We firmly believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, ensuring every step of your journey is clear and supported. Mentioning unrealistic timeframes like losing 53 pounds in 3 months or 37 pounds in 21 days without any effort required appeals to people’s wishes for rapid, effortless weight loss. Most people begin seeing weight loss within the first few weeks, with more noticeable results after 2-3 months of consistent use. Most patients start at a lower dose, 2.5 mg weekly, and gradually increase to maintenance doses between 5 mg and 15 mg over time. Designed for weight loss and obesity treatment, it mimics gut hormones that regulate appetite and insulin. For more information, visit the Zepbound® product label and medication guide.Sounds a little crazy, but people oftentimes say, “For me, I don't care.After 72 weeks, users lost 15–22.5% of body weight.If side effects persist beyond a few weeks or worsen, we encourage you to consult your healthcare provider.While taking the medication that first month, I communicated with my WW care coordinator and clinician via chat to log any concerns or side effects.Missing a dose of Zepbound (tirzepatide) is a common concern for patients using this once-weekly injectable medication for weight management.Higher doses (10–15 mg) yield better results. To prevent localized skin irritation, such as redness, pain, or hardening, it’s a best practice to rotate your injection sites each week. Zepbound is a subcutaneous injection, meaning it’s injected into the fatty tissue just under the skin, not into a muscle or vein. At TrimRx, we believe in empowering you with the knowledge to confidently manage your medication. At TrimRx, our medically supervised programs emphasize this meticulous approach to dosing. Clinical studies have shown that many common side effects, such as nausea, diarrhea, and vomiting, often occur or intensify when the dose is increased. This journey through the pause taught me more than I expected.We firmly believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach.Regular rotation of your injection sites is not merely a recommendation; it is a critical practice for optimal treatment outcomes and comfort.Our commitment at TrimRx is to provide access to clinically proven solutions like Zepbound® as part of a personalized weight loss program.At TrimRx, our commitment to transparent service means our comprehensive approach—including doctor consultations, medication, lab work, unlimited support, and shipping—remains consistent, supporting you every step of the way. We focus on safety by working exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications. Our platform is built to be a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual. It encompasses the entire journey, recognizing that true, lasting weight loss requires a comprehensive, supportive, and deeply personalized ecosystem. To help your body adjust and minimize potential side effects, treatment typically begins with a low dose of 2.5 mg once weekly for the first 4 weeks. Clinical studies have shown that many individuals begin to experience weight loss within the first 4 weeks of starting treatment. These are two natural incretin hormones that play crucial roles in regulating metabolism and appetite. Our goal is to equip you with detailed, authoritative information, presented in an empowering and conversational tone, helping you navigate your Zepbound journey successfully. We’ll delve into the scientific rationale behind the recommendations, providing you with the knowledge to approach your treatment with confidence. This comprehensive guide aims to illuminate every aspect of Zepbound administration, from the precise timing of your weekly injection to best practices for storage and managing potential side effects. However, the effectiveness of any treatment hinges on proper administration and adherence, making a clear understanding of your dosing schedule and technique absolutely vital. I rediscovered my ability to listen to my body, to respond instead of react, and to care for myself with intention. This journey reminded me that true wellness is not found in any one prescription or diet. And while I was glad to be back on Zepbound, I carried forward the insights from those two weeks. It takes a while for your body to get used to the medication, but these side effects normally go away on their own. Because the medication works with your natural hormones, many people experience common side effects like nausea, vomiting, diarrhea, or other digestive system issues. Zepbound is the brand name for the prescription medication tirzepatide, and this same medication is also distributed under the brand name Mounjaro. ”Today we are going to talk about this newsmaking medication and give you a brief overview of what it is, how it works, and how long it takes to start losing weight on Zepbound. People tend to gain weight after they stop taking the medicine, so you’re meant to take a maintenance dose of the medicine over the long-term. Your provider can offer personalized guidance based on your treatment duration, current dose level, and individual circumstances. For example, if your usual injection day is Monday and you remember on Wednesday (2 days late), take your dose immediately and then continue with your regular Monday schedule for subsequent doses. This article explains the specific steps to take when you miss a dose, how to safely restart treatment, and practical