Welcome!

Lets see if you qualify for the Medical Program!

Do any of the following apply to you?

None of the below

Currently or possibly pregnant, or actively trying to become pregnant

Breastfeeding or bottle-feeding with breastmilk

End-stage kidney disease (on or about to be on dialysis)

End-stage liver disease (cirrhosis)

Current or prior eating disorder

Current suicidal thoughts and/or prior suicidal attempt

Cancer (active diagnosis, active treatment, or in remission or cancer-free for less than 5 continuous years; does not apply to non-melanoma skin cancer that was considered cured via simple excision alone)

History of organ transplant on anti-rejection medication

Severe gastrointestinal condition (gastroparesis, blockage, inflammatory bowel disease)

Type 2 diabetes (on insulin)

Type 1 diabetes

Diabetic retinopathy (diabetic eye disease)

History of or current pancreatitis

Personal or family history of thyroid cyst/nodule, thyroid cancer, medullary thyroid carcinoma, or multiple endocrine neoplasia syndrome type 2

Are you currently taking or have recently (within the last 12 months) taken medication(s) for weight loss?

Yes, I currently take or have recently (within the last 12 months) taken a GLP-1 medication for weight loss
Yes, I currently take or have recently (within the last 12 months) taken another medication for weight loss
No

How tall are you?

Feet

Inches

What is your current weight?

Pounds

BMI: {BMI}

What is your name?

First Name

Last Name

What is your date of birth?

What is your email address?

What is your phone number?

What is your gender?

Female
Male