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

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.

Brittany Rose has built a community of more than 45,000 YouTube subscribers by sharing her GLP-1 journey with honesty, vulnerability and a refreshing sense of humor.

In this deeply personal conversation, Brittany opens up about the childhood trauma that shaped her relationship with her body and how weight became a form of protection. She shares what led her to start Mounjaro in 2022, how losing access to the original $25 savings card changed the course of her treatment, and how she eventually moved to a compounded GLP-1 and has now lost 115 pounds. But this is about so much more than a number on the scale. It's a story of survival, healing, self-discovery and completely changing the way she sees herself.

In this conversation:

• Childhood trauma, food as protection, and how childhood weight becomes adult obesity
• Starting Mounjaro, titrating up and losing 80 pounds in year one
• $550 a month, shortages and the move to compounded GLP-1s (503A vs 503B)
• Why hunger coming back is not the drug failing
• Diet culture, macros over calories and when food tracking helps or hurts
• Maintenance, the fear of losing access, and non-scale victories

Please note: this episode includes a sensitive discussion of childhood trauma and abuse. Please listen with care.

Chapters
00:00 Meet Brittany Rose
01:00 115 pounds down, the short version
03:14 Where the name Brittany Rose came from
05:00 Childhood trauma and food as protection
08:00 How childhood weight becomes adult obesity
12:00 Growing up without sit-down dinners
14:25 Pregnancy and the weight that never came off
16:04 Weight loss, fertility, and finding Mounjaro in 2022
19:11 Being prescribed phentermine at the same time
21:07 Titrating up and losing 80 pounds in year one
22:47 $550 a month and the move to compounded
24:20 Shortages: a prescription for every dose
26:10 Is compounded safe? 503A vs 503B
28:00 Why feeling miserable is not the goal
29:28 Hunger coming back is not the drug failing
31:00 Diet culture and the calorie myth
33:06 Macros over calories: protein first
36:27 Food tracking: when it helps and when it hurts
41:06 Her hardest struggle in maintenance
42:07 Biological hunger vs. appetite
44:00 The fear of losing access
45:00 The boundary she was finally able to set
48:07 Non-scale victories and building her channel
50:16 What her 15-year-old said

Follow Brittany Rose
YouTube: @Brittanylosing

This episode shares one person's experience and is intended for education and support.

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.

Split dosing GLP-1s has become one of the biggest trends in the GLP-1 community, but is it actually necessary? In this episode, I break down what split dosing semaglutide and tirzepatide really does, and why most people don't need it.

We talk about why some people feel their medication "wears off" before the end of the week, what half-life actually means, how semaglutide and tirzepatide stay in your system between injections, and what the research does and doesn't show about splitting your weekly dose.

The potential pitfalls of two injections a week:

• More opportunities to forget a dose
• Confusion about total weekly dosing
• Measuring or calculation mistakes
• Accidentally increasing the weekly dose
• Difficulty telling which dose caused a side effect
• Turning a simple treatment plan into a complicated one

Split dosing may be something a provider considers for certain patients with significant side effects or consistent end-of-week hunger, but it hasn't been proven better than once-weekly dosing. The major clinical trials for injectable semaglutide and tirzepatide used once-weekly treatment. If your once-weekly schedule is working, you're not missing a secret hack. Sometimes simpler really is better.

Chapters
00:00 The split dosing hype - my honest take
01:30 What split dosing actually means
03:06 Why people want to split their dose
04:58 Peaks, troughs and how GLP-1s really work
06:26 What a half-life actually is (and is not)
07:22 The "tirzepatide stops working in 5 days" myth
08:57 Steady state - semaglutide vs tirzepatide
10:02 Hunger is not treatment failure
11:42 What the research says about split dosing
13:06 Pitfall 1 - missed doses and dosing errors
14:49 Pitfall 2 - more shots, supplies and side effects
15:22 Who split dosing might actually be right for
17:00 Check these before you change your dose
18:16 Bottom line - simple is usually better
19:09 Should you switch? Ask yourself this

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.