Promotional value expires 90 days after purchase. Amount paid never expires. Appointment required. Must sign waiver. Limit 1 per person. Must be 18 years old. Appointment required.In person appointment available in Las Vegas. Telemedicine consultation available in CO, IA, FL, KA, ME, MD, MT, NE, NM, NV, OR, TX, TN, VT, WA, WY, VA, NM, KS. Consult, prescription, medication and laboratory requisition included. Laboratory test can be done using your health insurance carrier. Subscription will automatically renew at the regular price of a non-discounted monthly subscription at the end of the subscription purchased, unless canceled with the merchant. An active credit card is required to auto-enroll in the semaglutide subscription after the first month. Subscription can be canceled at any time. Semaglutide cannot be prescribed to anyone with the following and should not be purchased: BMI under 25, eating disorder, gallbladder disease, drug or alcohol abuse, recent bariatric surgery, pancreatitis, medullary thyroid cancer, currently pregnant or breastfeeding, planning to become pregnant, Diabetic retinopathy, Multiple endocrine neoplasia type 2, family history of medullary thyroid carcinoma. The dosage amount will be determined by the doctor based on your response to the medication. This Groupon purchase is for one month only. The monthly charges after the first month are $399 per month. To cancel, call 702-673-6505 or email admin@racheclinic.com 14 days prior to your next shipment. Existing or other promotions are not applicable while using this voucher. Voucher can not be redeemed on a per vial basis. Merchant's standard cancellation policy applies (any fees not to exceed Groupon price). Merchant is solely responsible to purchasers for the care and quality of the advertised goods and services. Learn about Strike-Through Pricing and Savings