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Metabolic Reset Program
Full Name
*
Email Address
*
Phone Number
*
Are you currently using a GLP-1 medication?
*
A
Yes
B
No
C
No, but I'll be starting soon
Which GLP-1 medication are you taking (or planning to take)?
What is your main goal?
*
Weight loss
Preserve muscle while losing weight
Improve eating habits
Reduce medication side effects
Long-term weight maintenance
Other
Have you experienced any of these while using GLP-1?
Nausea
Constipation
Low appetite
Fatigue
Difficulty eating enough protein
None
Have you previously worked with a dietitian?
*
A
Yes
B
No
How committed are you to following an 8-week nutrition program?
*
A
Just exploring
B
Somewhat interested
C
Ready to start
Submit