Visit Summary — May 6, 2026
Telehealth follow-up · Dr. Provider · 30 min
What we discussed
- Energy is significantly improved over the past 8 weeks (4/10 → 8/10).
- Sleep quality is consistent — averaging 7 hours, feels rested most mornings.
- Mood and clarity are better; brain fog mostly resolved.
- Tolerating GLP-1 at current dose without side effects.
- Light shoulder discomfort returning after workouts — discussed peptide options.
Your plan
- Continue current bioidentical estradiol and progesterone at current doses.
- Increase semaglutide from 0.25 mg to 0.5 mg weekly starting next dose.
- Continue current supplement protocol — no changes.
- Will discuss BPC-157 peptide protocol for shoulder if discomfort persists at next visit.
- Repeat full hormone & metabolic panel in 8 weeks (around July 1).
Action items
- ☐ Update GLP-1 dose to 0.5 mg this Wednesday
- ☐ Track shoulder symptoms in symptom journal
- ☐ Schedule July labs through portal
- ☐ Book next visit (~July 15)