Mykle Lee
Male · 5/1/1992 (33y) · AZ
Phone: 7024828625
All Visits (4)
Weightlossfollowup
Master Id: 2182f3c0-0197-4792-8c88-88379a49cf17
Resolved
Current VisitCreated on: 5-1-2025
Updated on: 5-13-2025
Resolved on: 5-13-2025 (Prescribed)
Weightlossfollowup
Master Id: 1849a9f5-610c-40bb-988c-374c4568f9fc
Resolved
Go to this visitCreated on: 1-7-2025
Updated on: 1-9-2025
Resolved on: 1-8-2025 (Prescribed)
Weightlossfollowup
Master Id: d088e05a-b485-4bc9-a572-31a95e005122
Resolved
Go to this visitCreated on: 11-10-2024
Updated on: 11-10-2024
Resolved on: 11-10-2024 (Prescribed)
Weightloss
Master Id: d0cbf803-093b-4224-82db-b153d042e7b4
Resolved
Go to this visitCreated on: 10-11-2024
Updated on: 10-13-2024
Resolved on: 10-13-2024 (Prescribed)
baskAmbleHealth Weightlossfollowup
Resolved Visit
Master Id: 2182f3c0-0197-4792-8c88-88379a49cf17
- Hi Mykle, Your case is pending medical review by our clinicians.
If any further information is needed then the provider will reach out to you via this channel.
If you meet criteria for Weightloss therapy, the clinician will process your medication.
If you have any medical questions, please feel free to ask them here.
For all billing, pricing, or shipping information please reach out via the customer service channel.Visit Type: weightlossCompany: baskAmbleHealth
- Hello, it's good to meet you. My name is Dr. Jeff Shellenberger, I'm a board-certified physician licensed in your state. I'm board specialized in Obesity Medicine as well as Emergency Medicine.
After reviewing your intial information and answers to some of the questions, I would like to prescribe you a GLP-1 (ex: semaglutide OR tirzepatide) medication because I think it has the lowest side effect/risk profile while providing the best chance for weight loss. If you are not ok with either of these, please let me know.
Due to concerns over availability/access to the medications, I would like to prescribe you a compounded version of the semaglutide OR tirzepatide.
I would like to remind you that, while compounded medications are common, they are not subject to FDA approval and are considered "off-label". *It is legal and common for physicians to prescribe a drug for off-label use when it is determined to be medically appropriate. In fact, according to the Agency for Healthcare Research and Quality, one in five prescriptions today are for off-label use. Find out the FDA's official policy for 'off-label' medications: https://www.fda.gov/patients/learn-about-expanded-access-and-other-treatment-options/understanding-unapproved-use-approved-drugs-label
You can find out more about the FDA's opinion regarding compounded medications and their risks and benefits by going to the following link: https://www.fda.gov/drugs/human-drug-compounding/compounding-and-fda-questions-and-answers. While you have the right to request the medication be sent to any pharmacy, there is no guarantee that the pharmacy you choose will be able to compound this medication (most pharmacies like CVS, Walgreens, RiteAid, Amazon, DO NOT offer compounding), and you may be required to pay any difference in cost. Please contact support for any questions regarding the pharmacy or price of medication. If no objections, your prescriptions will be sent to the compounding pharmacy, and shipped directly to you.Please read the following about all GLP-1s
COMMON NAMES (in alphabetical order):
Liraglutide (Saxenda)
Semaglutide (Ozempic, Rybelsus, Wegovy)
Tirzepatide (Mounjaro, Zepbound)
HOW THEY WORK:
Increasing insulin production from the pancreas.
Decreasing glucagon release after a meal. Glucagon triggers your liver to store fat.
Slows gastric emptying, which will make you feel ‘full’.
BENEFITS:
GLP-1's have been shown to help with weight reduction when combined with lifestyle medications such as exercise and reduction of caloric intake.
RISKS:
**May decrease effectiveness of oral contraception. To prevent pregnancy consider using a barrier device such as condom.
Medicines in the GLP family have caused thyroid tumors in lab mice. It is not yet known if they will cause thyroid tumors or medullary thyroid carcinoma (MTC) in people. No studies have confirmed a linkage between GLP-1's and thyroid tumors in humans.
