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Check GLP-1 Eligibility
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1
Please provide your name
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First Name
Last Name
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2
Please provide your email
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example@example.com
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3
Enter your current height and weight to help us calculate your BMI.
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4
What are your weight loss goals?
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Lose 1-20 lbs for good
Lose 21-50 lbs for good
Lose over 50 lbs for good
Maintain my healthy weight
None of the above
Other
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5
Are you currently taking, or have you previously taken GLP-1 medications?
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Yes, currently taking
Yes, previously taken
No, never taken
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6
What Medication are you interested in?
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Compounded Semaglutide
Ozempic®
Compounded Tirzepatide
Wegovy®
Oral Semaglutide
Mounjaro®
Oral Tirzepatide
No preference
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