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Patient Roadmap

The Patient Journey: Onboarding & Safety

Understand the medical protocols, state-licensed doctor reviews, compounding pharmacy sourcing, and medication management step-by-step.

JM
Dr. Jessica Mitchell, PharmD
Clinical Pharmacist & Medical Reviewer
Fact Checked Clinical Guidelines Verified
Updated: June 19, 2026
1

Free Online Health Intake

Complete a 3-minute clinical questionnaire detailng your target weight loss goals, current body mass index (BMI), medical history, and pre-existing conditions.

2

Practitioner Clinical Review

A state-licensed, independent doctor reviews your health profile. The physician checks for specific contraindications (such as endocrine disorders or thyroid histories) and determines if GLP-1 therapy is appropriate.

3

Compounding Dispensation

Approved prescriptions are sent directly to a US-licensed compounding pharmacy. The medication is sterilely prepared, custom-labeled with your dosage titration guidelines, and packaged.

4

Insulated Cold-Chain Shipping

To maintain clinical stability, your medication vials are packed with cooling gel blocks inside temperature-insulated mailers. They are shipped overnight to ensure they arrive at your home cold.

Compounded Medication Sourcing Safety

Compounded medications are prepared by state-licensed pharmacies to meet specific therapeutic needs. Under Section 503A of the Federal Food, Drug, and Cosmetic Act, these pharmacies operate under strict state board oversight.

It is important to note that **compounded drugs are not FDA-approved**. This means the FDA does not evaluate individual compounding mixtures for safety or clinical efficacy before they are dispensed. However, the pharmacies themselves are subject to regulatory standards, and the active pharmaceutical ingredients (APIs) are required to be sourced from FDA-registered facilities.

Critical Contraindications

GLP-1 medications are not suitable for everyone. Do not use if you or your family have a history of Medullary Thyroid Carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), severe renal impairment, active pancreatitis, or if you are pregnant/breastfeeding. Always consult your primary care doctor before starting therapy.