Type 2 Diabetes is more complicated
DEA registration: Required if prescribing controlled substances such as phentermine (Schedule IV) State prescribing authority: Ensure your licensure permits prescribing all intended medications, including GLP-1 agonists and controlled appetite suppressants CLIA waiver: Required if performing point-of-care laboratory testing Collaborative practice agreements: Required in many states for NPs and PAs prescribing independently HIPAA compliance: Standard requirements for patient data protection, particularly important if using digital health platforms and remote monitoring tools Informed consent documentation: Develop comprehensive consent forms for each medication class and procedure, reviewed by a healthcare attorney Startup Budget Overview A reasonable startup budget for a weight management practice, assuming you are adding services to an existing clinical space, ranges from $15,000 to $50,000
Selected Bibliography Lin, C
For type 2 diabetes, NICE-recommended alternatives include metformin (first-line), SGLT2 inhibitors, DPP-4 inhibitors, and insulin therapy, each with distinct mechanisms and side-effect profiles
Even with human-grade cagrilintide, side effects can still occur