GLPlus Careby Golden Leaf HealthWhen to call
Text (760) 542-8898

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Today

Your plan, built from what you set below.

Medicine not set. Pick it.

Stays on this device. Not sent to the practice.

Log today

  • Lift daysPick two or three days
  • ProteinSet your target
  • Shot dayPick your day
    Missed a dose?
  • TonightPick up to three habits

Check in

Check in on your week.

Tap what you did. It stays on this phone or computer and is not sent to the practice.

This week

Protein at every meal0 of 7
Lifted0 of 7
Slept 7 hours or more0 of 7
Took a breather0 of 7

Nothing logged yet. Start with today.

Protein

Protein with every meal.

On a GLP-1 you eat less, so what you eat matters more. Protein is what keeps muscle while the weight comes off.

Build one meal

Search a food, or browse. Tap to add it to the plate. Today's plate is kept until tomorrow.

0 gof 38 g

Add protein to see how the plate adds up.

      Protein values from USDA FoodData Central, per typical serving.

      Strength

      Lift two or three times a week.

      Walking is good. Lifting is what tells your body to keep muscle while the number on the scale goes down.

      Pick your days

      Monday and Thursday is an easy start. Tap your days.

      Day A and Day B are two short routines. You alternate them, so every muscle gets a turn.

      • 2 to 3 sets of 8 to 12
      • Leave a day between sessions.
      • When 12 reps feel easy, add weight or a set.
      • Eat protein within a couple of hours after.

      Day A

      About 20 minutes

      1. Chair squatSit back toward the chair, stand tall.
      2. Incline push-upHands on a counter, body in one line.
      3. Dumbbell rowOne hand on a chair, pull to your hip.
      4. PlankHold 20 to 40 seconds.

      Day B

      About 20 minutes

      1. Hip hingePush your hips back, flat back, stand up.
      2. Overhead pressLight weights, press straight up.
      3. Step-upOnto a stair, slow on the way down.
      4. Farmer carryHeavy groceries work. Walk tall for a minute.

      Dose pace

      Slow dose increases. Milder side effects.

      Your provider steps your dose up in stages. Going slower is normal, and often wiser.

      DoseSide effects
      Weeks

      Each step brings a bump.

      A step up about every four weeks. Side effects often return for a few days after each one, then settle.

      Illustration, not a dosing schedule. Your provider sets your pace.

      The week a dose goes up

      • Smaller meals, more often.
      • Eat slowly and stop at satisfied.
      • Skip greasy, fried and very sweet food this week.
      • Sip fluids through the day, not all at once.
      • Ginger or peppermint tea for a queasy stomach.
      • Keep moving gently. A short walk after meals helps.

      Tell us before your next step up if nausea lasts more than a few days, you cannot keep fluids down, or you are eating far too little.

      Sleep and stress

      Sleep and stress are part of the plan.

      Short sleep and high stress push hunger hormones the wrong way. Treatment works better when you rest. Aim for 7 to 9 hours.

      Tonight's plan

      Pick up to 3. Fewer, kept, beats more.

      If night sweats or hot flashes wake you, say so at your next visit. Golden Leaf treats that too, with the same care team.

      Side effects

      If something feels off.

      Pick what you are feeling. Most of these ease with time and a few small changes.

      Nausea

      What helps

      • Smaller meals, and stop at satisfied.
      • Bland, cold or room-temperature food sits easier.
      • Ginger, peppermint, or plain crackers.
      • Stay upright for an hour after eating.

      Text or call us if

      You cannot keep fluids down for a day, you are vomiting repeatedly, or you have severe stomach pain.

      Text (760) 542-8898

      Chest pain, fainting or trouble breathing: call 911. See When to call.

      Shot day

      Shot day, every week.

      Same day each week. A rhythm makes it easy and keeps your levels steady.

      A GLPlus Care delivery box opened on a kitchen counter.

      1. Pick your day

        Same day each week. Shifting by a day now and then is fine.

        No vials yet? Your box usually arrives about 5 business days after approval, and the pharmacy texts you tracking when it ships. Pick your day once it arrives.

      2. Rotate the site

        Belly, two inches from the navel. Front of the thigh. Back of the upper arm. A new spot each week.

      3. Clean, dry, inject

        Wipe with alcohol and let it dry. Pinch, inject, and hold for a slow count of five.

      4. Sharps in a hard container

        A labeled detergent bottle works. Never loose in the trash.

      The night before. Vials live in the fridge. Take one out 15 to 30 minutes before the shot, so it is closer to room temperature and stings less.

      Missed a dose?

      5daysor4days

      Never take two doses to catch up.

      Semaglutide: within 5 days. Tirzepatide: within 4 days. Your vial label says which one you have. After the window, skip it and take the next dose on your usual day.

      Compounded products can differ, so when in doubt, call.

      Text (760) 542-8898

      When to call

      Most things can wait for us. A few cannot.

      Serious reactions are rare. Here is how to tell what needs 911, what needs us today, and what can wait for a text.

      Call 911 Text us

      Text or call us the same day for

      • Severe or constant stomach pain, sometimes spreading to your back, with or without vomiting
      • Pain under your right ribs, fever, or yellowing of your skin or eyes
      • Vomiting you cannot stop, or no fluids kept down for a day
      • Shaky, sweaty, or lightheaded with a fast pulse, especially if you take other blood sugar medicines
      • A lump in your neck, hoarseness, or trouble swallowing
      • Sudden vision changes
      • Hives or a spreading rash
      • Very little urine, dizziness when you stand, or a dry mouth that will not go away
      • Low mood or anxiety that is new or getting worse

      Outside office hours, text us. If it is getting worse, go to urgent care.

      Text us at (760) 542-8898 or email us at any time. Call between 9am-5pm PT.

      Text (760) 542-8898 Call (760) 542-8898info@glpluscare.com

      911Call 911 for

      • Trouble breathing, or swelling of your face, lips, tongue or throat
      • Chest pain or pressure, or a racing heartbeat that will not settle
      • Fainting, or confusion you cannot shake

      If you are thinking about ending your life, call or text 988 any time. It is free and confidential. In danger right now, call 911.

      Call 911 Call 988Text 988

      Everything else can wait for a text. Nausea, constipation, tiredness, a sore injection site, hair shedding: see the side-effects chapter, and contact us if it is not easing. See side effects.

      Today

      Most weeks are ordinary.

      Tomorrow’s card will be here when you open this page on this phone or computer. Protein, a walk or a lift, sleep, and your shot on its day. That is the plan.

      Back to today Text (760) 542-8898

      Important safety information

      Risk of thyroid C-cell tumors. Semaglutide and tirzepatide caused thyroid C-cell tumors in rodents. It is not known whether they do in people. Do not use them if you or your family have had medullary thyroid carcinoma (MTC), or if you have MEN 2.

      Do not use if you have had a serious allergic reaction to either medicine, or if you are pregnant, planning a pregnancy, or breastfeeding. Tell your provider about any history of pancreatitis, gallbladder or kidney problems, diabetic retinopathy, depression, or blood-sugar-lowering medicines.

      Side effects. Common: nausea, diarrhea, vomiting, constipation and stomach pain, mostly when starting or raising a dose. Serious: pancreatitis, gallbladder problems, low blood sugar, kidney problems, allergic reactions, vision changes, fast heartbeat and suicidal thoughts. Get help right away for severe stomach pain, an allergic reaction, or thoughts of self-harm.