Fitish RX is working with a telehealth platform that is a digital health platform dedicated to helping individuals achieve their health goals through medication-based treatment. With this platform and Fitish RX you will have access to board-certified medical providers who guide you every step of the way. These providers are highly experienced and knowledgeable in medical weight loss, making them the perfect partners to help you reach your health goals. They will work with you to offer personalized treatment plans that are tailored to your specific needs and preferences. 

Step 1: Complete Patient Intake Form 
Our patient intake form and online Telehealth visit with licensed providers will ensure you are prescribed the proper medication. Upon completion of the form, we'll review and submit to our medical team within 24 hours. 

• If you chose email or text visit in the intake form, a doctor will contact you in approximately 24-48 hours. 
• If you chose a video or phone visit in the intake form, you will receive a link to schedule your appointment in approximately 24-48 hours. Please note that some states only allow video or phone visits for telehealth consults.  

Step 2: Medication Shipped  

Within 2-6 business days after Step 1, our pharmacy partners will begin to process your order for shipment. This takes 2-6 business days. PLEASE NOTE: The pharmacies do not process orders Friday, Saturday or Sunday—therefore these days do not count towards the total business days.

Step 3: Ongoing Support  

You're in good hands. While you wait for your medication, go through our FAQ's in preparation and for ongoing support. As with all medical weight loss treatments, they may require dose changes at times. Have peace of mind in knowing we will work with you to make sure you're achieving your goals of experiencing a healthier, happier you

Telehealth allows you to connect with licensed providers from home, complete virtual consultations, and receive prescriptions seamlessly—all without the need for in-person visits.

Telehealth provides convenience, privacy, and expert care, allowing you to manage your wellness goals efficiently with direct access to medical professionals who specialize in these therapies.

Telehealth platforms tailor treatments based on your health profile, goals, and provider guidance, ensuring your plan is custom-fit to your needs with ongoing support.

Absolutely. Telehealth offers regular check-ins, progress tracking, and direct messaging with your care team, keeping your wellness plan on track from anywhere.

Telehealth combines the expertise of licensed providers with the convenience of at-home care, making it easy to stay consistent, informed, and supported on your wellness journey.

We do not accept health insurance for this treatment. However, you may pay with funds from a qualified HSA or FSA, subject to your plan’s rules, and you can also spread costs through third-party financing, such as Klarna, Afterpay or Affirm, where available and approved.

Administering your medication at home can feel overwhelming at first, but with this step-by-step guide, you’ll learn how to give yourself a subcutaneous injection with confidence and ease.

Step-by-Step Instructions

1. Prepare Your Supplies

• Gather everything you need: the medication, a syringe, and an alcohol swab.
• Wash your hands thoroughly with soap and water.

2. Choose the Injection Site

• Common areas for subcutaneous injections include the abdomen (away from the belly button), the front of the thighs, or the back of the upper arms.
• Avoid injecting into the same exact spot every time to prevent skin irritation. It's fine to stay in the same general area, just rotate the spot slightly.

3. Clean the Area

• Use an alcohol swab to clean the chosen injection site. Let it air dry for a few seconds.

4. Prepare the Syringe

• Remove the cap from the needle and draw the prescribed dose of medication into the syringe.
• Hold the syringe like a pencil, with your dominant hand.

5. Inject the Medication

• With your other hand, gently pinch the skin around the injection site to create a firm surface (optional but recommended for beginners).
• Insert the needle at a 45 to 90-degree angle, depending on the injection site and the amount of fatty tissue.
• Push the plunger down slowly and steadily to inject the medication.

6. Remove the Needle

• Once all the medication is injected, quickly remove the needle and apply gentle pressure to the injection site with the alcohol swab.
  

FAQ: Common Questions About Subcutaneous Injections

• Can I inject in the same spot every week?

It’s best to rotate your injection sites within the same general area to avoid skin irritation or tissue damage.

• Is it safe to inject in an area where I've had liposuction?

Yes, it's safe to inject in an area where you've had liposuction, as long as it’s fully healed.

• What if I've recently had a procedure in the area?

Avoid injecting in any area that has recently undergone a medical procedure until it’s fully healed.

• Do I need to pinch the tissue before injecting?

Pinching the skin is optional. Some people find it helps stabilize the injection site, especially if they are new to injections.

