Supercharged at-home prescription weight loss with Dr. B + F45 Training

The Shed It program fee includes:

• A monthly consultation with a licensed provider.
• Unlimited support check-ins with the Dr. B team.
• Blood work lab fees (as required)
• A Letter of Medical Necessity to help you unlock HSA/FSA funds for fitness expenses and program fees.
• Dedicated weekly support emails and articles covering medication guidance, nutrition, movement, mental health and financial education.
• Discounts to fitness and nutrition programs from our selection of elite partners.

The Shed It program fee does not include partner gym or fitness class fees. If you choose to sign up for a membership to their gym, studio or live classes, you’ll most likely have to pay a separate membership fee. However, if you have an HSA/FSA, the Letter of Medical Necessity we’ll provide (at no cost) can help you save on those fees.

The medication fee only includes the weight loss medication you’re prescribed by your provider.

If they also prescribe a medication to help with side effects (like nausea), you will not have to pay an additional consultation fee. But you will have to pay for the medication. The provider will send the prescription to your chosen pharmacy, and you can pay for it with your health insurance coverage or out of pocket. To help you save on this expense, Dr. B will supply a drug discount card so you can secure the lowest cost at your chosen pharmacy.

Telehealth laws differ by state, so patients in some states are required to have a live phone or video consult with a provider to adhere to their state laws. Other patients may have to do a live consult if a provider needs clarification about answers submitted in the chat consultation to ensure their treatment option is accurate, safe and effective.

Patients can also request a live consult with a provider if they feel they would get extra peace of mind from a bit of face-to-face time.

Patients can also request a provider callback to discuss questions or concerns throughout the program—we’ve included such check-ins in the ongoing care cost!

If approved for prescription weight loss treatment, your monthly price will include a Shed It program fee and a medication fee.

The Shed It program fee is $145 per month and includes your clinical essentials—consultations, check-ins, lab work, support tools and more.

The medication fee is determined by the medication type, brand (if applicable) and dosage you’re prescribed each month. If prescribed a brand-name medication, you’ll have the option to pay with insurance coverage or out-of-pocket, which will also affect your cost.

You can get a closer look at costs at our Shed It pricing page.

You will be billed in two parts. The $145 Shed It program will be charged to your account each time you complete a Shed It consultation. If prescribed a compounded medication, your medication fee will be calculated when your provider confirms your medication type/brand and dosage for the month. You must pay the balance of these fees before Dr. B can release your prescription for fulfillment.

If prescribed a brand-name medication, your provider will send the prescription to a pharmacy, and you will pay the fee there directly.

Dr. B doesn’t accept insurance for general consultations or Shed It program fees at this time.

But if your provider prescribes a brand-name medication, you may use insurance coverage to pay for it at your chosen pharmacy.

Licensed compounding pharmacists make injectable Semaglutide medications in varying concentrations—the potency of the medication within the volume of medication. As you progress with Semaglutide treatment from one dosage phase to another, you may inject more medication units of the same concentration or fewer units of a more potent concentration to meet your prescribed dosage.

(Think of it like how you can take a 200mg capsule to meet one prescription dosage or take two 200mg capsules to meet a doubled dosage.)

When patients reach phase 2 of compounded Semaglutide treatment, they receive double the number of vials and inject double the volume of units as they did in phase 1—and the medication cost doubles to match. In phase 3, the concentration of medication in the vial increases. This reduces the number of vials you receive, the units of medication you inject, and the relative cost.

No, a provider can not prescribe the third dosage phase (1mg/week) and instruct you to inject half the unit amount to meet the second dosage phase (.5mg/week).

Doing so would provide you with more than twice the amount of medication needed for one month of treatment and introduce potentially dangerous safety concerns. You may take your next medication dosage phase incorrectly, take leftover medication despite it having expired, or confuse old and new medication of varying potency!

Semaglutide is a GLP-1 receptor agonist medication. That means it acts like the glucagon-like peptide-1 (GLP-1) hormone naturally made by the body. GLP-1 slows digestion, so food takes longer to leave your stomach. This can help you feel fuller longer, controlling appetite and reducing calorie consumption. It also encourages the secretion of insulin, which helps control blood sugar levels. The combination of a reduced appetite and lowered blood sugar levels can help some people eat less and lose weight.

Semaglutide is the active ingredient in brand-name medical weight loss options like Ozempic®* and Wegovy®*. It’s what makes those GLP-1 medications work.

Tirzepatide is a dual GIP/GLP-1 receptor co-agonist medication. That means it mimics the glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) hormones released in the intestines as we eat. These hormones slow digestion and control appetite, which can help keep blood sugar levels steady. GIP may also encourage metabolism and reduce inflammation. Altogether, these support healthier eating habits and weight loss.

Tirzepatide is the active ingredient in the diabetes medication Mounjaro®* and the prescription weight loss medication Zepbound®*. It’s what makes those GLP-1/GIP medications work.

*Ozempic®,Wegovy®, Mounjaro® and Zepbound®are registered trademarks of their respective owners. Our use of these names is for informational purposes only and does not imply any affiliation, endorsement or approval by the trademark holders..

Total weight loss will be different for everyone. But most people lose between 5% to 20% of their starting body weight while taking Semaglutide. That means that if you weigh 200 lb, you could lose between 10 and 40 pounds.

Because Tirzepatide mimics the effect of two powerful hormones, studies suggest patients may lose more weight within one year on Tirzepatide than they will on Semaglutide. But because of its dual action, it often costs a little more than Semaglutide.

Your provider will work with you to choose the medication that’s best for you and adjust the dosage for optimal results.

Like all medications, there are some risks to taking GLP-1 weight loss medications—and it’s important to talk to your doctor about the risks and any health conditions you have before starting any medical weight loss treatment.

This is not a complete list. But for both Semaglutide and Tirzepatide, serious issues include pancreatitis (inflammation of the pancreas) and thyroid tumors. Some people experience low blood sugar—especially if they take other diabetes medications. People who are pregnant, breastfeeding or may become pregnant should talk to their provider before starting Semaglutide/Tirzepatide since they are not safe to use during pregnancy.

A compounded medicine is custom-made by pharmacists. It might involve mixing different ingredients to create a specific medication dose or form (like a liquid or cream) when standard medications aren't suitable or if the correct dose isn't available. Compounded medications can also relieve drug shortages when brand-name medications aren’t available so that patients can get the treatments they need—as is currently happening with GLP-1 medications.

It’s important to note that compounded medications are not FDA-approved. Learn more at the FDA.

These options for medical weight loss can be controversial because the brand-name drugs are often expensive when paid out-of-pocket (since many health insurance plans do not cover them). As they are taken long-term to manage a chronic condition (like cholesterol medicine or blood pressure pills), those costs add up. Also, most people tend to regain weight if they stop taking them.

These drugs can also add to the stigma around weight and health. After all, it’s possible to be healthy even with a higher BMI, and losing weight does not automatically improve health. It's important to talk openly about these concerns with your provider.