FAQ

We save you time and money by making it possible to get great care without having to see an in-person provider. This means you don't need to spend ages on the telephone trying to book an appointment, to travel to and from the doctor's office, or to sit in a waiting room. We also have our own mail order pharmacy so if you value the convenience of medicine delivery, we’ve got you covered.

Our consultation fee for most services is only , so it's less than the cost of most insurance copays, even before you take into consideration the time and stress we save you. Some of our services - like our depression and anxiety service - are a flat fee per month that includes consultations and any medicines we prescribe and ship.

No. The online nature of our service means that our doctors and nurse practitioners have to be more cautious than if they were seeing you in person as part of a traditional visit. For this reason, we unfortunately can't help everyone who wants to use our service.

Our medical team follow strict guidelines to make sure we only write you a prescription when it's safe and appropriate to do so. If it’s not in your best interest to use Lemonaid Health based on what you tell us about your health history or symptoms, we’ll advise you to see a doctor or nurse practitioner in person and we’ll refund your consultation fee.

In short, super fast!

How super fast depends upon the service you’re completing a visit for, as well as your state’s requirements that govern ‘telemedicine’. Some states require you to have a short video consultation with our team, other states require a phone call, some states don’t require a video or phone call!

In most states we aim to review everything within 24 business hours - our business hours are .

We make it real simple.

To postpone or cancel a scheduled delivery from the Lemonaid pharmacy, just sign in to your Lemonaid account and message us, or call us at 888-536-2267.

Not sure what to write when you want to cancel? Here’s a message you can send us - we’ll take it from there.

I would like to cancel my automatic refills. Please confirm that you have received this message and that my automatic refills have been canceled.

If you have questions about postponing and/or discontinuing your medication or questions generally, please send us a message before the end of your membership or other service period. In certain situations, your medical provider may not advise you abruptly stop medication.

If you have questions about your medication or treatment after the end of your membership or other service period, please send us a message.

To cancel your membership, just sign in to your Lemonaid account and message us, or call us on 888-536-2267.

Your membership includes the cost of your medication. In some cases, it may not be advised to stop medication abruptly. Please send us a message and a member of the Medical Team can provide more information.

Not sure what to write when you want to cancel? Here’s a message you can send us - we’ll take it from there.

I would like to cancel my membership. Please confirm that you have received this message and that my services have been canceled.

If you have medical questions about postponing and/or discontinuing your medication, please send us a message before your subscription ends. In certain situations, your medical provider may not advise you abruptly stop medication.

If you have questions about your medication or treatment after your membership ends, please call us at 888-536-2267.

We’re here to help.

Have a Lemonaid account? Click here to send us a message, any time of day.

Prefer to talk to someone instead? Give us a call at 888-536-2267.

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We provide the same level of professional care as a traditional doctor’s office, but more conveniently because we’re 100% online and you don’t have to wait days for an appointment.

Just like a traditional doctor’s office, our doctors and nurse practitioners need to ask you questions to work out whether it’s safe and appropriate to give you care. If appropriate, we can write a prescription and send it to our own mail order pharmacy or to a pharmacy near you.

It depends! Most of our patients won’t require one, but some states have regulations that require a video consultation or a telephone call.

It is, as long as you answer our questions fully and truthfully and you read the important information we provide throughout our website, especially the information we send you about your treatment plan. Before you take your medicine it’s essential that you read the detailed information we provide about your treatment plan so that you can weigh the risks and benefits of the medicine we’ve prescribed.

Lemonaid Health can now treat patients in all 50 states and Washington DC!

You must be at least 18 years old to use Lemonaid Health. Please make sure you tell us your legal name and correct date of birth - if your name and DOB don’t match what’s on your photo ID, we may not be able to treat you.

Please make sure to check out the FAQs for the specific service you’d like to use in order to verify any unique requirements or limitations.

State regulations require that our medical providers see who we're treating, so that’s why we may ask you to take a picture of yourself and your photo ID.

Yes. We have a legal duty to protect your personal health information and have put in place a number of safeguards.

Our Privacy Policy details how we protect your personal information.

If you have a doctor or nurse practitioner you see on an ongoing basis, it's important to tell your doctor or nurse practitioner about all the medicines you're taking, including any medicines we prescribe.

To make this convenient for you, you can e-mail yourself a summary of the care we've provided via our website. You should give this e-mail to your doctor or nurse practitioner so that your health records are complete.

Yes! If you don't want to take advantage of our super fast and amazing customer service our partner pharmacies provides you can always get your prescription sent locally.

If you're worried about getting a medication quickly we do offer Expedited Shipping, which can arrive as early as the next business day after we write your prescription.

If you'd rather have the prescription sent locally after you’ve completed our health questions and submitted payment, simply send us a secure message through your account with the name, address and telephone number of the pharmacy you want to use, and we’ll sort it for you. If you’re in a state that requires a video or telephone consultation, you can also tell our doctor or nurse practitioner when you speak with them.

Our consultation fee is typically , which covers the evaluation and a prescription, but not the cost of your medicine. Some of our services – such as depression and anxiety – are a flat monthly fee that covers consultations and any medicines that we prescribe and ship.

We’ll put a hold on your card for the consultation fee when you submit your order, but we’ll only process the payment when one of our doctors or nurse practitioners is confident we can treat you safely. If we can’t help you, we’ll reverse the hold on your card.

If you’ve asked us to ship your medicine, we’ll simply charge your card on file for your medicine! Delivery is fast and free.

If you want to get your medicines from your local pharmacy then you’d pay your local pharmacy directly. Keep in mind that all local pharmacies set their own retail prices for medicine so we can’t control or guarantee what you’ll pay at a local pharmacy. Retail prices at local pharmacies tend to be higher than what our own pharmacy charges to ship your medicines.

No, insurance won’t cover the cost of your medical consultation.

Our mail order pharmacy is cash-pay so you’d need to pay out of pocket. Many of our patients who have insurance nevertheless decide to pay out of pocket for delivery because it’s so convenient and they like the empowerment of having control over the medicines they take and how often they get delivery.

If you have insurance you’d need to speak to your health plan to see if your plan covers the medicines we prescribe. If they do, you can ask us to send your prescription to your local pharmacy.

You can access and download your itemized receipts at any time from the Personal & Billing section of your Lemonaid Health account.

Call Lemonaid Patient Support at 888-536-2267 if you have any additional questions.

Acid reflux is a very common condition and is also called ‘heartburn', gastroesophageal reflux disease, or GERD. The symptoms can be very bothersome. It can cause a burning in the chest when lying down after eating or after eating certain foods, or you may feel a small amount of acid/vomit traveling from your stomach to your mouth or to the back of your throat.

It's caused when the muscle that's supposed to hold stomach acid down isn't strong enough and some acid goes up the esophagus (the tube that connects the mouth to the stomach).

We help you by finding the lowest dose of medicine that controls your symptoms. We do this by understanding whether you've ever been diagnosed before, what medicines you've tried and how these medicines have controlled your symptoms, and then we recommend a particular medicine at a particular dose.

If this medicine doesn't control your symptoms then you can come back to us and we'll see if it's appropriate to increase the dose or change you to a different medicine.

We can prescribe 2 different types of medicines if we're confident that you have acid reflux. They both reduce the acid levels of your stomach but work in slightly different ways. One group is called proton pump inhibitors (PPI) and the other is called H2 blockers (H2B).

The exact medicine we'll give you depends on everything we learn about you and what medicines you've tried before. If the first medicine we give you doesn't control your symptoms then we can normally either increase the dose of the same medicine or switch you to a different medicine. Overall our goal is to find the lowest effective dose of the right medicine that will keep your symptoms under control.

We usually prescribe a 1-month course of treatment if we're giving you a trial of a new medicine or a new dose.

When you tell us that your symptoms are under control then we typically give you a 3-month course of treatment.

We're able to prescribe certain types of medicines and doses that are not available over-the-counter. The medicines we prescribe are very effective at preventing acid reflux from occurring, unlike antacids which provide only temporary relief. The types of medicines we prescribe, PPI and H2B, have some versions that are available over-the-counter.

Most of the medicines we prescribe for have low cost generic versions. Many pharmacies offer them as part of special programs that can make them even less expensive. We can help you find the lowest cost option. If you're using the service for a refill of a medicine you're already taking that's expensive, we may be able to help you find a lower cost alternative that's just as effective.

The medicines we prescribe are used to prevent the symptoms of acid reflux from occurring. Some people need to take the medicines every day on an ongoing basis in order to prevent the symptoms from coming back. Other people are able to gradually wean themselves down to taking medicines only when they think they're going to have symptoms. Others stop taking the medicines altogether. We do our best to help you get your symptoms under control, and then we help you find the lowest strength effective dose.

Don't worry if the medicine we give you doesn't control your symptoms after a month. This is very common because we'll start you on the lowest dose that we think can still be effective given what you've told us. At the end of the month you can come back for a follow-up visit and we'll see if we can move you to a stronger dose or to a different medicine.

If you're already on the highest dose medicine we can prescribe, we'll encourage you to see a doctor or nurse practitioner in person to discuss your treatment options.

If you experience symptoms of acid reflux 3 or more times a week then we think you should see a doctor or nurse practitioner in person and not use our service.

Similarly, if you’re already on the maximum dose that we can prescribe, then we’ll ask you to see a doctor or nurse practitioner in person. Other health conditions and symptoms make it important that you see a doctor or nurse practitioner in person, and we’ll tell you about these health conditions as part of our visit.

Even though we know we can make the right diagnosis in the vast majority of cases, it's important that you understand the risks of using our service.

Usually when you're diagnosed in person the diagnosis is based mostly on your symptoms, which is the same as we do. If your symptoms keep bothering you and aren't controlled you should go for a test called an endoscopy that actually looks in your esophagus and stomach.

