Updated February 24, 2024

Your Relationship with Healthy Habits

Healthy Habits Management Company does not provide any medical services; we provide a technology platform for you to access a healthcare provider (“Provider”).  Except as otherwise described in this section, materials available on the Site for Telehealth Services, or Virtual Consultations including all data, information, text, graphics, links, and other material made available to you, are provided as a convenience to you. The information provided on the Site is for general informational and educational purposes only. Other than the personalized content sent to you directly by a Provider or the personalized advice a Provider offers verbally during a visit, you should not consider content on the Site to be the provision or practice of medical or professional healthcare advice and you should not use such content for diagnosis or treatment of any condition or symptom. 

The decision to focus on diagnosis, treatment recommendations, or both, rests with you and the Provider; you are not entering into a provider-patient relationship with Healthy Habits. Healthy Habits does not practice medicine or nursing, and does not control, interfere with or otherwise influence the exercise of the Providers’ professional judgment in providing healthcare services. Each Provider is responsible for exercising their own professional judgment and complying with all requirements applicable to their profession and license.

User Code of Conduct

Respectful Behavior: We expect all those who use our site to treat our staff with respect, courtesy, and professionalism at all times. This includes but is not limited to Providers, nurses, administrative personnel, and any other staff members who provide care or support.

Zero Tolerance: We maintain a zero-tolerance policy for any disrespectful, abusive, threatening, or violent behavior towards our staff. This includes, but is not limited to, verbal abuse, harassment, discrimination, and any conduct that disrupts the workplace.

Consequences: Users who engage in disrespectful behavior may face consequences, including warnings, removal from the facility, cancellation of appointments, or other appropriate actions as deemed necessary by the facility’s management. Legal authorities may also be involved if warranted.  

Mobile Alerts and Email Communication

You agree that Healthy Habits, referred Providers, and their respective subsidiaries, representatives, affiliates, officers and directors may contact you by email, telephone or text messages at any of the phone numbers provided by you or on your behalf in connection with your account, including for marketing purposes where permitted by law. You understand that you are not required to provide this consent as a condition of purchasing any property, goods or services. 

You further acknowledge that we may call or text you without your prior express consent for the purpose of delivering healthcare-related messages. There is no charge from us for this service, but your service provider’s message and data rates may apply. 

You also understand that you may opt out of receiving text messages from us at any time by replying “STOP” to any text message that you receive from us using the device that is receiving the messages.

You understand that while Healthy Habits takes the privacy and the security of your health and other sensitive information very seriously, Healthy Habits cannot guarantee the transmission of information over the internet and mobile networks is fully secure. Text messages and emails that you send to or receive from Healthy Habits are not encrypted, which means that it is possible they may be intercepted by third parties. You should not text or email health or other sensitive information. If you choose to send or receive information about your health or any other sensitive information by text message or email, you do so at your own risk.

Payment

Cash-pay (no insurance is accepted). Neither Healthy Habits nor the Providers accept commercial health insurance plans, are in-network with any commercial health insurance plans, or are enrolled with federal or state healthcare programs, such as Medicare and Medicaid. By choosing to use the Telehealth Services and purchasing services via a Virtual Consultation, you are specifically choosing to obtain products and services on a cash-pay basis. 

Notice of Financial Responsibility. You are solely responsible for the costs of any Telehealth Services or products provided to you.  You understand and agree that you are responsible for all fees due to receive Telehealth Services, including any fees charged by the Providers or organizations, including any third parties, that provide services to you in connection with the Telehealth Services. Healthy Habits may collect the payment to Providers, or organizations that provide services to you, on their behalf. Healthy Habits and/or the Providers or organizations, including pharmacy services, have no obligation to provide any Telehealth Services unless and until full payment has been received and/or verified. 

No Refunds. Please refer to Healthy Habits Return and Refund Policy.

Consent to Healthy Habits’ Injection Instruction Handout for Subcutaneous Injections

Healthy Habits has provided a subcutaneous injection handout for training of nonmedical personnel on how to perform self-injection of compound medication. This handout is to be utilized to train nonmedical personnel on how to properly perform self-injection of subcutaneous medications provided by a referred Healthy Habits Provider and prescribed during the Telehealth visit. 

Nature of Subcutaneous Injection Handout and Healthy Habits Virtual Consultation: 
The Healthy Habits subcutaneous injection training handout and virtual consultation will provide: 

  1. Accurate instructions on supplies needed for self-injection which will be provided with your prescription. 
  2. Information on what it means to perform a subcutaneous injection. 
  3. Information and demonstration of how you can perform self-administered subcutaneous injection. 
  4. Important safety information. 
  5. Review service packages available for purchase

BENEFITS AND RISKS

Since we are not physically located in your community, the Telehealth/Virtual consultation and guidance on performing a self-injection are being provided to you using interactive video, audio, telecommunications, emailed documents, as well as recorded demonstrations. The Healthy Habits injection handout on how to perform subcutaneous self-injection serves as the instruction provided to the patient in order to train patients on how to perform self-injection of medications required to be delivered subcutaneously. While the benefit of this is being able to provide remote training without requiring the presence of a provider at a specific location, this does come with some potential risk. Risks of any injection include, but are not limited to: tingling or numbness, redness, swelling, pain, bruising, prolonged bleeding, skin irritation, skin infection at the site, or issues with the devices used for self-administration. Major but very rare complications include: allergic reactions including anaphylactic reaction and major adverse skin reactions/wound complications. Additional risks include but are not limited to taking the improper amount of medication (underdosing or overdosing) which may lead to limited effects of the medication and/or can cause serious and severe side effects including but not limited to nausea, vomiting, severe abdominal pain, pancreatitis, gastroparesis, liver injury, kidney injury, hypovolemic shock related to altered fluid status, and may result in adverse events serious enough to require hospitalization and emergent treatment.  You can minimize the risks by carefully reviewing the Healthy Habits subcutaneous injection handout as well as properly following the dosing directions located on your medical vial. You may also contact us anytime at support@healthyhabitsmc.com.  

GLP-1 Contraindications, Side Effects and Potential Adverse Events 

GLP-1 medications are known to cause potential side effects and adverse events related to their use.  This risk is increased when dosing instructions are not performed appropriately.  You are consenting to understand the potential risks of taking GLP-1 medications, including but not limited to the side effects listed for these medications.  Prescribing Information including these materials is posted below and on the Healthy Habits website at the following location and should be read and understood prior to initiating GLP-1 therapy: https://healthyhabitsmc.com/important-safety-information/  

Rights

You may withhold or withdraw consent to perform training for subcutaneous injection by not viewing the Healthy Habits subcutaneous injection training video at any time before or during the consultation without affecting the right to future patient care or treatment. Healthy Habits referred Providers retain the right to refuse prescribing subcutaneous injections if the training is not completed or if you are not following the training instructions. By not completing the subcutaneous injection training process, the patient increases all those risks of performing self-injection of subcutaneous medications listed above.  This is not supported by our Healthy Habits provider as this increases your risk of potential harm if administering your medications incorrectly. 

No Promises of Result

While Healthy Habits providers will try to give you his/her judgment as to what the patient can likely expect health-wise after the consultation and training video, because healthcare practice has unavoidable uncertainties, no promises of specific results or outcome can or will be made. 

Disputes

Any dispute arising from a Healthy Habits Telehealth or Virtual consultation will be resolved in the Ada County Court in Boise, Idaho and Idaho law will apply. 

WHAT ACCEPTING THIS CONSENT MEANS—YOUR ACCEPTANCE AND AGREEMENT

Statement for the Patient. I have read and accept the terms of the Healthy Habits Telehealth, Virtual Consultation, the Healthy Habits subcutaneous injection handout , and GLP-1 medication consent above and understand the benefits and risks of the Healthy Habits Telehealth or Virtual consultation, Healthy Habits subcutaneous injection training handout , and usage of GLP-1 medications. I have had my questions about the service and the self-injection process answered. I confirm that no patient emergency condition is present and consent to participating in the Healthy Habits Telehealth or Virtual consultation and subcutaneous injection training handout as described in this consent. 

IMPORTANT SAFETY INFORMATION FOR GLP-1 MEDICATIONS 

GLP-1 medications and compounded formularies are permitted to be prescribed under federal law but are not FDA-approved and do not undergo safety, effectiveness, or manufacturing review. Your Provider may recommend certain doses of GLP-1 Medications based on your medical evaluation, including compounded formularies during the FDA shortage. 

Indications and Use: 

GLP-1 Medications are a class of injectable prescription medicine that may help adults with obesity, or with excess weight (overweight) who also have weight-related medical problems, lose weight and keep it off. It should be used with a reduced-calorie diet and increased physical activity. 

GLP-1 Medication is a synthetic glucagon-like peptide-1 (GLP-1) receptor agonist used for chronic weight management, along with a reduced calorie diet and increased physical activity, for people with an initial body mass index (BMI) of: 

  • 30 kg/m2 or greater (obesity) or 
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia). 

GLP-1 Medication should not be used with other GLP-1 receptor agonsist-containing products or any GLP-1 receptor agonist medicines. It is not known if GLP-1 medication is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products. It is not known if GLP-1 medication can be used in people who have had pancreatitis. It is not known if GLP-1 medication is safe and effective for use in children under 18 years of age. 

Important Safety Information for GLP-1 Medications 

Warning: Risk of Thyroid C-Cell Tumors 

  • In studies with mice and rats, GLP-1 medication caused thyroid tumors, including thyroid cancer. It is not known if GLP-1 Medications will cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people. Tell your provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer.  
  • Do not use GLP-1 Medications if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). 

What is the FDA-approved use of GLP-1 Medications? 

GLP-1 Medications are a class of medications that act as glucagon-like peptide-1 (GLP-1) receptor agonists for chronic weight management, along with a reduced calorie diet and increased physical activity, for people with an initial body mass index (BMI) of: 

  • 30 kg/m2 or greater (obesity) or 
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia). 

Limitations of Use: 

  • GLP-1 Medications should not be used in combination with other semaglutide, tirzepatide, or liraglutide-containing products or any other GLP-1 receptor agonist 
  • The safety and efficacy of coadministration with other products for weight loss have not been established 
  • GLP-1 Medications has not been studied in patients with a history of pancreatitis 

Who should not use GLP-1 Medications? 

 Do not use GLP-1 Medications if: 

  • You or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). 
  • You have a known allergic reaction to GLP-1 medication 

How should GLP-1 medication be administered?  

You can take GLP-1 medication with or without food. You will self-administer a subcutaneous injection in the stomach, thigh, or upper arm once a week on the same day every week. Your Provider will guide you on a treatment regimen that may include an increase in dose every four weeks.  

You should not change your dosing regimen or stop taking GLP-1 medication as prescribed without discussing with your provider first.  

What should I tell my Provider before using GLP-1 medication? 

  • GLP-1 medication has certain drug interactions. It’s important to tell your Provider all of the medications you are currently taking, including prescription, over-the-counter medications, vitamins, and herbal and dietary supplements.  

Some medications to watch out for include: 

  • Medications used to treat type 1 or type 2 diabetes, including insulin or sulfonylureas (such as Amaryl or Glucotrol XL) 
  • GLP-1 medication causes a delay in gastric emptying, so it has the potential to impact the absorption of medications that are taken by mouth at the same time. Your Provider can guide you on how to schedule your medications. 
  • Other GLP-1 medications, including Ozempic, Saxenda, Victoza, Byetta, or Bydureon 
  • If you’re using other products for weight loss, including dietary supplements 

It’s important to share your entire medical history with your Provider. In particular, tell your Provider if you have a past history of: 

  • Type 1 or type 2 diabetes 
  • Thyroid cancer 
  • Pancreatitis 
  • Kidney disease 
  • Diabetic retinopathy 
  • Depression 
  • Suicidal thoughts or behavior 

Tell your Provider if you are pregnant, planning to become pregnant, or breastfeeding.  

  • If you are pregnant: GLP-1 medication should not be used during pregnancy. Based on animal studies, there may be potential risks to an unborn baby from exposure to GLP-1 medication during pregnancy. There is no benefit to weight loss during pregnancy and it may cause harm to the unborn baby. 
  • If you are a female or male of reproductive potential: Discontinue GLP-1 medication at least 2 months before a planned pregnancy since the drug can stay in the bloodstream for a long time. 
  • If you are breastfeeding: GLP-1 medication was found in the milk of lactating rats. Tell your Provider if you are breastfeeding before you start GLP-1 medication. 

What are the most serious side effects that I or a caregiver should monitor for when taking GLP-1 medication? 

If you are experiencing a medical emergency, call 911 or seek immediate medical attention. 

These serious side effects can occur with GLP-1 medication. You or a caregiver should carefully monitor for these side effects, especially in the beginning of treatment and with dose changes. 