• What if I accidentally inject at the site of a recent immunization?

While it's best to avoid the exact spot of a recent immunization, it’s not a significant concern if it happens accidentally. Just monitor the area for any unusual reactions.

Glucagon-like peptide 1 (GLP-1) medicines are medicines like Saxenda®, Ozempic®, Wegovy®, Mounjaro®, Zepbound®, Compounded Semaglutide and Compounded Tirzepatide. 

How you store your GLP-1 medicine at home is critical for maintaining its effectiveness and safety. Here are some tips to keep in mind:

• Always store your unopened GLP-1 medicine in the refrigerator at 36-46°F (2-8°C). Exposing your GLP-1 medicine to direct sunlight or other heat sources can affect the medication’s potency.
• Once opened, continue storing it in the fridge and make sure to use it within 30 days.
• Keep your GLP-1 medicine out of reach of children and pets.
• Check your GLP-1 medicine before use for any discoloration or unusual changes in appearance. If you notice anything out of the ordinary (such as a cloudy appearance), do not use the medication.
• Please follow the specific disposal instructions provided by your pharmacy for medicine disposal.  

We strive to provide exceptional care and service to all of our patients. Please review our refund policy below for further details:

Prescription Cost:

Refunds for prescription costs for patients will be provided in the following circumstances:

• If a prescription is filled in error or if the wrong medication is dispensed.
• If the prescription is canceled before it is filled, subject to our cancellation policy.
• Refunds for prescription costs will be issued using the original payment method whenever possible.

Shipping:

• Refunds for shipping costs will be provided if the product is returned due to our error or if the product is damaged or defective upon receipt.
• Shipping costs for returned items will only be refunded if the return is due to an error on our part.

Telehealth Visit:

• Refunds for telehealth visits for cash-paying patients will be provided in accordance with our cancellation policy.
• Cancellations made at least 24 hours before the scheduled telehealth appointment will incur no cost.
• Cancellations made less than 24 hours before the scheduled telehealth appointment will be subject to a telehealth visit fee of $80, and refunds will be issued at the discretion of our telehealth platform.
• If you or your provider decide that GLP-1s are not a good fit for you post-appointment, you will only be charged for the tele-health consultation. For a video consult your card will be charged $80 and for a phone consult, the fee charged will be $70.

General Terms:

• All sales are final. We do not offer refunds or cancellations once a purchase is completed.
  Exceptions may be made only in cases where there is a verified error on our part, such as:
• The package was shipped to the wrong address due to our mistake.
• You received the wrong product or prescription.
• To request a refund under these limited circumstances, please contact our customer service team at theclinic@fitish.com within 10 days of the original purchase or receipt of the product.
• Refund requests must include photographic evidence of the issue, and all claims will be reviewed on a case-by-case basis.
• Refunds may take up to 7–10 business days to process, depending on your payment method and financial institution.

If you have any questions, feel free to contact us. We are committed to resolving any issues that arise from errors on our end. Thank you for choosing Fitish RX.

CareGLP Cancellation Policy

At CareValidate, we understand the importance of flexibility and the need for adjustments to your healthcare schedule. To ensure we can provide the best service to all our patients, we have established the following cancellation policy for telemedicine appointments related to GLP-1 medication consultations:

Cancellation Notice:

• Patients are required to cancel or reschedule their telemedicine appointment at least 24  hours in advance. This allows us to offer the slot to another patient in need.

How to Cancel or Reschedule:

• To cancel or reschedule your appointment, please use the scheduling link previously provided, or email our service center at support-careglp@carevalidate.com. Our staff will assist you in finding a new appointment time that suits your schedule.

Late Cancellations:

• Cancellations made less than 24 hours before the scheduled appointment time will incur a cancellation fee of $80. This fee compensates for the time reserved for your appointment.

No-Shows:

• Patients who fail to attend their scheduled appointment without prior notice will be considered no-shows. A no-show may result in a fee equivalent to $80.

Exceptions:

• We understand that emergencies and unforeseen circumstances can occur. If you need to cancel within the 24 hour notice period due to an emergency, please contact us as soon as possible to discuss the situation. Exceptions to the cancellation policy may be made on a case-by-case basis.

Rescheduling:

• We encourage patients who need to cancel to consider rescheduling their appointment. Rescheduling is subject to availability and may be done through the same channels as cancellations.

