The Better Living PA: GLP-1s, Metabolic Health & Midlife Hormones

Can GLP-1 medications like semaglutide and tirzepatide really cause blindness?

In this episode, Tiffany Bailey, PA-C, sits down with optometrist Dr. Kelly Bugg, OD, to talk about GLP-1s and vision loss, what the research on NAION (non-arteritic anterior ischemic optic neuropathy) actually shows, and what the real risk is for most patients.

In this conversation:

• What optometrists do and how they differ from ophthalmologists
• What NAION is and how it affects the optic nerve
• What the semaglutide research shows, and how rare NAION actually is
• Who has a "crowded disc" and may be at higher risk
• How diabetes and fast blood sugar changes affect your eyes
• Dry eye and blurry vision that comes and goes on GLP-1s
• Why to call your eye doctor, not the ER, for sudden vision changes
• How often to get an eye exam, and dilation vs. retinal photos

Chapters

00:00 Meet Dr. Kelly Bugg, optometrist

01:46 What an optometrist treats

02:30 Optometrist vs. ophthalmologist

04:06 Why see an eye doctor for eye problems

04:47 The scary GLP-1 blindness headlines

05:09 What is NAION?

05:55 What the semaglutide research shows

06:18 How rare is NAION?

08:05 Does she see NAION in her practice?

09:54 Diabetes, GLP-1s and your eyes

10:19 How diabetic retinopathy damages the eye

12:15 Fast blood sugar changes and when to come in

14:34 Crowded discs and who is at higher risk

15:46 Weighing the benefits vs. the risk

18:07 Warning signs of NAION

19:23 If you've already had NAION in one eye

20:37 Dry eye on GLP-1s

22:18 Blurry vision that comes and goes

25:22 Eye doctor vs. the ER for vision changes

27:17 How often to get an eye exam

29:09 A patient story: what an eye exam caught

32:13 Dilation vs. retinal photography

34:04 Final takeaways

Connect with Dr. Kelly Bugg, OD:

Website: keepingyourlifeinfocus.com

Lone Oak Family Eye Care (Paducah, KY): facebook.com/lofamilyeye

Mayfield Family Eye Care (Mayfield, KY): facebook.com/MayfieldFamilyEyeCare

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:

link.joinbelle.com/betterliving (coupon code BELLE15)

You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA

All my links: linktr.ee/TiffanyBaileyPA

Instagram: @betterliving_pa

TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Is your GLP-1 dose too high? A higher dose is not automatically better. Semaglutide and tirzepatide work best at the dose that helps you reach your goals while still letting you eat, drink, function and feel like yourself.

In this episode, I walk through 7 signs your GLP-1 dose may be too high for your body, why the old "move up every month" titration approach doesn't fit everyone, and why your dose should be judged by how you feel and function, not just the number on the scale.

In this episode:

Why so many people were titrated up every single month

What the Wegovy and Zepbound prescribing information says about tolerability

Nausea that keeps you from eating, drinking or functioning

Repeated vomiting or trouble keeping fluids down

Constipation or diarrhea that becomes a real problem

Food aversion and barely being able to eat

Feeling weak, dizzy or exhausted

Losing strength and muscle

Side effects that get worse with every dose increase

Why returning hunger doesn't always mean you need a higher dose

Symptoms that need prompt medical attention

Chapters

00:00 How to tell if your GLP-1 dose is too high

00:35 Why so many people were moved up every month

01:32 What Wegovy and Zepbound prescribing info says now

02:21 Your dose should be personalized

02:34 Don't judge your dose by the scale

03:00 Sign 1: Nausea that stops you from functioning

04:22 Sign 2: Vomiting or trouble keeping fluids down

05:14 Sign 3: Constipation or diarrhea that becomes a problem

06:25 Sign 4: You can barely eat (food aversion)

08:04 Sign 5: Feeling weak, dizzy or exhausted

09:12 Sign 6: You're losing strength

10:22 Sign 7: Side effects get worse with every dose increase

11:13 Returning hunger doesn't mean you need a higher dose

11:57 Your rate of weight loss vs. your dose

12:47 Symptoms that need prompt evaluation

13:22 Talk to your provider before changing your dose

13:51 Low and slow: individualized GLP-1 dosing

14:30 Tell me your experience

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:

link.joinbelle.com/betterliving (coupon code BELLE15)

You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA

All my links: linktr.ee/TiffanyBaileyPA

Instagram: @betterliving_pa

TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Can GLP-1s help with perimenopause and menopause? In this live conversation, I'm joined by Dr. Pat Taylor, a board-certified family physician specializing in obesity, menopause and metabolic medicine, to talk about GLP-1 therapy, microdosing, menopause and metabolic health.

