Before your last dose

Before your last dose

Plan your taper before January, not after it.

Plan your taper before January, not after it.

Your plan is ready: a step-by-step taper, led by Dr. Kara.

Your plan is ready: a step-by-step taper, led by Dr. Kara.

Recommended for you

Taper with Dr. Kara

Where you are:

Where you are:

On a GLP-1. No plan to come off.

On a GLP-1. No plan to come off.

The risk:

The risk:

Coverage ends. Stopping cold becomes the default.

Coverage ends. Stopping cold becomes the default.

The plan

The plan

Dr. Kara steps your dose down. Heald supports you.

Dr. Kara steps your dose down. Heald supports you.

On a GLP-1

No doctor plan yet

Wants a plan

Meet Your Doctor

Meet Your Doctor

Meet Your Doctor

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Dr. Karim Kara, MD

Internal Medicine · Atlanta, GA

Functional medicine approach to metabolic health and longevity.

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Dr. Karim Kara, MD

Internal Medicine · Atlanta, GA

Functional medicine approach to metabolic health and longevity.

Avatar

Dr. Karim Kara, MD

Internal Medicine · Atlanta, GA

Functional medicine approach to metabolic health and longevity.

Avatar

Dan Whittle

Senior bookkeeper

Founder and accountant

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Dan Whittle

Senior bookkeeper

Founder and accountant

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Ceri Morgan

Payroll and VAT

Founder and accountant

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Ceri Morgan

Payroll and VAT

Founder and accountant

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Josh Okafor

Client manager

Founder and accountant

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Josh Okafor

Client manager

Founder and accountant

Why coming off needs a plan

Why coming off needs a plan

/

of the weight lost on semaglutide came back within a year of stopping.

That was the finding of the STEP 1 trial extension, where people stopped the medication after 68 weeks. Average weight loss fell from 17.3% to 5.6%. Coming off deserves a plan, not a drop.

1 in 7 Employers in one survey have dropped GLP-1 weight-loss coverage or plan to by 2027.

Before your last dose

Before your last dose

Plan your taper before January, not after it.

Your plan is ready: a step-by-step taper, led by Dr. Kara.

01 / 05

Matters most to you

You told us · what would feel safest

““A doctor setting each step down””

GLP-1 tapering protocol, prescribed by Dr. Kara

Dr. Kara reviews your starting labs, then sets every step down himself. He can slow any step if your body needs more time.

02 / 05

You told us · past weight loss

““Yes, I’ve been on and off GLP-1s before””

Weight band with an early warning

Your clinical team sets a weight range with you. If your weight moves toward the top of it, you hear from them early.

03 / 05

You told us · past weight loss

““Yes, I’ve been on and off GLP-1s before””

Weight band with an early warning

Your clinical team sets a weight range with you. If your weight moves toward the top of it, you hear from them early.

04 / 05

Also in your plan

Re-entry plan if weight climbs

A plan agreed in advance, so a climb gets a response, not a panic.

05 / 05

Also in your plan

Labs at the start and end, plus a graduation review

One set of labs when you begin and one when you finish, then a graduation review so you leave with a clear picture.

01 / 05

Matters most to you

You told us · what would feel safest

““A doctor setting each step down””

GLP-1 tapering protocol, prescribed by Dr. Kara

Dr. Kara reviews your starting labs, then sets every step down himself. He can slow any step if your body needs more time.

02 / 05

You told us · past weight loss

““Yes, I’ve been on and off GLP-1s before””

Weight band with an early warning

Your clinical team sets a weight range with you. If your weight moves toward the top of it, you hear from them early.

03 / 05

You told us · past weight loss

““Yes, I’ve been on and off GLP-1s before””

Weight band with an early warning

Your clinical team sets a weight range with you. If your weight moves toward the top of it, you hear from them early.

04 / 05

Also in your plan

Re-entry plan if weight climbs

A plan agreed in advance, so a climb gets a response, not a panic.

05 / 05

Also in your plan

Labs at the start and end, plus a graduation review

One set of labs when you begin and one when you finish, then a graduation review so you leave with a clear picture.

The Heald app

Everything connected.
One place, every day.

Your care team, your data and an AI copilot in one app,
so every step down is watched between visits.

★

★

★

★

★

5.0 rating on the App Store

AI copilot. Weight band. CGM insights. Lean-mass guard. Care team chat.

AI copilot. Weight band. CGM insights. Lean-mass guard. Care team chat.

The doctor behind your taper

Dr. Kara sets every step.

Dr. Karim Kara, MD · Internal Medicine · Atlanta, GA

Board-certified Internal Medicine physician in Atlanta, GA, with a functional medicine approach to metabolic health and longevity. He treats every patient as an individual, guided by evidence.