Policy Updates:

• CareValidate reserves the right to update this cancellation policy as needed. Patients will be notified of any significant changes through email or a notice posted on our website.

Telehealth connects you with licensed healthcare providers from home, delivers a full medical evaluation, and seamlessly manages your treatment plan — making GLP‑1 therapies both convenient and highly accessible.

Your telehealth provider builds a custom care plan based on your health goals, medical history, and labs, with ongoing check-ins and dose adjustments to help ensure consistent, tailored support

Telehealth-delivered GLP‑1 programs often pair virtual behavioral coaching with medication, delivering measurable improvements—like weight loss and blood pressure improvements—within 3 to 6 months.

Telehealth platforms offer regular check-ins, symptom tracking, and medication coaching—empowering you to stay consistent, adjust as needed, and build long-term wellness habits with support from your care team.

At Fitish RX, we are dedicated to helping patients achieve their health and wellness goals. GLP-1 medications are a class of medications originally used to treat type 2 diabetes. These include semaglutide and tirzepatide (a GLP-1/GIP medication). These drugs have shown remarkable results in aiding weight loss in those without diabetes when used at higher doses. If you are considering or currently using a GLP-1 for weight management, you might wonder how to maximize its effectiveness. We offer six tips to help you get the most out of your GLP-1 treatment.

• Consult with our experts- Before starting any medication, it's essential to consult with a healthcare professional for guidance and advice. They will  evaluate your health history, current medications, and specific weight loss goals to determine if a GLP-1 medication is right for you. Our team will guide you through the process, ensuring your safety throughout your weight loss journey.

• Follow Your Prescribed Dosage- One of the key factors in maximizing weight loss results when taking a GLP-1 medication is adhering to your prescribed dosage. The medication is typically administered once a week through an injectable pen or syringe, and the dosage may vary depending on your specific needs. Skipping doses or altering your dosage without professional guidance can hinder your progress or lead to undesirable side effects.

• Embrace a healthy diet and lifestyle- While GLP-1s can be a powerful tools for weight management, they are most effective when combined with a healthy, reduced-calorie diet. Work with a dietitian to create a personalized meal plan that supports your weight loss goals. A balanced diet rich in whole foods, fruits, vegetables, lean proteins, and whole grains can enhance the effectiveness of GLP-1 medications and promote sustainable weight loss.

• Incorporate regular physical activity- Exercise is a crucial component of achieving and maintaining a healthy weight. Engaging in regular physical activity not only burns calories but also boosts your metabolism and helps preserve lean muscle mass. Physical activity recommendations Your exercise program should be tailored to your fitness level and preferences, ensuring you stay active and motivated throughout your GLP-1 treatment. Combining GLP-1 medication with an active lifestyle can yield the best weight loss results.

• Monitor your progress- Tracking your progress is essential to stay motivated and ensure you are on the right track with your treatment. Regular check-ins with our healthcare professionals allow you to adjust your treatment plan, ensuring you get the best results possible. We encourage our patients to keep a journal of their food intake, exercise routines, and any changes in their weight or health.

• Stay committed and patient- Achieving your weight loss goals with the help of GLP-1 medication requires commitment and patience. While you may see initial results within the first few weeks of treatment, long-term success comes from consistent effort. It's essential to stay committed to your treatment plan, maintain a positive mindset, and be patient with yourself. Our team is here to support you every step of the way, providing guidance and encouragement to help you reach your goals.

Certain peptides or other specialized products may be absent or limited in your state due to several reasons:

• Regulatory Restrictions: Certain peptides are classified as controlled substances or require special licensing, restricting their shipment across state lines in the U.S. or other regions.
• Legal Variability: State laws regarding the sale and distribution of peptides, hormones, or prescription compounds can vary widely, leading to restrictions in some areas.
• Safety and Compliance: Some peptides may need to be handled or stored under specific conditions, or their distribution may be regulated to ensure safety and legal compliance.
• Manufacturer or Distributor Policies: Companies may choose not to ship to certain states to avoid legal complications, licensing liabilities, or due to lack of infrastructure to comply with local laws.

Lack of Approved Use in Some Regions: Since many peptides are used off-label or are in experimental stages, legal and regulatory frameworks might limit their distribution to certain areas.

