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Each provider is a little different, but most offer: A licensed medical consult (usually online) The medication, if approved (shipped monthly) A patient portal or text messaging access Some level of ongoing support Pro tip: Some programs (like Josie) have more personalized refill processes, while others may auto-charge each month without check-ins

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Yet despite these benefits, some patients taking GLP-1 medications report serious gastrointestinal issues (such as gastroparesis and bowel obstruction) and, in other cases, vision injuries claims that now form the backbone of ongoing litigation

Once a vial is mixed it needs to stay cold, so keep reconstituted vials with an ice pack and refrigerate on arrival

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