The Nurses’s RX no. 8: I used to dread summer…

The Nurse's RX newsletter header - Everything your doctor didn't have time to explain

Okay sooooo……

Summer is fast approaching.

And a couple years ago? I dreaded it.

There were summers I didn’t even own a bathing suit that fit.
I refused to buy shorts.
I lived in long dresses and leggings because they felt safer.

Pool invites stressed me out.
Beach trips felt exposing.
Photos? Absolutely not.

I kept telling myself I just needed more discipline.
More willpower.
Another fad diet.

So I counted calories.
Tracked every bite.
Tried whatever new fad diet was trending that month.

And every time it didn’t “stick,” I blamed myself.

What actually changed everything?

started GLP-1 therapy under medical supervision.

And I stopped dieting.

I stopped counting calories.
I stopped chasing fad diets.
I started eating intelligently.

Protein first.
Fiber daily.
Balanced meals.
No extremes.

The food noise quieted.
My body finally had metabolic support.
And everything else began to fall into place.

This past summer?

I had a whole drawer of bathing suits.
An actual drawer.
And yes… a whole drawer of shorts too.

That didn’t come from trying harder.
It came from upgrading the strategy.

If you’re exhausted from white-knuckling another summer, maybe it’s time to stop fighting your biology.

Summer is coming either way. ☀️
You get to decide how you walk into it.

You can BOOK A FREE 15 MIN CALL WITH ME to ask questions and talk through your thoughts and concerns. Or, if you already know you’re ready, you can GET STARTED THROUGH MY SITE now.

XOXO,
NIKI, RN

PCOS. Perimenopause. Metabolic health. The real stuff. Not just “eat less, move more.”

Not sure where to start? Take my free quiz and I’ll send you a custom plan.
WHAT’S RIGHT FOR MY BODY?
P.S. Missed the previous editions of The Nurse’s RX?
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Let’s be clear about who I am (and who I’m not)

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing here replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

Scope of practice

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment. These statements have not been evaluated by the FDA. Products discussed are not intended to diagnose, treat, cure, or prevent any disease.

Transparency

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links in this email are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate, I earn from qualifying purchases.

Results + Testimonials

Any testimonials or results shared here reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

Read the full fine print at nicoleinscrubs.com/disclosure

Is Your Telehealth Company Pharmacy Hopping With Your GLP-1? Here’s Why That Matters

JUMP TO:: MEDICAL + AFFILIATE LINK DISCLOSURES


If you’re on a compounded GLP-1 medication through a telehealth company, there’s something you need to know… and most people have no idea it’s even happening.

It’s called pharmacy hopping. And it could be putting you at risk.

What Is GLP-1 Pharmacy Hopping?

Pharmacy hopping is when your telehealth company sends your prescription to a different compounding pharmacy each month. Not because anything is wrong with your prescription. Not because your dose changed. Just because of whatever deal or arrangement they have going on that month.

Here’s why that’s a problem. Every compounding pharmacy concentrates their GLP-1 medications differently. So even if your prescription says the exact same milligrams from one month to the next, the units, or volume, you draw up in your syringe could be completely different. Same dose on paper. Completely different injection in reality.

That’s exactly how dosing errors happen.

Hand holding an Empower compounding pharmacy tirzepatide niacinamide injection vial at 17/2 mg/mL with multiple other compounded GLP-1 vials visible in the background showing pharmacy variation
Different concentrations. Same prescription. This is what pharmacy hopping actually looks like.

What the FDA Is Actually Saying About This

This isn’t just my opinion as a nurse. The FDA has been raising the alarm on compounded GLP-1 safety for a while now.

As of April 2025, the FDA had received over 500 adverse event reports related to compounded semaglutide and nearly 500 reports concerning compounded tirzepatide. And that number is almost certainly higher because most state-licensed compounding pharmacies aren’t even required to submit adverse event reports.

