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[Sticky] Weight Loss


Michael Gray MD JD
Posts: 107
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Yes — telemedicine is commonly used for weight-loss (obesity) medication management, especially for ongoing follow-ups and lifestyle counseling. Many weight-management programs today are designed around virtual visits.

Telehealth is typically appropriate when:

  • You’re seeking evaluation for weight-loss medications

  • You can share weight, vitals, and medical history

  • Follow-up and dose monitoring are needed

  • You’re generally stable and not having urgent symptoms


👍 What telemedicine providers can usually do for weight-loss meds

During a virtual visit, a clinician can:

  • Review your medical history, BMI, and prior weight-loss efforts

  • Screen for safety risks and medication contraindications

  • Discuss options such as

    • GLP-1 medications (semaglutide, tirzepatide, lliraglutide etc, brand names being Zepbound, Wegovy, Ozempic, Mounjaro, Saxenda).  Some manufacturers offer coupons for more affordalble access to GLP1 medicines.  For example, check eligibility at:

    • https://zepbound.lilly.com/savings  
    • Orlistat

    • Bupropion/naltrexone

    • Other evidence-based therapies

  • Order labs if needed (thyroid, A1C, kidney/liver function, lipids)

  • Start or adjust medication dosing

  • Provide lifestyle & nutrition counseling

  • Arrange regular follow-up monitoring

Many programs require:

  • Recent weight and blood pressure readings

  • Lab work within the past 6–12 months

  • Ongoing follow-up visits while on medication


⚠️ When an in-person visit may be needed first

You may be referred to in-person care if you have:

  • Unexplained rapid weight loss

  • Chest pain, shortness of breath, fainting, or severe symptoms

  • Pregnancy or trying to conceive

  • History of pancreatitis, gallbladder disease, or severe GI symptoms

  • Significant uncontrolled diabetes, thyroid disease, or hypertension

  • Possible eating disorder or concerning mental-health symptoms

Some medications also have state-specific or insurance requirements for in-person evaluation or documentation.


📝 Tips to prepare for a telehealth weight-management visit

Have ready:

  • Current weight, height, and recent trend (if available)

  • Medication & supplement list

  • Medical history (diabetes, thyroid, BP, cholesterol, etc.)

  • Prior weight-loss attempts or medications

  • Recent labs (if you have them)

  • Goals & concerns


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