strategies to help you remember your weekly injections. How does TrimRx support individuals on Zepbound or similar medications? While Zepbound can facilitate weight loss, it is not an instant solution. Drinking plenty of water is vital for overall health and can assist in managing appetite. It’s essential to celebrate small victories along the way, recognizing that sustainable weight loss is a gradual process. With compounded tirzepatide, dosing precision becomes your responsibility. GLP-1 receptor activation causes gastrointestinal side effects in a dose-dependent manner. Regardless of whether you go compounded or brand-name, the tirzepatide dosing schedule follows the same general framework. Injection site reactions The active ingredient, tirzepatide, slows digestion, which can contribute to the initial side effects. We recognize that understanding potential side effects helps you prepare for successful treatment. The effects range from common digestive issues that many patients experience. Understanding what to expect and how to react makes your treatment safer and easier. Zepbound may not be suitable for individuals with certain health conditions or a history of thyroid cancer. Most patients experience some level of side effects when they start taking Zepbound. Understanding these effects and how long they may last is essential for anyone starting this treatment. It is typically administered via a subcutaneous injection once a week, making it a convenient choice for many. Zepbound works by enhancing feelings of fullness, slowing gastric emptying, and regulating blood sugar levels, helping users to reduce their appetite and caloric intake. The most important aspect is to take it once a week on the same day each week to maintain consistent levels of the medication in your body. Do not take two doses of Zepbound within 3 days (72 hours) of each other. However, you must ensure there are at least 3 days (72 hours) between your last injection and the new dose. Most long-term protocols involve either maintaining the effective dose or finding the lowest dose that preserves results. Most patients with type 2 diabetes find clinically meaningful glucose control at 5mg to 10mg weekly. Individual results vary based on genetics, diet, activity level, starting weight, and adherence. Tirzepatide serves multiple clinical purposes, and the optimal dose range differs depending on the primary goal. Your dose will increase to keep you losing steady weight (1 to 2 pounds per week) while minimizing side effects. This slow approach helps your body get used to the medication and may lower the chances of uncomfortable side effects. To help ease this adjustment, Zepbound® is started at a low dose and gradually increased over time. People are more likely to experience side effects when they first start the medication or when their Zepbound® dose is increased. Your body is adjusting to slower digestion and altered hunger signals, which can feel unfamiliar and unpleasant at times, especially if your diet doesn’t change. Follow the recommended storage conditions, keeping the medication in the refrigerator between 36-46℉. Patients will take this preliminary dosage for 4 weeks before increasing it to 5 mg. Without insurance, a monthly supply of 4 single-dose Zepbound pens usually costs around $1,050. Scenario 3: Your provider wants you to microdose at 1.25mg This guide breaks down every legitimate pathway to affordable tirzepatide in detail. And more importantly, which of these options will actually work without putting your health at risk? How can the same medication vary by 400% depending on where you look? The developer has not yet indicated which accessibility features this app supports. It may come with a mix of excitement and anxiety, especially if you're new to injectable medications. Zepbound is a GLP-1 receptor agonist that mimics the action of hormones in your body that regulate appetite and insulin secretion. Together, we'll uncover the journey ahead and how to make the most of your Zepbound treatment. With that information, you’ll feel more prepared and will know what to mention to your provider during your check-ups. It's not a given that you'll experience Zepbound side effects, but it's helpful to know what could happen before you start treatment. The pens should help to reduce your appetite, but it’s also important to stay hydrated while using them. If you have any long-term health conditions that regular Zepbound use might impact, a doctor will consider any long-term risks before it’s prescribed to you. But if any side effects persist throughout your treatment and remain uncomfortable, you should speak to your physician about them. Gallbladder Problem Timeline If you’re ready to explore how prescription weight loss solutions can fit into your life, consider taking our free assessment quiz today. Administering Zepbound® from a vial can feel more involved than using a pre-filled pen, but with practice and careful adherence to these instructions, it becomes a routine part of your health management. You will need to draw the correct dose using a sterile syringe and needle for each weekly injection. In clinical studies, patients have reported weight loss during the first four weeks of treatment. Weight management is a journey filled with twists and turns, and for many, medications can play a vital role in achieving their health aspirations. Understanding the timeline of Zepbound’s effectiveness, the