Monthly Check-in

    Your monthly check-in for Tirzepatide

    A few quick questions about how your current dose is going. Your provider reviews your answers before your next shipment.

    What's your current monthly Tirzepatide dose?

    Not sure? Pick the closest one and tell us in the note at the end.

    20 mg
    40 mg
    60 mg
    80 mg

    Have you taken your dose every week?

    Yes, every week
    I missed 1 or 2 doses
    I missed more than 2 doses
    I haven't started yet

    How are you feeling on your current dose?

    Great, no side effects
    Mild side effects I can manage
    Side effects are hard to manage

    Which side effects have you noticed?

    Select all that apply.

    Nausea
    Constipation
    Diarrhea
    Heartburn or reflux
    Fatigue
    Injection site reaction
    Severe stomach pain or vomiting that won't stop
    Other (tell us in the note)

    What would you like for your next shipment?

    Your provider reviews every request before your next shipment.

    Keep my current dose
    Increase my dose
    Lower my dose
    Skip this shipment
    Cancel my plan

    Choose your new monthly dose

    20 mg
    40 mg
    60 mg
    80 mg

    Cancel your Tirzepatide plan?

    Cancelling stops your future shipments. If you pause for more than 6 weeks, you'll restart at a lower dose for safety.

    Yes, cancel my plan
    No, keep my plan

    Anything you want your provider to know?

    Optional. Questions, symptoms or anything that changed since your last shipment.

    Review your check-in

    Check-in sent

    You're all set

    Thanks for checking in. Your provider will review your request before your next shipment.

    Sending your check-in