If we diagnose you with acid reflux and you don't actually have acid reflux, then the medicine we give you could be unnecessary. Taking a medicine you don't need could cause harm from the possible side effects. It could also delay the time it would take for you to be diagnosed with a different underlying problem that could be the real source of your symptoms.

If you actually have acid reflux and we incorrectly decide that you don't have acid reflux there's a risk that it would delay your care. Whenever we tell someone that we can't help, we'll always give you clear instructions to go see a doctor or nurse practitioner in person.

There are some factors you can control for acid reflux and others that are out of your control. There are some simple things that are good for your general health that can help reduce symptoms in most people like losing weight if you're overweight, quitting smoking if you smoke, and avoiding sugary drinks and foods. You can also try avoiding caffeine, alcohol, or spicy foods, which can sometimes worsen your symptoms.

When your symptoms are well controlled we recommend a ‘discontinuation trial'. A discontinuation trial is exactly as what it sounds like. You decrease or stop your medicine to see if your symptoms return. This way we can make sure you are always on the lowest effective dose of medicine or no medicine if you don't need it anymore.

The medicines we use to treat acid reflux can be very effective. In fact, they’re often so effective that after a while it’s hard to tell if you even need to take them anymore. To be sure you really need to keep taking the medicine we advise all our patients to do a discontinuation trial at least once.

We know no one likes acne. Using standard medical guidelines and the latest clinical evidence, combined with your answers to our questions and the photos you provide, we can determine whether your symptoms are due to uncomplicated acne and which prescription medicines are most likely to be effective. If you've already tried over-the-counter treatments and haven't found success, we can help!

Read each of the questions carefully and answer each one truthfully. The questions have been carefully designed by our doctors or nurse practitioners to ensure we get the most complete information in a thoughtful and simple way. To evaluate the extent of your acne, we will require photos of your face, chest, and back to evaluate your skin.

Based on your answers and photos, we can determine which prescription medicines for acne to prescribe or if perhaps you should seek a doctor or nurse practitioner in person.

If you’re in any of you’ll need to have a short video visit with a member of our medical team immediately after you complete our health questions and upload your photos.

Acne usually starts during puberty with the production of androgen hormone in both males and females which causes the following changes in the skin.

• Skin glands, pores, or follicles of the face, upper chest and back known as sebaceous glands increase production of sebum – an oily substance.
• The skin of these areas also have more production of skin layers known as hyperkeratinization. This thickening of skin can cause clogged pores known as comedomes. Open comedomes which are not clogged are called “blackheads”. Closed comedomes are called “whiteheads”.
• The bacteria Propionibacterium acnes is present on the skin.
• Both the clogged gland (follicle) and the bacteria can cause skin inflammation, causing red spots or pimples.

It's the combination of these factors that causes the zits, pimples, whiteheads, blackheads, and, in severe cases, cysts, that lead to the reddish painful bumps that we commonly refer to as acne.

Yes. Because a diagnosis of acne is based on a skin exam, we can make a diagnosis with your answers to our questions and the photos you submit.

We can prescribe medicines that effectively treat acne, minimize flare-ups and get long-term control. We have different treatments that focus on keeping the pores open, decreasing the amount of skin layer production or keratinization, and also decreasing the amount of bacteria of the skin. Your specific treatment plan may include any one or more of the following medicines: over-the-counter topical cream, gel, or ointment; prescription topical cream, gel, or ointment; prescription topical antibiotics; and prescription oral antibiotics. There are additional treatments for acne that we don't offer, including birth control and isotretinoin (Accutane).

The risks of taking any medicine include side effects or allergic reaction to the medicine. This is true with any prescription or over-the-counter medicine. In addition, the treatment we give you at first may not work as well as expected, which may mean you'll need to change your medicines, add medicines, or see a doctor or nurse practitioner in person.

It's possible that you may see no improvement because your symptoms are due to something else besides acne. In this case, you'll have used medicine(s) for acne unnecessarily and delayed your care.

If you're not seeing improvement in your acne after 1 to 2 months, send us a message for additional advice, return to the service for another visit, or see a doctor or nurse practitioner in person.

There are over-the-counter medicines and other non-prescription treatments available for acne. Left untreated, acne isn't life-threatening though it can result in scarring and ongoing flare-ups.

Although your acne should improve after a few weeks of treatment, it can get worse before it gets better. The flare-up may occur in the first 4 to 8 weeks of treatment. You should try to follow the treatment plan as prescribed for 3 months before deciding to continue or change medicines. The most successful way to treat acne is to be consistent with your treatment.

Although you may not be able to completely prevent acne, there are steps you can take to make your skin better.

Gently wash your face twice a day using a gentle, pH-balanced cleanser (Cetaphil or Dove bar) and warm water. Use your hands rather than a towel or other object that may damage the skin. By removing dirt and excess oil, you can decrease the chance of skin peeling, drying, and cracking. Scrubbing the skin harshly can damage the pores and make the acne worse. Avoid any oil-based skin products or makeup that can clog the pores. Always use hair products, lotions, or cosmetics that are "non-comedogenic," as they are designed to not clog your follicles and glands.

Moisturize your skin if you find the topical medicine(s) for acne dry your skin.

In some cases, your acne may be inflamed and extensive enough (such as when acne is located on the chest and/or back) that the benefits of taking an oral antibiotic outweighs the risks.

If oral antibiotics are part of your acne treatment, we recommend stopping after taking the antibiotic for 3 months.

Although birth control pills can be used to treat acne, at this time we do not offer this option via our acne service. We do offer birth control pills to prevent pregnancy through our birth control service.

No. Though isotretinoin (Accutane) is an effective oral acne medicine for individuals with severe nodular cystic acne, it has very significant risks and side effects including liver inflammation, high triglycerides, and severe abnormalities in a developing fetus. If you think you are a candidate for Accutane, we recommend you see a doctor or nurse practitioner in person who is authorized to prescribe it.

Yes. Acne typically goes away by age 25 to 30, but some some people may still experience flare-ups in their 30s and 40s. Among people 40 and older, about 1 in 10 men and 1 in 4 women report having acne. Overall, acne occurs more often in women than men, but it's typically more severe in men.

There's no medical evidence that acne is caused by what you eat or your personal hygiene, although stress can sometimes worsen acne.

We set up Lemonaid to help Americans get the convenient affordable care they need regardless of insurance.

With our cholesterol service you can get the care and advice you need – including labs - online without having to go to a traditional doctor’s office.

Just like a traditional doctor's office we can order labs, write refills, start you on statin treatments and help you manage your cholesterol on an ongoing basis.

Cholesterol is a type of fat that’s in our blood. Our body needs cholesterol. Our body makes cholesterol and we also get cholesterol from food.

LDL is ‘bad’ cholesterol and raises your chance of heart disease and stroke.

HDL is ‘good’ cholesterol and is linked to a lower risk of heart disease and stroke.

If you have too much cholesterol it can make it hard for blood to flow through the blood vessels that take blood away from your heart. This increases your chance of having a heart attack, heart disease and stroke. 1 in 3 American adults die because of heart attack, heart disease or stroke. Heart disease is the leading cause of death for both men and women.

Statin medicines can lower your risk of a heart attack or stroke by 20-25%. Lowering your risk of heart attack and stroke is the aim of taking statins.

You need to have a blood test to find out your cholesterol levels. A blood test can tell you your total cholesterol level and the levels of different types of cholesterol.

We can order lab work for you through our partner Quest Diagnostics. They have Patient Service Centers all around the country.

Lemonaid is simple to use.

The process is different depending upon your personal situation but everyone needs to answer our health questions and create a Lemonaid account. If necessary we’ll order blood work at Quest Diagnostics.

If we prescribe statin treatment we’ll send the prescription to your local pharmacy electronically so that you can benefit from the advice and care from the great pharmacists in your community.

Most people find generic statins affordable.

How much you pay for the statin medicines we prescribe depends upon the pharmacy you go to and what kind of insurance you have, if you have insurance. You pay the pharmacy for your statins, not us.

If you have to cash pay for your statin medicines then Costco pharmacies can provide generic medicines starting at $10-15 a quarter or $40-60 for a whole year. That’s one hell of a deal.

We sure can. After an online assessment and a review of the lab work we ordered our doctors or nurse practitioners can start you on statin medicines.

We follow strict guidelines to determine when it’s appropriate to prescribe statins online and we can only give you a prescription if your risk of a heart attack or stroke makes it appropriate. It wouldn’t be appropriate for us to start you on statins unnecessarily because all medicines, including statins, can have side-effects and cause adverse events.

Please note, you need to know your blood pressure to get an online prescription for statins from Lemonaid. See below for the thousands of pharmacies that have machines that can accurately measure your blood pressure for free.

Yes, after an online assessment we can generally refill a statin prescription that you initially received from another doctor or nurse practitioner. The most we would prescribe online without you doing lab work through Lemonaid would be a 1-month refill.

Once you’ve done lab work through Lemonaid then we can give you a 3-month statin prescription at a time. Without knowing your lab results it wouldn’t be appropriate to provide you with ongoing care.

You need to know your blood pressure to get a statin prescription from Lemonaid.

There are other medicines that lower cholesterol but we don’t currently prescribe them.

We recommend you see a doctor or nurse practitioner in person if you’re taking these other medicines by themselves or in combination with a statin.

Absolutely. We’ve partnered with Quest Diagnostics, the largest lab company in the US, so that you can get your lab work done cost effectively. Quest Diagnostics have thousands of Patient Service Centers around the US.

When we order lab work as part or our cholesterol service we’ll test your cholesterol, your liver and your thyroid.

In all states other than New York you’ll need to pay Lemonaid for the lab work.

Yes, you need to know your blood pressure to complete our health questions.

We use your blood pressure along with other factors - whether you smoke, your age and cholesterol test results – to determine your risk of having a heart attack over the next 10 years.

