Online GLP-1 Consultation 2026: What to Expect & How to Prepare

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What is an online GLP-1 consultation?

An online GLP-1 consultation is a medical questionnaire that you complete on a telehealth provider's website. It collects the information a physician needs to determine whether GLP-1 weight loss medication (compounded semaglutide or tirzepatide) is safe and appropriate for you. After you submit the questionnaire, a US-licensed physician reviews your responses and makes a prescribing decision.

This is not an automated approval system — a real doctor reviews each consultation. The process is designed to match the medical standards of an in-person visit while being faster, more convenient, and more affordable.

What questions are asked during the consultation

The online consultation covers several categories of health information:

Basic information

• Current weight and height (used to calculate BMI)
• Age and biological sex
• State of residence (for physician licensing)

Medical history

• Diabetes status (type 1, type 2, prediabetes, or none)
• HbA1c level if known
• History of pancreatitis
• Thyroid conditions (including family history of medullary thyroid cancer or MEN2)
• Gallbladder disease or gallstones
• Cardiovascular disease
• Kidney disease
• Gastrointestinal disorders (gastroparesis, IBS, IBD)
• Eating disorders (current or past)
• Mental health conditions

Current medications

• Prescription medications (especially insulin, sulfonylureas, antidepressants)
• Over-the-counter medications
• Supplements and herbal products
• Previous GLP-1 medication experience (if any)

Lifestyle and goals

• Diet patterns and eating habits
• Exercise frequency
• Sleep quality
• Alcohol consumption
• Smoking status
• Weight loss goals and timeline
• Previous weight loss attempts and methods

Pregnancy and family planning

• Current pregnancy
• Breastfeeding
• Plans to become pregnant within the next year
• Birth control method (if applicable)

How to prepare for your consultation

To make your consultation smooth and accurate, gather the following information before starting:

• Know your exact weight and height: Use a scale and measuring tape for accuracy. Your BMI determines eligibility.
• List all current medications: Include prescriptions, OTC meds, and supplements. This helps the physician check for interactions.
• Know your medical history: Be prepared to report any conditions you have been diagnosed with, especially thyroid, pancreatic, or gastrointestinal issues.
• Know your family medical history: Specifically, any family history of thyroid cancer or MEN2 syndrome.
• Have your HbA1c if diabetic: If you have had recent blood work, have the results ready.
• Think about your goals: Be ready to describe your weight loss goals and what you have tried before.
• Be honest: The consultation is confidential. Inaccurate information could lead to unsafe prescribing decisions.

Eligibility criteria for GLP-1 medication

The physician will evaluate your consultation responses against these criteria:

You may qualify if:

• Your BMI is 30 or higher, OR
• Your BMI is 27 or higher with a weight-related condition (hypertension, dyslipidemia, sleep apnea, prediabetes, or cardiovascular risk factors)
• You are 18-75 years old
• You do not have contraindications (see below)

You may NOT qualify if:

• Personal or family history of medullary thyroid carcinoma (MTC)
• Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
• History of pancreatitis
• Currently pregnant or breastfeeding
• Severe gastrointestinal disease (gastroparesis)
• BMI below 27 without qualifying comorbidities

What happens after the consultation

If approved:

1. Your prescription is sent to an FDA-registered compounding pharmacy
2. The pharmacy prepares your compounded semaglutide or tirzepatide
3. Your medication ships in temperature-controlled packaging (3-5 business days)
4. You receive dosing instructions and administration guidance
5. You begin treatment with ongoing virtual follow-up care

If not approved:

• You will receive an explanation of why GLP-1 medication was not appropriate for you
• You may receive recommendations for alternative weight loss treatments
• You will not be charged for the consultation
• You may be advised to see an in-person specialist for further evaluation

Cost of the online consultation

The online GLP-1 consultation is free with most telehealth providers. You are not charged unless you are approved and choose to start treatment. The medication cost starts at $147/month for compounded semaglutide and $249/month for compounded tirzepatide.

Frequently asked questions

Is the online consultation confidential?

Yes. Your medical information is protected under HIPAA, the same privacy law that applies to in-person doctor visits. Your information is only shared with the physician reviewing your case and the pharmacy filling your prescription.

Can I be approved instantly?

Some providers offer same-day approval, but most take 24-48 hours for physician review. This ensures a thorough medical evaluation rather than an automated approval. Be cautious of providers that approve instantly without physician review.

What if I am not sure about my medical history?

Provide as much information as you can. If you are unsure about specific conditions, note that in the consultation. The physician can follow up with questions if needed. It is better to be honest about uncertainty than to guess incorrectly.

Conclusion

The online GLP-1 consultation is a free, 5-10 minute medical questionnaire reviewed by a US-licensed physician. By preparing your medical information in advance and answering honestly, you give the physician the information they need to determine if GLP-1 medication is safe and appropriate for you. If approved, medication ships from an FDA-registered pharmacy in 3-5 days.

Ready to start? Begin your free online GLP-1 consultation today.

Affiliate disclosure: This article contains affiliate links. We may earn a commission if you sign up through them, at no extra cost to you. This is a paid partnership. Compounded GLP-1 medications are prescription products requiring a physician consultation — not everyone qualifies, and results vary. Medical disclaimer: This content is for informational purposes only and is not medical advice.

Related GLP-1 guides

• How to Get Prescribed GLP-1 Online
• Doctor-Prescribed GLP-1 Online
• GLP-1 Prescription Requirements
• Semaglutide Eligibility Criteria
• GLP-1 Without Doctor Visit