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Afghanistan
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Angola
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Azerbaijan
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Bangladesh
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Brazil
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Burkina Faso
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
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Congo
Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
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Ecuador
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Equatorial Guinea
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Estonia
Ethiopia
Falkland Islands
Faroe Islands
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Gabon
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Georgia
Germany
Ghana
Gibraltar
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Guam
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Guinea-Bissau
Guyana
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India
Indonesia
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Ireland
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Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
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Laos
Latvia
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Lesotho
Liberia
Libya
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Lithuania
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
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Martinique
Mauritania
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Mayotte
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Micronesia
Moldova
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Mongolia
Montenegro
Montserrat
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
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Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
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Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
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Sierra Leone
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Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
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Sri Lanka
Sudan
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eSwatini
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ORDER SUMMARY
Total cost
USD
1 Month - Compounded Tirzepatide
1-Month Program — $349 • Shipped monthly with all necessary syringes and supplies ( any dose) • 24/7 provider access via support@safer.health or text 718-532-4569 • Free next-day delivery to NY, NJ, CT, and PA✅ Ideal for those beginning their wellness journey with maximum flexibility
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3 Month - Compounded Tirzepatide
🔥3-Month Membership — $299 per month ($897 total) - Any Dose. No Price IncreasesTake advantage of an affordable 3-month plan designed for convenience and progress. • Supplies: 3-month supply with automatic shipping and dedicated provider support. • Savings: Save $150 total vs $349/mo (≈ 14%). • Ideal for: Steady results with simple renewals.📩 Email: orders@safer.health📱 Text: 718-532-4569 • Billed upfront, shipped monthly (Any dose) • All syringes and supplies included • 24/7 provider access: support@safer.health or text 718-532-4569 • Free next-day delivery across NY, NJ, CT, and PA
$
897.00
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6 Month - Compounded Tirzepatide
🚀 6-Month Membership — $279 per month ($1,674 total) Any Dose, No Price Increases. Enjoy greater savings with fewer renewals. • Supplies: 6-month supply shipped monthly. • Savings: Save $420 total (≈ 20%). • Ideal for: Extra convenience and continuous progress. 📩 Email: orders@safer.health 📱 Text: 718-532-4569 • Billed upfront, shipped monthly (Any dose) • All syringes and supplies included • 24/7 provider access: support@safer.health or text 718-532-4569 • Free next-day delivery across NY, NJ, CT, and PA
$
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12 Month - Compounded Tirzepatide
💪🏻 12-Month Program — $2,628 ($219/month value) • Billed upfront, shipped monthly (Any dose) • All syringes and supplies included • 24/7 provider access: support@safer.health or text 718-532-4569 • Free next-day delivery across NY, NJ, CT, and PA 💡 Save $1,140 — the best value for lasting wellness and complete convenience
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First Name
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13
H&P Certification
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Before obtaining your prescription, please review your Health & Physical (H&P) Certification. These statements outline the required self-assessment used to determine prescription eligibility and safety. You can view the full certification details at the link below before completing your purchase.
