Reverse Weight Loss Profile

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Losing weight can be toughMetabolism slows down with age but research shows that you can speed it up at any age.

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Welcome To Reverse

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Hey There! Which of the following best describes your current state?

Feeling Older

Feeling Stressed

Feeling Lethargic

Feeling Unsure

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What is your name?* This field is required.

First Name

Last Name

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What is your current weight?* This field is required.move the slider to match your weight:

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Do you currently have a primary care provider (PCP) managing your healthcare needs

Yes

No

I have in the past 6 months

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If yes what is their name and location?Example: Dr. Smith, Sarasota

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What is your height?* This field is required.

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What is your ideal weight?* This field is required.move the slider to match your weight:

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Our Current Pricing Structure

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At Reverse Medical, we believe in making our services accessible and affordable for all. This approach allows us to ensure a good fit and that you're seeing the results you desire. If you feel a connection with Dr. Rucker during your call, how soon would you be ready to take the next step in your health journey? Let us know, and we'll be ready to assist you every step of the way.* This field is required.

Yesterday

Today

Not Ready Yet

Would like More Info First

More Interested In Tirzepatide

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What is your Date of Birth?example: 12/4/1975

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Which sex best describes you?* This field is required.Your biological sex impacts the way your metabolism functions.

Male

Female

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What Medications Are Your Currently On?

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See when you'll lose weight based on your metabolism* This field is required.Enter your email to have our team send you your result:

example@example.com

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Where Are You Located? Please list the City and State Below

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Ready To Become A Reverse Success StoryPlease watch this short video:

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What’s your level of activity like?* This field is required.Your metabolism is impacted by how active you are. It’s a big reason why people in their 30’s struggle to lose weight.

I'm mostly active and workout regularly

I sit most of the day but workout regularly

I sit most of the day and don't workout

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How often do you exercise?* This field is required.

I exercise every day

I exercise a few days a week

I sometimes exercise

I hardly exercise

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When do you typically finish eating each day?When you eat is as important as what you eat. It impacts your internal body clock, which keeps your metabolism working at its best.

6pm or before

6 - 8 pm

8 - 10 pm

10 pm or later

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Are you at risk of any of the following?* This field is required.Select all that may apply to you

Diabetes

Heart disease or stroke

Kidney disease

Osteoarthritis

I don't know

none

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What past investments have you made in your health?* This field is required.Check all that apply:

Gym Membership/Workout Plans

1:1 Personal Trainer / Online Coaching / Nutritionist

At Home Diet Plans

TRT / HGH / Peptides / Functional Medicine/ etc

Peloton / Tonal / Fitness Technology

I have never invested in my health

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Are Your A Candidate for Treatment?Here is a quick video:

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What do you feel was your Biggest Obstacle to achieving your goal AND/OR sustaining it? Please provide as much detail as you canBiggest obstacle in your way. Don't think too hard, just write what comes to mind

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ONE LAST STEP! Enter your phone number & Click NEXT to be taken to our Calendar to Schedule a Call with my Team & I. On this call, we will see if you are a good fit and give you a full breakdown of our program. * This field is required.I will also reach out by texts to reach your needs sooner! - Dr. Rucker

Please enter a valid phone number.