How to Start Semaglutide: Quick Beginner's Guide
Medically Reviewed
Dr. Sarah Mitchell
MD, Endocrinology
Weight Management
Last reviewed: November 26, 2025
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 ConsultationFrequently 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.
More on Semaglutide
Semaglutide Dosage Guide
Complete dosing schedule and titration guidance.
Semaglutide Eligibility
Requirements and qualifications for semaglutide treatment.
Semaglutide First Month
What to expect during your first 4 weeks on treatment.
Online Semaglutide Prescription
Getting your prescription through telehealth platforms.
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Semaglutide Eligibility: Complete Requirements Guide
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