COMMON SIDE EFFECTS:
Nausea, constipation, gastroesophageal reflux, diarrhea, fatigue
YOU SHOULD NOT USE A GLP-1 IF YOU HAVE ANY OF THE FOLLOWING:
Eating Disorder
Gallbladder Disease (does not include gallbladder removal/cholecystectomy)
Severe GI disease (eg: gastroparesis, Crohn's, ulcerative colitis, history of intestinal blockage)
Drug Abuse
Alcohol Abuse
Recent Bariatric Surgery
Chronic pancreatitis, or pancreatitis while taking a GLP-1
Personal or family history of medullary Thyroid Cancer
Multiple endocrine neoplasia type 2 syndrome (MEN-2)
Currently Pregnant (or planning to become pregnant)
Currently Breastfeeding
Retinopathy
*Visit Type: weightlossCompany: baskAmbleHealth
- In case you were not aware, compounded tirzepatide will no longer be available very shortly. While I recognize that you would like tirzepatide, I would prefer to go ahead and make a modification to another GLP-1 medication, semaglutide.
I do think semaglutide is a very good medication, and has the same side effect profile as tirzepatide, therefore you should not notice any significant difference. The dosing between the two are NOT equal (meaning 1mg of semaglutide does not equal 1mg of tirzepatide), therefore please understand that I have extensive experience prescribing both of these medications, and will aim to choose a dose which appropraite for you, regarless if this is your first time taking a GLP-1 medication, or if you are already being prescribed this medication (not having to 'start all over').
Let's start/switch you over to semaglutide. Ok?Visit Type: weightlossCompany: baskAmbleHealth
- In reviewing your chart, I want to ensure I have the most up-to-date information. Many patients may have already been on medication, and the photos they upload, as well as their weight documentation, might be outdated. Please read the following scenarios carefully and respond accordingly:
Scenario 1: If the photo you uploaded is older and taken before significant weight loss, please let me know when the photo was taken and your approximate weight at that time. Then, upload a current photo and provide your current weight.
Scenario 2: If the photo you uploaded is recent, but you’ve lost a significant amount of weight in the past 12 months, please document your current weight and your maximum weight in the past 12 months. Additionally, upload a photo from when you were at your maximum weight during that period.
Scenario 3: None of the above apply to you. In which case I will take your information and picture as current data and your current maximum weight in the past 12 months.
Thank you for helping keep your medical records accurate!Visit Type: weightlossCompany: baskAmbleHealth
- Hello, the photo is a little older but not too old. I was about 185 lbs in the photo and lost some weight when I was on Zepbound. I'm currently around 150 and have gained a little since my insurance changed and I am no longer able to get the Zepbound covered.Visit Type: weightlossCompany: baskAmbleHealth
- I am aware the trizeptide is no longer available and I am okay with semaglutide. I was on 10mg trizeptide last month and I hope I can start at a higher dose of the semaglutide so I don't have to start over if that's possible? I have gained some weight since my insurance changed and could no longer get Zepbound covered.Visit Type: weightlossCompany: baskAmbleHealth
- Sure I can start you off on a higher dose. Can you upload your previous prescription.
* Please upload a picture of your previous GLP-1 (semaglutide/tirzepatide) medication into the portal so I may review the dose. Take 2 photos if needed.
-Please make sure to have the following:
1) Your name clearly visible
2) Date of the prescription
3) Name and concentration of the medication
4) Units you were asked to inject
-Please type out the following:
1) Date of your last injection.
2) How many units you last injected.
If you dont have a label on the prescription, please obtain something which will help me verify. Perhaps a screen shot, recepit, or e-mail with any of the information above.Visit Type: weightlossCompany: baskAmbleHealth
- ## Photo submitted ##Visit Type: weightlossCompany: baskAmbleHealth
- I guess the last dose I took was 7.5mg Zepbound.Visit Type: weightlossCompany: baskAmbleHealth
- ## Photo submitted ##Visit Type: weightlossCompany: baskAmbleHealth
- Here was my next Rx I couldn't fill since my insurance changed. It was going to be 12.5mg Zepbound.Visit Type: weightlossCompany: baskAmbleHealth
- Unfortunately I don't have the actual Rx at home since I finished the 4 pens I threw everything away. Let me know if this info is enough. Thanks!Visit Type: weightlossCompany: baskAmbleHealth
- Last injection was early September. I don't have the exact date I am sorry.Visit Type: weightlossCompany: baskAmbleHealth
- Compounded Tirzepatide is no longer available due to FDA regulations. We can change to compounded Semaglutide at a near equivilant dose. Please let us know if we can continue. Visit Type: weightlossCompany: baskAmbleHealth
- Yes. I understand and I would like to continue with semaglutide.Visit Type: weightlossCompany: baskAmbleHealth
- Hi there, nice to meet you today virtually.
