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Refill Request

*First name

*Last name

*How many units are you taking currently?

*Any side effects?

*Increase or stay on the same dose?

I would like to stay on the same dose, this is effective and I am losing weight

I would like to increase my dose

I'm not sure, help!

Any questions for your provider before a refill is sent?

*Please choose one option

Semaglutide/Levocarnitine

Semaglutide/Glycine

Semaglutide/B12

Refill of Bella Capsules

Refill of HRT

Tirzepatide

Other

Home
Book Appointment
Metabolic & HRT 3 Month Program
Pricing
About
Services
Supplements
FAQ
Refill Request
Blog
Refer Friends
More

Use tab to navigate through the menu items.

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