Wegovy Online · AI Primary Care for Chronic Weight Management

How it works

Chart in, eligibility checked against the Wegovy label, branded medication sent to your pharmacy, trend tracked weekly.

Connect your records

Clara auto-syncs your records from 150,000+ doctors' offices, hospitals, clinics, labs, and wearables. Before anything is prescribed, the AI reads your BMI, comorbidity list, pregnancy status, thyroid and pancreatitis history, and medication list against the Wegovy label. Free to start, no credit card.

Prescription to your pharmacy

If Wegovy is clinically appropriate, a licensed physician reviews Clara's plan and signs the prescription. It's sent to your pharmacy and may be covered by your insurance, unlike the cash-pay compounded semaglutide DTC brands ship from a mail-order 503A pharmacy.

Monthly titration to 2.4 mg

Wegovy titrates 0.25 → 0.5 → 1 → 1.7 → 2.4 mg weekly over 16 weeks³. Clara watches your GI tolerability, weight trend, and wearable resting HR to pace each step-up correctly. Slow the titration if nausea is significant; skip a step if your system isn't ready.

Dosing

The Wegovy titration ladder, paced to your tolerance.

Rx · Initiation

0.25 mg weeks 1–4

Titration dose only, not effective for weight management on its own. The point is to introduce the molecule gently so your gastrointestinal system adapts before meaningful exposure.

4 wks

Then step up

Rx · Titration

0.5 → 1.0 → 1.7 mg

Monthly step-ups. Clara reads nausea frequency, early-satiety reports, and any weight-trend reversal before advancing. If you're not tolerating a step, Clara recommends holding the prior dose longer rather than forcing through.

3 steps

4 weeks each

Rx · Maintenance

2.4 mg weekly

The target maintenance dose at week 16 and beyond. This is the dose studied in the pivotal STEP trials for chronic weight management³. Clara monitors your weight trajectory and reorders labs at 3 months.

2.4 mg

Maximum maintenance dose

Rx · Alternative

Zepbound (tirzepatide)

Dual GIP/GLP-1 agonist. If Wegovy is ineffective or poorly tolerated, Clara flags Zepbound as the alternative on-label weight-management GLP-1. Zepbound also carries an FDA indication for moderate-to-severe obstructive sleep apnea in adults with obesity⁴.

On-label alternative

Why Clara

Branded Wegovy written to your pharmacy, with an AI reading the weight-management label against your chart.

	Clara	Hims & Hers	Lemonaid Health	Your doctor
24/7 AI clinical chat	✓ Unlimited	Async Care Team messaging	Async provider messaging	✗
Checks the Wegovy label against your full chart	✓ Every prescription	Single-condition intake	Per-category intake	Depends on visit length
Cost to start chatting	Free	$39 first-month membership	Brief eligibility assessment	$150+ copay per visit
Membership cost	From $25/mo cash-pay (HSA/FSA eligible); medication billed separately, may be covered by your insurance	$149/mo after first month; medication bundled, cash-pay	$49/mo; medication billed separately, cash-pay	Per-visit copay
Branded FDA-approved Wegovy	✓	Wegovy Pen from $199/mo cash on top of membership; Wegovy Pill from $149/mo	Sold alongside compounded semaglutide, cash-pay	✓
Prescription may be covered by your insurance	✓	✗	✗	✓
Cross-condition reasoning (BP, thyroid, lipids, pregnancy plans)	✓	Single-condition	Per-intake siloes	In theory, rarely in 15 minutes
Full primary care, not just weight loss	✓	Single-category	Partial, separate intakes	✓
Labs and biomarkers included in membership	Up to 108 on Concierge	Extra cost	Extra cost	Copay per test

The AI difference

Wegovy is the same molecule as Ozempic. The label is what makes the prescription safe.

The same semaglutide is sold as Ozempic (type 2 diabetes) and as Wegovy (chronic weight management). The label difference is not cosmetic: it determines whether your insurance will cover the script, whether the 2.4 mg dose is on-label, and whether the pediatric indication applies. Clara reads the label carefully, not just the drug name.

Weight-management label, not T2D off-label

If weight is your primary indication and you're not diabetic, Clara writes Wegovy, not Ozempic. Beyond safety, this is what insurance formularies look for: the product prescribed on-label for the indication.

