Refill Form Spring Fat Burner Vial Special Our Fat Burner Take Home Vials (Lipo-C+) are only $75 with your per vial purchase or if you are a member this Spring! Why Clients Love Lipo-C: 👉 Supports fat metabolism👉 Helps improve energy production👉 Aids liver function & detox pathways👉 Can help break through weight-loss plateaus Start Your Refill If you have any questions on this please contact us at 406.201.9378. Thank you! Please enable JavaScript in your browser to complete this form.Date * week 2 monthly. Name *FirstLastEmail *Phone *Are you refilling a GLP-1? *YesNoPlease choose GLP-1 refill:SemaglutideTirzepatidePer Vial Clients Only: Are you wanting to refill for 2 vials (purchase 2 vials the month of April, get $50 off second vial)YesNo, I only want a single vialI'm on MembershipHow many units are you currently injecting per week? (If you are splitting your dose into two injections per week please add the two together and mark the full amount per week you are injecting):Other Refills (If you are interested in trying one of these for the first time please contact us first):Glutathione ($199 10ml)NAD+ Vial ($499 10ml)B12 ($150 10ml)Fat Burner / LIPO-C+: Spring Special ($75 w/ GLP-1 purchase or $199 standalone)LDN (low dose naltrexone) 1.5mgLDN (low dose naltrexone) 3mgLDN (low dose naltrexone) 4.5mgSermorelinZofran ($25 if not on membership)By checking yes you confirm your understanding that payment is required upfront to fill your prescription. If on a GLP-1 Membership please check "Membership" as your billing is monthly. *YesMembershipNotes:Submit