We also need to know your blood pressure because giving guidance on blood pressure is an important part of providing responsible care for decreasing your risk of heart attack, heart disease, or stroke. If you have uncontrolled high blood pressure you need to get it investigated.

Many pharmacies have a machine where you can accurately measure your blood pressure for free. Most Walmart, Sam’s Club, Safeway, Rite Aid pharmacies have a machine.

Here are two links to help you find your nearest Higi machine and Pursuant Health kiosk . Both machines are FDA approved to check blood pressure accurately.

Managing your cholesterol is only one part of managing your overall health. We’ll give you guidance on other aspects of your health that you need to manage, such as your blood pressure. When necessary you’ll need to compliment care from Lemonaid with a visit to a doctor or nurse practitioner in your community.

You only need to get your lab done one time if we start you on a statin.

If you’d like to get a repeat blood test after starting a statin, we recommend it no sooner than 6 weeks after you start the statin.

We recommend waiting 3-6 months after making significant lifestyle changes before retesting your cholesterol. We can re-order labs for you no problem.

Most patients who start a statin should continue taking statins for life. The risk of heart attack, heart disease, or stroke increases as we get older so if you wish to benefit from the protective effects of a statin medicine, you should take the medicine every day for life.

For now we only prescribe statins. If you need other medicines to treat high cholesterol then you should visit a doctor or nurse practitioner in your community.

Lemonaid is a convenient way to get prescription-strength cold sore medicines without going to a doctor’s office. If our medical team thinks you have cold sores, we can send a prescription to your local pharmacy for you to pick-up and pay for your medicines.

Select whether you want medicine for an immediate outbreak or daily preventative treatment, then select the specific medicine you’d like us to prescribe. Answer our health questions, select a pharmacy in your area, and pay our $25 visit fee out of pocket.

Someone from our medical team will review your request within 24 hours during the business day. In some states, you’ll have an immediate video visit with a member of our medical team after you pay our visit fee.

If our medical team gives you a prescription we’ll send it to your local pharmacy, so that you can go to the pharmacy to pick-up and pay for your medicine. If you have insurance, you should be able to use your insurance to pay for your medicines at the pharmacy.

Anyone age 18 or over and who lives the states that Lemonaid serves.

Some health conditions mean we won’t be able to give you a prescription for cold sore treatment, but we’ll ask you about those when you complete your online visit.

If you’ve never had a cold sore before we won’t be able to give you prescription because we think you should see a doctor or nurse practitioner in person for your initial diagnosis. First time infection of cold sores can be quite painful for some patients and can include severe sore throat, swollen neck glands, and fever. Other symptoms can include neck stiffness or eye pain. If you have these types of symptoms we recommend you see a doctor or nurse practitioner in person.

Yes. Based on your symptoms and medical history we can diagnose cold sores. We don’t need to see a photo of your cold sores.

There are 2 types of treatment: treatment for an immediate outbreak or daily preventative treatment. The prescription medicines we prescribe for both types of treatment are antivirals.

Treatment for an immediate outbreak aims to make your symptoms go away faster.

Daily preventative treatment aims to stop you getting so many outbreaks, and if you do get outbreaks, they should be less severe and not last as long.

We prescribe the oral antiviral medicines acyclovir 400 mg, valacyclovir 1g or 1000 mg, and famicyclovir 500 mg tablets to treat an immediate outbreak.

For daily preventative treatment we prescribe acyclovir 400mg and valacyclovir 500mg.

The FDA approved use of valacyclovir or famicyclovir for treating cold sores when they come on. We offer these medicines explicitly for these uses.

Although commonly prescribed in the US to treat cold sores, the FDA has not approved use of acyclovir for immediate outbreak or acyclovir or valacyclovir for daily preventative treatment to treat cold sores the way we prescribe them. This means the way we prescribe them is ‘off-label’ use. Please note, these medicines are commonly in this manner and as outlined in peer reviewed medical references.

The risks of taking any medicine include side effects or allergic reaction to the medicine. This is true with any prescription or over-the-counter medicine. In addition, the treatment we give you at first may not work as well as expected, which may mean you'll need to change your medicines, add medicines, or see a doctor or nurse practitioner in person.

It's possible that you may see no improvement because your symptoms are due to something else besides cold sores. In this case, you'll have used medicine for cold sores unnecessarily and delayed your care.

If you don’t feel like your cold sores are getting better after 3-5 days of treatment, please send us a message so that we can give you additional advice. We may encourage you to see a doctor or nurse practitioner in person.

There are over-the-counter (OTC) medicines treatments as well as other prescription medicine available for cold sores. OTC medicines are typically less effective and generally have fewer potential side effects.

You also have the option of not taking any treatment for your cold sores. Only take a treatment if you think the risks outweigh the benefits.

With treatment, a cold sore outbreak should go away within 5-10 days.

If you take the daily preventative treatment, you should have fewer cold sore breakouts and when they occur they should be less severe and last a shorter amount of time.

Cold sores occur whenever the virus wakes up (reactivation) in the body. Things that can trigger cold sores include exposure to sunlight, having a menstrual period, stress, injury to the skin where the cold sore appears, dental work, or having some other illness. Each person's trigger may be different.

Avoiding these triggers can help decrease the number of cold sore breakouts you have.

If you have cold sores 5 of more times per year consider taking a daily medicine to prevent outbreaks (preventative or suppression therapy). You can get a prescription for this through our service.

If you have cold sores breakouts 5 or more times per year we recommend trying a daily medicine to help keep the blisters from popping up. This is known as preventative or suppressive therapy. If the medicine is working we would usually recommend taking it for a year and then stopping to see if the cold sores still come back. If you don't want to take a daily medicine you can also try taking a medicine as soon as you feel the cold sores coming back.

Cold sores are caused by a type of ‘herpes simplex virus’ (HSV) that infects the mouth and then hides out in the nerve of the face. Most people don't know they’ve been infected by the virus and you can have the virus for years before you have your first cold sore outbreak.

Your first outbreak can be quite painful with severe sore throat, swollen neck glands, and fever. Other symptoms can include neck stiffness or eye pain. If you have these types of symptoms yourself then we recommend you see a doctor or nurse practitioner in person.

Once the virus is in the nerve, it can come back as an outbreak of small blisters or sores on or around the mouth any time. You may notice a tingling, itching, burning around your lips before a cold sore outbreak. Within a few hours to a couple of days, painful blisters will appear. The blisters usually heal within 1 week.

Once you have the virus that causes cold sores, it never goes away. The good news is that most people get fewer outbreaks as they get older.

Dark spots or blemishes on your skin can be unattractive and make you feel self-conscious. The good news is that our medical team can assess your dark spots to work out what’s causing them and, if appropriate, prescribe and deliver an effective treatment to your door.

We prescribe a cream that contains 3 active ingredients: hydroquinone, a retinoid and a steroid. We ship a 3 month supply at a time.

Hyperpigmentation is the technical term for when your skin darkens. Dark spots are often caused by excess melanin, which is the pigment that gives skin its color. The melanin can sometimes build up in patches and makes the skin appear darker than the skin around it. Many different things can cause the melanin to build up - prescription medicines, certain health conditions, skin conditions, excessive sun exposure, infections.

Sometimes dark spots can be caused by more serious conditions such as skin cancer. Therefore it’s very important to be familiar with your own skin. Make sure you go for a yearly physical exam with your doctor or nurse practitioner in person, and tell them about any suspicious skin spots you have. If you notice spots or marks on your skin that are changing in number, size, or shape over time, you should also see a dermatologist for a more comprehensive skin exam.

You can use our service if you're between the ages of 18 and 70 and you have defined areas of dark spots on your skin. Lemonaid doctors or nurse practitioners can help with dark spots related to specific conditions such as PIH (postinflammatory hyperpigmentation), melasma, and solar lentigines (age or liver spots).

We aren’t able to help you if:

• You want to lighten your overall skin color, rather than lighten specific dark spots.
• Your dark spots are caused by something other than PIH (postinflammatory hyperpigmentation), melasma, or age or liver spots (solar lentigines).
• Your medical history suggests it’s best for you to see a doctor or nurse practitioner in person - history of skin cancer, vitiligo, other skin conditions that are uncontrolled (active eczema, psoriasis) pregnant/breastfeeding

We prescribe a compounded cream that typically contains 3 active ingredients:

• Hydroquinone - works as a skin ‘bleaching agent’ to lighten dark spots.
• Tretinoin - works by promoting skin cell turnover which allows for brighter skin cells to surface. Also helps the cream to work more effectively.
• Hydrocortisone - a steroid that reduces any irritation or inflammation that in patients with sensitive skin can be caused by tretinoin and hydroquinone.

A compounded cream is one that’s customized for particular patients and made by a licensed pharmacist in a pharmacy that’s licensed to do compounding. Although the FDA doesn’t approve specific compounded medicines, compounding is tightly regulated and serves an important role in patient care.

You’ll typically need to apply our cream for at least 3 months to start seeing benefits.

Let us know if the cream doesn’t seem to be working. We’ll likely check that you’re applying it properly and then give you more advice based on what you tell us.

It’s simple to use our service. Most people complete the process in 15 minutes:

1. Complete our simple dark spots health questionnaire
2. Upload photos of your face and any other areas of skin that have dark spots. Make sure you follow the instructions and provide close-ups if needed.
3. Create an account (make sure you do this to save your answers)
4. Make payment with a credit or debit card (we won’t charge your card until after one of our medical team reviews everything)
5. If required in your state, we may need to do a short video or telephone consultation.
6. We’ll prescribe and ship the appropriate cream. If instead we think you should see a doctor or nurse practitioner in person, we’ll explain why.
7. Get your cream in the mail and start treating your dark spots!