mechanisms behind its action, and the factors influencing weight loss can empower us as we navigate our unique health journeys together. In the world of weight loss medications, Zepbound (tirzepatide) has emerged as a promising option for individuals looking to manage their weight effectively. Your stomach empties more slowly on tirzepatide. Clinical trials reported nausea in approximately 20% of participants, with most episodes occurring during dose escalation periods. First, when side effects at a standard dose are too strong but the next step down is not effective enough, an intermediate dose solves the problem. Compounded vials from Empower let you inject any amount your provider prescribes, down to fractions of a milligram. This is why the smaller syringe is preferred whenever your dose volume allows it.Mounjaro comes in fixed-dose pens.Here is what most "cheap tirzepatide" articles miss entirely.This study found that adults with obesity who took the highest doses of Zepbound (10–15 mg) lost an average of 15% of their body weight.Dose increases may temporarily cause symptom flare-ups, but these lessen over time.Always consult your provider if symptoms continue.Zepbound is an FDA-approved injection for weight loss. Energy levels vary after the first dose. Listen to your body’s cues to avoid this. Zepbound’s appetite suppression starts subtly. These are usually mild and fade as your body adjusts. What to expect after the first dose of Zepbound varies. If you’re considering Zepbound or are already on the medication, remember that you don’t have to navigate this journey alone. While common side effects like nausea and diarrhea may occur, they often subside as your body adjusts to the medication. They can help adjust your dosage or provide additional medications to alleviate discomfort. This alarming statistic highlights the pressing need for effective weight management solutions. However, with any medication, there comes the potential for side effects, which can be concerning for those starting a new treatment. For those considering this approach, the appetite suppression timeline helps set expectations for what happens as you adjust maintenance dosing. Research consistently shows that stopping tirzepatide entirely results in weight regain and A1C increases within months. The 2.5mg starting dose is not a therapeutic dose for diabetes management. Importance of Consistent Dosing For compounded tirzepatide from Empower specifically, providers have more flexibility with dosing than brand-name pens allow. Meanwhile, side effects increase substantially at higher doses. Each dose increase happens after a minimum of four weeks at the current dose. Most providers consider anything within 0.5mg of the target dose to be acceptable. By focusing on customized medicine, the biostation helps patients earlier in the aging process in order to help prevent, rather than treat age-related issues. The biostation offers comprehensive, individualized, and a holistic approach to total wellness and age management. With the right dosage and ongoing monitoring, your health goals are well within reach. It is also gaining attention for its off-label use, helping patients lose weight.Continued medication use, dietary adherence, and physical activity are essential for maintaining achieved weight loss.I kept my meal times consistent, set reminders to hydrate, and planned light walks when I felt restless.Combine the medication with strength training twice weekly and stay consistent even during weight loss plateaus.Connect your injection to something you already do every week, like grocery shopping or doing laundry.Patients with higher baseline body mass index (BMI) may experience more absolute weight loss but similar percentage reductions compared to those with lower starting weights.Think of it as a two-key system where both keys need to turn at the same time.Pushing the plunger in one fast motion deposits a bolus of medication in a small tissue area. In other words, Zepbound not only has a lower monthly cost for pens but also offers cheaper options for lower doses in vial form. For single-dose vials (for cash-pay patients only), Zepbound costs $349 for a 2.5 mg dose and $499 for a 5 mg dose. Zepbound (made by Eli Lilly) contains the active ingredient tirzepatide, a dual GLP-1/GIP medication that mimics two hormones (GLP-1 and GIP). If needed, your provider will increase the dose in 2.5 mg increments until the maintenance dose is reached. Approximately 50% of trial participants achieved ≥20% weight loss, while about 90% achieved ≥5% weight loss—the threshold considered clinically meaningful for health improvements. The FDA-approved titration schedule allows for dose increases every four weeks based on tolerability and clinical response, with available maintenance doses of 5 mg, 10 mg, and 15 mg. Understanding realistic timelines helps patients maintain appropriate expectations and treatment adherence. Your provider said 2.5mg weekly. Empower Pharmacy, tirzepatide/niacinamide, 17mg/mL printed on the label. May your tirzepatide stay potent, your budget stay intact, and your results stay permanent. There are no published clinical trials specifically studying compounded tirzepatide, so all effectiveness claims are extrapolated from brand-name trial data. In theory, if the compounded product contains the correct amount of properly formulated tirzepatide, the physiological effects should be similar. Be especially wary of any