What should I ask before starting GLP-1?

Ask whether it's appropriate for your health history, which medication and dose and why, what side effects to expect, whether the program is LegitScript-certified, what the price includes, and what happens if you want to stop.

How do I know a program is trustworthy enough to ask?

A trustworthy program welcomes questions, provides physician review, holds verifiable LegitScript certification, and gives you a clear way to reach a provider. Services that rush you to purchase with no review are a red flag.

Is it compounded or brand-name, and should I ask?

Yes. It's reasonable to ask whether your medication is compounded or brand-name and what kind of pharmacy prepares it, so you understand exactly what you're getting.

GLP-1: Questions to Ask Before You Start

Q: Who answers these questions in an online program?

A legitimate telehealth program includes a licensed physician who reviews your health before prescribing. That review is the right place to ask your questions.

Why asking questions matters

A legitimate GLP-1 program includes a licensed physician who reviews your health before prescribing. That review is a two-way conversation, it's the right moment to ask the questions that help you decide with confidence.

Key point: A trustworthy program welcomes your questions. If a service makes it hard to ask anything or rushes you to 'add to cart,' that's a red flag in itself.

Questions about whether it's right for you

Based on my health history, is GLP-1 appropriate for me?
Are there reasons I shouldn't take it?
How will my other medications or conditions be considered?
What are realistic expectations for someone in my situation?

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Questions about the treatment itself

Which medication and starting dose, and why?
How will the dose be increased over time?
What side effects should I expect, and what should I do about them?
Is this compounded or brand-name, and from what kind of pharmacy?

Questions about the program

Is the program LegitScript-certified? (You can verify this independently.)
Who do I contact if something feels wrong?
What does the price include, medication, visits, follow-up?
What happens if I want to stop?

Important: This guide helps you prepare, it is not medical advice. The answers should come from the licensed physician reviewing your case.

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Important: about compounded GLP-1 medications

Compounded semaglutide and tirzepatide are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality. They are not generic versions of, and are not the same as, FDA-approved brand-name medications such as Ozempic®, Wegovy®, Mounjaro®, or Zepbound®, and clinical trial results for those brand-name medications do not apply to compounded products.

Under federal compounding rules, a licensed provider may prescribe a compounded medication only when they identify a specific, patient-level medical need that a commercially available FDA-approved product cannot meet, for example an allergy to an inactive ingredient. Compounded medications should not be prescribed simply because they cost less. A licensed provider decides whether any medication is appropriate for you.

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Questions to ask before you start GLP-1