Perimenopause can start as early as your mid-30s, and the hormonal shifts can bring belly weight gain, insulin resistance, mood changes and more, even when nothing else in your routine has changed. We explain what's happening, how GLP-1s and menopausal hormone therapy may work together, what microdosing means, and who may or may not be a good candidate, plus live Q&A.

In this episode:

• When perimenopause starts and common symptoms
• Estrogen, mood and the brain
• Why weight shifts to your midsection
• Insulin resistance and the labs to check
• Surgical menopause and testosterone
• Why GLP-1s may work differently in menopause
• Hormone therapy plus GLP-1s, and tirzepatide and hot flashes
• What GLP-1 microdosing really means, and who is (and isn't) a good candidate
• Maintenance without BMI cutoffs

Chapters
00:00 Welcome: microdosing and menopause
01:00 Perimenopause starts earlier than you think
03:00 Meet Dr. Pat Taylor
04:03 When perimenopause starts and common symptoms
06:01 Estrogen, mood and the brain
07:05 Why weight shifts to your midsection
08:02 Insulin resistance in perimenopause
09:04 Labs to check for insulin resistance
11:01 Visceral fat and health risks
12:01 Surgical menopause and testosterone
14:03 Why GLP-1s may work differently in menopause
16:00 Estrogen, your cycle and GLP-1 response
17:03 Hormone therapy plus GLP-1s
20:01 Tirzepatide and hot flashes
21:01 Q&A: itchy skin and ears
23:00 Prediabetes, diabetes and your chart
26:06 Diabetes medications and longevity
27:00 BMI and insurance coverage
30:04 Why Dr. Pat joined Belle
31:01 Belle launches GLP-1 microdosing
33:01 Food noise and mental capacity
34:03 Two pathways to start microdosing
36:00 What microdosing really means
39:02 Who's a good candidate for microdosing
43:03 Why menopausal hormone therapy matters
44:04 Who's not a good candidate
47:01 Maintenance with no BMI gates
50:01 How to join the microdosing program
52:06 Q&A: HRT timing and starting doses
54:05 Tirzepatide with B6
55:05 Wrap-up

Learn more about Belle's microdosing program: microdose.joinbelle.com

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
link.joinbelle.com/betterliving (coupon code BELLE15)
You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA
All my links: linktr.ee/TiffanyBaileyPA
Instagram: @betterliving_pa
TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Olivia has been on a compounded tirzepatide journey for over a year and is down 98 pounds. In this conversation she shares her wins, what made her journey hard, and why she now spends her time advocating for GLP-1 patients who need access to care.

In this conversation:

• Researching GLP-1s and falling for the flood of marketing ads
• Choosing semaglutide on price, and the side effects she had
• Hitting Onederland, then hitting a stall
• Why eating 800 calories was the wrong move, and focusing on maintaining muscle
• Loose skin, rings that fit differently and other surprises
• Whether she expects to be on a GLP-1 long-term
• Why a GLP-1 is a tool, and she's still doing the work

Chapters
00:00 Meet Olivia
02:30 Researching GLP-1s and the flood of ads
05:00 Falling for marketing campaigns
07:30 Choosing semaglutide on price
10:00 Constipation, and how much nausea she had
12:30 Hitting Onederland
15:00 When weekly drops turn into a stall
17:30 Working out and morning bike rides
20:00 Eating 800 calories, and why that was wrong
22:30 Rings and jewelry feeling strange
25:00 Focusing on maintaining muscle
27:30 Not checking whether she'd fit the booth
30:00 Loose skin as part of the loss
32:30 Did she expect to be on this long-term?
35:00 Her husband dreaming about food
37:30 Not thinking about supper at all
40:00 It's a tool - she's still doing the work

Follow Olivia
TikTok: @glpwitholivia
YouTube: @GLPWithOlivia
Instagram: @glpwitholivia
Get started with Olivia's link: link.joinbelle.com/olivia (code OLIVIA)

This episode shares one person's experience. Individual results vary.