We’ll send you a secure message a month after your consultation to make you’re doing ok and to see if you have any questions. If you want to speak to us sooner, you can message us anytime.

Yes we can. Your photos and answers to our health questions give our medical team the information we need.

If we think you need to see a doctor or nurse practitioner in person for a more detailed examination or a skin biopsy, we’ll explain that to you and we won’t charge you anything.

All medicines come with the risk of side effects and allergic reactions.

The nature of dark spots is such that the cream we give you may not work well at first in which case we’ll adjust the strength. Also we may think that the cream we give you will help, but actually your dark spots might be caused by something that the cream won’t help. This can delay the care you need and result in you taking the cream unnecessarily. If after 3 months you don’t think the cream is working, please send us a message.

One option is not to treat dark spots. Typically they aren’t caused by a condition that’s life-threatening so you don’t need to treat them from a medical perspective. That said, we still recommended you go for a yearly physical exam with your doctor or nurse practitioner in person, and tell them about any suspicious skin spots you have. If you notice spots or marks on your skin that are changing in number, size, or shape over time, you should also see a dermatologist for a more comprehensive skin exam.

To prevent your dark spots getting worse you can also focus on lifestyle changes such as wearing sunscreen (SPF 30 or higher) and wearing protective clothing to avoid exposing your skin to sunlight.

If you want to treat them then there are some over-the-counter treatments that aren’t as strong as our prescription cream.

Avoid excessive exposure to sunlight, use sunscreen (SPF 30 or higher), and wear protective clothing. You should also avoid picking at acne lesions or scabs, as this can damage the skin further and create dark spots.

The Lemonaid medical team can help by giving you anxiety medicines (SSRIs or SNRIs) or depression medicines (antidepressants) that should improve how you feel. Our service is private, convenient and affordable and based around a video consultation with one of our doctors or nurse practitioners. The Lemonaid Pharmacy can ship your medicines direct to your door in discreet packaging.

Anxiety is a very common mental health condition. Someone’s got anxiety if they have constant excessive worry seen many days of the week for at least 6 months. The worry often comes from multiple sources, finances, work, or health. These symptoms are often difficult to control and can be stressful or interfere with a person’s ability to function.

We don’t know exactly what causes anxiety. The cause can be factors specific to you (internal factors), changes related to your overall environment and situation (external factors), or a particular significant event.

Depression is the most common mental health condition. Someone’s got depression if they have a depressed mood and little interest in doing things more days than not for over a 3 months.

We don’t know exactly what causes depression. The cause can be factors specific to you (internal factors), changes related to your overall environment and situation (external factors), or a particular significant event.

You can use our service if you’re between the ages of 25 and 60. If you have a history of suicidal thoughts or actions, bipolar, mania, psychosis, schizophrenia, alcohol or other drug use, HIV, seizures, glaucoma or family history of glaucoma, pregnant, or breastfeeding, we recommend that you see a doctor or nurse practitioner in person instead of using our service.

If you require a work note for your employer, or need to be evaluated for a disability of work compensation, then you should see a doctor or nurse practitioner in person and not use our service.

If you feel like you’re a danger to yourself or others or might harm yourself or others, please contact 911 immediately, go to your nearest emergency room or hospital, or contact the National Suicide Prevention Hotline at 1-800-273-8255.

We can prescribe anti-depressants known as SSRIs (selective serotonin reuptake inhibitors), SNRI (serotonin and norepinephrine reuptake inhibitors). SSRIs include sertraline (Zoloft), citalopram (Celexa), fluoxetine (Prozac), escitalopram(Lexapro), and paroxetine (Paxil). SNRIs include venlafaxine (Effexor) and duloxetine (Cymbalta). Atypical antidepressants include bupriopion (Wellbutrin).

We do not prescribe benzodiazepines or sedatives.

You can get the medicine shipped to you from 95$/month, including free fast delivery.

Yes, but like any medicine an anxiety treatment isn’t guaranteed to work. The goal is to improve your mood and keep it there. All of the medicines we prescribe have been demonstrated to be effective through extensive research studies. You’ll be able to discuss which treatment option is right for you with a member of our medical team during your video consultation.

It can take 4 to 6 weeks of taking the medicine every day before you feel an improvement - during this period you’re ‘responding’ to the treatment. Typically you’ll feel the full benefits after 3 months. We can adjust your medicine dosage after 4 weeks, based on how you feel.

Once you feel that you’re on the appropriate dose of medicine - what doctors or nurse practitioners generally refer to as a patient being ‘in remission’ - we recommend you take your medicine for a minimum of 9 to 12 months before thinking about stopping. If you’ve had 2 or more episodes of anxiety or 3 or more episodes of depression that required prescription medicine you should talk to our team about the option of ongoing ‘maintenance’ treatment. Talk to your doctor or nurse practitioner if deciding to stop medicine and if tapering off the medicine is necessary.

It’s very easy to use our anxiety and depression service. It should take you no more than 15 minutes to complete. The steps are:

1. Complete our simple health questionnaire
2. Create an account (make sure you do this to save your answers)
3. Pay consultation fee with your credit/debit card (we’ll place a hold on your card straightaway, but we won’t charge your card until after your consultation)
4. Video consultation with a Lemonaid doctor or nurse practitioner.
5. Receive your medicine in the mail with our free fast delivery.

We’ll follow up with your after your consultation to make sure you’re doing ok. You can also message us anytime, or call the Lemonaid Pharmacy and ask to speak to one of the pharmacists.

Not initially, no. Typically we’ll write a one month prescription after your initial video consultation. We’ll want you to come back before the end of the first month to tell us how you’re doing and to complete a follow-up video consultation. Assuming the treatment is working as desired and depending upon your personal medical history, our medical team can then prescribe a 30, 60 or 90 day course at a time.

Make sure you come back to us for a follow-up consultation before your medicine runs out as we don’t want you to have a gap in care.

Yes. It's safe to use our anxiety and depression service as long as you answer our health questions fully and accurately and are open and candid with our medical team during the video visit. A member of Lemonaid’s medical team will decide if it's appropriate to give you a prescription based on our strict medical guidelines.

The medicines we prescribe come with risks, and it’s important you make an informed decision about the trade-offs of starting treatment. Please read the information we provide about the risks and benefits of treatment and only take the medicine according to the instructions. If you have any side effects with the medicine, let us know.

If you feel like you’re a danger to yourself or others or might harm yourself or others, please contact 911 immediately, go to your nearest emergency room or hospital, or contact the National Suicide Prevention Hotline at 1-800-273-8255.

Yes, our medical team can diagnose anxiety and depression by asking you the same questions that they’d ask if they saw you in person. On video we can also help you understand the treatment options and answer any questions you have. Because our medical team works to such strict medical guidelines, we maintain the same or higher standards than if we saw you in person. The doctor or nurse practitioner will let you know if they think you need to see a clinician in person rather than use Lemonaid.

We pride ourselves on great clinical and customer service. We have a fantastic support team and medical team who will all take as much time with you as you need. Unlike other telehealth companies, for anxiety and depression we provide live video consultations with our medical team. This ensures that you get the best quality care and can ask any questions you have. The pharmacy team at Lemonaid Pharmacy is also available to answer any questions you have if you want to call them.

The medicines typically take 4 to 6 weeks to see some improvement and up to 2 to 3 months before anxiety and depression symptoms resolve. It depends on how an individual person responds to the particular dose and medicine prescribed.

You’ll typically need to take the medicine every day for 4 to 6 weeks before you feel an improvement. During this time you’re ‘responding to treatment’.

t can take 4 to 6 weeks of taking the medicine every day before you feel an improvement - during this period you’re ‘responding’ to the treatment. Typically you’ll feel the full benefits after 3 months. We can adjust your medicine dosage after 4 weeks, based on how you feel.

As a precaution, our medical team will need to have a video consultation before you receive a new refill prescription to ensure you are responding to the right medicine and the right dose. Make sure you either go to the website to initiate a consultation before you run out of medicine. You’ll answer the questionnaire again just like the first time. Our medical team prescribes in 30 days, 60, or 90 days of medicine at a time.

You always have the option of not doing anything about your anxiety or trying to improve your anxiety through techniques that don’t involve taking any prescription medicines. This can include cognitive behavioral therapy (CBT).

We list the following online sources for therapy for your convenience. We don’t endorse or recommend any of these individual third party programs.

www.online-therapy.com

https://www.betterhelp.com/

Although there’s no clear evidence that exercise alone can improve depression, for general health we do recommend moderate exercise (fast walking, running, or cycling or upper and lower body weight training), 3 to 5 times per week, and 45 to 60 minutes each time. It may take up to 3 months to see overall improvement in mood.

Physical activity by exercising 60% to 90% of maximal heart rate three times a week for 20 minutes or yoga can be helpful to decrease anxiety. Avoiding triggers like caffeine, stimulants, nicotine, and stress) and improving your quality and quantity of sleep can also be helpful.

Do not stop your prescription medicine without consulting your doctor or nurse practitioner.

Men across the US love Lemonaid Health because our doctors and nurse practitioners provide great care with amazing customer service. In addition, our mail order pharmacy based in St Louis Missouri offers transparent fair pricing with free fast delivery in discreet packaging. Because we run our own US pharmacy you know that the medicines we ship you are the real deal.

Our medical team treats men aged 25-72 and can prescribe affordable ED medicines. We typically write prescriptions with 11 refills.

You have ED if you can't achieve and maintain an erection sufficient for sex even though you're sexually aroused. ED is not the same as premature ejaculation and ED is not the same as lacking sex drive, low desire to have sex, or low libido.

It’s very common and affects 10% of adult men and as many as 40% of men over 40. Some men experience ED from an early age. ED is sometimes called impotence.

ED is most commonly caused by physical factors, but can also be caused by psychological factors such as anxiety or depression. Sometimes ED is caused by a combination of physical and psychological factors.