After submitting your medical intake form, a doctor will be assigned to your case for review and have a decision within 1-2 business days. If approved, your prescription will be sent the pharmacy and you will be charged for your medication. You should expect to receive your items within 5-7 business days.

Upon a successful virtual consult with your provider, you will receive an email that your prescription has been submitted. Once the medication is dispatched ,there are multiple ways for you to track your order. 

• You will receive an email from The Clinic giving you the tracking number for your convenience. You can directly reply to the email for any further questions or information that you may need and your Care Team will be happy to assist you. You could also email theclinic@fitish.com for assistance.
  

•  If a prescription is sent via a Fitish RX partner pharmacy, it will be shipped to you by the pharmacy through FedEx or UPS Priority Overnight shipping. You will receive an email with the tracking number from FedEx or UPS for each shipment. Please note that certain medications that require cold shipping and refrigeration are only shipped from the pharmacies from Monday - Thursday. 

Vitamin B12 is a vital nutrient essential for red blood cell formation, nerve function, DNA synthesis, and energy production.

Symptoms can include fatigue, weakness, numbness or tingling in the hands and feet, difficulty walking, memory issues, and anemia.

Blood tests can determine B12 levels. Symptoms of deficiency or certain health conditions may also indicate the need for supplementation.

Mainly found in animal products such as meat, poultry, fish, eggs, and dairy. Some fortified foods and supplements also contain B12.

B12 supports energy metabolism, and deficiency can cause fatigue. Supplementing may boost energy levels if you’re deficient, but it doesn’t generally enhance energy in those with normal levels. Think of it as one more way to up your wellness game—with science that actually makes sense.

Semaglutide is a prescription medication that mimics a naturally occurring hormone called GLP-1, helping to regulate blood sugar, reduce appetite, and support weight loss.

It works by suppressing appetite, slowing stomach emptying, and improving insulin response, which can lead to reduced calorie intake and sustained weight loss.

When prescribed and monitored by a healthcare provider, semaglutide is considered safe for most people, but it may cause side effects like nausea or gastrointestinal discomfort.

Common side effects include nausea, vomiting, diarrhea, and constipation. Rare but serious risks include pancreatitis and thyroid tumors.

Yes, semaglutide is approved for weight management in non-diabetic individuals under medical supervision, primarily for obesity or overweight adults with related health risks. Think of it as one more way to up your wellness game—with science that actually makes sense.

Tirzepatide is the active ingredient found in the brand-name meds Mounjaro™ and Zepbound™. It combines two powerful hormones—GLP-1 and GIP receptor agonists—which help regulate appetite and support metabolic balance by targeting areas of the brain involved in hunger cues.

Everyone’s journey is different, but in a clinical study of 783 participants over 88 weeks, users lost an average of ~26.6% of their body weight. Results vary based on lifestyle, consistency, and individual response.

The most commonly reported side effects include:

Nausea
Constipation or diarrhea
Bloating or heartburn
Belching
Dizziness
Vomiting
General upset stomach

These are typically mild and improve as your body adjusts, though experiences may vary.

Compounded tirzepatide is a custom-formulated version of the same active ingredient found in Mounjaro™ and Zepbound™. It's prepared by licensed compounding pharmacies to meet individual needs and works the same way: mimicking GLP-1 and GIP to regulate insulin, slow digestion, and reduce appetite.

More affordable: Often not covered by insurance for weight loss, brand-name tirzepatide can be expensive. Compounded versions tend to cost less.

Easier to access: With periodic shortages of name-brand versions, compounded tirzepatide may be more readily available.

Same function, personalized touch: When sourced from reputable providers, compounded tirzepatide delivers similar benefits and allows for more flexible dosing options. Think of it as one more way to up your wellness game—with science that actually makes sense.

It may support mitochondrial health, enhance cognitive function, act as an antioxidant, and improve energy production at the cellular level.

Possible side effects include nausea, dizziness, or urine discoloration. At higher doses, it can cause more serious issues like serotonin syndrome, especially if combined with certain medications. Think of it as one more way to up your wellness game—with science that actually makes sense.

Mounjaro (tirzepatide) is a weekly injectable medication that mimics both GLP-1 and GIP hormones, helping regulate appetite, improve insulin sensitivity, and support metabolic balance.