weight loss solution that promises rapid drastic results with zero effort and no changes to your current dietary habits. Substantial weight loss requires consuming fewer calories than you burn through a combination of dietary changes and increased physical activity. There are zero verified reports of any celebrities using this specific recipe for weight loss. Prescription medications have undergone extensive testing to scientifically prove their efficacy and safety. While it begins to work shortly after injection, the visible results in terms of weight loss typically unfold over the course of weeks and months. When starting any new medication, especially one aimed at weight loss, it’s natural to wonder about the timeframe for results. The FDA approved Zepbound to aid in chronic weight management, specifically for individuals with a body mass index (BMI) of 30 or higher or 27 or higher with related health conditions. Both healthcare professionals and patients should be vigilant about monitoring for side effects, especially in the early stages of treatment. Together, these actions help people feel fuller and eat less, supporting weight loss. Before generics become available on the market, the generic company must prove it has the same active ingredients as the brand-name and works the same way in the body in the same amount of time. Aside from Zepbound, you may also be able to get other popular prescription medications from Pharmaserve. Aside from having reliable stock of Saxenda, other popular prescription medications have also been made available through the website at very affordable prices. While most side effects after the first Zepbound dose are mild and self-limiting, certain symptoms warrant prompt medical evaluation. If you use oral birth control, consider using a non-oral method or additional contraception for 4 weeks after starting Zepbound and after each dose increase. Some patients find taking the injection in the evening helps them sleep through peak nausea periods. Individual results vary based on dose, adherence to the medication, diet and exercise recommendations, and metabolic factors. This initial dose serves primarily as a tolerability dose rather than a therapeutic dose, allowing the body to adjust to the medication's effects on the gastrointestinal system and appetite regulation. The exact mechanism by which tirzepatide causes weight loss is not fully understood, but these combined effects lead to reduced appetite, increased satiety, and decreased caloric intake. This FDA-approved medication works as a dual GIP and GLP-1 receptor agonist, administered as a once-weekly injection for chronic weight management in adults with obesity or overweight with weight-related conditions. You should administer Zepbound subcutaneously in your abdomen, thigh, or upper arm, rotating injection sites with each dose to minimize local reactions. After your first injection, the medication begins working through its dual mechanism as a glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist. Serving clients nationwide, we offer the convenience of virtual visits and expert guidance to help you achieve your weight goals—whether you’re just starting out or require ongoing support. Consistent use, a healthy diet, and regular exercise enhance results over time. The rise of obesity and overweight conditions is a pressing global health issue, affecting millions of individuals across various demographics. Understanding when these side effects might manifest can empower us to make informed decisions about our health journey. When it comes to weight management solutions like Zepbound, this question becomes particularly important. Follow your dosage schedule exactly as prescribed and never skip doses. If any side effects you get feel intolerable, you can speak to a physician about alternative weight loss treatments that might be a better fit for you. Zepbound is an injectable pen treatment for diabetes and weight loss. Zepbound begins to act in your body shortly after the first dose, influencing appetite and glucose regulation. If you’re ready to embrace a healthier lifestyle and explore a personalized path to weight loss, we encourage you to take our free assessment quiz today. Our personalized, medically supervised programs are designed to empower you with the tools and guidance necessary for sustainable weight loss. This formulation dissolves on the tongue within 30 to 60 seconds, providing a needle-free alternative for patients who cannot or prefer not to self-inject. Beyond the injectable formulation, Empower Pharmacy has also offered tirzepatide as an orally disintegrating tablet (ODT). Optionally, verify with the peptide calculator or ask your provider to confirm the conversion. Victoza is a prescription medication that is FDA-approved to treat type 2 diabetes. In this post, we'll explore what you can expect to pay for Zepbound out of pocket, along with ways to save on this medication. If appropriate, providers on Sesame can prescribe Zepbound through Success by Sesame. Zepbound and Wegovy are both FDA-approved for the treatment of obesity. Do not freeze Zepbound or use Zepbound if the medication is frozen. Going forward, you can continue taking your weekly doses on Friday. You can easily switch your dose date as long as there are three days (72 hours) between your doses. You don’t want to take two doses of Zepbound within three days (72 hours) of each other, since that can lead to side