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Types of Telehealth Consultations: Asynchronous (Message-Based) Consultation: Process: Complete detailed online questionnaire Upload any relevant medical records or lab results Provider reviews information within 24-48 hours Provider sends message with decision or requests more information You can ask questions via messaging Prescription sent if approved Pros: No scheduled appointment needed Complete at your convenience Often faster for straightforward cases Can take time to think about answers Cons: No face-to-face interaction Cant ask questions in real-time May feel less personal Might need additional back-and-forth messaging Live Video Consultation: Process: Schedule appointment at specific time Join video call at appointed time Live discussion with provider (15-30 minutes) Provider asks questions and reviews information You can ask questions immediately Decision made during or shortly after visit Pros: Real-time interaction Can read body language and expressions Immediate answers to questions Feels more like traditional doctor visit Provider can visually assess patient Cons: Requires scheduling specific time Need reliable internet connection Some people uncomfortable on video Slightly longer overall process Phone Consultation: Process: Schedule call time Provider calls at appointed time Discussion of medical history and goals Question and answer session Decision communicated Pros: No video needed (more comfortable for some) Can take call anywhere Real-time conversation Cons: Less common than video No visual assessment Requires scheduled time What Happens During Consultation: Provider Review: Your provider will: Assess Eligibility: Verify BMI qualifies (30+, or 27+ with comorbidities) Review medical history for contraindications Evaluate current medications for interactions Confirm no pregnancy or plans to become pregnant Check for thyroid cancer or MEN 2 syndrome history Discuss Treatment: Explain how semaglutide works Set realistic expectations for results Describe common side effects Review serious risks Discuss dosing schedule and escalation Answer Your Questions: Address concerns about injections Clarify costs and insurance Explain follow-up schedule Provide lifestyle recommendations Determine Appropriateness: Is semaglutide the right choice for you

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This was surprising given that GLP-1 agonists do increase heart rate slightly in clinical settings