Before your last dose

Before your last dose

You don’t have to stop cold.

You don’t have to stop cold.

Dr. Kara · Board-certified · Internal Medicine · Licensed in Georgia

Dr. Kara · Board-certified · Internal Medicine · Licensed in Georgia

Where you are:

Coverage ends. Stopping cold becomes the default.

What usually happens

Coverage ends. Stopping cold becomes the default.

What Dr. Kara and Heald do

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

You won’t be doing this alone. A doctor and Heald’s clinical team are with you from the first step down to graduation.

See your plan options

MacBook Pro near potted plant

Dr. Karim Kara, MD

Board-certified · Internal Medicine · Licensed in Georgia

MacBook Pro near potted plant

Dr. Karim Kara, MD

Board-certified · Internal Medicine · Licensed in Georgia

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.

See the difference

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.

On your own vs with a plan

On your own vs with a plan

Coming off is the easy part.
Staying off is where it gets hard.

Here’s what the next few months look like on your own, and with a plan.

Planning to stop, losing coverage or already off it, the same moments are coming. Here’s how each one goes

On your ownWhat usually happens
With a Heald planLed by Dr. Kara or your own doctor
Coming off the dose
On your own

Often all at once, the day the prescription or the coverage runs out.

With a Heald plan

Step by step, at a pace your doctor sets and can slow down.

When hunger comes back
On your own

It shows up at 9pm and you meet it with willpower.

With a Heald plan

Your nutritionist has meals and protein targets ready that keep you full.

Cravings and food noise
On your own

Old habits come back with nothing new to replace them.

With a Heald plan

A behavior coach works on the habits the medicine was quietly handling.

The muscle you lost
On your own

Part of the weight you lost was muscle. It doesn't rebuild on its own.

With a Heald plan

A nutrition and strength plan built to protect it.

If the weight creeps back
On your own

You notice when your clothes do, often months later.

With a Heald plan

Your care team spots the drift in your weekly numbers and acts early.

Blood sugar, if you have type 2 diabetes
On your own

It can climb again with no one tracking it.

With a Heald plan

Your A1C is tracked, and the plan follows it.

If your coverage is ending
On your own

Your last covered dose becomes your last dose.

With a Heald plan

Your step-down is planned before the coverage ends.

If you've already stopped
On your own

Weight and hunger creep back, and it starts to feel too late.

With a Heald plan

It isn't too late. Your plan starts from where you are today.

Knowing how you did
On your own

The bathroom scale, and a guess.

With a Heald plan

Labs at the start and the end show exactly where you landed.

On your ownWhat usually happens
With a Heald planLed by Dr. Kara or your own doctor
Coming off the dose
On your own

Often all at once, the day the prescription or the coverage runs out.

With a Heald plan

Step by step, at a pace your doctor sets and can slow down.

When hunger comes back
On your own

It shows up at 9pm and you meet it with willpower.

With a Heald plan

Your nutritionist has meals and protein targets ready that keep you full.

Cravings and food noise
On your own

Old habits come back with nothing new to replace them.

With a Heald plan

A behavior coach works on the habits the medicine was quietly handling.

The muscle you lost
On your own

Part of the weight you lost was muscle. It doesn't rebuild on its own.

With a Heald plan

A nutrition and strength plan built to protect it.

If the weight creeps back
On your own

You notice when your clothes do, often months later.

With a Heald plan

Your care team spots the drift in your weekly numbers and acts early.

Blood sugar, if you have type 2 diabetes
On your own

It can climb again with no one tracking it.

With a Heald plan

Your A1C is tracked, and the plan follows it.

If your coverage is ending
On your own

Your last covered dose becomes your last dose.

With a Heald plan

Your step-down is planned before the coverage ends.

If you've already stopped
On your own

Weight and hunger creep back, and it starts to feel too late.

With a Heald plan

It isn't too late. Your plan starts from where you are today.

Knowing how you did
On your own

The bathroom scale, and a guess.

With a Heald plan

Labs at the start and the end show exactly where you landed.

On your ownWhat usually happens
With a Heald planLed by Dr. Kara or your own doctor
Coming off the dose
On your own

Often all at once, the day the prescription or the coverage runs out.

With a Heald plan

Step by step, at a pace your doctor sets and can slow down.

When hunger comes back
On your own

It shows up at 9pm and you meet it with willpower.

With a Heald plan

Your nutritionist has meals and protein targets ready that keep you full.

Cravings and food noise
On your own

Old habits come back with nothing new to replace them.

With a Heald plan

A behavior coach works on the habits the medicine was quietly handling.

The muscle you lost
On your own

Part of the weight you lost was muscle. It doesn't rebuild on its own.

With a Heald plan

A nutrition and strength plan built to protect it.

If the weight creeps back
On your own

You notice when your clothes do, often months later.

With a Heald plan

Your care team spots the drift in your weekly numbers and acts early.

Blood sugar, if you have type 2 diabetes
On your own

It can climb again with no one tracking it.

With a Heald plan

Your A1C is tracked, and the plan follows it.

If your coverage is ending
On your own

Your last covered dose becomes your last dose.

With a Heald plan

Your step-down is planned before the coverage ends.

If you've already stopped
On your own

Weight and hunger creep back, and it starts to feel too late.

With a Heald plan

It isn't too late. Your plan starts from where you are today.

Knowing how you did
On your own

The bathroom scale, and a guess.

With a Heald plan

Labs at the start and the end show exactly where you landed.

What’s included

What’s included

The next few months, written in advance.

Most people get a plan to start a GLP-1 and nothing for after.
Here’s how the months ahead go, and who’s with you at each turn.

