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Giselle Remolete

Female · 2/28/1993 (32y) · NY menuDots

Phone: 3479268295

All Visits (1)

Weightloss

Master Id: 9f8d87cf-af8b-4d2d-a3ce-5779e3ecafe7

Active

Current Visit

Created on: 5-13-2025

Updated on: 5-13-2025

baskTrava Weightloss

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Master Id: 9f8d87cf-af8b-4d2d-a3ce-5779e3ecafe7

Consents for telemedicine and privacy policy signed?	true
First Name	Giselle
Last Name	Laimo
Date of Birth	02/28/1993
Phone Number	3479268295
Email	1474164+1113583@bask.health
Address	428 Prospect Avenue, Apt 3F
City	Brooklyn
State	NY
Zip	11215
Sex	Female
Patient preference	Name: TxPromed Tirzepatide/B12 2.5mg strength: 5mg/1mLx2 refills: 0 quantity: 2 mL MedId: TXPRO-157409024-TB6
Self-reported Meds	Sertraline HCl Oral Tablet Dose: 40mg Frequency: Daily Vyvanse Oral Capsule Dose: 30mg Frequency: Daily
Allergies	No
Medical Conditions	No
Current Weightloss Med	neither
BMI	"Height: 5'0 Weight: 160lbs BMI: 31.24"
Are you currently, or have you in the past two months, taken any of the following medications? Semaglutide (Ozempic, Wegovy, Rybelsus) Tirzepatide (Zepbound, Mounjaro) None of these	Tirzepatide (Zepbound, Mounjaro)
What dose are you currently taking? Month 1 (2.5mg) Month 2 (5.0mg) Month 3 (7.5mg) Month 4 (10.0mg) Month 5 (12.5mg) Month 6 (15.0mg) Other / Not Sure	Other / Not Sure
Please select from the following options Stay at the same dose or equivalent dose Increase dose Decrease dose	Stay at the same dose or equivalent dose
Do you have your current medication available? Yes No	Yes
Have you experienced side effects from your current medication? Yes No	No
Choose your Option Semaglutide - Monthly Semaglutide - Quarterly Tirzepatide - Monthly Tirzepatide - Quarterly	Tirzepatide - Monthly
Current and past medical conditions Gastroparesis Inflammatory bowel disease Pancreatitis Pancreatic cancer Gallbladder disease Hypertriglyceridemia (elevated triglycerides) Kidney injury or kidney disease Insulin-dependent diabetes Thyroid cancer Family history of thyroid cancer Family history of MEN-2 syndrome PCOS with fertility problems Eating disorder, past or present Suicidal thoughts in the past 12 months Anorexia or bulemia None of the above	PCOS with fertility problems
Please tell us more about your medical condition(s) that you selected	Diagnosed at 19-years-old after 50+ lb weight gain.
What you should know ---------- General Guidelines The traditional use of weight loss medications is for individuals with a BMI of 30 and above or to those who are overweight who have associated health conditions. Using it for someone in your BMI range (27-29) without an accompanying health condition is termed "off-label." Using a medication "off-label" refers to the practice of prescribing a drug for a purpose, age group, dosage, or form of administration that is not included in the approved labeling by regulatory agencies like the U.S. Food and Drug Administration (FDA). While a medication undergoes rigorous testing for specific uses before receiving approval, healthcare providers may discover through clinical experience or research that it can be effective for treating other conditions. There may be benefits such as weight reduction for individuals within your range. If you agree to this off-label use, it's crucial to follow the prescribed regimen and report any concerns. Please discuss any questions with us.	By checking this box, you acknowledge the above information
Have you had a gastric bypass in the past 6 months? Yes No	No
Are you allergic to any of the following? Ozempic (Semaglutide) Wegovy (Semaglutide) Zepbound (Tirzepatide) Mounjaro (Tirzepatide) Saxenda (Liraglutide) None of the above	None of the above
Do you take any of the following medications? Yes No	No
Are you currently pregnant or planning to become pregnant soon? Yes No	No
Are you currently breastfeeding? Yes No	No
Please review and agree to the following breastfeeding/pregnancy precaution ---------- Pregnancy and Breastfeeding precaution The FDA says that these medications may pose a risk to the developing fetus (baby) if you get pregnant while taking it “The pill” (oral contraception) is not enough because this medication can interfere with the effectiveness. For birth control you must use condoms, an IUD, or the implant. Official FDA recommendations: For the first month after first starting a weight loss medication, and for the first month after each dose escalation, continue using your oral contraception and add a barrier method of contraception (such as condoms) to prevent pregnancy. Alternatively, you can switch to a non-oral contraceptive method (such as an IUD or implant) before starting your medication. When you stop the medication, you must continue using a backup method (like condoms) for two months after stopping to allow the medication to fully leave your system before getting pregnant. Similarly, it is not known to be safe in breastfeeding. If you are breastfeeding, consult your doctor for safe weight loss options	By checking this box, you acknowledge the above information
Do you have anything else you want to let your doctor know? Yes No	Yes
What other information or questions do you have for the doctor?	I was on Tirzepatide with Henry Meds, 30mg/3ml, 2x a week 50ml.
Please attest to the following confirming that all information provided is true ---------- Truthfulness consent Consent: I have reviewed, understand, and attest that the information I have provided above is true to the best of my knowledge. I understand that it is critical to my health to share complete health information with my doctor. I will not hold the doctor or affiliated medical practice responsible for any oversights or omissions, whether intentional or not in the information that I provided above.	By checking this box, you acknowledge the above information

Medicine Selection

Pharmacy:TXPM TX Performance Meds, Pharmacy

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Zepbound 2.5mg

Zepbound 5mg

Zepbound 7.5mg

Zepbound 10mg

Zepbound 12.5mg

Zepbound 15mg