The six questions

By volume, patients arrive wanting to know:

1. Is this safe for me specifically? Translated: do I have anything in my history that makes this risky?
2. How fast will I feel it? Translated: when do I know whether the money was worth it?
3. What does the injection feel like? Translated: am I going to dread doing this every day?
4. What are the side effects, realistically? Translated: not the legal-disclaimer list, the day-to-day version.
5. What happens if I miss a dose? Translated: is this protocol going to dominate my life?
6. How do I store it / travel with it / refill it? Translated: what is the operational reality of being on this?

If you answer those six in the first ten minutes of the visit, you will have a calmer patient with fewer follow-up messages in the first month.

How to front-run them

A useful template for the back half of the consult, after you have decided the therapy is appropriate:

"Before I write this, let me walk through six things most patients want to know that I want to make sure we cover."

1. Why it is safe for you specifically (1 sentence, based on what they told you).
2. Timeline to first effects (1 sentence, specific to the peptide).
3. What the injection feels like (1 sentence, honest, usually "barely anything, smaller needle than a vaccine").
4. Side effects, ranked by likelihood (3 bullets, not the kitchen-sink list).
5. Missed-dose policy (1 sentence).
6. Storage and travel (1-2 sentences).

Eight minutes. Front-runs most of the questions that show up as messages over the next 30 days.

What patients do not ask but should

Two things worth volunteering:

• What lifestyle inputs amplify the effect. Sleep, protein, training. Most patients underestimate how much these matter for their outcome.
• When to stop or pause. Specifically, the trigger criteria for messaging you. "If X happens, pause the dose and message me before the next one."

Both of these reduce the volume of messages you get from anxious patients while improving the patients' outcomes.

The patients who do not ask anything

Some patients arrive ready to nod through the consult and leave with the prescription. They are not the ones you want to skip the framework with. The quiet ones are the ones most likely to miss instructions, dose incorrectly, or stop on their own without telling you.

Use the same framework even when they do not ask. "I am going to walk through six things even though you might know some of them. It is easier to overcommunicate now than to re-explain later."