COMPOUNDED GLP-1 SEMAGLUTIDE / TIRZEPATIDE PRE SCREENING FORM PLEASE ENTER THE FOLLOWING:Patient Name:(Required) First Last Patient Gender:(Required) Male Female Patient Date of Birth:(Required) MM slash DD slash YYYY Patient Race:(Required)Select One:CaucasianBlack or African AmericanOtherPatient Ethnicity:(Required)Select One:Not Hispanic or LatinoHispanic or LatinoPatient Address:(Required) Street Address Apartment, Suite, or Floor City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S

The pills contain higher doses than the injections because its easier to absorb semaglutide through the bloodstream than through the stomach
Differential acute postprandial effects of processed meat and isocaloric vegan meals on the gastrointestinal hormone response in subjects suffering from type 2 diabetes and healthy controls: a randomized crossover study
Kenvue does not sell, endorse, or promote the use of any particular GLP-1 medicine
Treatment recommendations, prescriptions, and all clinical decisions are made solely by licensed healthcare providers based on medical necessity, patient eligibility, applicable standards of care, and state and federal laws