Please enable JavaScript in your browser to complete this form.

无需限制饮食和运动即可快速达到目标体重。

让我们计算一下您的 BMI，以确保您适合进行医学减肥。

What is your height and weight?

Feet *

Inches *

Weight (in lbs) *

我们同舟共济。您的目标就是我们的目标。

What is your goal weight? *

药物可以根据您的独特需求进行定制，因此让我们更好地了解您。

Are you male or female? * *

Male
Female

This helps us understand your body complexity and hormones so we can assess you better.

What is your age range? * *

安全第一。

Do any of these apply to you? * *

Currently or possibly pregnant, or actively trying to become pregnant
Breastfeeding or bottle-feeding with breastmilk
Have given birth to a child within the last 6 months
None of the above

男性会因体重增加而感受到独特的影响。

女性会因体重增加而感受到独特的影响。

Do you experience any of the following? *

Low Libido or Erectile Dysfunction
Hair Loss
Skin Issues
Cognition Issues
None of these

我们可以提供所有这些帮助，但请选择对您来说最重要的。

your or you

Which of these is your priority? *

Lose Weight
Gain Muscle
Maintain My Current Body

SteadyMeds 很荣幸荣登《福布斯》榜单第一名

这听起来像魔术，但其实是代谢科学。

平均而言，SteadyMeds 患者的体重会减轻 20% 以上。

GLP-1 medications are extremely effective - offering you a strong path toward your 155 pound goal weight.

"It really does work. Took about 6 weeks to feel it, but once it kicked in, I dropped 20 pounds of fat and haven't looked back. Thank you SteadyMeds!"

Jill took control and doubled her confidence in only 2 months.

How will GLP-1 work for you?

-Week 1-4: Your body gets acclimated to GLP-1 medication

-Week 4-8: Weight loss is increasing more and more

-Week 9+: Your body has become a fat burning machine

We identify the root causes of your metabolic issues, so you get a long-term solution, not just another quick fix.

Improving your life requires motivation.

What is your primary reason for taking weight loss seriously? *

I want to live longer
I want to feel and look better
I want to reduce current health issues
All of these

With medication, you'll lose 3.75 to 5 pounds per week.

How is that pace for you? *

That works for me
I want it faster
That's too fast

We'll move at your pace.

With GLP-1 medication, your goal to lose 95lbs is easier than you think - and it doesn’t involve restrictive diets.

Now, let’s analyze your metabolism and discover how well your body processes macronutrients.

How you sleep tells us a lot about your cortisol and efficiency.

How is your sleep, overall? *

Pretty Good
A bit restless
I don't sleep well

How many hours of sleep do you usually get each night? *

Less than 5 hours
6-7 hours
8-9 hours
More than 9 hours

“I was ready to give up. After seeing reviews of GLP-1, I had to try. 6 months later - wow. Thank you for the metabolic reset - game changer.”

13.png?a=xeqJmRnhGapXyGTehdCsYP

Ricky went from chubby to chiseled while shedding 41lbs and improving his health markers

GLP-1 is safe, but these health conditions might prevent you from being prescribed.

Your answers are completely confidential and protected by HIPAA

Do any of these apply to you? *

None of these
End-stage kidney disease (on or about to be on dialysis)
End-stage liver disease (cirrhosis)
Current suicidal thoughts and/or prior suicidal attempt
Cancer (active diagnosis, active treatment, or in remission or cancer-free for less than 5 continuous years - does not apply to non-melanoma skin cancer that was considered cured via simple excision)
History of organ transplant on anti-rejection medication
Severe gastrointestinal condition (gastroparesis, blockage, inflammatory bowel disease)
Current diagnosis of or treatment for alcohol, opioid, or substance use disorder/dependence

