Any problems with your gallbladder? About Your Lifestyle: What does your typical day of eating look like? How often do you exercise? How much water do you drink daily? How is your sleep? About Medications: Are you on insulin or diabetes medications? Any medications for anxiety or depression? Do you take any blood thinners? Questions You Should Ask: About Treatment: Which medication do you recommend for me and why? What results can I realistically expect? Whats the dosing schedule? How long until I see results? About Side Effects: What are the most common side effects? How do I manage nausea if it occurs? When should I contact you about side effects? Are there any serious risks I should know about? About Process: How does the prescription and delivery work? When will I receive my medication? What supplies are included? How do I learn injection technique? About Ongoing Care: How often will we have follow-up appointments? How do I contact you between appointments? How do refills work? What if I need to adjust my dose? About Cost: Whats the total monthly cost? Are there any additional fees? Can I use HSA/FSA? Whats your cancellation policy? Decision and Next Steps If Approved: Provider will: Explain which medication prescribed Review starting dose and escalation Discuss injection technique resources Provide instructions for when medication arrives Schedule first follow-up appointment Answer any remaining questions Prescription sent to: Your choice of pharmacy (if brand-name) Partner compounding pharmacy (if compounded) Electronic transmission (secure, immediate) Timeline: Prescription sent same day typically Pharmacy begins processing Compounding takes 1-3 business days (if applicable) Shipping takes 1-2 business days Total: 3-7 days from consultation to delivery If Not Approved: Provider will: Explain specific reason Discuss whether anything can be addressed Suggest alternative approaches Provide other recommendations Answer questions about decision Common reasons: BMI below threshold Contraindication identified Need for additional information Medical complexity requiring in-person care State-specific requirements not met If More Information Needed: Provider may: Request recent lab work Ask for records from another provider Need blood pressure readings over time Require additional health documentation Schedule follow-up after information obtained After Consultation Documentation You Should Receive: Summary of consultation Treatment plan if approved Prescription information Instructions for next steps Contact information for questions Follow-up appointment schedule Keep this documentation for your records

Aim for adequate water intake throughout the day

If you miss your dose and remember within 3 days, wait until your regularly scheduled injection day to take it