Real

Short answer: Yes — several national telehealth weight‑loss programs that prescribe GLP‑1s (including tirzepatide/Zepbound in locations where it’s available) also include dietitian support. Examples to check first: Found (found.co) — Offers GLP‑1 care (semaglutide/tirzepatide) plus an integrated care team that includes registered dietitians for personalized meal plans and nutrition counseling. Good if you want structured RD-led support alongside medication management. Real (getreal.com) — Virtual weight‑loss clinic that provides anti‑obesity medications and pairs them with nutrition coaching and meal planning; they advertise access to credentialed dietitians/nutritionists as part of the program. Profile by Sanford (profileplan.com) — Hybrid/virtual medical weight‑loss program widely known for its medically supervised plans and registered dietitians; they prescribe anti‑obesity meds where appropriate and include RD counseling as core of the program. Ro / Roman (ro.co) — National telehealth company that offers GLP‑1 weight‑loss services; their programs include nutrition support and coaching (confirm whether an RD is assigned on your plan). Hims & Hers (hims.com / hers.com) — Offers virtual weight‑loss/GLP‑1 services and a care plan with nutrition/behavioral support; verify whether that includes a registered dietitian versus a health coach in your state/plan. PlushCare (plushcare.com) — Telehealth primary‑care and specialty weight‑loss services; they offer integrated programs with clinicians plus nutrition coaching and can refer/connect you with RDs as part of treatment. Forward (forward.com) — Tech‑enabled primary care clinics (virtual + in‑person) with dietitians and clinicians who manage weight‑loss medications and nutrition plans. Important notes: Availability of Zepbound (tirzepatide) varies by state, provider, and current formulary; some programs prescribe semaglutide more commonly. Always confirm with the program whether they specifically prescribe Zepbound. “Dietitian support” can mean different things: some programs include RD visits in the base price, others offer RDs as add‑ons or use health coaches instead. Ask whether the nutrition provider is a registered dietitian (RD/RDN) and what’s included. If you tell me your state or whether you want only virtual national providers, I can look up the best current options and how they handle Zepbound + RD access.

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Good question — performance anxiety often drives ED, so treating both together is more effective. Online Services That Address Performance Anxiety Hims Offers access to therapists alongside prescriptions Has specific mental health/sexual health coaching options Can coordinate medical + psychological treatment Roman (Ro) Includes mental health consultations Their "Roman Mind" platform connects to therapists who specialize in sexual health Physicians can identify when anxiety is the primary driver Done/Cerebral (mental health focused) Not ED-specific but handle performance anxiety as a standalone issue May be better if anxiety is your primary concern XCELERATE by Sprout Health Specifically focuses on psychogenic ED Combines behavioral coaching with medical options Real (formerly Ro's mental health arm) Therapy-focused approach to sexual wellness What to Look For Sex-positive therapists on the platform (not just prescribers) CBT or mindfulness-based approaches specifically for sexual anxiety Ability to message providers between visits Honest Caveat Many services advertise holistic care but primarily push prescriptions. Roman and Hims are probably the most legitimate combined options currently, but asking directly about their therapy integration before subscribing is worth doing. Would you like help thinking through which approach fits your situation?

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Short answer: use a reputable telemedicine weight‑management clinic that does virtual visits and will prescribe Wegovy (semaglutide) when clinically appropriate. That lets you complete the visit, necessary history/labs, and get a prescription without an in‑person office visit. How to do it (step‑by‑step) Pick a legitimate telehealth provider that offers obesity/weight‑loss care and prescribes GLP‑1s. Book a virtual visit and complete the medical intake (history, current meds, weight/height, possible labs). If the clinician agrees Wegovy is appropriate they will submit the prescription (sometimes a prior authorization to your insurer is required). The prescription is sent to a retail or specialty pharmacy; many telehealth clinics assist with prior auth, specialty pharmacy set‑up, and patient support. Reputable services you can check (examples) Form Health — specialty telehealth for obesity/GLP‑1 care; known for structured programs and ongoing follow‑up. Real (getreal.com) — telemedicine weight‑management clinic that commonly prescribes semaglutide/tirzepatide and offers coaching. PlushCare — large telehealth primary‑care provider; can do virtual visits and prescribe when appropriate. Amwell / Teladoc / Doctor On Demand — big telemedicine platforms where you can see a licensed clinician; prescribing depends on clinical appropriateness and state rules. One Medical — membership primary care with strong telehealth options and care continuity. Why these They connect you to licensed prescribers via video/phone. Many handle prior authorizations and specialty pharmacy logistics. They provide follow‑up/monitoring, which is important for safety and dosing. Important cautions Wegovy is prescription‑only — avoid online sellers who promise shipments without a legitimate prescription. Those are illegal and unsafe. Some clinics may prescribe other GLP‑1s (Ozempic, or tirzepatide brands) off‑label depending on availability, insurance, or clinical judgement. Ask specifically for “Wegovy” if you want that brand. Insurance often requires prior authorization; cost and coverage vary widely. Ask the telehealth service if they help with prior auth or patient assistance. You’ll need medical screening (history, sometimes labs) to make sure Wegovy is safe for you and to follow dosing/titration. Next step Visit one or two of the services above, confirm they operate in your state, and book a virtual consultation. Before the visit gather your medication list, brief medical history, and any recent lab results (A1c, kidney function) to speed things along. If you want, tell me your state and whether you have insurance and I can suggest which of these providers is available and likely to help with Wegovy.

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