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How it works

Follow our easy four-step process to get your weight loss journey started.

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Are you eligible for medical weight loss?

Step 1 

Start by calculating your body mass index (BMI)

Underweight

Healthy

Overweight

Obese

Severely Obese

A color coded BMI chart

<18.5

18.6 - 24.9

25 - 29.9

30 - 39.9

≥40

*Notate your BMI number for the Nudge Fit Intake Forms

Medical conditions and eligibility

Eligibility for services may be limited by certain medical conditions

  • Currently pregnant or planning to become pregnant within the next year

  • History of severe allergic reaction to Semaglutide or Tirzepatide

  • BMI of less than 20

  • Personal history of medullary thyroid cancer

  • Family history of thyroid cancer

  • MEN (Multiple endocrine neoplasia) syndrome

  • Eating disorders such as anorexia, bulimia, etc. 

  • Substance abuse

  • Type 1 diabetes

  • Pancreatitis 

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Step 2

Complete Nudge Fit intake forms

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  • The provider will review your intake forms. If approved, we'll reach out to schedule you within 24-48 business hours. 

  • In order to be ready for your telehealth video appointment, please download the Spruce Health app

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Step 3

Have your video intake consultation

During the appointment

  • Review your lab work and medical history with the provider.

  • Discuss your weight loss goals, exercise and nutrition plan, and treatment options.

  • Schedule your 1-month follow-up visit at the end of your appointment.

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Step 4

Order your medication 

After the consultation

  • Order your prescribed medication through our Nudge Fit store

  • We'll submit your order to our compounding pharmacy within   24 - 48 business hours.

  • Shipping time estimated 10 days directly to your doorstep!

What to expect next

Follow-up appointments

  • Scheduled on a monthly basis during the start of your treatment. 

  • Once you have reached maintenance dose, follow up every 3 months. 

Required lab work

  • Our provider can give you a lab order during your initial consultation if needed.

  • Our provider can give you a lab order during your initial consultation if needed.

  • Already have labs within the last 3 months from another provider?  Attach a picture of your lab results to the intake consultation form or send us a copy via Spruce Health app

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