Dr. Kara sets every step.

Dr. Karim Kara, MD · Internal Medicine · Atlanta, GA

Board-certified Internal Medicine physician in Atlanta, GA, with a functional medicine approach to metabolic health and longevity. He treats every patient as an individual, guided by evidence.

Experience

22+ Years

Specialty

Endocrinology, Diabetes and Metabolism

"GLP-1 medications work best when they're paired with real support, not just a prescription. That's the difference we built this program around."

MacBook Pro near potted plant

Dr. Karim Kara

Board-certified · Internal Medicine · Licensed in Georgia

MacBook Pro near potted plant

Dr. Karim Kara

Board-certified · Internal Medicine · Licensed in Georgia

Start to finish

3-5 months, from your first step down
to your graduation review.

Week 1

Start

Your first week sets the baseline, the protocol, the band and the coaching rhythm.

  • Starting labsReviewed by Dr. Kara before the first step
  • Your GLP-1 tapering protocolPrescribed by Dr. Kara
  • Your weight band is setYour weight band is set
  • Coaching every two weeks beginsClosest support while doses drop

Week 1

Start

Your first week sets the baseline, the protocol, the band and the coaching rhythm.

  • Starting labsReviewed by Dr. Kara before the first step
  • Your GLP-1 tapering protocolPrescribed by Dr. Kara
  • Your weight band is setYour weight band is set
  • Coaching every two weeks beginsClosest support while doses drop

Week 1

Start

Your first week sets the baseline, the protocol, the band and the coaching rhythm.

  • Starting labsReviewed by Dr. Kara before the first step
  • Your GLP-1 tapering protocolPrescribed by Dr. Kara
  • Your weight band is setYour weight band is set
  • Coaching every two weeks beginsClosest support while doses drop

In their words

What patients say about coming off with a plan.

Success stories from members who lowered their A1c and reduced their GLP-1 dependence.

  • No More On Insulin
    Joe Diver · CIO
    A1C 9% → 6.7%
  • Off GLP-1 for 5 Months
    Sakeenah · Marketing Manager
    A1C 8% → 6.7%
  • Lost 50 Pounds
    Tama · Caregiver
    A1C 8% → 5.6%
  • No More On Insulin
    Joe Diver · CIO
    A1C 9% → 6.7%
  • Off GLP-1 for 5 Months
    Sakeenah · Marketing Manager
    A1C 8% → 6.7%
  • Lost 50 Pounds
    Tama · Caregiver
    A1C 8% → 5.6%

Plan it before January.

Both plans include the same care from Heald’s clinical team for 3–5 months. The difference is who prescribes your GLP-1 tapering protocol.

Taper with your own doctor
Wherever your doctor practices
$149/mo
Recommended
Taper with Dr. Kara
Licensed in Georgia
$399/mo
Who prescribes your GLP-1 tapering protocol
Your own doctor
Dr. Kara, every step
Where it’s available
Wherever your doctor practices
Georgia residents
Program length
3–5 months
3–5 months
Coaching every two weeks, then monthly
Weight band with an early warning
Re-entry plan if weight climbs
Labs at the start and end, plus a graduation review
Dr. Kara reviews your starting and final labs himself
AI copilot and care-team chat in the app
Heald shares the program plan with your doctor
Not Needed

Frequently Asked Questions

Frequently Asked Questions

How long does it last?

3–5 months. It ends when your care ends, and Dr. Kara confirms the length at your first review.

How is my step-down schedule set?

Dr. Kara sets your schedule at your first review, based on your current dose and starting labs, and every step after it.

How often are labs done?

Twice: once at the start of the program and once at the end, so you can see the change.

Will I need to follow a strict diet or give up my favorite foods?

Twice: once at the start of the program and once at the end, so you can see the change.

What happens if my weight climbs?

Your weight band has an early warning near the top. If weight climbs, your care team starts the re-entry plan agreed with you in advance.

Is Dr. Kara licensed in my state?

Dr. Kara is licensed in Georgia, so the Dr. Kara plans are for Georgia residents.

Can my own doctor prescribe instead?

Yes. Choose taper with your own doctor. Your doctor prescribes the GLP-1 tapering protocol, and Heald’s clinical team runs the program alongside.

Does the price include the medication?

Yes. Choose taper with your own doctor. Your doctor prescribes the GLP-1 tapering protocol, and Heald’s clinical team runs the program alongside.

Are labs included in the price?

⌄ Labs are done twice, once at the start and once at the end. If you bring your own starting labs, or arrange your final labs yourself, we take $39 off your last month for each, up to $78.

Can I get a CGM?

Yes. Members can add a continuous glucose monitor at a discounted rate, and the Heald app turns the readings into daily food guidance.

Got any questions? I'm happy to help.