effects like nausea, vomiting, and stomach pain. If you’re prescribed a vial, talk to your healthcare team about the correct way to give yourself Zepbound. While the Zepbound® single-dose pen offers convenience, some individuals may use the single-dose vial form of the medication. For many, the Zepbound® single-dose pen is a convenient and user-friendly option, designed for ease of use with its pre-filled medication and built-in needle. We are here to support you in every step, from the initial consultation to daily administration of your medication. The initial dose is typically low (2.5 mg), gradually increasing to a maintenance dose of up to 15 mg, based on individual tolerance and response. Zepbound is administered via a subcutaneous injection once a week. Zepbound is a GLP-1 and GIP receptor agonist, meaning it mimics the actions of these hormones in the body. Together, we can explore the nuances of this medication and how it aligns with the personalized approach we champion at TrimRx. Zepbound is a dual agonist that targets both the GIP and GLP-1 receptors, which play a crucial role in appetite regulation and metabolic processes. Some patients need six to eight weeks at each dose level instead of the standard four. If nausea persists beyond two weeks at a given dose, talk to your provider about stepping back down for an additional four weeks before trying again. This delayed emptying is actually part of the mechanism that reduces appetite and promotes weight loss. Second, when a patient wants to microdose tirzepatide, compounded vials make sub-2.5mg doses possible. Some providers prescribe intermediate doses like 3.75mg or 6.25mg that do not exist in the brand-name product line. Zepbound treatment begins with a lower dose of 2.5 mg, which is gradually increased by 2.5 mg every 4 weeks. For the first four weeks of your treatment, you will be started on a low dose (2.5 mg). If you use Zepbound, it may take a few weeks before you notice any changes in your appetite or weight. This information is valuable for your healthcare provider to assess your response to Zepbound and make adjustments as needed. Sometimes it was just the comfort of routine, sometimes it was emotional eating creeping back in under the surface. This experience reminded me that Zepbound does more than suppress appetite. Without the steady support of Zepbound, I could feel a quiet hum return to my stomach. One of the first changes I noticed was my appetite. It was a strange limbo where I did not want to undo the good I had done, but I also needed to honor my body’s needs. When it comes to weight loss, many of us are on a quest for effective solutions that yield visible results. Sesame content is not intended to be a substitute for professional medical advice, diagnosis or treatment. It is also gaining attention for its off-label use, helping patients lose weight. This article will examine how effective Mounjaro is as a weight loss drug, how it works, and what to consider before taking it. Weight loss drugs are prescribed to individuals with obesity or individuals who are overweight and managing a weight-related health condition. In this blog post, we will explore the key aspects of what to expect after your first Zepbound injection. However, understanding the effects and potential side effects after your first dose is essential for navigating this process smoothly. Understanding these warning signs ensures appropriate and timely intervention when necessary. If constipation occurs, increase dietary fiber gradually, maintain hydration, and consider a gentle stool softener if needed after consulting your provider. For example, if you prefer to use your stomach for injection, alternate which side of the abdomen you inject into each time. Because of that, experts recommend you rotate injection sites each time. If you have a more serious allergic reaction — such as hives, swollen or blistering skin, or itching that keeps getting worse — reach out to your health provider immediately as these can be signs of a serious allergic reaction. Canadian online pharmacies have become reliable, especially for U.S. patients looking to save on costs while staying within legal bounds. No medication is without side effects, and Zepbound is no exception. Doses are typically administered once a week via subcutaneous injection. The Zepbound dosage schedule follows a step-up approach to help minimize side reactions and allow your body to adjust. Proper Storage of Your Zepbound Medication Compounded tirzepatide is not a knockoff.Zepbound is intended for chronic, long-term use as obesity is recognized as a chronic disease requiring ongoing management.The weight you can lose with Zepbound varies based on factors such as your starting weight, lifestyle choices, and adherence to the prescribed regimen.Reports of depression and suicidal thoughts have been made in patients using Zepbound.As a result, there is no typical expected rate of weight loss.That is a truly life-changing amount of weight.Side effects may reoccur when doses increase, but this is part of the adjustment phase.TrimRx provides educational resources on safe tirzepatide administration to promote smoother results. Zepbound is administered as a once-weekly subcutaneous injection and is intended for use alongside a reduced-calorie diet and increased physical activity. The GLP-1 component primarily affects areas of the brain involved in appetite regulation, particularly the hypothalamus, while