How your care actually works here

Your care is asynchronous, which means you are not booking a video call to ask a question. You write, a clinician reads, and they answer — usually well inside the response time published on your plan.

When you report a side effect or ask for a dose change, the clinician reviewing it sees your intake answers, your weight history, every symptom you have logged, and how long you have been at your current dose. They are not deciding from the message alone.

That is why logging matters even when nothing seems wrong. A record of three good weeks is the reason a dose increase gets approved; an empty record is a reason to wait.

Anything getting worse instead of better. Anything stopping you eating or drinking. Anything that frightens you.

This service is not for emergencies. Severe abdominal pain, persistent vomiting, or signs of an allergic reaction need urgent in-person care, not a message.

• What the first few weeks are like
• How your care actually works here