Our Network of Board-Certified Providers
Connect with experienced, US-licensed physicians specializing in metabolic health and Zepbound tirzepatide therapy. All providers are board-certified and committed to evidence-based natural weight loss care.
Pastos, Puerto Rico residents can access Zepbound (tirzepatide) for natural, hormone-aligned weight management without leaving home. By simultaneously activating GIP and GLP-1 receptors — your body's own natural fullness hormone pathways — Zepbound achieves the highest clinical weight loss results of any FDA-approved medication, with physician supervision from our board-certified physicians.
Every Zepbound prescription for Pastos patients is reviewed by a physician and delivered from a licensed pharmacy to any address in Pastos within 2–5 business days. Ongoing physician monitoring ensures your natural weight loss continues progressing at each dose level.
Medically reviewed by
Dr. Sarah Mitchell, MD, ABOM
Board-Certified in Obesity Medicine • Last reviewed: June 6, 2026
The following New England Journal of Medicine clinical trials provide the foundational evidence base for all FDA-approved GLP-1 receptor agonists currently available through telehealth:
GLP-1 receptor agonists are not controlled substances under DEA scheduling. They may be prescribed via telehealth consultation under Puerto Rico law after a valid clinical evaluation by a -licensed physician.
Dual GIP/GLP-1 — FDA-Approved for Obesity
Natural tirzepatide for Pastos, PR residents. Dual GIP/GLP-1 activation achieving 22.5% body weight reduction at 72 weeks (SURMOUNT-1). Starting at 2.5mg weekly with physician-guided escalation to your natural optimal dose.
Get Zepbound in PastosTirzepatide for Metabolic Health
Same natural tirzepatide compound as Zepbound, FDA-approved for metabolic health and weight management. Available in Pastos, PR for patients with type 2 diabetes or metabolic syndrome alongside weight loss goals.
Explore Mounjaro in PastosSingle GLP-1 Pathway
For Pastos, PR patients who prefer natural single-pathway GLP-1 activation, semaglutide delivers 14.9% body weight reduction at 68 weeks. Also available through our Pastos platform for appropriate candidates.
Explore Semaglutide in PastosResidents of Pastos, Puerto Rico can access Zepbound (tirzepatide) entirely online. Our board-certified physicians prescribe FDA-approved tirzepatide with a personalized dose escalation plan starting at 2.5mg weekly — delivered to any Pastos address within 2–5 business days. No office visit required.
Zepbound activates both GLP-1 and GIP receptors — the two natural hunger hormones your body produces after eating. For Pastos patients, this dual pathway produces significantly greater weight reduction than single GLP-1 therapy. SURMOUNT-1 demonstrated 22.5% average body weight reduction over 72 weeks — the highest of any FDA-approved weight loss medication.
Pastos patients typically experience reduced appetite within 1–2 weeks of starting Zepbound. Clinical trials show 20.9% weight reduction at 10mg and 22.5% at 15mg over 72 weeks. Most Pastos patients lose 5–8% of body weight by weeks 8–12, with maximum results at 12–18 months of consistent treatment.
The standard Zepbound titration for Pastos patients takes 16–20 weeks to reach the full maintenance dose. Starting at 2.5mg, doses increase every 4 weeks: 2.5mg → 5mg → 7.5mg → 10mg → 12.5mg → 15mg. Your physician adjusts this schedule based on your natural response and tolerance throughout the process.
Connect with experienced, US-licensed physicians specializing in metabolic health and Zepbound tirzepatide therapy. All providers are board-certified and committed to evidence-based natural weight loss care.
Black Box Warning: In rodent studies, semaglutide and tirzepatide caused thyroid C-cell tumors. It is unknown whether GLP-1 receptor agonists cause thyroid C-cell tumors, including medullary thyroid carcinoma (MTC), in humans. These medications are contraindicated in patients with a personal or family history of MTC or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
Common side effects may include nausea, vomiting, diarrhea, constipation, abdominal pain, headache, and injection site reactions. These typically diminish as dosage is gradually escalated.
Serious side effects may include pancreatitis, gallbladder problems, kidney injury, hypoglycemia (with insulin), and allergic reactions. Consult your healthcare provider immediately if you experience severe symptoms.
Contraindications: History of medullary thyroid carcinoma, MEN 2, pancreatitis, pregnancy or breastfeeding, severe gastrointestinal disease. This is not a complete list — always discuss your full medical history with your physician.
Clinical References:
