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    How to Start Semaglutide: Quick Beginner's Guide

    Published:
    Last updated: Recently updated

    Medically Reviewed

    DSM

    Dr. Sarah Mitchell

    MD, Endocrinology

    Weight Management

    Last reviewed: November 26, 2025

    3 min read

    Starting semaglutide is straightforward when you know the steps. Here's your quick guide to getting started safely.

    Step 1: Check Your Eligibility

    Requirements:

    • BMI ≥30 (obese), OR
    • BMI ≥27 with weight-related condition (diabetes, high blood pressure, high cholesterol)
    • Age 18+ (some providers require 21+)

    Cannot use if you have:

    • Personal/family history of thyroid cancer
    • Pancreatitis history
    • Pregnant or breastfeeding

    Step 2: Choose Your Provider

    Online Telehealth (Fastest):

    • Cost: $200-$400/month (includes medication + consultation)
    • Timeline: 3-7 days to receive medication
    • Best for: Quick start, compounded semaglutide

    Traditional Doctor:

    • Cost: Varies with insurance
    • Timeline: 1-4 weeks
    • Best for: Those with insurance coverage

    Step 3: Complete Medical Consultation

    What to expect:

    • Health questionnaire (10-15 minutes)
    • Current medications list
    • Medical history review
    • Video consultation (some providers)
    • Weight loss goals discussion

    Step 4: Receive Your Prescription

    If approved:

    • Prescription sent to pharmacy automatically
    • Medication ships to your home
    • Includes injection supplies and instructions
    • Customer support available for questions

    Step 5: Start Treatment

    First dose:

    • Start with 0.25mg once weekly
    • Inject subcutaneously (under skin) in abdomen, thigh, or arm
    • Same day each week
    • Can take with or without food

    Track progress:

    • Weigh yourself weekly
    • Note any side effects
    • Follow-up in 4 weeks for dose increase

    What You'll Need

    • Valid ID and basic health information
    • Payment method (insurance or credit card)
    • Current medications list
    • Recent weight and height measurements

    Start Today with Trimi

    Get approved in 24 hours. Medication ships free within 3-5 days. All-inclusive pricing at $297/month.

    Begin Consultation

    Frequently Asked Questions

    Can I start semaglutide without seeing a doctor in person?

    Yes, many telemedicine services offer online consultations where a licensed doctor can prescribe semaglutide after reviewing your health history and eligibility.

    How long does it take to start semaglutide?

    From initial consultation to receiving your first dose typically takes 3-7 days with online services. Traditional doctor visits may take longer.

    Do I need to meet BMI requirements?

    Most providers require BMI ≥30, or BMI ≥27 with weight-related health conditions like high blood pressure or diabetes.

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