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What the provider evaluates: Whether your BMI meets the criteria Whether weight-related comorbidities are documented Whether you have any contraindications Whether medication interactions exist Whether your health history makes tirzepatide appropriate Whether you understand the medication, risks, and commitment required The provider can: Approve you for the tirzepatide prescription Deny your application due to medical contraindications Request additional information (recent lab work, documentation from primary care doctor) Recommend alternative approaches if you're not a candidate This is a real medical evaluation, not a rubber-stamp process