My name is Dr. Kessler and I am a board certified physician licensed in your state and I am happy to help you today. your BMI is very low at 23 and virtually every person goes on maintenance
also if your last injection was early September it would be the starting dose today at 0.25 mg.
given your BMI of < 25 this is appropriate and safe.
please confirm Visit Type: weightlossCompany: baskAmbleHealth
- Dr. Shellenberger who started working with me said I could start at a higher dose since I was most recently on the 10mg dose of the tirzepatide. I was a BMI of 30 but my insurance changed recently which is what brought me to Amble. Which is why I would like to start semaglutide at an equivalent dose to the tirzepatide 10mg.Visit Type: weightlossCompany: baskAmbleHealth
- That will not be possible. Please let me know your decision.
Here are the official safety guidelines and if you ever need them keep them handy: Restarting Therapy:
• If ≤2 doses are missed, restart the same dose weekly.
• If 3–4 doses are missed, restart dose at 50% of previous dose weekly.
• If ≥5 doses are missed, restart therapy at starting dose once weekly.
for safety reasons and to avoid unnecessary side effects, this is the schedule that is recommended for restart/skipped times thank you
Given your BMI of 23 it is also not safe to be on high doses.. side effects can be quite terrible. 0.5 mg would probably be the highest I would recommend. Please let us know your choice.Visit Type: weightlossCompany: baskAmbleHealth
- That would be fine. Is it 0.5mg for the first month? Then 1mg for month 2? If the shipments are for the entire 3 months does it come with enough to increase dose month 2 and month 3?Visit Type: weightlossCompany: baskAmbleHealth
- it is monthly and you are now considered maintenance therapy keep that it mind thanksVisit Type: weightlossCompany: baskAmbleHealth
- Hi Mykle,
Based on the information you provided, I have prescribed you
Pure Semaglutide 0.5mg
Inject 20 units subcutaneously once a week for 4 weeks (0.5mg)
.
Please note that the concentration of these medications can change with each shipment so please read this information carefully and double check before using.
Your prescription was sent to Amble Health for fulfillment.
Let your primary care doctor know about this medicine and any other changes in your health. If you do not have a doctor I recommend establishing care with one and making sure they have all your healthcare information including this visit. If you do not have insurance you can find a low cost doctor at findahealthcenter.hrsa.gov.
Semaglutide is to be used together with behavioral and dietary changes for the treatment of obesity.
Most common side effects are nausea and dizziness.
For more information about managing obesity please speak with your primary care doctor.
Please remember to tell your main doctor about all the medicines and supplements you're taking.
Inject Semaglutide under the skin (not into a muscle) of your tummy, thigh, or the upper part of your arm.
You can do this at any time of the day, but try to do it on the same day each week. It's okay to do this before or after eating.
If you need to change the day you inject the medicine, make sure you leave at least 72 hours (3 days) between your last injection and the next one.
Each time you inject, choose a different spot. Please don't mix this medicine with any other injectable medicines like insulin.
If you need to take another injectable medicine, give each one as a separate injection.
Try to avoid giving another injection close to the spot where you gave the last one. Please make sure to keep refrigerated.
For more information on how to inject your medicine, please visit: https://www.youtube.com/watch?v=wXjQHAxopzk
If you experience severe symptoms such as difficulty breathing, chest pain, severe dizziness, or any other life-threatening condition, call your local emergency number immediately or go to the nearest emergency room.Visit Type: weightlossCompany: baskAmbleHealth
- Okay, thank you.Visit Type: weightlossCompany: baskAmbleHealth
- Hi Mykle, Your case is pending medical review by our clinicians.
If any further information is needed then the provider will reach out to you via this channel.
If you meet criteria for Weightloss therapy, the clinician will process your medication.
If you have any medical questions, please feel free to ask them here.
For all billing, pricing, or shipping information please reach out via the customer service channel.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle,
I am Dr. Seema Misra, a board certified physician who is licensed in your state and am happy to be able to care for you. I am sorry you are having diarrhea or loose stools. You can try to increase fiber in your diet and/or a fiber supplement. If this is not helping enough you can try over the counter Imodium AD. I am increasing your dose and hopefully this will help you further with reaching your goals. I hope you feel better soon!
I have prescribed you
Pure Semaglutide 1mg
Inject 40 units subcutaneously once a week for 4 weeks (1mg)
.