Titration paced to your tolerability

Clara watches GI side effects, early satiety, and wearable resting HR through each step-up. Patients who rush to 2.4 mg too fast tend to drop out for nausea. Slower is often better; Clara reads the trend and advises holding when it should.

Reads every STEP trial

Clara can cite the specific STEP-1 outcome table, the STEP-3 lifestyle-intervention figures, or the STEP-TEENS pediatric data behind any recommendation it makes. A generalist physician likely last read this literature years ago, if at all.

Common questions

Wegovy questions patients actually search for.

What does Clara cost?

It's free to connect your medical records and start chatting with Clara. If you want Clara to provide medical advice, prescribe medications, or order labs, plans start at $25/month. All plans are HSA/FSA eligible. The cost of Wegovy and lab work is separate and may be covered by your existing insurance, unlike the cash-pay model most GLP-1 telehealth brands use.

Am I eligible for Wegovy?

Wegovy is FDA-approved as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with BMI ≥30, or BMI ≥27 with at least one weight-related comorbidity (hypertension, type 2 diabetes, or dyslipidemia), and in adolescents aged 12 and older with obesity³. Clara reads your BMI, comorbidity list, pregnancy status, and thyroid family history to confirm eligibility.

What's the difference between Wegovy and Ozempic?

Same molecule (semaglutide), different FDA indications, different top doses. Ozempic is approved for type 2 diabetes (up to 2 mg/week). Wegovy is approved for chronic weight management (up to 2.4 mg/week). If weight is the goal, Wegovy is on-label. See the full picture on our GLP-1s page.

How long until I see weight change on Wegovy?

The Wegovy titration takes 16 weeks to reach the 2.4 mg maintenance dose. Weight change begins during titration and continues as the dose steps up; the pivotal STEP-1 trial measured outcomes at 68 weeks. Clara tracks your weight trend weekly via your scale or a connected wearable and queues a 3-month check-in with repeat labs.

What if I have a family history of medullary thyroid cancer or MEN 2?

Wegovy carries a boxed warning about thyroid C-cell tumors and is contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)³. Clara asks explicitly about first-degree family history before any GLP-1 is drafted. If that flag is positive, Wegovy is off the table and Clara surfaces non-GLP-1 alternatives.

What about Wegovy while pregnant or trying to conceive?

Wegovy should be discontinued at least two months before a planned pregnancy due to the long half-life of semaglutide³. Clara asks about pregnancy plans explicitly during eligibility and flags this if your chart has recent obstetric or fertility notes.

Is Clara a real medical practice?

Yes. Clara is licensed in all 50 states. Diagnoses, prescriptions, and lab orders are reviewed and signed off by licensed physicians. Clara's AI handles intake, continuous monitoring, and follow-up; the clinical sign-off happens at the end.

How is this different from a weight-loss DTC brand?

Can your old doctor or a DTC brand read your full chart, all your labs, and all your wearable data every time they look at your prescription? Clara can. A single-condition weight-loss brand does not have those charts at all; it sees a narrow intake. Clara is full primary care with a longitudinal view, which is the piece both a traditional clinic and a DTC storefront miss.

Can I use my insurance, HSA, or FSA?

Clara's membership itself is cash-pay, not billed through insurance, but every plan is HSA/FSA eligible so you can pay it with pre-tax dollars. What the membership sets in motion may be covered by your insurance: prescriptions Clara writes go to your pharmacy and may be covered by your plan, and Clara deliberately prescribes branded FDA-approved Wegovy (not cash-pay compounded semaglutide) so it stays eligible for standard coverage. Ad-hoc labs Clara orders may also be covered.

What is my data used for? Is it private?

Clara is HIPAA compliant. Your records are used to personalize your care. They're not sold, and they're not used to train public AI models.

What if I need in-person care?

Clara refers you to an in-person provider when a physical exam, imaging, or in-person procedure is needed, for example bariatric evaluation at higher BMIs, sleep studies for suspected OSA, or cardiology workup before starting a GLP-1 with established CV disease.

Can I use Clara for other health issues too?

Yes. One membership covers full primary care, not just Wegovy or weight loss. The same chat handles blood pressure, cholesterol, thyroid, annual labs, sick-day questions, and longevity work.

Wegovy, titrated against your chart to the 2.4 mg dose.