The FDA has received multiple reports of adverse events, some requiring hospitalization, linked to dosing errors associated with compounded injectable semaglutide. These weren’t errors because people were careless. Many of them were errors because the concentration changed, and nobody clearly explained that.

The FDA estimates that 10 deaths and 100 hospitalizations may be linked to the use of compounded GLP-1 medications. And their responses are often reactive, meaning action is usually taken only after something has already gone wrong.

That last part is the part that keeps me up at night as a nurse.

A Real Example of What Can Go Wrong

I know someone personally who accidentally took four times her dose. Four times. It happened because her pharmacy changed, and she drew up the volume exactly the same as what she was used to… but the concentration was completely different. She felt absolutely awful.

And here’s the thing that really got me. I’m a NICU nurse. Dosage calculations are literally what I do every single day. Tiny babies depend on my accuracy. And I STILL panicked after my own pharmacy changed. I had to go back to my written notes to confirm I’d taken the right dose. I had gone over it so many times in my head that I couldn’t remember what I’d actually done.

If it can happen to me… it can happen to anyone.

Hand holding an SBH Medical niacinamide tirzepatide injectable vial at 2mg/12.5mg/mL showing a different compounding pharmacy concentration than other providers
Same medication. Different pharmacy. Different concentration. This is exactly what pharmacy hopping looks like in real life.

What to Look For in a Compounded GLP-1 Provider

Not all telehealth companies operate the same way. Here’s what actually matters when it comes to safety:

Pharmacy consistency. Your medication should come from the same pharmacy every single month. No exceptions. If your provider can’t tell you exactly which pharmacy fills your prescription, that’s a red flag worth paying attention to.

Standardized dosing. As your dose increases, your units should stay the same. Simple, consistent, easy to follow instructions reduce the risk of errors. If the math changes every time your dose changes, that’s unnecessary confusion and unnecessary risk.

Transparency. A trustworthy provider will tell you where your meds come from, how they’re compounded, and what quality standards their pharmacy follows. You have every right to ask those questions.

Why I Made the Switch

This is a big part of why I moved to EllieMD. One pharmacy, always the same one, every single month. Standardized dosing so the units stay consistent no matter what milligram you’re on. Simple. Clear. And a whole lot less room for the kind of errors that send people to the hospital.

Cheaper isn’t always better y’all. Sometimes what you’re actually paying for is consistency, safety, and peace of mind. And when it comes to injectable medications… that is absolutely worth it.

Hand holding a CloverRx compounding pharmacy tirzepatide plus glycine injection vial at 20mg/0.5mg/mL with a syringe visible in the background — EllieMD's dedicated compounding pharmacy
This is what consistency looks like. Same pharmacy. Every single month.

Questions to Ask Your Telehealth Provider Right Now

Before your next injection, it’s worth picking up the phone or sending a message to ask:

Where is my prescription being filled? Is it always the same pharmacy? How is my dosing calculated and does that change if my concentration changes? What quality standards does your compounding pharmacy follow?

You deserve clear answers. If you’re not getting them, that tells you something too.


This post contains affiliate links and/or brand partnership content. I may earn a commission at no extra cost to you.

LET’S BE CLEAR ABOUT WHO I AM (AND WHO I’M NOT).

I’m a registered nurse and health coach who shares real, BS-free information about metabolic health, PCOS, perimenopause, and weight loss, because y’all deserve better than vague wellness fluff. But here’s what I need you to know: I am not YOUR nurse. Everything I share here is for educational purposes only. It is not medical advice, it’s not a diagnosis, and it doesn’t create a provider-patient relationship between us. Nothing on this site replaces the care of a licensed provider who actually knows your full health history. The opinions and content here are my own and do not reflect the views of my employer or the hospital where I work.

SCOPE OF PRACTICE.

