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10X Weight Loss Program
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**Mandatory Intake Questions**
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Digestion
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Appetite
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Motivation
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Energy
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Focus
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Previous Body Composition Scans?
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Body Dysmorphia / Eating Disorders?
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Details
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Current Physical Activity?
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Details (frequency, duration, type)
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Estimated Daily Caloric Intake
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Target total weight loss (lbs)
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Target body fat %
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Does Patient Follow Diet Model?
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Used GLP-1/GIP Before?
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Details of Rx
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Recommend MyFitnessPal / Chronometer to track nutrients
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Recommend Before After Photos
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Tier 1: Sema or Tirz Inj + Supps (10X Optimize, 10X Whey Protein, Thorne S.A.T.)
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Tier 1 Bundle (4 Months)
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Patient Specific GLP/GIP Dosage Override
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Tier 1 Bundle (6 Months)
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Patient Specific GLP/GIP Dosage Override
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Patient Discussion Notes
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Tier 2: Sema or Tirz Inj + Supps + Serm/Theanine RDT
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Tier 2 Bundle (4 Months)
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Patient Specific GLP/GIP Dosage Override
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Tier 2 Bundle (6 Months)
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Patient Specific GLP/GIP Dosage Override
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Patient Discussion Notes
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