See your plan options

  1. Week 1

    Someone finally looks at the whole picture.

    Your doctor goes through your starting labs, your dose history and how you’re feeling, then sets your plan. Already stopped? The plan starts from where you are today.

    Dr. Kara or your own doctor

  2. The first weeks

    Hunger starts talking again.

    Whether the dose is coming down or already gone, appetite comes back. Your plan sets meals and protein targets that keep you full and protect your muscle, and changes them as your numbers move.

    Nutrition coaching

  3. Weeks 2 to 6

    The pantry starts calling.

    Food noise and late-night snacking are habits the medicine was quietly handling for you. Coaching works on them with you, so the routines last after the medicine isn’t doing the work.

    Your coach

  4. Every week

    Someone is reading your numbers.

    Your care team follows your weight, glucose and sleep in the Heald app, spots a drift early and tells you exactly what to change. A question at 11pm goes to your AI copilot.

    Care team

  5. Somewhere in the middle

    The scale wobbles. Nobody panics.

    It happens. Your team sees it in your weekly numbers and adjusts the plan with you. On the taper plan, a weight range and a re-entry plan are agreed in week 1, so a climb gets a response.

    Your whole team

  6. The final week

    Proof, not hope.

    Final labs show where you started and where you landed, and a last review with your doctor leaves you with a plan to keep it. Managing type 2 diabetes? Your A1C is tracked the whole way.

    Your doctor

  1. Week 1

    Someone finally looks at the whole picture.

    Your doctor goes through your starting labs, your dose history and how you’re feeling, then sets your plan. Already stopped? The plan starts from where you are today.

    Dr. Kara or your own doctor

  2. The first weeks

    Hunger starts talking again.

    Whether the dose is coming down or already gone, appetite comes back. Your plan sets meals and protein targets that keep you full and protect your muscle, and changes them as your numbers move.

    Nutrition coaching

  3. Weeks 2 to 6

    The pantry starts calling.

    Food noise and late-night snacking are habits the medicine was quietly handling for you. Coaching works on them with you, so the routines last after the medicine isn’t doing the work.

    Your coach

  4. Every week

    Someone is reading your numbers.

    Your care team follows your weight, glucose and sleep in the Heald app, spots a drift early and tells you exactly what to change. A question at 11pm goes to your AI copilot.

    Care team

  5. Somewhere in the middle

    The scale wobbles. Nobody panics.

    It happens. Your team sees it in your weekly numbers and adjusts the plan with you. On the taper plan, a weight range and a re-entry plan are agreed in week 1, so a climb gets a response.

    Your whole team

  6. The final week

    Proof, not hope.

    Final labs show where you started and where you landed, and a last review with your doctor leaves you with a plan to keep it. Managing type 2 diabetes? Your A1C is tracked the whole way.

    Your doctor

The Heald app

A care team in your pocket. Awake at 11pm.

Your care team, your numbers and an AI copilot in one app, so nothing has to wait for the next visit.

An AI copilot, backed by real people

It reads your sleep, food, glucose and stress, even at 11pm. Anything that needs a person goes straight to your care team.

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

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

MacBook Pro near potted plant

Dr. Karim Kara, MD

Board-certified · Internal Medicine · Licensed in Georgia

MacBook Pro near potted plant

Dr. Karim Kara, MD

Board-certified · Internal Medicine · Licensed in Georgia

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

  1. Before you start

    Reviews your history, your dose or how you came off, and your starting labs.

  2. Your plan

    Prescribes your GLP-1 tapering protocol, or sets your plan if you have already stopped.

  3. Along the way

    Adjusts the pace with Heald’s clinical team, and slows any step your body needs more time on.

  4. At the end

    Reviews your final labs against where you started and closes your plan with you.

"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."

See your plan

6 of 15 spots left this month

6 of 15 spots left this month

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%

Step down, don’t stop.

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.

Recommended because your doctor hasn’t given you a plan. Dr. Kara builds one with you.

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
Whenever 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
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
Whenever 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
Taper with your own doctor
Wherever your doctor practices
$149/mo
Who prescribes your GLP-1 tapering protocolYour own doctor
Where it’s availableWhenever your doctor practices
Program length3 - 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
Recommended
Taper with Dr. Kara
Licensed in Georgia
$399/mo
Who prescribes your GLP-1 tapering protocolDr. Kara every step
Where it’s availableGeorgia residents
Program length3 - 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
Save up to $78

Bring your own labs, pay less in your last month

Labs happen twice: once at the start and once at the end. Bring your own starting labs, or arrange your final labs yourself, and we take $39 off your last month for each.

Member price

Add a CGM at a discounted rate

A continuous glucose monitor shows how your body handles food in real time while your plan runs. The Heald app turns the readings into daily food guidance.

  • Licensed in Georgia
  • Billed monthly
  • Ends at your graduation review
  • Clinical team at every step
  • Licensed in Georgia
  • Billed monthly
  • Ends at your graduation review
  • Clinical team at every step
1

Choose your plan

Checkout takes a few minutes. Dr. Kara plans need a Georgia address.

1

Choose your plan

Checkout takes a few minutes. Dr. Kara plans need a Georgia address.

2

Your first review

Dr. Kara reviews your history and starting labs and sets your plan.

2

Your first review

Dr. Kara reviews your history and starting labs and sets your plan.

3

Your program begins

Your first step down, your weight band and coaching every two weeks.

3

Your program begins

Your first step down, your weight band and coaching every two weeks.

Choose your plan

01

Choose your plan

Checkout takes a few minutes. Dr. Kara plans need a Georgia address.

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.