GLP-1 Optimized Application Form

Please answer honestly and thoughtfully.
If it looks like we can help, you’ll be invited to book a private call.
If not, we’ll point you to the best next resource for your situation.

Basic Information

First Name *

Last Name *

Phone *

Email *

Medication + GLP-1 Use

Are you currently using a GLP-1 receptor agonist (e.g., semaglutide, tirzepatide)? *

Yes

No

I used it in the past

I will, but I haven't started yet

How long have you been using GLP-1? *

When would you like to begin tapering off the medication? *

Are you prepared to invest $1k+ per month on personalized 1-on-1 coaching if it’s the right fit?

Would you be willing to follow a structured plan and check-in weekly?

What’s your why for doing this program? *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

TERMS OF USE | PRIVACY POLICY

MEET your coach

Hey, I'm Jake!

GLP-1 Specialist | Nutrition Coach | Certified Personal Trainer

I coach people every day on GLP-1s to stay strong and keep results. I've spent more than a decade as an educator and personal trainer. As GLP-1 use continues to grow, I've made it my mission to learn these drugs inside and out. I study the science, track real-world effects, and build plans that protect your health during use and after.

Fast weight loss without structure can cost you muscle and slow your metabolism. I help you do it right. Strength training, protein targets, and simple habits. You lose fat, keep muscle, and feel in control. This is a smart, structured approach designed to keep your results.

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