As a nurse health coach, I can recommend over-the-counter products and supplements that may support your wellness goals. I don’t prescribe specific prescription medications. When it comes to GLP-1s and peptides, what I can do is talk about the science, what’s available, and what may be beneficial, so you can have an informed conversation with your licensed medical provider. The decision about what’s right for your body always belongs to you and your provider. Always consult your licensed provider before starting any prescription treatment — this is not something that should be DIY’d. These statements have not been evaluated by the FDA. Products discussed on this site are not intended to diagnose, treat, cure, or prevent any disease.

TRANSPARENCY.

I only recommend things I actually trust. Most are products I personally use, some are from partners whose clinical standards I believe in. I will always let you know when it’s something I haven’t tried personally. Some links on this site are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.

RESULTS + TESTIMONIALS.

Any testimonials or results shared on this site reflect individual experiences only. Results are not guaranteed and will vary based on individual circumstances.

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GLP-1 Therapy: The Skinny (Pun Intended) on What You Need to Know

Alright, let’s talk about GLP-1 therapy—aka the little injection that could! If you’ve been battling cravings, feeling like a human garbage disposal for snacks, or just trying to get your metabolism to cooperate for once, then this might just be the tool you need.

But before you start dreaming of effortlessly shedding pounds while binging Netflix (sorry, it doesn’t work quite like that), let’s break down what GLP-1 therapy is—and more importantly, what it isn’t. Buckle up, because we’re about to get real, and a little sassy.


What Exactly Is GLP-1 Therapy?

Think of GLP-1 therapy as your metabolism’s new BFF—the one who tells you to stop texting your toxic ex (aka late-night snacks) and actually encourages you to make better choices.

Scientifically speaking, GLP-1 receptor agonists mimic the hormone glucagon-like peptide-1, which helps control appetite, slow digestion, and balance blood sugar. In non-science terms? It helps you feel full longer, reduce cravings, and stop treating your fridge like it’s the last meal on Earth.

Some of the big names in the GLP-1 world include:

  • Ozempic® – Originally for diabetes, but got famous for weight loss real quick.
  • Wegovy® – Ozempic’s cool cousin that’s officially approved for weight loss.
  • Zepbound™ – The new kid on the block making waves in the weight-loss world.
  • Mounjaro® – The overachiever that helps with both diabetes and weight loss.

These medications don’t just shrink your appetite—they help with blood sugar control, metabolic health, and kicking emotional eating to the curb.

What glp-1 therapy does and does not do.
What glp-1 therapy does and does not do.

GLP-1 Therapy: The Perks (AKA Why Everyone’s Talking About It)

✅ 1. Bye-Bye, Cravings!

Ever stare at a bag of chips and think, “Just one…” and then suddenly, it’s empty? Yeah, GLP-1 therapy helps prevent that. It regulates appetite signals in your brain, so your stomach doesn’t convince you that an entire pizza is a “light snack.”

✅ 2. You’ll Actually Feel Full

GLP-1 slows digestion, so your meals stick around longer instead of disappearing like a magic trick. This means you won’t be rummaging through the pantry an hour after dinner like a snack detective.

✅ 3. Helps You Eat Like a Normal Human

Portion control? Mindful eating? Who is she? GLP-1 therapy makes it easier to eat like someone who actually respects their hunger cues, rather than someone at an all-you-can-eat buffet.

✅ 4. Metabolism’s Glow-Up

Not only does this magic shot help with weight loss, but it also balances blood sugar and improves metabolic function. Translation: your body stops treating carbs like a sworn enemy and starts burning fuel more efficiently.

✅ 5. Great for PCOS & Insulin Resistance

If you have PCOS, you know the struggle of hormonal weight gain and sugar cravings. GLP-1 therapy helps regulate insulin, making it easier to lose weight and keep it off without feeling like you’re fighting against your own body.


What GLP-1 Therapy Isn’t

Now, before you start celebrating, let’s clear up some misconceptions because this isn’t some “eat-whatever-you-want-and-wake-up-skinny” situation (tragic, I know).