Clinical trials report average weight loss between 15–21% over 72 weeks, with stronger effects than many other GLP‑1 drugs.

Users often report nausea, headache, constipation or diarrhea, decreased appetite, and stomach discomfort, especially during dose escalation.

Many people begin seeing appetite suppression and energy stability within a few weeks, with full effects in 3–6 months depending on dose and lifestyle.

Yes—under medical guidance, transitioning between GLP‑1 therapies is common and depends on your response and goals.

It’s prescription-only and used via once-weekly subcutaneous injection, typically via pen. Starting doses are low and titrated over time.

Mounjaro pens should be refrigerated until first use, then can stay at room temperature for a limited time (often 21 days), and protected from extreme heat or freezing.

Yes—it may be taken at any time on your scheduled day. To shift your injection day, ensure there's at least 72 hours between doses.

Mounjaro can be pricey; coverage varies, and not all plans support weight-loss prescriptions. Many patients explore copay cards, assistance programs, or payment plans. Think of it as one more way to up your wellness game—with science that actually makes sense.

Compounded oral semaglutide is a version made by licensed compounding pharmacies and includes the same active ingredient as FDA-approved products—but it isn’t FDA-reviewed.

Emerging research and user reports suggest it can support weight loss in a similar range to injectable or FDA-approved oral versions when taken consistently.

After shortages of branded injectables, compounded options became more accessible and often cost less—especially when name-brand versions were undersupplied.

It can be formulated in various styles—capsules, orally dissolving tablets (ODTs), sublingual drops or strips, even nasal sprays or lozenges depending on the pharmacy.

Often, yes: compounded versions are usually less expensive, especially when insurance doesn’t cover branded GLP‑1s for weight loss.

Reported side effects reflect those of regular semaglutide—nausea, abdominal distress, and digestive changes. . Think of it as one more way to up your wellness game—with science that actually makes sense.

Oral compounded tirzepatide is a sublingual (dissolving under the tongue) tablet version of tirzepatide compounded by pharmacies; it delivers the same dual GLP‑1/GIP mechanism for appetite control and metabolic support via absorption through the mouth lining.

No — compounded versions aren't FDA-approved and don’t go through the same quality and safety testing as branded versions like Mounjaro or Zepbound.

Many users report weight loss in the range of 15–20%, similar to clinical outcomes of injectable tirzepatide when paired with lifestyle changes, though these findings are not FDA-verified.

It typically comes as a once-daily sublingual tablet designed to dissolve under the tongue—absorbing through the mucous membranes rather than being swallowed.

It emerged during brand-name shortages, offering a workaround via compounding pharmacies to meet high demand when FDA-approved supply was limited.

Yes—the side effect profile mirrors injectables and may include nausea, reduced appetite, bloating, or mild gastrointestinal discomfort—though consistency can vary due to compounding differences.

Reported dosing usually ranges from 3–6 mg daily, sometimes starting lower for microdosing protocols, but precise dosing can vary by provider guide.

Peptides like tirzepatide are typically broken down in the digestive tract, so sublingual delivery aims to bypass this—but absorption can be less predictable than weekly injectables. Think of it as one more way to up your wellness game—with science that actually makes sense.

NAD+ (Nicotinamide Adenine Dinucleotide) is a crucial coenzyme found in every cell that supports energy production, DNA repair, and overall cellular health.

It may improve energy levels, enhance mental clarity, support aging health, boost metabolism, and aid in cellular repair processes.

NAD+ levels tend to decline with age, and supplementing may help slow some aging processes by supporting cellular repair and mitochondrial function.

When administered properly, especially via regulated supplementation or infusion, NAD+ is generally considered safe. Consult a healthcare provider for personalized advice.

It can be taken orally as a supplement or administered through nasal spray and injections for enhanced bioavailability. Think of it as one more way to up your wellness game—with science that actually makes sense.

NAD⁺ nasal spray delivers the essential coenzyme NAD⁺ through the nasal mucosa for fast absorption into the bloodstream—bypassing digestion and getting a cellular energy boost ultra-quick.

People often experience improved mental clarity, increased energy and stamina, better mood and focus, and support with fatigue or cravings.

Users commonly report feeling effects—like brain clarity or energy—in as little as within an hour or consistently within 2–3 weeks of daily or twice-daily use.

