Skip to main content

How to Adjust Your Dose or Switch Medications

Everything you need to know about requesting a dose increase, decrease, or pause — plus how to switch between Semaglutide and Tirzepatide.

💕 Already chatting with us right now? You don't need to open a new chat. Just reply with "Adjust my dose" and our assistant will collect your details right here and send your request to your provider. The steps below are for anyone starting from scratch.


How to Submit a Dose Adjustment Request

All dose changes — increases, decreases, and pauses — are handled through our customer service chat.

Step 1 — Start your request. If you're already in a chat, simply type "Adjust my dose" and our assistant will walk you through everything. If you're not in a chat yet, open a Customer Service Chat from goodgirlrx.com or your Patient Portal.

Step 2 — Select "Adjust My Dose" from the menu options (if prompted).

Step 3 — Share your details. You'll be asked to provide:

  • Your current medication and dose

  • The change you're requesting (increase, decrease, or pause)

  • Your current height and weight

  • How long you've been on your current dose

  • How you're tolerating it (side effects, symptoms, overall progress)

  • The specific dose you'd like to move to (example: "I'd like to increase from 6.0mg to 7.5mg")

Step 4 — Provider review. Your request is forwarded to your licensed provider for clinical review.

💕 Tip: The more detail you share, the faster your provider can make a decision.


What Happens After You Submit

Step

Timeline

Provider review

24–48 business hours

Approval confirmation

Delivered via Patient Portal

Updated dose applies to

Your next scheduled shipment

Please note:

  • Not all adjustment requests are approved. Your provider will make the best clinical decision based on your health profile and progress.

  • Do not adjust your dose on your own. All changes must be reviewed and approved by your provider.

  • Changes apply to your next shipment only. We cannot modify orders already in progress.

  • Please don't submit duplicate requests while your review is in progress — duplicates can delay processing.


Plans That Do NOT Qualify for Dose Increases

Dose increases aren't available on certain treatment plan types. If you're on any plan below, your provider cannot approve a dose increase within your current plan.

Plan Type

Why No Dose Increase?

Microdose Plans (Semaglutide or Tirzepatide Microdose)

Microdose plans follow a separate clinical protocol designed to deliver a low, steady dose. They are not structured for titration or escalation.

Titration Plans (already on a scheduled titration path)

Titration plans have a pre-set escalation schedule built in. Your dose increases automatically at defined intervals — no separate request needed.

Oral Drops (Semaglutide/Tirzepatide ODT)

Oral formulations follow a fixed dosing protocol and are not eligible for escalation within the same plan.

Oral Tablets (Semaglutide/Tirzepatide Tablets)

Tablet dosing is standardized by formulation strength. Moving to a different strength requires a new intake and prescription.

What to Do If You Want a Higher Dose on One of These Plans

You have two options:

Option 1 — Let your current plan run out. Once your current plan is complete, start a new intake for a standard injectable Semaglutide or Tirzepatide plan (not a Maintenance plan) at care.goodgirlrx.com/start-online-visit/weight-loss.

Option 2 — Cancel your current plan now. Log into your Patient Portal, go to Account Settings, and cancel your current plan. Then complete a new intake for a standard injectable plan at care.goodgirlrx.com/start-online-visit/weight-loss.

⚠️ Refunds are not available for unused portions of your current plan or medication. Per state and federal pharmacy regulations, all prescription medication sales are final once dispensed and shipped.


Switching Medications (Semaglutide ↔ Tirzepatide)

Switching from one medication to another requires completing an entirely new intake. Your current subscription does not transfer.

Step 1 — Visit care.goodgirlrx.com/start-online-visit/weight-loss to begin a new intake for your desired medication.

Step 2 — Complete the full medical questionnaire for the new medication.

Step 3 — A licensed provider will review your new intake and determine whether the switch is clinically appropriate. A brief follow-up evaluation may be required.

Step 4 — Cancel your current subscription through your Patient Portal before your next billing cycle to avoid overlapping charges.

⚠️ There are no refunds for unused months or products on your current plan. Prescription medications cannot be returned or refunded once dispensed, per state and federal pharmacy regulations.


Managing Refills When Your Dose Changes

When your dose is adjusted, it may affect how quickly you use your current supply:

  • If your dose increases, you may use your current medication faster than expected. You can place an early refill request through your Patient Portal to keep your supply aligned with your new dose.

  • If your dose decreases or is paused, your existing supply will last longer. Your next shipment timing may shift accordingly.

Already-shipped prescriptions cannot be changed, so planning ahead is essential.

Quarterly plans: Standard adjustments align with your next quarterly shipment. Mid-cycle adjustments may be approved by your provider if medically necessary.


What We Cannot Do

Request

Policy

Refund current shipment

Not available. Prescription medications cannot be returned once shipped.

Refund unused months

All sales are final per state and federal pharmacy regulations.

Change medication mid-shipment

Requires a new intake.

Increase dose on a Microdose plan

Not available. See the plan exclusions section above.

Increase dose on oral drops or tablets

Not available within the current plan. Requires a new intake for injectable.

Modify a titration plan schedule

Titration schedules are pre-set and cannot be accelerated.

Expedite provider responses

Please allow 24–48 business hours.


⚠️ Emergency Notice

If you are experiencing a medical emergency, call 911 immediately. The provider chat is for non-urgent medication questions only and is not monitored for emergencies.


Still Need Help?

If you're already in a chat with us, just type "Adjust my dose" — there's no need to open a new one. Our assistant will collect everything and pass it to your provider.

Starting fresh? Open a Customer Service Chat and select "Adjust My Dose" to get started.

💕 — The GoodGirlRx Team

Did this answer your question?