Let’s find the safest, most effective weight loss treatment for you.

Receive personalized 1:1 coaching and ongoing expert support while taking doctor-prescribed GLP-1 medication such as semaglutide or tirzepatide. On average, individuals can expect to lose 15-20% of their body weight with this holistic curriculum.

First Name *

Last Name *

Email *

Address

City

State

Postal code

Country

Phone *

What’s your current height?

What’s your current weight?

Are you currently pregnant or breastfeeding? *

Do you, your siblings, or your parents have a history of the following conditions? *

Medullary Thyroid Cancer

Multiple Endocrine Neoplasia Type-2

None of the above

Are you allergic to any medications? Please specify if you are. *

Are you currently taking any of the medications below? *

Do you have government insurance? *

90-Day JumpStart ’s weight loss program is not available to members of government insurance programs such as Medicare, Medicaid, or Tricare. If you have commercial or employer-sponsored insurance or if you are uninsured, you may continue signing up and will be able to get a weight loss treatment plan which may include GLP-1 medication such as Ozempic, Zepbound, Mounjaro, Wegovy, Semaglutide, or Tirzepatide.

What’s your resting heart rate? *

This helps 90-Day JumpStart determine the best treatment options for you. If you don't have a recent measurement, follow these steps: Place your index and middle fingers on the side of your neck in the groove under your jaw and next to your windpipe. Press firmly until you feel a pulse. If you can't feel it, adjust your fingers and pressure until you do. Count the pulses for 30 seconds and then double the number to get your heart rate.