ED can be the first sign of potentially more serious underlying heart or general health problems. That's why it's important to have a range of investigative tests to look for the cause even if you feel fine.

Aside from the stress and relationship problems that ED can cause, from a purely medical perspective ED can be the first sign of potentially more serious underlying health conditions that need investigation.

You can use our service if your assigned birth sex is male and you are between 25 and 73 years old. We can’t help men in ND as state law prohibits us from prescribing ED meds.

ED medicines are not recreational drugs and you should only request a prescription if you really do suffer from ED.

ED is not the same as premature ejaculation and ED medicines will not increase your sex drive or desire to have sex. ED medicines are not aphrodisiacs. ED medicines only help you get and sustain an erection if you're sexually aroused.

We can prescribe 6 medicines to treat ED: generic sildenafil (‘Generic Viagra®’), generic tadalafil (‘Generic Cialis®’), generic Cialis® Daily, branded Viagra®, branded Cialis®, and branded Stendra®. All medicines require a doctor’s prescription.

Sildenafil is the active ingredient in Viagra. Generic sildenafil in 20mg pills is the most cost effective way to get ED meds. We recommend our patients take 3 (60mg total) or 5 pills (100mg total) at a time, depending upon everything we learn about you. We also prescribe the 25mg, 50mg or 100mg pills but they cost more.

Many of our patients prefer generic Cialis (tadalafil) over sildenafil, because the benefits last longer and let you be more spontaneous. With generic Cialis you don’t have to plan sex to the same extent.

With the exception of the Cialis Daily 5mg prescription, our doctors and nurse practitioners are able to write prescriptions for 10 treatments at a time with 11 refills - the number of tablets in each fill will be dependent on the medicine and dosage you’re prescribed. The Cialis Daily 5mg prescription will contain 30 tablets per fill, for a month’s worth of medication, with 11 refills available to you.

The medicines we prescribe work for the majority of men, but how a medicine works for you as an individual will depend upon the underlying cause of your ED and your body's response to the medicine.

Each of these medicines work by making it easier for blood to flow through your penis.

We advise patients try taking an ED medicine at a particular dosage at least 3 times before deciding it doesn't work.

If the medicine we prescribe doesn’t work you shouldn’t give up hope. Instead, message us to make sure you’re taking it correctly, and if you are taking correctly, ask our medical team about whether you should be on a different dose or on a different medicine.

It's very easy to use our ED service and to complete a Lemonaid consultation. In fact, it only takes most patients about 10-15 minutes. During our business hours () we try to make sure one of our doctors or nurse practitioners will review your information within 24 hours.

To complete a consultation you need to select one of the ED medicines, answer our simple health questions and take a picture of yourself and your photo ID (unless your state requires a live video consultation, then no pictures will be required). After you’ve created your Lemonaid account you’ll make payment for your consultation with a card. We’ll only charge you for the cost of the medicines once a doctor or nurse practitioner has reviewed everything and sent your prescription to our mail order pharmacy.

Depending upon your state, you may require a short video consultation immediately after you answer our health questions or in some states one of our doctors or nurse practitioners will need to give you a call.

Our doctors or nurse practitioners will review all your information to make sure you're a good candidate for treatment and that it's appropriate for us to treat you without meeting you in person. If we need any more information we'll send you a message or call you. If appropriate to treat you we'll send your prescription to the pharmacy electronically and our pharmacy will ship the medicines to your door.

We also ask if you want us to order you investigative tests. These routine lab tests look for other potential underlying causes of your ED that, if left untreated, could cause premature death or permanent disability. If you ask us to order these tests we'll order them at Quest Diagnostics. Quest Diagnostics has over 2,200 centers throughout the US and you can go to any of them. Asking us to order these tests does not delay your care - it simply gives you and us helpful information about potential underlying causes of your ED. We'll always explain what your test results mean and what, if anything, you should do next.

Yes. It's safe to use our ED service so long as you answer our health questions fully and accurately, and you read the information we provide about the risks and benefits of treatment, as well as the details of how to take any medicines.

These medicines should only be used by men who are healthy enough for sexual activity. It's not safe for everyone to take these medicines. We'll base our judgment on whether it's appropriate and safe to give you a prescription on medical guidelines and all the information you provide.

All ED medicines come with the potential for serious side effects. They're absolutely not recreational drugs. The medicines we prescribe are not aphrodisiacs and they can't give you an erection.

Yes. Medical guidelines are clear that a doctor or nurse practitioner can diagnose ED based on a patient self-reporting their symptoms. We diagnose ED in the same way that we would if we could meet you in person – we ask you questions to confirm that you have ED. We also ask you separate questions to help us understand the likely cause of your ED.

Just like we'd do if we saw you in person, we encourage you to let us order investigative tests to look for underlying health conditions that might be causing your ED. We know that not everyone can afford or wants these tests, so it's optional whether you want us to order these tests for you. Asking us to order tests is not a requirement for obtaining treatment from us.

You need to tell us your blood pressure to answer our health questions. We need to know your blood pressure because it's not appropriate for us to give you a prescription if your blood pressure is below a certain level or above a certain level.

It's important that the blood pressure readings you give us are accurate and recent because your blood pressure measurements are an important factor in our decision as to whether it's appropriate and safe to give you a prescription.

The good news is that pharmacies in your area will have machines that can accurately measure your blood pressure for free. Most Walmart, Sam’s Club, Rite Aid and Safeway stores have them. Use these links to find your nearest higi station or Pursuant Health machines.

Medicines with nitrates or nitroglycerin in combination with these medicines can lower blood pressure unexpectedly and could be fatal.

We pride ourselves on the great clinical care we provide. It's really important for us that as part of the care we provide we can order lab tests for you and help you understand what the results mean. We don't charge any extra for ordering and interpreting your lab tests because helping you understand the underlying cause of your ED is part of helping manage your ED.

We pride ourselves on transparent service. You can see the names of all our medical providers, and the specific provider who treats you is always licensed in your state and will send you a message when your prescription has been sent. You can always reach one of our providers by sending a message in your Lemonaid Health account.

We pride ourselves on using video visits in states that require it - we always work within state-specific regulations.

If you've tried one of the medicines at a particular dose at least three times and it doesn't work, don't give up hope - instead send us a message in your Lemonaid Health account or complete another visit. Based on what you tell us we may be able to increase the dose of the same medicine or move you to one of the other two medicines.

If we've tried you on different medicines and doses and it's still not helping your ED, we'll recommend that you go and see a doctor or nurse practitioner in person. There are other treatments available and it's best to discuss these with a doctor or nurse practitioner or nurse practitioner in person.

Our mail order pharmacy based in St Louis, Missouri, offers transparent fair pricing. You can see the prices on our website. The prices listed include free fast delivery in plain packaging.

It's important to use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'. You can buy them in most pharmacies or online. Always read the instructions carefully. We don't recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising.

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

Take 2 readings on both arms and give us the highest number you record.

There are several alternative treatments you should consider including lifestyle changes, other medicines, penile vacuum pumps, and surgical options.

Penile vacuum pumps may be effective for some men. Other medicines including penile injections or penile suppository may be more effective for some men who still have symptoms despite taking oral ED medicines. Those with ED due to nerve damage or who don't respond to medicines may also benefit from surgical options. It’s always okay to see another doctor or nurse practitioner in person who may be able to provide you with additional options.

You also always have the option of taking no treatment. You can often improve the symptoms of ED by improving your health overall. This includes eating healthier foods, stopping smoking if you smoke, reducing alcohol consumption, and exercising regularly. If you have health problems such as high blood pressure or diabetes, it's also important to make sure they're under good control.

To make sure you are in optimal health you should also consider the investigative tests we offer that can help diagnose some causes of ED including problems with your overall health.

Lemonaid is a convenient way to get prescription-strength genital herpes medicines without going to a doctor’s office. If our doctors or nurse practitioners think you have genital herpes, we can send a prescription to your local pharmacy for you to pick-up and pay for your medicines.

It’s very easy to use our service. Choose between treating your immediate outbreak or reducing future outbreaks and protecting partners with daily preventative medicine. Answer our simple health questions and enter your credit card information to pay the $25 visit fee. If you need immediate treatment, fill your script at your local pharmacy. If you need preventative treatment, receive your meds in the mail with free shipping. We ship 1 year of treatment, 3 months at a time.

Anyone age 18 or over and who lives the states that Lemonaid serves.

Some health conditions mean we won’t be able to give you a prescription for genital herpes treatment, but we’ll ask you about those when you complete your online visit.

If you’ve never had genital herpes before we won’t be able to give you prescription because we think you should see a doctor or nurse practitioner in person for your initial diagnosis. First time infection of genital herpes can be quite painful for some patients and often a viral culture or swab is taken at the site of a blister to help make a diagnosis.

Yes. Based on your symptoms and medical history we can diagnose genital herpes. We don’t need to see a photo of your genital herpes. Unlike other skin ulcers that may appear, only genital herpes come and go.

There are 2 types of treatment: treatment for an immediate outbreak or daily preventative treatment. The prescription medicines we prescribe for both types of treatment are antivirals.

Treatment for an immediate outbreak aims to make your symptoms go away faster.

Daily preventative treatment aims to stop you getting so many outbreaks, and if you do get outbreaks, they should be less severe and not last as long. Also it can decrease the risk of giving it to your partner by 90 percent as genital herpes can spread even if you have no symptoms.

We prescribe the oral antiviral medicines acyclovir 800 mg, valacyclovir 500 mg, and famicyclovir 500 mg tablets to treat an immediate outbreak.

For daily preventative treatment we prescribe acyclovir 400mg and valacyclovir 500 mg (or recommend valacyclovir 1000mg if you have 10 or more outbreaks per year).