The most common protocol is 1–2 sprays per nostril daily or as needed, often 1 spray in each nostril, once or twice a day.

Research and user feedback suggest it may help reduce mental fog, support cognitive wellness, and improve resistance to stress.

It bypasses the digestive system like injections (but without needles), offering quicker absorption and higher bioavailability than oral supplements.

Most users report mild and temporary symptoms such as fatigue, headache, slight nasal irritation, or mild stomach discomfort.

Many find that spacing sprays out, gently adjusting technique, or cooling the spray slightly helps reduce irritation.

Those managing low energy, cognitive fog, fatigue, or aging-related metabolic changes may find NAD⁺ nasal support especially helpful.

Refrigeration is often recommended between uses to preserve potency; sprays typically last through a 14 mL bottle (around 120 sprays). Think of it as one more way to up your wellness game—with science that actually makes sense.

Ozempic is a once-weekly injectable prescription medication containing semaglutide, a GLP‑1 receptor agonist that helps regulate blood sugar, slow digestion, and reduce appetite by mimicking the natural hormone GLP‑1 .

While not FDA-approved for weight loss, many users still experience 5–15% average weight reduction as a secondary benefit when paired with diet and exercise.

Appetite suppression and blood sugar effects often begin within a few weeks; more significant weight and metabolic benefit typically emerge over 3 to 6 months.

Digestive symptoms like nausea, vomiting, diarrhea, abdominal pain, and constipation are most common—typically mild and transient, especially during dose escalation.

Rare cases of pancreatitis have been reported—talk to your provider if you have a history of these conditions.

While there are few major food interactions, some medications—especially those needing rapid GI absorption—may be affected. Inform your provider of all supplements or meds you take.

Many users report return of appetite and some weight regain if lifestyle habits aren’t maintained. Long-term follow-up or maintenance dosing is common to sustain benefits.

Some non-diabetic users receive it “off-label” for weight management under provider supervision. An FDA-approved version—Wegovy—exists specifically for chronic weight loss and maintenance. Think of it as one more way to up your wellness game—with science that actually makes sense.

Sermorelin is a synthetic peptide that stimulates the body’s production of growth hormone by acting on the pituitary gland, often used to support aging, recovery, and overall vitality.

It works by signaling your brain to produce more natural growth hormone, which helps with tissue repair, metabolism, and energy levels.

Benefits may include improved sleep, increased energy, better muscle tone, enhanced recovery, and a more youthful appearance, primarily by boosting your body's natural growth hormone levels.

Side effects are usually mild and can include injection site reactions, flushing, or headaches. Serious side effects are rare but should be discussed with a healthcare provider.

When prescribed and monitored by a healthcare professional, sermorelin is generally considered safe, especially when used appropriately; however, it may not be suitable for everyone and requires medical supervision. Think of it as one more way to up your wellness game—with science that actually makes sense.

Wegovy is a once-weekly injectable medication containing semaglutide, a GLP‑1 receptor agonist that helps curb appetite, slow digestion, and support weight loss by mimicking a natural hormone made in your gut.

In major clinical trials, about 83% of users lost at least 5% body weight and nearly 48% lost 15% or more after 68 weeks when combined with diet and exercise.

Common side effects include nausea, diarrhea, vomiting, constipation, headache, dizziness, and fatigue. Most are mild and tend to ease as your body adjusts.

Many people feel reduced hunger or steadier energy within the first few weeks, with fuller weight loss and metabolic benefits unfolding over 3 to 6 months.

Yes—studies show Wegovy can lower the risk of major cardiovascular events like heart attack and stroke in people with obesity or related conditions when used alongside diet and activity.

It's given via a once-weekly subcutaneous injection—typically in the thigh, abdomen, or upper arm—and should be refrigerated until use, with limited time at room temperature.

Many people regain appetite and some weight if lifestyle habits aren't maintained; “maintenance” dosing, dietary consistency, and movement help sustain progress.

Both contain semaglutide—but while Ozempic is approved for type 2 diabetes, Wegovy is formulated and dosed specifically for obesity and weight management.

Coverage varies widely. The average list price is around \$1,300/month, but many people reduce out-of-pocket costs using manufacturer copay cards, savings programs, or payment plans. Think of it as one more way to up your wellness game—with science that actually makes sense.