the GIP receptor activation may provide additional metabolic effects. By activating both GIP and GLP-1 receptors, tirzepatide enhances insulin secretion in a glucose-dependent manner, suppresses glucagon secretion when glucose levels are elevated, and slows gastric emptying. Rate GI symptoms daily for the first week after each dose increase on a 0-10 scale. This log helps your provider make informed decisions and helps you identify patterns. Same day, same time, same conditions (morning, after using the bathroom, before eating). The increased prevalence of polypharmacy in elderly patients means more potential interactions to consider. Not everyone needs the highest dose to see results—many people see benefits at lower doses. Many of these side effects improve as your body adapts to the medication, especially if your Zepbound® dose is increased gradually. Zepbound® contains tirzepatide and is part of a class of medications called GLP-1 receptor agonists. Finally, we’ll touch on rare but serious side effects, such as pancreatitis and gallbladder complications, and explain what’s worth flagging to your healthcare provider. If you’re considering taking Zepbound®, you’ve likely heard about its potential to support significant weight loss. While initial appetite suppression may be felt quickly, noticeable weight loss typically occurs over a longer period. Let’s dive into the intricacies of Zepbound and uncover what makes this medication a unique tool in our weight management toolkit. When we know what to expect, we can better prepare ourselves for the ups and downs of weight loss, fostering resilience and commitment to our health. The communication and ease of being able to be qualified for and receive the medication. Received my medication quickly and at a very affordable price. Very easy process with quick response time. Their are others where the medication is included. Life is unpredictable, and sometimes, despite our best intentions, a dose might be missed or a schedule change becomes necessary. Our unlimited support is also available to help guide you through the process, ensuring you feel confident and comfortable with your treatment. This doesn’t mean you need to switch body parts every time; you can use the same general area (e.g., the stomach) but choose a slightly different spot within that area each week. Significant weight loss generally becomes more apparent after several weeks of consistent treatment. This medication is designed to be used alongside a reduced-calorie diet and increased physical activity, making it a supportive tool for weight management. Most patients start with a 2.5 mg dose, which serves as an initiation dose to help your body adjust to the medication. If you suspect an underlying condition or medication is affecting your progress, discuss this with your healthcare provider. Some people may experience an initial weight loss followed by a plateau as their bodies adjust to the medication. While Zepbound offers promising benefits for weight loss, it is important to be aware of the potential side effects, which can range from mild to serious in nature. Discover the reasons behind Zepbound side effects, and learn effective ways to manage and minimize them for a safe weight-loss journey. Below is a chart that shows the average weight loss results during a 72-week trial with participants who started the trial weighing an average of about 231 pounds. Many individuals begin their maintenance phase after a year because their weight has stabilized, so their goal is to maintain their healthy BMI. Your dose has probably been increased again, with the strength depending on how your body has been responding. That's why we're not the biggest fans of Zepbound before / after weight loss pics. When it comes to before and after weight loss pictures, take them with a grain of salt. Regular physical exercise complements the appetite-suppressing effects of Zepbound by increasing calorie burn and building muscle mass, which boosts your metabolism and helps you lose more weight. But those with a lower initial body weight might experience smaller percentage losses, albeit potentially significant for their size. One of the most important factors is the starting body weight. Healthcare providers should regularly reassess treatment goals, discussing whether continued therapy remains appropriate based on efficacy, tolerability, and patient preferences. Behavioral strategies, including mindful eating practices, stress management, and adequate sleep (7-9 hours nightly), complement pharmacological treatment. Regular resistance training and cardiovascular exercise support metabolic health and functional capacity. Deliberate protein targeting of 0.7-1g per pound of body weight helps preserve lean mass during rapid weight loss. B12 is added because GLP-1 medications can reduce B12 absorption over time. At the highest dose, 63% of participants lost at least 20% of their body weight. If you are hesitant to start your transformation with these latest products to loose weight… check out Ro. I signed up thinking the medication was included because it wasn’t clear. It’s very deceiving you have to pay a monthly membership, which does not include anything towards medication. There are also complaints about communication issues, including slow customer service and challenges in getting timely responses. The monthly membership fees, separate from medication costs, are a point of contention for many.