Although commonly prescribed in the US and approved by the FDA to treat genital herpes, the FDA has not approved use of acyclovir or valacyclovir for immediate outbreak or acyclovir for daily preventative treatment to treat genital herpes the way we prescribe them. This means the way we prescribe them is ‘off-label’ use. Please note, these medicines are commonly prescribed in this manner and as outlined in peer reviewed medical references.

The risks of taking any medicine include side effects or allergic reaction to the medicine. This is true with any prescription or over-the-counter medicine. In addition, the treatment we give you at first may not work as well as expected, which may mean you'll need to change your medicines, add medicines, or see a doctor or nurse practitioner in person.

It's possible that you may see no improvement because your symptoms are due to something else besides genital herpes. In this case, you'll have used medicine for genital herpes unnecessarily and delayed your care.

If you don’t feel like your genital herpes are getting better after 3-5 days of treatment, please send us a message so that we can give you additional advice. We may encourage you to see a doctor or nurse practitioner in person.

There are no over-the-counter (OTC) medicines treatments as well as other prescription medicine available for genital herpes.

You also have the option of not taking any treatment for your genital herpes. Only take a treatment if you think the risks outweigh the benefits.

With treatment, a genital herpes outbreak should go away within 5-10 days.

If you take the daily preventative treatment, you should have fewer genital herpes breakouts and when they occur they should be less severe and last a shorter amount of time. Also it can decrease the risk of giving it to your partner by 90 percent as genital herpes can spread even if you have no symptoms.

Genital herpes occur whenever the virus wakes up (reactivation) in the body. Things that can trigger these genital herpes sores include exposure to sunlight, having a menstrual period, stress, injury to the skin where the genital herpes appears, or having some other illness. Each person's trigger may be different.

Avoiding these triggers can help decrease the number of genital herpes breakouts you have.

If you have genital herpes 5 of more times per year consider taking a daily medicine to prevent outbreaks (preventative or suppression therapy). You can get a prescription for this through our service.

Once you have genital herpes you cannot get rid of it.

If you have genital herpes breakouts 5 or more times per year we recommend trying a daily medicine to help keep the blisters from popping up. This is known as preventative or suppressive therapy. If the medicine is working we would usually recommend taking it for a year and then stopping to see if the genital herpes still come back. If you don't want to take a daily medicine you can also try taking a medicine as soon as you feel the genital herpes from coming back.

The medicine cannot cure the genital herpes.

There is no vaccine to either prevent or treat genital herpes.

Genital herpes are caused by a type of ‘herpes simplex virus’ (HSV) that infects the genitals and then hides out in the nerve of the low back. Most people don't know they’ve been infected by the virus and you can have the virus for years before you have your first genital herpes outbreak.

Your first outbreak can be quite painful starting with small painless blisters at the foreskin of the penis, around or in the vagina, or rectum. The blisters then pop open and become painful shallow ulcer. If you have these types of symptoms and it is the very first time, we recommend you see a doctor or nurse practitioner in person for further evaluation and testing.

Once the virus is in the nerve, it can come back as an outbreak of small blisters or sores on or around the genitals any time. You may notice a tingling, itching, burning around your buttocks, legs or hips before a genital herpes outbreak. Within a few hours to a few days, painful blisters will appear. The blisters usually heal within 1 week.

Once you have the virus that causes genital herpes, it never goes away. The good news is that most people get fewer outbreaks as they get older.

However even if you don't have symptoms, you can still spread it to your partner.

DO inform your current and future partners about having genital herpes before having sex.

DO think about taking daily antiviral medicine (suppression) to decrease giving the genital herpes to your partner. Daily medicine can decrease the risk of giving it to your partner by 90 percent. Genital herpes can spread even if you have no symptoms, there is no rash or blisters, or the rash or blisters are fully healed.

DO use condoms or dental dams which can help decrease the chance of spreading genital herpes. However genital herpes can spread due to skin to skin contact not protected by condoms or dental dams.

DO NOT have sex if you have a genital herpes outbreak or if you feel the symptoms of genital herpes coming on like tingling, itching, burning around your buttocks, legs or hips which typically occur a few hours or a few days before painful blisters appear.

DO NOT have sex until you are done taking the medicine and the rash and blisters has fully healed.

Hair loss is common and causes stress and worry. We can prescribe an effective treatment if you’re a male with ‘male pattern baldness’.

Finasteride is an FDA-approved pill that’s effective at slowing and even reversing ‘male pattern baldness’, the most common type of hair loss in men. Finasteride is available under the brand ‘Propecia’ and also as a more affordable generic. As part of our health questions we’ll ask you whether you have a preference between the branded Propecia or the generic version.

If it’s safe to do so, we’ll send your prescription to your local pharmacy so you can be confident you’re getting genuine medicines from a pharmacy you trust.

Our visit fee is and our service is confidential.

It’s very easy to use our service.

To complete a visit you need to answer our simple health questions and take photographs of your hair loss from different angles. Then you’ll select a local pharmacy where you want us to send your prescription, and finally you’ll enter your credit card information to pay the visit fee.

Our doctors or nurse practitioners will review all your information to make sure it’s safe to give you a prescription and that you’ve got the type of hair loss that we can treat with finasteride. We’ll then write a prescription and send it to the pharmacy.

If you’re in any of you’ll need to have a short video visit with a member of our medical team immediately after you complete our health questions and upload your photos.

We can only prescribe finasteride if we’re confident your hair loss is consistent with ‘male pattern baldness’.

If you are of female birth sex wanting treatment for hair loss, we’re unable to prescribe finasteride to you and you should visit a doctor or nurse practitioner in person instead for a detailed discussion of your treatment options.

'Androgenetic alopecia' is the technical term for male pattern baldness. It's by far the most common form of hair loss in men. It's particularly common in Caucasian men. Male pattern baldness affects 30% of Caucasian men by age 30, 50% by age 50, and 80% by age 70.

Male pattern baldness is caused by changes that result from your genes and hormones.

Yes. We’ll ask you health questions and ask you to take photos of your hair loss from different angles. Our medical teams reviews all your information to determine whether you have hair loss that it’s safe to treat with finasteride.

Given the online nature of our service our doctors or nurse practitioners can't do a ‘hair-pull test'. A hair-pull tests helps make a diagnosis of male pattern baldness but isn't required.

Finasteride is FDA-approved to treat male pattern baldness.

Finasteride isn't guaranteed to work in everyone, but it's generally effective at reversing or stopping hair loss for as long as you take it. In a clinical trial, 2/3 of patients experience a reversal of hair loss when taking finasteride, and finasteride generally stops hair loss in the other 1/3 of patients.

You may need to take finasteride for several months for it to work, and it can take up to 12 months before you get the full effect of the medicine. You should take the medicine every day, because as soon as you stop taking it, you may continue to lose hair or even lose the hair you gained while on treatment.

Finasteride blocks DHT, a derivative of testosterone that shortens the growth phase of hair follicles. Finasteride only works for as long as you take it.

$90 per month is the typical cash cost of branded Propecia if you have to pay for the medicine yourself. The exact cost will vary depending upon your health plan and the pharmacy you select.

Generic finasteride is more affordable. A month’s supply can range from under $10 at Sam’s Club to $70 elsewhere.

Finasteride is generally safe but it can also cause serious side effects, including but not limited to allergic reaction, breast cancer, sexual dysfunction, and high-grade prostate cancer. If we give you a prescription for finasteride, it's particularly important that you read all the information we provide before you start taking the medicine as this helps you make an informed decision about whether you want to accept our treatment plan.

1.5% of patients may experience problems in sexual function including but not limited to erectile dysfunction, decreased libido, ejaculatory disorders and reduced sperm count. Your risk increases the older you are. Most patients find that their problems with sexual function resolve when they stop taking the medicine, but a minority of patients find that their problems with sexual function persist for an average of 40 months after stopping the medicine.

Women of childbearing age shouldn't take finasteride or touch broken tablets, as finasteride can cause birth defects.

Read the package insert that comes with the medicine for a full list of side effects and warnings.

No. We can only give you a prescription if we’re confident that you have ‘male pattern baldness’. Other health conditions can cause hair loss, but finasteride won’t help you.

We can’t treat hair loss if your assigned birth sex is female. If you are of female birth sex wanting treatment for hair loss, please visit a doctor or nurse practitioner in person for a detailed discussion of your treatment options.

No. We can only prescribe finasteride if you’ve got visible signs of hair loss, including thinning or a receding hairline and you’ve experienced hair loss for at least 6 months. That said, your hair loss doesn’t need to be drastic before you start using our service.

Yes. There's an alternative treatment called minoxidil (brand name ‘Rogaine') that's available over the counter without a prescription. Minoxidil is not as effective as finasteride. Minoxidil has a lower risk of serious side effects relative to finasteride because it's a topical medicine that you apply to your scalp. There's no strong evidence to show that a combination of finasteride and minoxidil is any better than finasteride alone.

Many men choose not to take any treatment for hair loss and instead let their hair loss run it's natural course.

You should speak with a hair transplant specialist to determine if you'd be a good candidate for surgical treatment. Patients opting for surgery are often put on hair loss medicines both before and after surgery.

We set up Lemonaid to help Americans get the convenient affordable care they need regardless of insurance.

With our High Blood Pressure / Hypertension service you can get the care and advice you need – including labs - online without having to go to a traditional doctor’s office.

Just like a traditional doctor's office we can order labs, write refills, continue you on your high blood pressure treatments.

We can evaluate and treat men and woman between the ages 25-72 years old.

Only patients with a previous diagnosis of high blood pressure or hypertension are able to use our service. For patients who have never been diagnosed with high blood pressure or hypertension OR wish to start these medicines for the first time, we recommend we see a doctor in person for an examination.

Some health conditions mean we won’t be able to give you a prescription for high blood pressure or hypertension, but we’ll ask you about those when you complete your online visit.

It’s very easy to use our service.