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Let’s get to know you…
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“You need to carefully review each statement below and confirm that you agree. If you have any questions, a licensed provider will contact you after checkout.” ⸻ Compounded Tirzepatide Declaration I agree, in the form of a declaration given under oath and penalty of perjury, that I: General Information • am 18 years or older, completing this attestation for myself voluntarily, and have provided accurate demographic information, including my full name, address, IP address, and physical location from which I am visiting this website, as well as my accurate sex assigned at birth, height, and weight. • will only use this service to seek a prescription for myself, will take the medication as prescribed, and will not share, sell, or distribute any medication I receive. • understand that this attestation will be reviewed by a physician licensed in my state (the “Telehealth Provider”) who will make an independent prescribing decision based on my medical history and state regulations. • understand that prescribing compounded medications via telehealth is at the discretion of the Telehealth Provider, who will determine clinical appropriateness, dosing, and refill frequency in accordance with applicable law. • agree that a valid physician–patient relationship is being established via this asynchronous telehealth platform, which may be supplemented by video or phone communication if the provider deems it necessary. • acknowledge that I have reviewed and accept the Consent to Telehealth and Terms & Conditions located at https://koshermedications.com/terms. ⸻ Consent to Telehealth • understand that telehealth services provided through KosherMedications.com are intended as a convenient and supplemental mode of care, and should not replace in-person visits or regular care with my primary healthcare provider. • acknowledge that the Telehealth Provider cannot continuously monitor my medical condition, lab results, or side effects, and that I assume any risks associated with this model of care. • understand that once my prescription is issued, the physician–patient relationship concludes unless otherwise stated or a follow-up visit is required. • understand that compounded Tirzepatide is a custom-made medication prepared by a licensed compounding pharmacy using FDA-registered ingredients, but it is not FDA-approved. • consent to the secure transmission of my medical and personal information to the Telehealth Provider and compounding pharmacy for the purpose of fulfilling my prescription in compliance with HIPAA regulations. • hold harmless KosherMedications.com, the Telehealth Provider, and the pharmacy for technical interruptions or data transmission issues inherent to electronic communication. ⸻ Clinical Information About Me (Specific to Compounded Tirzepatide) I declare that I: • am seeking compounded Tirzepatide as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management. • understand that compounded Tirzepatide is a non-branded formulation and is not FDA-approved, but is prepared in a licensed compounding facility using high-quality, FDA-registered ingredients. • understand that Tirzepatide is a dual GIP and GLP-1 receptor agonist that can lower blood sugar levels and promote weight reduction, and will use it only under physician supervision. • have no personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). • have not had any hypersensitivity reactions to Tirzepatide or any of its components. • am not currently using another GLP-1 or GIP receptor agonist medication. • understand that Tirzepatide may slow stomach emptying, potentially affecting absorption of other oral medications. • understand and will monitor for possible side effects, including nausea, vomiting, diarrhea, constipation, fatigue, or abdominal pain, and will contact my healthcare provider if these persist or worsen. • understand that Tirzepatide may increase the risk of gallbladder issues, pancreatitis, or kidney problems, and will report symptoms such as severe abdominal pain, dark urine, yellowing of the skin or eyes, or persistent vomiting. • will monitor for changes in mood, depression, or suicidal thoughts, and notify a healthcare provider immediately if these occur. • understand that injection devices or vials must not be shared with others to prevent contamination or infection. ⸻ My Health Status and Medical History • am in generally good health apart from the condition for which I am seeking treatment. • am not pregnant or breastfeeding. • have accurately disclosed my medical history, allergies, and all current medications and supplements. • understand that the Telehealth Provider may request additional medical history, lab results, or a video consultation to determine eligibility before prescribing this medication. ⸻ General Information About Prescription Drugs • understand that compounded Tirzepatide, like all compounded medications, has not undergone FDA review for safety or efficacy, and this form may not include all potential side effects or precautions. • understand that I can find additional safety information at www.fda.gov and information about drug interactions at www.drugs.com/drug_interactions.html. • agree to read and understand all educational materials provided with my prescription before beginning treatment. • agree to consult my primary care provider with any questions about drug interactions, long-term safety, or additional monitoring. ⸻ Pharmacy Information • understand that KosherMedications.com works with licensed U.S. compounding pharmacies to fulfill prescriptions written by Telehealth Providers. • understand that the Telehealth Provider and the compounding pharmacy are independent entities, and that KosherMedications.com facilitates but does not directly provide medical advice or pharmacy services. • consent to receive all prescription details, refill notifications, and medication education materials electronically. ⸻ Emergency Information • understand that neither KosherMedications.com nor the Telehealth Provider provides emergency or crisis medical services. • in the event of a medical emergency, allergic reaction, or severe side effect, I will immediately call 911 or go to the nearest emergency room. ⸻ I agree that all statements above are true and accurate, and that my physician visit is complete.
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