Who Journey is for.

Minimum requirements

• At least 18 years of age.
• A US resident physically located in a state where a Journey-affiliated clinician is licensed at the time of evaluation.
• Able to complete a medical intake honestly and in English.
• Have a valid government-issued ID and a verifiable address (no PO boxes for medication delivery in most states).

Clinical criteria a clinician will consider

Consistent with FDA labeling for GLP-1 medications used for chronic weight management, a clinician will generally consider treatment for adults with:

• A body mass index (BMI) of 30 or greater, or
• A BMI of 27 or greater with at least one weight-related condition such as high blood pressure, type 2 diabetes, or high cholesterol.

Meeting these thresholds does not guarantee a prescription. Clinicians weigh your full history, current medications, lab work, and goals.

Who should not use GLP-1 medications

Treatment is generally not appropriate if you:

• Have a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
• Have had a serious allergic reaction to semaglutide, tirzepatide, or any other GLP-1 receptor agonist.
• Are pregnant, planning pregnancy in the next two months, or breastfeeding.
• Have a history of pancreatitis, severe gastrointestinal disease (e.g. gastroparesis), or active gallbladder disease.
• Have type 1 diabetes or diabetic ketoacidosis.
• Have an active eating disorder.

This list is not exhaustive. Other conditions and medications can also affect eligibility. See the full Important Safety Information.

A prescription is never guaranteed

Submitting an intake does not create a clinician–patient relationship until a clinician accepts your case, and does not guarantee that a prescription will be issued. If a clinician determines treatment is not appropriate, they will explain why and discuss alternatives where possible.