What a physician actually reads before your order ships
Nine markers, one intake, and the two answers that get people declined. If you know what we're looking at, the wait makes sense.
Every order on this site stops at a physician before it reaches a fulfillment partner. People assume that's a rubber stamp. It isn't, and I'd rather you know exactly what happens in that window than imagine it's paperwork.
First: the metabolic block. Fasting glucose, HbA1c, a lipid panel, and liver enzymes. For a GLP-1 that block decides your starting dose and how fast we're allowed to titrate. A normal A1c with a high fasting glucose is a different plan than the reverse, and a chart can't tell you which one you are.
Second: renal function and thyroid. Both are quiet until they aren't. If eGFR is drifting, we slow everything down. If TSH is out of range, we fix that before we chase body composition, because otherwise you'll spend three months blaming the peptide.
Third: the intake answers. Personal or family history of medullary thyroid carcinoma, active pancreatitis, pregnancy or trying to conceive. Those are hard stops, not judgement calls. About one in fourteen files gets declined here, and every one of them gets a written reason and a refund.
Median read time is 48 hours. If your panel is more than six months old we'll ask for a fresh draw, and the requisition costs you nothing. That's the whole delay. It's short, and it's the only part of this business I refuse to compress.
The panel is not a formality. It is the difference between a dose and a guess.
Prescription required. Adding to cart does not dispense anything — we take labs (or send a $0 requisition), a licensed physician reviews your file, and only then does a fulfillment partner ship. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. Individual results vary. Important safety information
