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Patients appreciate being able to browse provider profiles, read reviews, and select a clinician who matches their preferences rather than being assigned one Same-day appointments available in many cases The breadth of medication options, 14 different weight loss prescriptions, is cited as allowing providers to tailor treatment to individual patient profiles rather than defaulting everyone to the same protocol Costco partnership praised by members for adding a familiar, trusted access point to what is otherwise a purely digital experience Common complaints: The 28-day billing cycle causes surprise charges for patients expecting monthly billing aligned to calendar months Some patients report customer service issues, including slow response times and difficulties with cancellations No intensive coaching lifestyle support is limited compared to platforms with dedicated coaches or dietitians Provider variability because Sesame is a marketplace with independent providers setting their own rates and approaches, patient experience can vary significantly depending on which provider is selected Compounding Pharmacies Used Sesame Care prescribes both FDA-approved brand-name medications and compounded semaglutide, depending on clinical appropriateness and patient need

Its not recommended, but plenty of people do it It's quite common for people to start on GLP-1 drugs like Ozempic and Zepbound, especially as the diabetes and obesity treatments become more ubiquitous

The reduced appetite from GLP-1 therapy makes it easier to adhere to these dietary patterns, but intentional meal planning ensures adequate nutrition

Instead of using the drug to bludgeon the appetite into submission, doctors are using fractional doses to gently repair metabolic signaling, lower systemic inflammation, and eliminate cravingswithout sacrificing muscle mass or quality of life

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