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
link.joinbelle.com/betterliving (coupon code BELLE15)
You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA
All my links: linktr.ee/TiffanyBaileyPA
Instagram: @betterliving_pa
TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Have you noticed your skin feels sore, burning, tingly or sunburned, even when nothing is touching it but your clothes or your sheets? That symptom has a name: allodynia. It's being reported by some people taking GLP-1 medications like tirzepatide and semaglutide, and it can be confusing and worrying when it shows up.

In this episode, I explain what allodynia is, why it may happen on GLP-1s, what it typically looks like, and what you can do about it, so you know what's expected and when it's worth talking to your provider.

In this episode:

• What allodynia is and what it can feel like
• Burning, tingling and sunburn-like skin sensitivity on GLP-1s
• Which GLP-1 medications it's been reported with, and the role of dose increases
• Why it may happen, including nerve signaling and rapid weight loss
• How long it tends to last
• Practical ways to manage it and when to talk to your provider about your dose
• Symptoms that aren't typical and should be checked out

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
link.joinbelle.com/betterliving (coupon code BELLE15)
You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA
All my links: linktr.ee/TiffanyBaileyPA
Instagram: @betterliving_pa
TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Starting GLP-1s, or wishing you could start your GLP-1 journey over? I'm Tiffany Bailey, a board certified physician assistant, and after talking with thousands of people on GLP-1 medications, these are the 10 things patients most often tell me they wish they'd done differently from day one.

We cover building a care plan before your first dose, why you shouldn't judge results in the first 4 weeks, eating regularly even when your appetite is low, protecting your muscle, planning ahead for side effects like nausea and acid reflux, tracking progress beyond the scale, weekly vs. split dosing, the mental and emotional side of weight loss, and taking life on GLP-1s one step at a time. Whether you're on week one or month twelve, you can still make these changes.

⏱️ Chapters
0:00 Starting GLP-1s over: what I'd do differently
1:20 #1 Have a care plan before you start
3:18 #2 Don't judge results in the first 4 weeks
4:57 #3 Eat regularly, even when you're not hungry
6:28 #4 Protect your muscle early
7:34 #5 Plan ahead for side effects
8:35 #6 Take before photos and measurements
10:15 #7 Weekly vs. split dosing
11:29 #8 The mental and emotional side + community
12:39 #9 Take others' advice with a grain of salt
13:38 #10 One step at a time (do I stay on it forever?)
15:44 Your turn + free resources

👇 Interested in learning more about GLP-1s, peptides, hormones, and metabolic health?

START HERE:
🔗https://link.joinbelle.com/betterliving

Coupon Code- BELLE15

If you're considering treatment options, this is the best place to begin. You'll find information on eligibility, available programs, and next steps.

📌 Subscribe to my channel so you don't miss future videos on:
https://www.youtube.com/@thebetterlivingPA
🔔𝐃𝐨𝐧'𝐭 𝐟𝐨𝐫𝐠𝐞𝐭 𝐭𝐨 𝐬𝐮𝐛𝐬𝐜𝐫𝐢𝐛𝐞 𝐭𝐨 𝐦𝐲 𝐜𝐡𝐚𝐧𝐧𝐞𝐥 𝐟𝐨𝐫 𝐦𝐨𝐫𝐞 𝐮𝐩𝐝𝐚𝐭𝐞𝐬.

• GLP-1 medications
• Peptides
• Perimenopause & menopause
• Weight loss
• Metabolic health
• Healthy aging

Join our FREE community to learn more about GLP1s and get nutritional tips and tricks-
https://the-belle-community.circle.so/join?invitation_token=480b6c976ec2285d8e8a6a56a0f3487d5fc2e09d-073e1d62-688d-4de9-b85d-d05af356cb9b

⚠️ Medical Disclaimer:
The information shared on this channel is for educational and informational purposes only and should not be considered medical advice. Watching these videos does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

✅ Important Link to Follow

🔗 Linktree
https://linktr.ee/TiffanyBaileyPA

Instagram:
https://www.instagram.com/betterliving_pa

TikTok:
https://www.tiktok.com/@betterlivingforeveryone

#GLP1 #GLP1Journey #WeightLossJourney

The number one rule every GLP-1 user should practice sounds incredibly simple: eat until you're no longer hungry, not until you feel full.

