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Step 3: Provider Review and Consultation Consultation Formats: Asynchronous (Message-Based): Provider reviews your intake information Responds with questions or approval within 24-48 hours Follow-up messaging available No scheduled appointment needed Common for straightforward cases Live Video Consultation: Scheduled virtual appointment (15-30 minutes) Real-time discussion with provider Ability to ask questions immediately Visual assessment Preferred by some patients and providers Phone Consultation: Scheduled call with provider Discussion of medical history and goals Less common than video but available Some patients prefer to prescribers What Providers Evaluate: Eligibility Criteria: BMI 30+ (or 27+ with weight-related conditions like hypertension, type 2 diabetes) No contraindications (thyroid cancer history, MEN 2, pregnancy) No medications that interact dangerously Appropriate candidate for weight loss medication Realistic expectations about results and commitment Medical Appropriateness: Is semaglutide the right choice for this patient
doi: 10.1016/j.jacbts.2018.09.004 195 Ben-ShlomoSZvibelIShnellMShlomaiAChepurkoEHalpernZet al
In the periphery, pre-proglucagon derived peptides, Glucagon-Like Peptide-1 (GLP-1), Glucagon-Like Peptide-2 (GLP-2) and oxyntomodulin (OXM) are involved in a wide variety of physiological functions, including glucose homeostasis, gastric emptying, intestinal growth, insulin secretion as well as the regulation of food intake
