As the consequences of the decision to stop compounding GLP-1 evolves, I want to reassure my clients that I am willing to pivot and support patients the best I can. I am here to support my patients and coach them through this. Some of my planned upcoming activities:

• Meet with pharmaceutical representatives to discuss direct purchasing of name brand medications for my clients. By eliminating pharmacies that are working for profit perhaps I can make this work.
• Use other proven methods to support weight loss such as the root cause analysis, plate method, functional medicine methods, behavior changes, root cause analysis, complementary and alternative methods, exercise programs tailored to your limitations including time. 
• Be willing to use generic medications separated such as naltrexone + bupropion, phentermine, and topiramate to provide support as patients transition off GLP-1 formulas.
• Help hold clients accountable in the ways that will work for them best. For example:
• A friendly text to encourage healthy eating and exercise
• Provide CBT handouts about our relationship with food
• Help my clients find something else to do than eat.
• Identify why food is used for more than energy and why we trade discomfort (hunger) for discomfort (full)
• Recognition that sugar and high fructose corn syrup are proven to be addictive.
• Help my clients perhaps obtain a several month supply and when goals are met consider microdosing plus other methods to maintain a healthier weight.
• Spend TIME with my clients so they really understand and can explore what works best for them. I am even willing to go to the grocery store with you!

Understanding and patience through plateaus are critical and I am here to support you.