What happens after your prescription

The clinician approves your prescription

Within 24 hours of your consult, the clinician finalizes the prescription and sends it to the 503A pharmacy partner. You will get an email confirming the protocol the clinician recommended and the next steps.

If the clinician did not approve a prescription, you will also get an email. That happens for a few reasons: the therapy is not appropriate for your situation, you live in a state where the protocol is not available, or the clinician needs additional information before writing the script. None of those are personal. The clinician's job is to write prescriptions that fit.

The pharmacy compounds your medication

The compounding pharmacy receives the prescription, prepares the medication to the clinician's specifications, and packs it for shipment. Compounding is not instant. Most prescriptions are ready to ship within a couple of business days of approval.

You will get a tracking number when your order ships. Cold-chain medications ship overnight with ice packs and continuous temperature monitoring.

Your first shipment arrives

Most patients get their package within a day or two of shipment. Open it on arrival even if you are not starting that day. Verify the cold packs are still cold and the medication is intact. If anything looks off, photograph it and email support before doing anything else.

Inside the package: the medication itself, dosing instructions specific to your prescription, and any supplies the protocol requires (syringes, alcohol swabs, sharps container).

You start your protocol

Follow the dosing instructions your clinician sent. Most peptide and GLP-1 protocols titrate up over the first few weeks. Start at the low dose and let your body adapt. The check-in tool in your member portal helps you stay consistent.

If anything feels wrong, significant nausea, injection-site reactions that do not resolve, anything that surprises you, pause the dose and message your clinician. They are there for follow-up questions and protocol adjustments.

Refills

Most therapies are prescribed as a cycle. Your clinician will discuss what comes after the first cycle during your initial consult. Refill requests run through your account. Turnaround for a refill is the same couple of business days of compounding plus shipping.