Please note that the concentration of these medications can change with each shipment so please read this information carefully and double check before using. Remember to focus on regular exercise and monitoring the quality and quantity of food intake. Also it is important to stay well-hydrated. Please let us know if you have any questions.
Semaglutide is to be used together with behavioral and dietary changes for the treatment of obesity.
Most common side effects are nausea and dizziness.
For more information about managing obesity please speak with your primary care doctor.
Please remember to tell your main doctor about all the medicines and supplements you're taking.
Inject Semaglutide under the skin (not into a muscle) of your tummy, thigh, or the upper part of your arm.
You can do this at any time of the day, but try to do it on the same day each week. It's okay to do this before or after eating.
If you need to change the day you inject the medicine, make sure you leave at least 72 hours (3 days) between your last injection and the next one.
Each time you inject, choose a different spot. Please don't mix this medicine with any other injectable medicines like insulin.
If you need to take another injectable medicine, give each one as a separate injection.
Try to avoid giving another injection close to the spot where you gave the last one. Please make sure to keep refrigerated.
For more information on how to inject your medicine, please visit: https://www.youtube.com/watch?v=wXjQHAxopzk
If you experience severe symptoms such as difficulty breathing, chest pain, severe dizziness, or any other life-threatening condition, call your local emergency number immediately or go to the nearest emergency room.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle, Your case is pending medical review by our clinicians.
If any further information is needed then the provider will reach out to you via this channel.
If you meet criteria for Weightloss therapy, the clinician will process your medication.
If you have any medical questions, please feel free to ask them here.
For all billing, pricing, or shipping information please reach out via the customer service channel.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle,
I have prescribed you
Amble Semaglutide 1.5mg
Inject 30 units (1.5mg) once weekly
.
Please note that the concentration of these medications can change with each shipment so please read this information carefully and double check before using. Remember to focus on regular exercise and monitoring the quality and quantity of food intake. Also it is important to stay well-hydrated. Please let us know if you have any questions.
Semaglutide is to be used together with behavioral and dietary changes for the treatment of obesity.
Most common side effects are nausea and dizziness.
For more information about managing obesity please speak with your primary care doctor.
Please remember to tell your main doctor about all the medicines and supplements you're taking.
Inject Semaglutide under the skin (not into a muscle) of your tummy, thigh, or the upper part of your arm.
You can do this at any time of the day, but try to do it on the same day each week. It's okay to do this before or after eating.
If you need to change the day you inject the medicine, make sure you leave at least 72 hours (3 days) between your last injection and the next one.
Each time you inject, choose a different spot. Please don't mix this medicine with any other injectable medicines like insulin.
If you need to take another injectable medicine, give each one as a separate injection.
Try to avoid giving another injection close to the spot where you gave the last one. Please make sure to keep refrigerated.
For more information on how to inject your medicine, please visit: https://www.youtube.com/watch?v=wXjQHAxopzk
If you experience severe symptoms such as difficulty breathing, chest pain, severe dizziness, or any other life-threatening condition, call your local emergency number immediately or go to the nearest emergency room.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Thank youVisit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle, Your case is pending medical review by our clinicians.
If any further information is needed then the provider will reach out to you via this channel.
If you meet criteria for Weightloss therapy, the clinician will process your medication.
If you have any medical questions, please feel free to ask them here.
For all billing, pricing, or shipping information please reach out via the customer service channel.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi, I saw that you were on a GLP-1 medication before. When was your last dose?Visit Type: weightlossfollowupCompany: baskAmbleHealth
- My last dose was yesterdayVisit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle- My name is Dr. Christopher Findley, and I'm a board-certified physician licensed in your state. As it has been more than 4 weeks since your last prescription, please upload an image of your most recent prescription for weight-loss medication. This must include your name, the name of the medication, the dose of the medication and the date prescribed. The GLP-1 medications (semaglutide) and the GLP-1/GIP medications (tirzepatide) are not the type of medications that can be paused or stopped for a period of time without requiring a dose adjustment. Your body loses tolerance very quickly once the medication has been stopped and restarting at the same dose very frequently results in severe side effects. If you've missed two or fewer doses, we can continue at your previous dose. If you've missed between two and four doses, we will need to cut your dose in half and restart from there. If you've missed more than 4 doses, we will need to restart from the next to lowest dose (0.5mg for semaglutide and 5mg for tirzepatide). Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hello, my most recent prescription was the last one from amble. I was spacing out the doses 3ish weeks and so it lasted me longer. I just completed a dose so I haven't missed more than 4 doses.Visit Type: weightlossfollowupCompany: baskAmbleHealth
- Hi Mykle,
I have prescribed you
Semaglutide 1.5mg
Inject 60 units (1.5mg) once weekly
Each dose is taken for a period of 4 weeks unless instructed otherwise or unless you're on a maintenance dose.