A few more health questions

Do any of these apply to you? *

None of these
Gallbladder disease
Hypertension (high blood pressure)
Seizures
Glaucoma
Sleep apnea
Type 2 diabetes (not on insulin)
Type 2 diabetes (on insulin)
Type 1 diabetes
Diabetic retinopathy (diabetic eye disease), damage to the optic nerve from trauma or reduced blood flow, or blindness
Use of the blood thinner warfarin (Coumadin/Jantoven)
History of or current pancreatitis
Personal or family history of thyroid cyst/nodule, thyroid cancer, medullary thyroid carcinoma, or multiple endocrine neoplasia syndrome type 2
Gout
High cholesterol or triglycerides
Depression
Head injury
Tumor/infection in brain/spinal cord
Low sodium
Liver disease, including fatty liver
Kidney disease
Elevated resting heart rate (tachycardia)
Coronary artery disease or heart attack/stroke in last 2 years
Allergic to any medication
Congestive heart failure
QT prolongation or other heart rhythm disorder
Hospitalization within the last 1 year
Human immunodeficiency virus (HIV)
Acid reflux
Asthma/reactive airway disease
Urinary stress incontinence
Polycystic ovarian syndrome (PCOS)
Clinically proven low testosterone
Osteoarthritis
Constipation

Have you taken medication for weight loss within the past 4 weeks? *

Yes, I've taken GLP-1 medication
Yes, I've taken a different medication for weight loss
No

Within the last 3 months, have you taken opiate pain medications and/or opiate-based street drugs? *

Please include date range, name, dose, and frequency *

Have you had prior weight loss surgeries? *

Please include date range and type of surgery. *

Please list all your prior bariatric (weight loss), abdominal, and pelvic surgeries.

How about weight loss programs?

Have you ever tried to lose weight in a weight management program (Jenny Craig, Weight Watchers, etc)? *

Please provide brief details. *

If clinically appropriate, are you willing to: *

Reduce your caloric intake alongside medication
Increase your physical activity alongside medication
None of the above

Has your weight changed in the last year? *

Lost a significant amount
Lost a little
About the same
Gained a little
Gained a significant amount

"I feel like I got my life back. My kids were worried about me, but now I have so much energy and I keep up with them.

tatman1.png?a=6AKqhq4ribzDnPi3X49yYd

Bill cut 70lbs, increased his energy and came off blood pressure medication

gallaghergallagher_Romantic_lifestyle_photography_style_warm__1bd434ba-0845-4ed1-b982-3d858dffa6d6_1.png?a=be9KfKTeAEWfZAAme8SUS1

What is your average blood pressure range? *

<120/80 (Normal)
120-129/<80 (Elevated)
130-139/80-89 (High Stage 1)
≥140/90 (High Stage 2)

gallaghergallagher_Romantic_lifestyle_photography_style_warm__ed825849-0af2-4cc5-ab99-9c488a250fc7_0.png?a=kKSYS7drrkGEa9iA8ofL85

How about your average resting heart rate? *

<60 beats per minute (Slow)
60-100 beats per minute (Normal)
101-110 beats per minute (Slightly Fast)
>110 beats per minute (Fast)

Looking good! Let's match you with the best medication.

Which of these is most important to you? *

Affordability
Potency

GLP-1 is available as an injection or a dissolvable tablet. Which sounds best? *

I prefer to inject

Do you currently take any medications? *

Please add some details about the current medicine you take. *

Let's better understand your current state of mind.

How motivated are you to reach 155lbs? *

I'm Ready!
I'm feeling hopeful
I'm cautious

SteadyMeds medical providers review every form within 24 hours

Do you have any further information which you would like our medical team to know? *

Provide details here. Please do not include urgent or emergency medical information. *

Your needs are unique, and your medicine should be, too!

Your GLP-1 medication is personalized to your specific needs

Please select the following options that you are interested in *

Maintaining muscle mass as I lose weight
Would prefer not to inject
Managing potential side effects such as nausea/vomiting
Assist with aging and longevity (cellular/DNA damage, immune system dysfunction, etc)
Improving cognitive function and mental clarity
Improving energy levels
Regulating menses and hormonal status
Improving sleep quality
I’m not sure - I’d like to discuss formulation options with a clinician via a live virtual consult

What is your date of birth?

What is your date of birth? *

Let's proceed to check your eligibility.

First Name *

Last Name *

What state will your medication be shipped to? *

Phone Number

Email *