Nausea affects 28% of patients at highest doses
that may help adults and children aged 12 years and older with obesity, or some adults with overweight who also have weight-related medical problems, to help them lose excess body weight and keep the weight off
Your provider will review your weight history, metabolic health, medications, past use of semaglutide or tirzepatide, lab history, side effect history, lifestyle, and goals

Federal vs State Regulations: Federal Rules Apply Everywhere: Semaglutide requires prescription from licensed provider Provider must conduct appropriate medical evaluation Pharmacies must be properly licensed and registered For compounded semaglutide: must be on FDA shortage list State Rules Vary: Telemedicine Prescribing: Some states allow prescribing after video/phone consultation only Others permit asynchronous (message-based) prescribing A few require initial in-person visit before telemedicine Provider must hold active license in patients state Pharmacy Regulations: Interstate pharmacy compacts allow some reciprocal licensing Some states require in-state pharmacy licensing to ship there Compounding regulations vary by state Some states have stricter oversight than others States with Fewest Restrictions: These states generally have more permissive telemedicine and compounding regulations: Texas Florida California Arizona Colorado Tennessee Georgia North Carolina Nevada Utah Most telehealth providers serve these states with minimal additional requirements

Canada has roughly 8,700 new thyroid cancer cases annually, with medullary thyroid cancer representing only 2-4% of these