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The typical patient flow: 1.You complete an intake questionnaire on Citizen Meds' website covering medical history, current medications, weight, target weight, and goals 2.A medical provider licensed in your state reviews the intake asynchronously 3.If appropriate, the provider writes a prescription for compounded tirzepatide at a starting dose 4.A partner compounding pharmacy fills the prescription and ships cold-chain to your address 5.Monthly portal follow-ups support dose titration, side-effect management, and refill requests What makes Citizen Meds different from buying brand Zepbound at a retail pharmacy: - Citizen Meds dispenses compounded tirzepatide, which is not FDA-approved as a finished dosage form

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Note that Burclaff et al