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Semaglutide & Tirzepatide Order Forms:
Semaglutide & Tirzepatide Order Forms:
If you are an existing Modern Thyroid Patient, and would like to start or reorder your next Semaglutide vial OR Tirzepatide vial, then please click on one of the options below to fill out the corresponding form to process your new order.Â
Note: Please hold on ordering if you will be traveling within the next two weeks.
For personalized assistance, contact our Weight Loss Support Team directly at: wl@modernthyroidclinic.com
Semaglutide
For New and Existing Modern Thyroid Clinic Patients looking to start or reorder Semaglutide
Tirzepatide
Initial Vial
Initial Vial
2ml
For new TIRZ patients, or for those who have never been prescribed Semaglutide or any other GLP-1 medications, this vial is recommended as the starting dose.
Continuing Vial
Continuing Vial
4ml
For continuing TIRZ patients, or recommended as the initial vial for those who have previously used Semaglutide or other GLP-1 medications.
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