Question 1

What is Belle?

Accepted Answer

Belle is a telehealth program that connects you with licensed U.S. providers for prescription weight loss and longevity treatments. There's no insurance to navigate, no waiting room, and no membership fee. Just a flat monthly price that covers the medication, supplies, shipping, and ongoing care. Belle is LegitScript-certified and partners exclusively with U.S.-licensed pharmacies.

Question 2

How does the screening process work?

Accepted Answer

You fill out a 5-minute online health screening covering your history, goals, current medications, and any conditions a provider needs to know about. A licensed U.S. provider reviews your answers, asks any follow-up questions, and, if treatment is appropriate, writes your prescription. Most members get matched with a provider in 24 hours.

Question 3

How long until I get my first dose?

Accepted Answer

After your provider approves treatment, your medication ships from a partner pharmacy within 1–2 business days. Most patients receive their first shipment within a week of starting their screening, including transit time.

Question 4

Do I need a prior diagnosis or referral to get started?

Accepted Answer

No. Your Belle provider does the full clinical evaluation themselves. You don't need to bring a referral, a previous prescription, or a formal diagnosis. If you do have a recent diagnosis or relevant medical records, you can share them during the screening to help your provider build a complete picture.

Question 5

What information do I need to provide in the screening?

Accepted Answer

Your basic health history (conditions, medications, allergies), recent vital signs if you have them, and a clear sense of what you're hoping treatment will do for you. If you've had recent lab work, you can share it; if not, your provider will request labs only when clinically necessary.

Question 6

Can I switch to Belle from another telehealth program?

Accepted Answer

Yes. Bring the name of your current medication, your current dose, and how long you've been on it to the screening. Your Belle provider will review your history and either continue you on the same regimen or recommend an adjustment based on your goals and tolerability.

Question 7

Is there an age requirement to use Belle?

Accepted Answer

You must be 18 or older to use Belle. Prescriptions are written for adult patients, and your provider will confirm eligibility during your screening.

Question 8

What medications does Belle prescribe?

Accepted Answer

For weight loss: compounded semaglutide and compounded tirzepatide, plus brand-name Wegovy and Zepbound. For longevity: NAD+, sermorelin, MIC+B12, and glutathione, all injectable. A topical skin lineup is in development; the waitlist is on the [skin treatments page](/treatments/skin).

Question 9

What is the difference between compounded semaglutide and tirzepatide?

Accepted Answer

Both are GLP-1 medications, but tirzepatide also activates a second receptor (GIP) in addition to GLP-1, which tends to produce stronger appetite reduction and greater weight loss in clinical trials. Compounded semaglutide starts at $119/month; compounded tirzepatide starts at $175/month and is Belle's most popular treatment. Your provider will recommend the right starting point based on your history and goals.

Question 10

Is compounded medication safe?

Accepted Answer

Belle's compounded medications are prepared by licensed U.S. compounding pharmacies and require a prescription from a licensed provider. They're made under sterile compounding standards (USP-797). Compounded medications are not FDA-approved as finished products. That's why every Belle program starts with a provider consultation — so the choice is made with someone who knows your health history.

Question 11

Why would I choose brand-name Wegovy or Zepbound over compounded?

Accepted Answer

Brand-name medications are FDA-approved as finished products and may be preferred if you have insurance that covers them, want the single-use auto-injector pen format, or your provider determines the brand formulation is the right clinical fit. Belle focuses on compounded medications, prescribed and overseen by a licensed provider — and your provider will help you decide whether that's the right path for you.

Question 12

What do the longevity medications actually do?

Accepted Answer

NAD+ supports cellular energy production and is studied for fatigue and recovery. Sermorelin is a growth-hormone-releasing peptide. MIC+B12 combines lipotropic amino acids with vitamin B12 for energy and metabolism support. Glutathione is an antioxidant administered as a subcutaneous injection. Each is prescribed only when a provider determines it's clinically appropriate for you. Full safety information for each is on Belle's [safety information pages](/important-safety-information/overview).

Question 13

When will Belle’s skin products be available?

Accepted Answer

Belle's skin lineup is in development and not yet available for prescription. Add yourself to the waitlist on the [skin treatments page](/treatments/skin) to be notified when it launches.

Question 14

Can I switch medications mid-treatment?

Accepted Answer

Yes. Message your provider through the patient portal. They'll review your progress, tolerability, and goals, and can transition you to a different medication, dose, or formulation when it makes clinical sense. There's no extra fee to switch.

Question 15

Who oversees my treatment?

Accepted Answer

A licensed U.S. medical provider reviews your intake, writes every prescription, and stays available throughout your treatment for messaging, dose adjustments, and check-ins. Belle is LegitScript-certified, a standard awarded only to telehealth companies that meet rigorous requirements for provider licensing, pharmacy compliance, and patient safety.

Question 16

What should I do if I have a serious side effect?