To complete a visit you need to answer our simple health questions. You will need to know your blood pressure and heart rate.

You’ll enter your credit card information to pay the visit fee.

For the first visit, we only prescribe 1 month of medicine.

For any follow-up visits and future refills, you need to do blood work via Quest labs to monitor important electrolytes and kidney function. These are required and expected as part of high blood pressure / hypertension treatment and evaluation. Also, you will need to measure and record your blood pressure and heart rate a total of 12 times. Specifically do two readings in the morning and two readings in the evening OR a total of 4 readings in one day. You need to do this for 3 days. Total of 12 blood pressure readings.

When labs are ordered, go to your nearest Quest Diagnostics to get your lab work. You'll need to bring your photo ID.

Our doctors or nurse practitioners will review all your information to make sure it's safe to give you a prescription. On follow-up visits, refills may be written up to 3 months at a time.

Yes. We can give you a prescription for your existing high blood pressure / hypertension medicine if it's safe to do so. We follow nationally recognized clinical guidelines to determine whether it's appropriate to give you a prescription. We provide at most a 1-month prescription for your first visit with us.

All follow-up visits or refills will require lab work from Quest Diagnostics to monitor important electrolytes and kidney function. These are required and expected as part of high blood pressure / hypertension treatment and evaluation. Also, you will need to measure and record your blood pressure and heart rate a total of 12 times. Specifically do two readings in the morning and two readings in the evening OR a total of 4 readings in one day. You need to do this for 3 days. Total of 12 blood pressure readings.

On follow-up visits, refills may be written up to 3 months at a time.

No. We can only continue high blood pressure / hypertension medicine on patients who have been previously diagnosed with high blood pressure / hypertension. If you are not sure or have never been diagnosed with a high blood pressure / hypertension condition, please see a doctor in person.

We offer only a 1 month supply for the first visit if it's safe to do so.

On follow-up visits, refills may be written up to 3 months at a time. However, this can only occur if we have lab work from Quest Diagnostics on file which is necessary to monitor important electrolytes and kidney function. These are required and expected as part of high blood pressure / hypertension treatment and evaluation. Also, you will need to measure and record your blood pressure and heart rate a total of 12 times. Specifically do two readings in the morning and two readings in the evening OR a total of 4 readings in one day. You need to do this for 3 days. Total of 12 blood pressure readings.

Unfortunately, no. We work exclusively with Quest Labs to bring down costs and to streamline the process to bring you the most affordable and seamless patient experience from the comfort of your phone or personal computer.

The test we order is the Basic Metabolic Panel without Calcium and this includes the important electrolytes and kidney function that is needed to monitor high blood pressure / hypertension. The test includes BUN/Creatinine Ratio (calculated), Carbon Dioxide, Chloride, Creatinine, Estimated Glomerular Filtration Rate (eGFR), Glucose, Potassium, Sodium.

Depending on your specific medical history, other lab tests through Quest Lab may be required or recommended for you for us to provide care to you.

Many pharmacies have a machine where you can measure your blood pressure for free. At many pharmacies, you can ask a pharmacy staff member to measure your blood pressure. Many fire stations will also measure your blood pressure for free as well.

It's important to use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'.

We recommend the Omran brand blood pressure arm cuffs either series 3, 5, or 7. These must be the arm cuffs. You can buy them in most pharmacies or online. Always read the instructions carefully. We DO NOT recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising.

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

For your very first blood pressure visit with us, take 2 readings in both arms and give us the highest number you record.

For any future follow-up visits, you will need more than 1 blood pressure reading as we may adjust medicines based on what you record. See the section - How do I measure my blood pressure for follow-up visits?

Blood pressure machines typically provide both a blood pressure and heart rate. Carefully record them as you will need them to do a visit.

To ensure accurate blood pressure readings for future refills or visits, you must do the following. For your safety, please take this seriously as medicine adjustments may be needed.

You can take your own blood pressure readings using an arm cuff that you own or at a pharmacy. We need you to do this carefully. Take two blood pressure readings each morning and each night spaced at least 1 minute apart over at least 3 days. You need a total of 12 readings.

Carefully write the readings down on paper or in your phone. When you are done please message us with a list of the readings with the date and time you took each reading (e.g. 12/12/16 8 am 117/79, etc). Based on those blood pressure readings, we’ll let you know what steps to take next.

No. To answer our health questions you need to provide us with recent and accurate blood pressure measurements and heart rate.

Absolutely. There are a number of different dietary and lifestyle changes that patients can make to help, such as eating a balanced diet and partaking in a less sedentary lifestyle.

Treatment of high blood pressure is only one part of improving your overall health. There are things that you must do to improve your health including eating healthier foods, stopping smoking if you smoke, reducing alcohol consumption, maintaining a healthy weight, and exercising regularly. If you have health problems such as high cholesterol or diabetes, it's also important to make sure they're under good control.

HYPERTENSION left untreated can lead to premature and preventable heart attack or stroke, kidney failure (requiring dialysis), and other issues.

At a minimum, check your blood pressure once a year. It should be less than 140/90 and ideally under 120/80.

A blood pressure should be less than 140/90 for most patients when using a blood pressure reading from a doctor's office or hospital.

Research suggests that when using home blood pressure readings, a blood pressure should be less than 135/85.

Ideally it should be less than 120/80, but check with your doctor or nurse practitioner.

Patients aged 40 or older should have a fasting blood sugar test to screen for diabetes. Patients who are overweight or obese may choose to have fasting blood sugar test at a younger age.

Patients with high blood pressure should have a fasting cholesterol test periodically and may not need testing if on a statin medicine regularly to lower cholesterol.

The Lemonaid medical team can prescribe hormone replacement therapy (HRT) that can help improve your symptoms of hot flashes and vaginal dryness. We prescribe and ship personalized medicines that aren’t available in your local pharmacy.

After the first 3 months we can generally adjust your treatment based on how you feel.

Our service is private, convenient and affordable and based around a video consultation or phone call with one of our doctors or nurse practitioners. Our partner pharmacy ships your medicines direct to your door in discreet packaging.

We prescribe HRT that includes topical estrogen, oral progesterone, and vaginal estrogen depending on your symptoms and medical history. We ship your HRT medicines direct to your door every 3 months.

You can use our service if you're of female birth sex between the ages of 45 and 59 and you’re menopausal.

Menopause is when you haven’t had a period for 12 months or more. The average age women have menopause is age 51. About 95% of women become menopausal between the ages of 45 and 55 years.

The hormonal changes that occur during menopause can trigger a variety of symptoms. Some of the most prevalent and disruptive symptoms are hot flashes ('vasomotor symptoms'). 75-80% of menopausal women get hot flashes.

Hot flashes are caused by decreased amounts of the hormone estrogen in your body during menopause. The reduction in estrogen makes it difficult to maintain your body temperature.

Decreased estrogen also causes changes in the vagina such as thinning of vaginal tissue, loss of elasticity, and narrowing of the vaginal canal. These changes can cause what’s called ‘vulvovaginal atrophy’ which is associated with vaginal dryness, burning, or pain with sex.

You need to be menopausal for us to treat you. But certain medical conditions mean it’s not safe for us to help you online and you should see a doctor or nurse practitioner in person.

For instance, if you have a history of breast cancer, uterine cancer, endometrial cancer, undiagnosed abnormal uterine or vaginal bleeding, or if you’re pregnant/breastfeeding, we recommend that you see a doctor or nurse practitioner in person instead of using our service. If you’re NOT menopausal we can’t treat you either.

We typically prescribe 2 hormones, including a topical estrogen (Estradiol/Estriol) cream and an oral progesterone pill. The estrogen cream we prescribe is compounded so that we can personalize and adjust your dosage based on your response to hormone therapy.

The Lemonaid medical team doesn’t prescribe oral estrogen.

We prescribe a vaginal estrogen (Estradiol) cream with vitamin E to help vaginal dryness, vaginal burning, and pain with sex. The cream our partner pharmacy ships is compounded.

Compounded medicines are medicines that are customized for particular patients and conditions and made by a licensed pharmacist. Although each compounded medicine isn’t approved by the FDA, the FDA recognizes that compounded medicines serve a critical role in patient care and medical practice and leaves each state to regulate compounding.

If you have any questions about compounded medicines please reach out to our medical team. You can ask us any questions during your consultation or by sending us a secure message through your Lemonaid account.

Yes, but like any medicine the treatment isn’t guaranteed to work. You can discuss the differences between each medicine with one of our doctors or nurse practitioners.

For hot flashes, it can take 2-3 months to see the full benefit.

For vaginal symptoms, it can take 1-2 month to see benefit with vaginal estrogen creams.

Based on how you say you feel after your first course of treatment, we can generally adjust your medicines at your 3 month consultation based on how you feel.

It’s simple to use our service. Most people complete the process in 15 mins.

1. Complete our simple HRT health questionnaire
2. Create an account (make sure you do this to save your answers)
3. Make payment with a credit or debit card (we won’t charge your card until after your consultation)
4. Short video consultation or phone call with a Lemonaid doctor or nurse practitioner.
5. Receive your medicine in the mail every 3 months with our free fast delivery.

We’ll send you a secure message a month after your consultation to make sure the medicine is working. If you want to speak to us sooner, you can message us anytime.

Yes. It's safe to use our service for menopausal hot flashes and vaginal symptoms as long as you answer our health questions fully and accurately. A member of our medical team will decide if it's appropriate to give you a prescription based on our strict medical guidelines.

Please read the information we provide about the risks and benefits of treatment and only take the medicine according to the instructions. If you have any side effects with the medicine, let us know. It’s important that you make an informed decision about whether to use Lemonaid and take the medicines we prescribe.

Yes, doctors or nurse practitioners diagnose menopausal hot flashes and vaginal symptoms primarily based on your history and symptoms. Our medical team will ask you the same questions they’d ask if they saw you in person.