The concentration of the medication that you receive can differ so always read the instructions carefully to avoid taking the wrong amount.
Semaglutide is to be used together with behavioral and dietary changes for the treatment of obesity. Most common side effects are nausea and dizziness.
Please remember to tell your main doctor about all the medicines and supplements you're taking.
Inject Semaglutide under the skin (not into a muscle) of your tummy, thigh, or the upper part of your arm.
You can do this at any time of the day, but try to do it on the same day each week.
It's okay to do this before or after eating. If you need to change the day you inject the medicine, make sure you leave at least 72 hours (3 days) between your last injection and the next one.
Each time you inject, choose a different spot. Please don't mix this medicine with any other injectable medicines like insulin. If you need to take another injectable medicine, give each one as a separate injection.
Try to avoid giving another injection close to the spot where you gave the last one. Please make sure to keep refrigerated.
For more information on how to inject your medicine, please visit: https://www.youtube.com/watch?v=wXjQHAxopzk
Please note that the concentration of these medications can change with each shipment so please read this information carefully and double check before using. Remember to focus on regular exercise and monitoring the quality and quantity of food intake. Also it is important to stay well-hydrated. Please let us know if you have any questions.
If you experience severe symptoms such as difficulty breathing, chest pain, severe dizziness, or any other life-threatening condition, call your local emergency number immediately or go to the nearest emergency room.Visit Type: weightlossfollowupCompany: baskAmbleHealth
Dr. Intro Contact (chat)
10/11 · 2:25am
Dr. Jeffry Shellenberger MD (chat)
10/11 · 12:33pm
Dr. Jeffry Shellenberger MD (chat)
10/11 · 12:33pm
Dr. Jeffry Shellenberger MD (chat)
10/11 · 12:33pm
Mykle (chat)
10/11 · 1:34pm
Mykle (chat)
10/11 · 1:37pm
Dr. Jeffry Shellenberger MD (chat)
10/11 · 2:09pm
Mykle (chat)
10/11 · 2:41pm
Mykle (chat)
10/11 · 2:41pm
Mykle (chat)
10/11 · 2:41pm
Mykle (chat)
10/11 · 2:42pm
Mykle (chat)
10/11 · 2:43pm
Mykle (chat)
10/11 · 2:45pm
Dr. Justin Allen MD (chat)
10/12 · 3:23am
Mykle (chat)
10/12 · 3:31am
Dr. Daniel Kessler DO (chat)
10/12 · 4:03pm
Mykle (chat)
10/12 · 4:21pm
Dr. Daniel Kessler DO (chat)
10/12 · 4:26pm
Mykle (chat)
10/12 · 5:31pm
Dr. Daniel Kessler DO (chat)
10/13 · 2:16am
Dr. Daniel Kessler DO (chat)
10/13 · 2:16am
Mykle (chat)
10/13 · 2:23am
Dr. Intro Contact (chat)
11/10 · 1:25am
Dr. Seema Misra MD (chat)
11/10 · 1:32am
Dr. Intro Contact (chat)
1/7 · 1:30am
Dr. Ajeet Dube MD (chat)
1/8 · 11:32am
Mykle (chat)
1/8 · 11:52am
Dr. Intro Contact (chat)
5/1 · 0:00am
Dr. Pranay Parikh, MD (chat)
5/1 · 3:49pm
Mykle (chat)
5/1 · 3:59pm
Dr. Christopher Findley MD (chat)
5/2 · 6:20am
Mykle (chat)
5/12 · 4:08pm
Dr. Joseph Benedict MD (chat)
5/13 · 7:10am
Medicine Selection
+
Pharmacy:Revive Rx
Revive Semaglutide 0.25mg
Revive Semaglutide 0.5mg
Revive Semaglutide 1mg
Revive Semaglutide 1.5mg
Revive Semaglutide 2mg
Revive Semaglutide 2.5mg
Revive Semaglutide 0.25mg (Maintenance)
Revive Semaglutide 0.5mg (Maintenance)
Revive Semaglutide 1mg (Maintenance)
Revive Semaglutide 1.5mg (Maintenance)
Revive Semaglutide 2mg (Maintenance)
Revive Semaglutide 2.5mg (Maintenance)