  • Thyroid C-Cell Tumors: In mice and rats, GLP-1 medication caused an increase in thyroid C-cell tumors, including medullary thyroid carcinoma (MTC). It is unknown whether GLP-1 medication causes thyroid C-cell tumors in humans. There were cases of MTC reported in patients who took liraglutide (the active ingredient in Victoza and Saxenda) after the drug was put on the market. GLP-1 medication is contraindicated in patients with a family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Tell your Provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer.  
  • Inflammation of Pancreas (Acute Pancreatitis): Monitor for signs of acute pancreatitis, including severe abdominal pain that does not go away, sometimes radiating to the back, with or without vomiting. 
  • Acute Gallbladder Disease: GLP-1 medication may cause gallbladder problems, including gallstones. Some gallbladder problems require surgery. Tell your Provider right away if you have pain in your upper stomach, yellowing of skin or eyes (jaundice), fever, or clay-colored stools. 
  • Low Blood Sugar (hypoglycemia): GLP-1 medication lowers blood glucose. It can cause too low blood sugar in patients with type 2 diabetes who also take another glucose control medication. Monitor your blood sugar and watch out for signs of too low blood sugar such as dizziness, blurred vision, mood changes, sweating, or fast heartbeat. 
  • Acute Kidney Injury: In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems to get worse. It is important for you to drink plenty of water to help reduce your chance of dehydration. 
  • Serious Allergic Reactions: Stop using GLP-1 medication right away if you experience symptoms of a serious allergic reaction, including swelling of your face, lips, tongue or throat, severe rash or itching, very rapid heartbeat, problems breathing or swallowing, or fainting or feeling dizzy. 
  • Diabetic Retinopathy Complications in Patients with Type 2 Diabetes: If you have type 2 diabetes, tell your provider right away if you experience changes in vision. 
  • Increase in Heart Rate: Tell your Provider right away if you have a racing heartbeat while at rest.  
  • Suicidal Behavior and Ideation: You should pay attention to any mental health changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your Provider right away if you have any mental changes that are new, worse, or worry you. 
  • Never Share Medication: Sharing poses a risk of infection.  

What are the most common side effects of GLP-1 medication? 

  • Nausea 
  • Diarrhea 
  • Vomiting 
  • Constipation 
  • Stomach pain 
  • Indigestion 
  • Injection site reactions 
  • Feeling tired 
  • Allergic reactions 
  • Belching 
  • Hair loss 
  • Gastroesophageal reflux disease (heartburn) 

You are encouraged to report negative side effects of prescription products to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. 

Before using Compound GLP-1 medication 

  • Your Provider should show you how to use GLP-1 Medications before you use it for the first time. 
  • Tell your Provider if you are taking medicines to treat diabetes including insulin or sulfonylureas which could increase your risk of low blood sugar. Talk to your Provider about low blood sugar levels and how to manage them. 
  • If you take birth control pills by mouth, talk to your Provider before you use GLP-1 Medications. Birth control pills may not work as well while using GLP-1 Medications. Your Provider may recommend another type of birth control for 4 weeks after you start GLP-1 Medications and for 4 weeks after each increase in your dose of GLP-1 Medications. 

Review these questions with your Provider: 

  • Do you have other medical conditions, including problems with your pancreas or kidneys, or severe problems with your stomach, such as slowed emptying of your stomach (gastroparesis) or problems digesting food? 
  • Do you take diabetes medicines, such as insulin or sulfonylureas? 
  • Do you have a history of diabetic retinopathy? 
  • Do you take any other prescription medicines or over-the-counter drugs, vitamins, or herbal supplements? 
  • Are you pregnant, plan to become pregnant, breastfeeding, or plan to breastfeed? GLP-1 Medications may harm your unborn baby. Tell your Provider if you become pregnant while using GLP-1 Medications. It is not known if GLP-1 Medications passes into your breast milk. You should talk with your Provider about the best way to feed your baby while using GLP-1 Medications. 

How to take 

  • Read the Instructions for Use that come with your GLP-1 Medications. 
  • Use GLP-1 Medications exactly as your healthcare provider says. 
  • GLP-1 Medications are injected under the skin (subcutaneously) of your stomach (abdomen), thigh, or upper arm. 
  • Use GLP-1 Medications as instructed by your medical provider 
  • Change (rotate) your injection site with each weekly injection. Do not use the same site for each injection. 
  • If you take too much of your GLP-1 Medication, call your Provider, seek medical advice promptly, or contact a Poison Center expert right away at 1-800-222-1222. 

Learn more 

GLP-1 Medications are prescription treatments. For more information on GLP-1 medication-containing products, please call 208-995-2822 to learn more or receive information regarding how to contact your pharmacy. 

This summary provides basic information about GLP-1 Medications but does not include all information known about this medicine. Read the information that comes with your prescription each time your prescription is filled. This information does not take the place of talking with your healthcare provider. Be sure to talk to your healthcare provider about GLP-1 Medications and how to take them. Your healthcare provider is the best person to help you decide if GLP-1 Medications is right for you.