What is your primary goal with GLP-1 treatment?

Lose 10-20 lbs

Lose 20-50 lbs

Lose 50+ lbs

Improve metabolic health (blood pressure, sugar levels)

How long have you been struggling with your weight?

Less than a year

1 – 5 years

5+ years

Since childhood

What is your height?

Feet

Inches

What is your current weight (lbs)?

What is your name?

How do we reach you?

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