State Overrides: Where Telehealth Controlled Substance Prescribing Is Banned About 8 states have laws stricter than federal rules , including: Florida : Controlled substances via telehealth prohibited except for psychiatric disorders, inpatient care, or addiction treatment (weight loss doesnt qualify) Alabama : Requires in-person exam for controlled substances
Importantly, any patch claiming to contain actual semaglutide, liraglutide, or other GLP-1 receptor agonists would be an unapproved, potentially illegal drug product in the US
Any provider selling "mega doses" or "custom high-dose protocols" is operating outside evidence-based practice
The honest answer is that it depends entirely on your vial concentration, where you are in your titration schedule, and how your body responds to this particular medication
It is found in most body cells, with the highest concentration in the liver
Research is ongoing into whether GLP-1s exert a direct effect on adipocytes or whether this is a consequence of rapid systemic weight loss alone