Weight and metabolic health

Weight and metabolic health, prescribed by a clinician.

Prescription protocols for the metabolic drivers of weight — appetite regulation, glucose signaling, and body-composition support. Personally reviewed by Dr. Rachel Deutsch, DNP.

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Reviewed by Dr. Rachel Deutsch, DNP · LegitScript certified · No charge until Dr. Rachel approves.

How Dr. Rachel evaluates weight protocols

Every weight intake includes a review of your medical history, current medications, baseline weight and health markers, and prior GLP-1 exposure if applicable. Required labs include A1C, comprehensive metabolic panel, lipid panel, and lipase for anyone starting a GLP-1. Dr. Rachel signs off before any compound is authorized.

Compounds Dr. Rachel prescribes for this lane

Metabolism

Semaglutide

GLP-1 receptor agonist for metabolic health.

$179/mo

1 vial, a 3-month supply. One charge of $537.

Metabolism

Tirzepatide

Dual-pathway weight management.

$249/mo

1 vial, a 3-month supply. One charge of $747.

Metabolism

Tirzepatide (oral)

Needle-free metabolic support.

$289/mo

90 tablets, a 3-month supply. One charge of $867.

Frequently asked

Do I have to be a certain BMI to start?

Dr. Rachel reviews the full clinical picture rather than a single BMI cutoff. Body composition, weight trajectory, metabolic markers, and health history all factor in.

How is Tides different from other GLP-1 telehealth?

One named clinician reviews every case, personally. No algorithm decides your protocol. No mandatory membership fee on top of the medication. No shipments you did not authorize.

What if I already tried Ozempic or Wegovy?

Share your prior experience in the intake. Dr. Rachel factors dose tolerance, response, and side-effect history into the compound and titration schedule she prescribes.

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Compounded medications are not FDA-approved. FDA does not verify compounded medications for safety, effectiveness, or quality before marketing. Treatment requires clinician review and is prescribed only when medically appropriate. All orders subject to Dr. Rachel Deutsch, DNP's review before dispensing.