What matters most to you about your treatment?

Have you tried a weight-management program before?

Jenny Craig, Weight Watchers, Noom, etc.

What's your sex at birth?

Required for medical evaluation.

How old are you?

You must be 18 or older to participate.

Your height, weight, and goal

We use this to calculate your BMI — one factor providers consider.

Here's your starting point

Everyone's pace is different — your provider will help you set safe, realistic expectations. In clinical studies, GLP-1 medications have helped patients achieve meaningful, sustained weight loss when combined with lifestyle changes.

LightenMD medical providers review every intake — usually within 24 hours.

Do any of these apply to you?

Select all that apply. Your provider reviews every answer.

Do any of these apply to you?

Select all that apply — these don't necessarily disqualify you, but your provider needs to know.

Within the last 3 months, have you taken opiate pain medications or opiate-based drugs?

Have you had prior weight-loss surgeries?

Do you currently take any prescription medications?

Which medications?

List each medication and dose if you know it.

Have you taken weight-loss medication within the past 4 weeks?

What is your blood pressure range?

Your most recent reading, if known.

What is your average resting heart rate?

Anything else our medical team should know?

Optional — allergies, past reactions, concerns, questions.

Where should your care be based?

Providers must be licensed in your state.

How can you be reached?

Our medical team and pharmacy partners use email and text for patient communication.