❌ 1. A Quick Fix (Sorry, Y’all)

If you’re expecting to wake up looking like a Kardashian overnight, I have some bad news. GLP-1 therapy takes time. It’s like a slow-burn romance—not a Vegas elopement.

❌ 2. A Free Pass to Eat Like a Raccoon

Yes, this med helps control cravings, but that doesn’t mean you should test its limits by living off donuts and soda. It works best when paired with actual nutrients (I know, bummer).

❌ 3. A One-Size-Fits-All Solution

Your BFF might drop 20 lbs in a month, while you see the scale move at a turtle’s pace. Bodies are weird and work at their own pace—so don’t compare your journey to someone else’s highlight reel.

❌ 4. For Everyone

Not everyone is a candidate. If you have certain medical conditions (like thyroid cancer history or pancreatitis), this might not be for you. That’s why you should talk to a provider before diving in (shoutout to IVIM’s free consultations!).


How to Actually Make GLP-1 Therapy Work for You

So you’ve got the shot, and now you’re waiting for the magic to happen. Here’s how to boost your results and make sure you’re setting yourself up for success:

1. Prioritize Protein & Fiber (Trust Me, Your Body Will Thank You)

Since GLP-1 slows digestion, protein, and fiber will keep you extra satisfied. Think chicken, eggs, beans, and leafy greens—not just a sad granola bar.

2. Hydration = Non-Negotiable

You don’t want to be that person complaining about constipation. Drink your water, add electrolytes, or grab a HydroJug (NicoleInScrubs for a discount!).

3. Move Your Body (Even a Little Counts!)

No, you don’t have to become a gym rat, but walking, yoga, or even dancing in your kitchen helps. Your body likes to move—treat it well!

4. Celebrate All Wins (Not Just the Scale)

The scale is not the only measurement of progress. Celebrate:
Clothes fitting better
More energy & confidence
Balanced blood sugar levels
Feeling in control of food choices

If your jeans fit without you having to do a full-on squat routine to get them on, that’s a win, babe.


So, Is GLP-1 Therapy for You?

If you’ve tried all the things—keto, calorie counting, intermittent fasting, sacrificing your soul to the weight loss gods—and still struggle with cravings and metabolic issues, GLP-1 therapy might be your answer.

That said, it’s not a magic wand. You still need to support it with healthy habits, patience, and some common sense. But when used correctly, it can be a game-changer for weight loss, PCOS, and metabolic health.

Thinking about trying it? Chat with a provider to see if you’re a good candidate!

✨ Have you started GLP-1 therapy or thinking about it? Drop your thoughts below—I’d love to hear your experience! ⬇️


Professional Disclosure: I provide BS-free metabolic education as a registered nurse and health coach for women navigating PCOS, perimenopause, and stubborn weight loss. While I share evidence-based research and nurse-informed support, please remember that I am not your nurse. The content shared here is for educational purposes only. It does not constitute medical advice, diagnosis, or treatment, and it does not establish a provider-patient relationship. Nothing on this site is a substitute for care from a licensed provider who knows your full health history. All opinions and content shared on this platform are my own and do not reflect the views or endorsements of my employer or the hospital where I am employed.

Scope of Practice and FDA: Per professional coaching guidelines, I may recommend over the counter (OTC) medications or supplements to support your wellness goals. However, I do not prescribe or recommend specific prescription medications. For prescription options, including GLP-1 tools, my role is to help you understand the available science so you can have an informed discussion with your licensed healthcare provider. These statements have not been evaluated by the Food and Drug Administration. Products discussed are not intended to diagnose, treat, cure, or prevent any disease, and medical treatments require professional oversight.

Trust and Transparency: I only recommend products I trust. Most are items I use personally, while others are shared based on my professional trust in the clinical standards of partners like Ellie MD. Some links are affiliate links or part of brand partnerships, which means I may earn a commission at no extra cost to you. As an Amazon Associate I earn from qualifying purchases.