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

Getting ready for your consult with Fitish RX telehealth program is simple, and a little preparation can help ensure you get the most out of your video or phone appointment. Here’s what you need to do:

1. Compile the following information about your health:

• Medications: What medications are you currently taking? This includes all prescription medications, over-the-counter medications, and nutritional supplements you are currently taking.
• Nutrition and exercise: What does a typical day of eating look like for you? How much and what type of exercise do you do?
• Health Concerns: Do you have any health issues like diabetes, high blood pressure, or other conditions? Understanding all of your health concerns is important in designing the best plan for you.

This information is crucial because it gives your doctor a clear picture of your health and goals, allowing them to tailor the best treatment plan for you.

2. Prepare for the Virtual Visit

Your appointment will take place online, so make sure you’re in a quiet, private space where you can speak openly with your doctor. Have your computer, tablet, or phone ready with a stable internet connection.

3. Gather any additional information

If there’s anything else you think might be relevant to your health and treatment, like recent lab results or previous medical records, have those ready to discuss during your appointment.

4. Be ready to discuss your goals

During your virtual visit, your doctor will review the information from your intake forms and ask you about your weight loss goals. Think about what you want to achieve and be ready to discuss these goals with your doctor. Together, you’ll decide on the best treatment plan to help you succeed.

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.

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.

In your package from the pharmacy, you will receive one of the following:

Compounded Medication 

• Injection: Medicine vial, insulin syringes, alcohol prep pads to take 1 injection per week as prescribed.
• Tablets: Oral tablets to take daily as prescribed.

Branded Medication 

• Injection: Metered dose pen and compatible needles 
• Tablets: Oral tablets to take daily as prescribed.

For further information, please refer to our Shipping Category of our FAQs

Step 1: Choose a Day to Start 

You’re excited to start! Before you do, we’ve compiled some information to consider. GLP-1 medications will have the strongest benefits and side effects closer to when you take the shot and will subside as days go by. We see most success when people start on a Thursday night. Doing so means you have the strongest benefits to ward off temptations over the weekend and similarly, if there are side effects, it will be easier to manage them over the weekend than during the busy workweek. Expected effects, such as feeling full and reduced food noise may start to have less effect come the following Tuesday or Wednesday, which most people find easier to manage while distracted at work during those days in the week.

Step 2: Managing Side Effects 

You may experience a varying degree of side effects. Most can be managed by following some helpful tips as well as listening to your body and being aware of your reactions. Note that side effects may vary with each dosage and may include the following: temporary sleepiness the day after injection, nausea, upset stomach, constipation, heartburn, gas, feeling of fullness, and change in sense of smell, etc. Many of these can be minimized by ensuring the following: When you take your shot, make sure you have something substantial in your stomach such as quality protein and that you are hydrated. Consider what you ate the days prior to injection— did you have a lot of carbs, sugar or greasy foods? If so wait another day or so before taking the medication to avoid stronger, less-than-friendly side effects.

Step 3: Injection

Injected under the skin of your abdomen, thigh, or upper arm. Do not inject into a muscle or vein Change (rotate) your injection site with each injection. Do not use the same site for each injection. If you choose to inject in the same area, always use a different spot in that area.

For more information, please refer to the 'HOW DO I GIVE MYSELF MEDICINE' FAQ.

Step 4: Relax! You are in Good Hands 

We’re so excited you have decided to take this journey with us and are looking forward to supporting you. Please do not hesitate to contact us at theclinic@fitish.com with any questions. 

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.  

After your virtual consultation, if you have any questions that were unanswered, you have the ability to communicate with your provider 24/7.

Emails + SMS to and from your Provider

You can directly respond to any email or SMS message you receive from your provider or your Care Team, from the email address: theclinic@fitish.com. Be sure to check your email's spam folder, as these messages sometimes land there.

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.

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.