Accepted Answer

If symptoms are severe (severe abdominal pain, signs of an allergic reaction, persistent vomiting, fainting), go to the nearest emergency room. For non-emergency side effects, stop the medication and message your Belle provider through the patient portal. Serious side effects on GLP-1 medications are rare, but your care team is reachable for any concern.

Question 17

Can I take a Belle medication while pregnant or trying to conceive?

Accepted Answer

No. GLP-1 medications are not prescribed during pregnancy, and patients planning pregnancy are typically advised to stop the medication several weeks beforehand. Talk to your provider about timing if pregnancy is part of your plans. They can help you taper safely.

Question 18

Can I take Belle medications alongside other prescriptions?

Accepted Answer

Often yes, but it depends on the medication. Always list every prescription, over-the-counter drug, and supplement you take during your screening. Your Belle provider checks for interactions before prescribing and will flag anything that needs coordination with your other doctors.

Question 19

What is USP-797 and why does it matter?

Accepted Answer

USP-797 is the United States Pharmacopeia standard for sterile compounding: the rules pharmacies must follow to prepare injectable medications safely. Belle partners only with compounding pharmacies that meet USP-797 and operate under state board of pharmacy oversight, which is your assurance that the medication in the vial was prepared in a clean, controlled, accountable environment.

Question 20

Are the longevity medications safe?

Accepted Answer

Each longevity medication is prescribed only when a licensed provider determines it's clinically appropriate based on your history. Like any prescription, longevity medications carry potential side effects that your provider will review with you before you start. Full safety information for each product is on Belle's [safety information pages](/important-safety-information/overview).

Question 21

Is Belle HIPAA compliant?

Accepted Answer

Yes. Belle complies with the applicable provisions of the Health Insurance Portability and Accountability Act (HIPAA). Your screening, messages with your provider, and health records are handled under HIPAA's privacy and security standards. See the [HIPAA Notice](/hipaa) for the full detail.

Question 22

Is my visit a video call or an online form?

Accepted Answer

Belle's intake is async. You complete a written health screening on your own time, and a licensed provider reviews it and follows up by message. There's no scheduled video call, no waiting room, and no time-zone juggling. Most members hear back from a provider within 24 hours.

Question 23

Who are Belle’s providers?

Accepted Answer

Licensed U.S. medical providers: physicians and clinical providers practicing across the country, with experience in weight management, metabolic health, and longevity medicine. Every prescription is written by a real provider, not an algorithm. Belle's nutrition program is led by Megan Ostler, MS, RDN, a registered dietitian nutritionist.

Question 24

How do I message my provider after I start?

Accepted Answer

Through the secure patient portal. Message anytime. Questions are typically answered within 24 hours on business days. Use it for dose questions, side effect concerns, refills, lab results, or anything else that comes up between shipments.

Question 25

How often do I check in?

Accepted Answer

Weight loss patients on compounded tirzepatide and semaglutide get weekly check-ins with a registered dietitian as part of the subscription, plus on-demand provider access. Longevity patients have ongoing provider access without a fixed cadence; message when you have something to discuss.

Question 26

Do I need lab work before starting?

Accepted Answer

Not always. Your provider will request labs only when they're clinically necessary based on your history. If you already have recent results, share them during the screening. That often reduces what's needed up front.

Question 27

Will my provider adjust my dose over time?

Accepted Answer

Yes. Your provider follows a slow-titration protocol on GLP-1 medications, increasing the dose gradually based on how your body responds. Tell your provider how you're feeling each step of the way and they'll adjust to keep you on the lowest effective dose with the fewest side effects.

Question 28

Which pharmacies fill my prescription?

Accepted Answer

Belle partners exclusively with U.S.-licensed compounding and dispensing pharmacies, including BPI Labs, VitalRx Pharmacy, The Pharmacy Hub, and Olympia Pharmaceuticals. Your prescription is routed to whichever partner is best positioned to fulfill your specific medication.

Question 29

What if I’m not home when my medication arrives?

Accepted Answer

Injectable medications ship with cold-chain packaging and ice packs that protect the contents through the transit window. If you know you'll be away, update your shipping address in the portal before the next order ships, or contact your care team to reroute a shipment that's already in transit.

Question 30

What if my package is delayed, lost, or arrives damaged?

Accepted Answer

Contact your care team right away. Belle reships at no charge for missing, damaged, or compromised shipments, including packages that arrive warm, leak, or contain broken vials.

Question 31

Can I ship to a different address than my home?

Accepted Answer

Yes. Update your shipping address in the patient portal at any time. Note that Belle only ships within the U.S. to addresses in states where your provider is licensed to prescribe.

Question 32

Do you ship to PO boxes?

Accepted Answer

Some carriers used by Belle's partner pharmacies can deliver to PO boxes, but many medication shipments require a residential or business address that a carrier can verify. Check with your care team before adding a PO box to your account.

Question 33

My medication arrived warm. Is it still safe to use?

Accepted Answer

Don't use it. Contact your care team and Belle will reship at no charge. Injectable GLP-1 medications need to be kept at 36–46°F / 2–8°C until use. Your shipment is packed to maintain that range, but if it arrives warm, the medication should be replaced.

