What is your weight loss goal?

Lose 5-10 lbs

Lose 10-20 lbs

Lose 20+ lbs

Haven't decided

Are you currently taking or have recently (within the last 12 months) taken medication(s) for weight loss?

Yes, I currently take or have recently (within the last 12 months) taken a GLP-1 medication for weight loss

Yes, I currently take or have recently (within the last 12 months) taken another medication for weight loss

Please list the name, dose, and frequency of your current or recent (within the last 12 months) weight loss medication(s).

Almost Done! Let's Confirm Your Details

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