Those may sound like the same thing, but they're two very different stopping points, and learning the difference is one of the biggest things that separates a smooth GLP-1 journey from a miserable one. In this episode, I explain how GLP-1 medications like semaglutide and tirzepatide can change your appetite faster than they change your lifelong eating habits, why so many of us were conditioned to clean our plates, and why your old portion sizes may suddenly leave you feeling miserable.

In this episode:

• The difference between hunger, satisfaction, fullness and feeling stuffed
• How your stomach, gut hormones, nerves and brain communicate during a meal
• Why slowing down and chewing more can help
• The halfway pause you can practice at your next meal
• How GLP-1s may change food motivation and reward
• How to stop eating when hunger disappears without accidentally under-eating

A GLP-1 can turn down the hunger signal, but it can't put your fork down for you.

Chapters
00:00 The #1 rule most GLP-1 users get wrong
00:23 Eat until you're no longer hungry, not full
01:12 Hunger vs fullness - two different points
01:59 Why we were trained to clean our plates
03:08 Eating too fast and not chewing enough
03:47 How your body knows you have had enough
05:56 What GLP-1s actually change in your stomach
07:03 Practicing the pause during a meal
07:48 Put your fork down - two questions to ask
08:44 The 1 to 10 fullness scale
10:12 Food is not just fuel - the emotional side
11:19 Losing the dopamine hit from food
12:24 Finding non-food rewards
13:11 Hunger vs food noise
14:07 Tell me what has helped you

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
link.joinbelle.com/betterliving (coupon code BELLE15)
You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA
All my links: linktr.ee/TiffanyBaileyPA
Instagram: @betterliving_pa
TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Is "GLP-1 divorce" real? Can a GLP-1 medication like semaglutide or tirzepatide actually change your relationship with your partner? I'm Tiffany Bailey, a board certified physician assistant and GLP-1 advocate, and in this episode I break down the trend some people call "GLP-1 divorce" or "Ozempic divorce," what the research does (and doesn't) show, and the real factors that can shift a relationship when one partner starts a GLP-1.

We cover:
• What "GLP-1 divorce" means and why it's not a new phenomenon
• What we learned from bariatric surgery patients and relationship changes
• Why most separations start with cracks that were already there
• How new confidence, less food noise, and new interests can feel threatening to a partner
• Feeling emotionally flat on a GLP-1 and how it can affect dates and intimacy
• What early research on GLP-1s and marriage outcomes shows so far
• Why "you look amazing now" can land the wrong way
• GLP-1s, dopamine, and the reward system (food, alcohol, and desire)
• Losing food as a comfort strategy and finding new ways to cope
• When shared routines like dinners, drinks, and movie snacks change

Chapters:
0:00 What is "GLP-1 divorce"?
0:43 Not new: what we saw after bariatric surgery
1:19 Can a GLP-1 actually cause a divorce?
1:52 Scenario: when one partner starts changing
3:40 Feeling emotionally flat on a GLP-1
4:38 New confidence exposes old cracks
5:00 What the research says
6:31 How your partner sees you vs. how you see yourself
7:08 Intimacy and "you look amazing now"
7:51 When old feelings come into focus
8:29 GLP-1s, dopamine and the reward system
8:57 When food is no longer your comfort
10:20 When shared habits and routines change
11:15 GLP-1s, alcohol cravings and desire
12:12 Why partners miss the old routines
12:55 So, is GLP-1 divorce real?
13:21 Share your experience

👇 Interested in learning more about GLP-1s, peptides, hormones, and metabolic health?

START HERE:
🔗https://link.joinbelle.com/betterliving

Coupon Code- Belle15

If you're considering treatment options, this is the best place to begin. You'll find information on eligibility, available programs, and next steps.

📌 Watch the video version on YouTube and subscribe so you don't miss future episodes on:
https://www.youtube.com/@thebetterlivingPA

• GLP-1 medications
• Peptides
• Perimenopause & menopause
• Weight loss
• Metabolic health
• Healthy aging

Join our FREE community to learn more about GLP1s and get nutritional tips and tricks-
Join The Belle Community (free)

⚠️ Medical Disclaimer:
The information shared on this show is for educational and informational purposes only and should not be considered medical advice. Listening to this podcast does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

✅ Important Links to Follow

🔗 Linktree
https://linktr.ee/TiffanyBaileyPA

Instagram:
https://www.instagram.com/betterliving_pa

TikTok:
https://www.tiktok.com/@betterlivingforeveryone

#GLP1 #GLP1Divorce #OzempicDivorce #WeightLossJourney #Semaglutide

Do you feel like you're going crazy, or like you just don't feel like yourself anymore? It might be perimenopause.