Question 34

How are shipments timed?

Accepted Answer

Your next shipment is timed to your dosing schedule and arrives before you'd run out, so you're never waiting on medication mid-treatment. You can view your next ship date and adjust the cadence from the patient portal.

Question 35

What does the monthly price include?

Accepted Answer

Your prescription medication, all supplies (syringes, alcohol swabs, sharps disposal container, injection instructions), shipping, and ongoing provider access. Weight loss subscriptions also include weekly check-ins with a registered dietitian. No prior authorizations, no copays, no surprise fees.

Question 36

Are there any fees on top of the monthly price?

Accepted Answer

No. Pricing is flat. What you see on the [treatments page](/treatments) is what you pay. There's no consultation fee, no setup charge, and no upcharge when your dose increases.

Question 37

What payment methods do you accept?

Accepted Answer

Major credit and debit cards through the patient portal. If you have a question about a specific payment method or arrangement, reach out to the care team before checkout. They can confirm what's supported.

Question 38

Does the price change when my dose increases?

Accepted Answer

No. Belle's flat-rate pricing doesn't change as your provider titrates your dose upward. The price you start at is the price you pay throughout treatment.

Question 39

What happens if my payment fails?

Accepted Answer

You'll get a notification with a few days to update your payment method before the order pauses. Your prescription and account stay intact. Once payment is updated, your shipment resumes.

Question 40

Can I get a refund?

Accepted Answer

Federal health and safety regulations don't allow returns or refunds on prescription medications or compounded products once they've shipped. If you received the wrong product, or your shipment arrived damaged, contact the care team within 7 days of delivery and Belle will make it right. Full detail is in the [Terms of Service](/terms).

Question 41

How do I update my shipping address or payment method?

Accepted Answer

Both can be updated directly in the patient portal under account settings. Changes take effect on your next billing cycle. For in-transit shipments, contact your care team to reroute.

Question 42

Can I pause my subscription for travel or a break?

Accepted Answer

Yes. Pause, skip a shipment, or cancel from the patient portal anytime. No contracts, no cancellation fees, no charges for months you skip.

Question 43

What happens to my health information if I cancel?

Accepted Answer

Your records are retained per HIPAA and Belle's privacy policy. You can request a copy of your records or ask to delete your account at any time. See the [Privacy Policy](/privacy) and [HIPAA Notice](/hipaa) for full detail.

Question 44

Where can I see my prescription history?

Accepted Answer

The patient portal stores every prescription, refill, and provider message. You can download or print records anytime, which is useful if you ever need to share your treatment history with another provider.

Question 45

Will I lose access to my provider if I pause?

Accepted Answer

Your account stays active during a pause, including messaging with your care team. Active prescriptions follow standard renewal rules. If you pause for an extended period, your provider may need to re-evaluate before resuming treatment.

Question 46

Can I refer a friend?

Accepted Answer

Belle is rolling out a referral program. Check the patient portal for current referral offers, or message the care team to be notified when one is available in your account.

Question 47

How quickly should I expect results on a GLP-1?

Accepted Answer

Most patients notice reduced appetite and smaller portion sizes within the first 1–2 weeks. Visible weight loss typically becomes noticeable around weeks 4–8 as the dose titrates up. Clinical trials of GLP-1 medications show average weight loss of 15–22% of starting body weight over 72 weeks, though individual results vary.

Question 48

What if I’m not losing weight?

Accepted Answer

Message your provider. Sometimes the answer is a dose adjustment; sometimes it's a closer look at nutrition, sleep, strength training, or other medications that influence weight. Belle's weight loss program includes weekly dietitian check-ins specifically to troubleshoot plateaus and adjust the plan.

Question 49

How long should I stay on the medication?

Accepted Answer

There's no single answer. It depends on your goals, your response, and what your provider recommends. Some patients stay on a maintenance dose long-term; others taper off once they've reached their target weight. Your provider will guide the plan based on your progress and how you're feeling.

Question 50

What is a healthy rate of weight loss?

Accepted Answer

Roughly 1–2 pounds per week is the clinically accepted range for sustainable weight loss. Faster isn't better. Slow, steady loss paired with habit changes is what drives durable results, which is why Belle pairs GLP-1 medication with weekly dietitian support.

Question 51

Will I plateau?

Accepted Answer

Most patients hit at least one plateau during treatment. Plateaus aren't a failure. They're a signal to look at your current dose, your protein intake, your strength training, and your sleep. Your provider and dietitian work the plateau with you rather than just increasing the dose.

Question 52

What happens to my weight after I stop the medication?

Accepted Answer

Some weight may return after stopping a GLP-1, because the medication works by signaling appetite and satiety. Belle's dietitian program is designed to build the nutrition and movement habits that sustain results when medication ends, and your provider can discuss a tapering strategy rather than abrupt discontinuation.

Getting started

Medications

Safety & side effects

The visit & ongoing care

Shipping & pharmacy

Cost & payment

Subscription & account

Results & expectations

Answers, without the medical jargon.