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It May Be Worth Discussing If You: Want physician-supervised wellness care Have specific recovery, body composition, mobility, or healthy-aging goals Prefer telehealth and home delivery where available Are willing to complete a medical evaluation Understand that results vary Are comfortable with follow-up care It May Not Be Appropriate If You: Want guaranteed results Want treatment without a medical evaluation Are unwilling to disclose medications or conditions Are pregnant, breastfeeding, or have certain contraindications Do not want provider monitoring Need urgent medical evaluation Every peptide therapy program should begin with a careful medical evaluation and a clear conversation about the patients individual goals

Once-Weekly Semaglutide in Adults with Overweight or Obesity New England Journal of Medicine 4

Small-breed dogs often get discussed in the context of degenerative valve disease as they age, while certain large breeds show up more often in discussions around dilated cardiomyopathy