I'm Tiffany Bailey, a board certified physician assistant, and in this episode I break down the sneaky perimenopause symptoms so many women in their late 30s and 40s miss: anxiety and irritability, waking up in the middle of the night, brain fog, and achy, stiff joints. Perimenopause can start up to 10 years before menopause, and you can still have regular periods while it's happening.

In this episode:

• What perimenopause is (and why menopause is really just one day)
• Why regular periods don't rule out perimenopause
• Anxiety, irritability and the emotional roller coaster
• Waking up at night with racing thoughts
• Brain fog, forgetfulness and trouble concentrating
• Physical clues: stiff, achy joints, getting hot at night, vaginal dryness
• Why women get treated symptom by symptom and nobody connects the dots
• Conditions that can mimic perimenopause (thyroid problems, anemia, sleep disorders, anxiety and depression)
• Why starting hormone therapy earlier in perimenopause matters

Belle's women's hormone therapy program launches October 15. Join the waitlist here: link.joinbelle.com/betterliving

Disclosure: I'm the Director of Patient Education at Belle, a telehealth company I talk about in this episode.

Chapters
00:00 Am I crazy or is it perimenopause?
01:03 What is perimenopause?
02:06 You can still have regular periods
02:37 Anxiety, irritability and mood swings
04:06 Waking up at night: sleep changes
05:46 Brain fog and forgetfulness
07:10 Physical clues: joints, night heat, dryness
09:00 How to figure out what's going on
10:53 Conditions that can mimic perimenopause
12:04 Why earlier hormone therapy matters
12:43 Belle's women's hormone therapy program
13:33 Tell me your experience

Interested in GLP-1s, peptides, hormones and metabolic health? Start here:
link.joinbelle.com/betterliving (coupon code BELLE15)
You'll find information on eligibility, available programs and next steps.

Follow The Better Living PA so you don't miss new episodes on GLP-1 medications, peptides, perimenopause and menopause, weight loss, metabolic health and healthy aging.

Watch on YouTube: @thebetterlivingPA
All my links: linktr.ee/TiffanyBaileyPA
Instagram: @betterliving_pa
TikTok: @betterlivingforeveryone

Medical disclaimer: The information shared on this podcast is for educational and informational purposes only and should not be considered medical advice. Listening to or watching these episodes does not create a provider-patient relationship. Always consult with your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.

Should you get your GLP-1 from telehealth or from your primary care provider? You can love your primary care provider and still choose someone else for your GLP-1 care. I'm Tiffany Bailey, a board certified physician assistant who spent 18 years in primary care and internal medicine, and in this episode I share an honest, inside look at why primary care offices often struggle with GLP-1 care, when staying with your PCP makes the most sense, and what to look for in a telehealth GLP-1 provider.

In this episode:
0:00 Primary care vs. telehealth for GLP-1s
0:26 Why primary care providers are stretched thin
2:13 A prescription vs. a system built for your success
4:09 When staying with your primary care makes sense
4:45 No insurance? The compounding roadblock
6:10 How telehealth works with 503A pharmacies
7:01 Dosing and concentration mix-ups
9:04 What about the relationship with my provider?
9:48 What makes Belle different
11:48 Worried about upsetting your doctor?
13:38 You still need a primary care provider
14:00 Tell me your experience

Interested in learning more about GLP-1s, peptides, hormones, and metabolic health? Start here: https://link.joinbelle.com/betterliving (Coupon code: BELLE15)

All my links: https://linktr.ee/TiffanyBaileyPA
Watch on YouTube: @thebetterlivingPA

Disclosure: I'm the Director of Patient Education at Belle, a telehealth company I talk about in this episode.

Medical Disclaimer: This content is for educational and informational purposes only and should not be considered medical advice. Listening does not create a provider-patient relationship. Always consult your own qualified healthcare provider before starting, stopping, or changing any medication, supplement, peptide, treatment plan, or healthcare regimen.