All Visits (1)
Weightloss
Master Id: rxreq_b44sj8irrgbzue6ss3puggq2
Active
Current Visit
Created on: 4-21-2025
Updated on: 4-21-2025
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foundationGobyMeds Weightloss
Active Visit
Master Id: rxreq_b44sj8irrgbzue6ss3puggq2
First Name Wesley
Last Name Phillips
Date of Birth 01/28/1987
Phone Number 5039293446
Email wesphillips.pa@gmail.com
Address 3733 Southeast 69th Avenue
City Portland
State OR
Zip 97206
Sex Male
Self-reported Meds Meloxicam
Allergies Tree nuts, carrots, fish
Medical Conditions None
Patient preference
  • Name: Pharmacyhub Semaglutide starter (3 month)
    quantity: 2.5
    strength: 2.5mg/ml
    refills: 0
    MedId: 0iNQ4Bzjla0nFd9e1rCtBTpax40lsIWd
  • Name: GLP-1 Injection Kit 1 ml syringe - Quarterly - Pharmacy Hub
    quantity: 1
    strength: None provided
    refills: 0
    MedId: bcA8LzvVTABsJGWA74EBtS4j7iFplvA1
  • Consents for telemedicine and privacy policy signed? true
    Are you currently taking a GLP-1 Medication?
  • I'm just starting out
  • I am currently taking a GLP-1 medication
  • I am currently taking a GLP-1 medication
  • Do you have a recent prescription (within the last two months) for a GLP-1 medication such as Ozempic, Wegovy, Zepbound, Mounjaro, Semaglutide, or Tirzepatide?
  • Yes
  • No
  • Yes
  • Which medication are you prescribed?
  • Semaglutide Injection (Ozempic / Wegovy / Compounded)
  • Oral Semaglutide (Rybelsus / Compounded)
  • Tirzepatide Injection (Mounjaro / Zepbound / Compounded)
  • Semaglutide Injection (Ozempic / Wegovy / Compounded)
  • Which dosage of your prescribed medication most closely matches your most recent dosage?
  • Semaglutide Injection 0.25mg
  • Semaglutide Injection 0.5mg
  • Semaglutide Injection 1mg
  • Semaglutide Injection 1.7mg
  • Semaglutide Injection 2.4mg
  • Tirzepatide Injection 2.5mg
  • Tirzepatide Injection 5mg
  • Tirzepatide Injection 7.5mg
  • Tirzepatide Injection 10mg
  • Tirzepatide Injection 12.5mg
  • Tirzepatide Injection 15mg
  • Oral Semaglutide Tablet 3mg
  • Oral Semaglutide Tablet 7mg
  • Oral Semaglutide Tablet 14mg
  • Oral Semaglutide Tablet 21mg
  • Semaglutide Injection 0.25mg
  • Do you have any side effects at your current dosage? (Leave blank if none)
  • None
  • How would you like to continue your treatment?
  • Remain at current (or equivalent) dosage
  • Increase my dosage
  • Decrease my dosage
  • Increase my dosage
  • What is your Height?
  • 5' 10"
  • What is your current weight in lbs?
  • 224
  • What is your BMI?
  • 32.14
  • Do you currently or have you ever had any of the following conditions or procedures? Gastroparesis. Inflammatory bowel disease. Pancreatitis. Pancreatic cancer. Advanced 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 bulimia. Gastric bypass in the past 6 months.
  • Yes
  • No
  • No
  • Do you currently or have you ever had Gallbladder disease?
  • Yes
  • No
  • No
  • Do you currently or have you ever had Hypertriglyceridemia (elevated triglycerides)?
  • Yes
  • No
  • No
  • Are you allergic to any of the following: Semaglutide (Ozempic / Wegovy), Tirzepatide (Mounjaro / Zepbound), or Liraglutide (Saxenda)?
  • Yes
  • No
  • No
  • Do you take any of the following medications? Insulin, Glimepiride (Amaryl), Glipizide (Glucotrol and Glucotrol XL), Glyburide (Micronase, Glynase, and Diabeta), Sitagliptin, Saxagliptin, Linagliptin, Alogliptin
  • Yes
  • No
  • No
  • What other information or questions do you have for the doctor?
  • N/A
  • Do you confirm you are the patient and attest that the information provided is true to best of your knowledge? I verify that I am the patient and have completed the intake form and acknowledge the following. I have reviewed, understand, and attest that the information I have provided above is true to 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.
  • Yes
  • Yes
  • Do you acknowledge the general guidelines for the product, off-label use and it’s side effects? 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 the 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 labelling 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.
  • Yes
  • Yes
  • Medicine Selection
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    Pharmacy:THE PHARMACY HUB LLC
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    GLP-1 Injection Kit 1 ml syringe - Quarterly - Pharmacy Hub
    PharmacyHub GLP-1 Injection Kit
    PharmacyHub GLP-1 Injection Kit 1 ml syringe - Semiannual
    Pharmacyhub Semaglutide starter (3 month)
    Assessment & Plan (Internal Note)