If for any reason our doctor or nurse practitioner thinks it’s not safe to treat you, we won’t charge you anything for the consultation and we’ll ask you to see a doctor or nurse practitioner in person.

We pride ourselves on great medical care and amazing customer service. Read our online reviews for what patients say about us.

We think it’s important for our menopausal patients to be able to speak to one of our medical team to ask any questions, and important for our medical team to speak with our patients over video or phone to help rule out any other underlying and potentially serious conditions.

If your medicine doesn’t work you should let us know so that we can help. We’ll check that you’re taking the medicine properly and we may be able to adjust the dosage or the medicine.

You always have the option of not doing anything about your menopausal hot flashes and vaginal symptoms, or trying to improve your symptoms using over-the-counter options that don’t involve taking any prescription medicines.

For hot flashes, you could try behavioral changes like lowering room temperature, using fans, wearing lighter or looser clothing, and avoiding things that trigger your symptoms (stress, alcohol, spicy foods, etc).

For vaginal symptoms alternative options may include vaginal moisturizers and lubricants.

We set up Lemonaid to help Americans get the convenient affordable care they need regardless of insurance.

With our hypothyroidism service you can get the care and advice you need – including labs - online without having to go to a traditional doctor’s office.

Just like a traditional doctor's office we can order labs, write refills, continue you on your levothyroxine treatments.

We can evaluate and treat men and woman between the ages 18-75 years old.

Some health conditions mean we won’t be able to give you a prescription for hypothyroidism, but we’ll ask you about those when you complete your online visit.

We only provide treatment for patients who take levothyoxine for hypothyroidism.

It’s very easy to use our service.

To complete a visit you need to answer our simple health questions. You’ll enter your credit card information to pay the $25 visit fee and additional Quest lab fee if you haven't had labs done through Lemonaid previously.

Go to your nearest Quest Diagnostics to get your lab work. You'll need to bring your photo ID.

Our doctors or nurse practitioners will review all your information to make sure it’s safe to give you a prescription.

Yes. We can give you a prescription for your existing levothyroxine medicine if it's safe to do so. We follow nationally-recognized clinical guidelines to determine whether it's appropriate to give you a prescription. We provide a 1-month prescription if you have not had labs with us over the past 12 months and up to 3-month supply if you do have labs with us over the past 12 months.

We only provide treatment for patients who take levothyoxine for hypothyroidism.

No. We can only continue levothyoxine medicine on patients who have been previously diagnosed with hypothyroidism. If you are not sure or have never been diagnosed with a thyroid condition, please see a doctor or nurse practitioner in person.

Currently, we offer a 3-month supply for those who have had blood work done by us over the past 12 months. If you have not had blood work in the past 12 months, we can offer a one time 1-month supply and order lab work as well.

If you want a refill after 3 months, you'll need to come back and complete another visit.

Unfortunately, no. We work exclusively with Quest Labs to bring bring down costs and to streamline the process to bring you the most affordable and seamless patient experience from the comfort of your phone or personal computer.

We know that problem falling asleep or staying asleep is common and can bestressful and can affect about 30 to 50% of Americans at some point in their lives.This service offers evaluation and treatment of insomnia with non-controlled andnon-habit forming prescription medicine when clinically appropriate. Insomniadiffers from sleep deprivation in that patients usually have chances and situationsfor sleep which does not occur in the latter.

We recommend all patients first try changing habits like cognitive behavioraltherapy for insomnia (CBT-i), stimulus control, sleep hygiene, and sleep restrictionbefore adding prescription medicine to help with sleep. We also recommendpatients ensure other medical conditions are well controlled, including depressionand/or anxiety, which can also cause problems with sleep.

Our service is private, convenient and affordable and based around a videoconsultation with one of our doctors. The Lemonaid Pharmacy can ship yourmedicines direct to your door in discreet packaging.

Insomnia is the problem falling asleep or staying asleep when you have an opportunity to sleep AND it impacts your ability to function during awake hours.

The first line recommended treatment is behaviour change which includes cognitive behavioural therapy for insomnia (CBT-i), stimulus control, sleep hygiene, and sleep restriction. There are times prescription medicines are needed to help add to these skills. This service will be prescribing non-controlled non-habit forming substances when clinically appropriate.

Insomnia can be defined as either acute (less than 3 months) or chronic (3months or longer) and can be due to a specific event (acute insomnia) or as aresult of other medical conditions or no clear cause (chronic insomnia).

You can use our service if you’re between the ages of 18 and 63. If you have a history of suicidal thoughts or actions, bipolar, mania, psychosis, schizophrenia, alcohol or other drug use, HIV, seizures, glaucoma or family history of glaucoma, pregnant, or breastfeeding, we recommend that you see a doctor in person instead of using our service.

If you require a work note for your employer, or need to be evaluated for a disability of work compensation, then you should see a doctor in person and not use our service.

We can prescribe one of two non-controlled and non-habit forming medicines, either hydroxyzine (Vistaril) or trazodone.

We do NOT prescribe controlled substances which include benzodiazepines or other sleeping medicines (Zolpidem (Ambien), Lorazepam (Ativan), zaleplon (Sonata), eszopiclone (Lunesta) or other similar medicines). For these medicines, see a doctor in person.

At this time if you are needing evaluation for the medicines suvorexant (Belsomra), ramelteon (Rozerem), or doxepin (Silenor), we also recommend you see a doctor in person.

The medicines we prescribe are helpful and work best when used with changing habits like cognitive behavioral therapy for insomnia (CBT-i), stimulus control, sleep hygiene, and sleep restriction before adding prescription medicine to help with sleep.

It's very easy to use our insomnia service. It should take you no more than 15 minutes to complete. The steps are:

Create an account (make sure you do this to save your answers).

Pay consultation fee with your credit/debit card (we'll place a hold on your card straightaway, but we won't charge your card until after your consultation).

Video consultation with a Lemonaid doctor or nurse practitioner.

Receive your medicine in the mail with our free fast delivery.

We’ll follow up with your after your consultation to make sure you’re doing ok. You can also message us anytime, or call the Lemonaid Pharmacy and ask to speak to one of the pharmacists.

Yes. It's safe to use our insomnia service as long as you answer our health questions fully and accurately and are open and candid with our medical team during the video visit. A member of Lemonaid’s medical team will decide if it's appropriate to give you a prescription based on our strict medical guidelines.

The medicines we prescribe come with risks, and it’s important you make an informed decision about the trade-offs of starting treatment. Please read the information we provide about the risks and benefits of treatment and only take the medicine according to the instructions. If you have any side effects with the medicine, let us know.

Yes, our medical team can diagnose insomnia by asking you the same questions that they’d ask if they saw you in person. On video we can also help you understand the treatment options and answer any questions you have. Because our medical team works to such strict medical guidelines, we maintain the same or higher standards than if we saw you in person. The doctor or nurse practitioner will let you know if they think you need to see a clinician in person rather than use Lemonaid.

We recommend all patients first try changing habits like cognitive behavioral therapy for insomnia (CBT-i), stimulus control, sleep hygiene, and sleep restriction before adding prescription medicine to help with sleep. We also recommend patients ensure other medical conditions are well controlled, including depression and/or anxiety, which can also cause problems with sleep.

You always have the option of not doing anything about your insomnia or trying to improve your insomnia through the techniques listed above that don’t involve taking any prescription medicines.

Do not stop your prescription medicine without consulting your doctor.

Yes we can, so long as you’re aged 18-49 and you’ve been diagnosed with migraines in person (not online).

Our Lemonaid medical team can prescribe three categories of migraine treatment: medicines to prevent migraines, medicines to treat migraines when you have an attack (acute treatment), and medicines to treat nausea related to your migraines. Our pharmacy can ship your medicines direct to your door every 3 months in discreet packaging.

A migraine is a very common type of severe headache. Women are more likely to get migraines than men. If you get migraines you might experience nausea and an extreme sensitivity to light and sound. Migraines can impact your ability to do everyday tasks.

We don’t know the exact underlying cause of migraines. In most instances migraines are inherited so your family genes might be a factor. You might also have specific triggers that increase the likelihood of an attack. Triggers can be physical, emotional or environmental.

You can use our service if you're between the ages of 18 and 49, and have already been diagnosed with migraines by a doctor or nurse practitioner in person.

Certain medical conditions mean it’s not safe for us to help you online and you should see a doctor or nurse practitioner in person. If you have a history of hemiplegic migraines (causing muscle weakness), uncontrolled high blood pressure, low blood pressure, seizures, kidney disease, liver disease, abnormal heart rhythm, heart disease, stroke, other cardiovascular disease, or are pregnant, we recommend that you see a doctor or nurse practitioner in person instead of using our service.

If you’re currently experiencing the worst headache or migraine of your life, this can be a life-threatening emergency. Please contact 911 immediately or go to your nearest emergency room or hospital.

Acute treatment to relieve the pain of a migraine: sumatriptan or rizatriptan for acute treatment of migraines. [Sumatriptan and rizatriptan are both FDA approved for the acute treatment of migraines - IVE, I think we don’t have to say that here]

Preventative treatment to avoid future attacks - topiramate, amitriptyline, propranolol, and metoprolol. Topiramate and propranolol are FDA-approved to prevent migraines. Amitriptyline and metoprolol are not FDA-approved to prevent migraines, so the way we prescribe them is ‘off-label’.

Nausea medicines - metoclopramide and ondansetron. Metoclopramide and ondansetron are not FDA-approved for the treatment of nausea related to migraines and we prescribe them ‘off-label’.

Our consultation fee is $25. The cost of each medicine is typically $60 for a 3 month supply.

The quantity of medicine you’ll receive with each 3 month supply varies depending upon what category of migraine treatment you’re taking. Preventative treatment is a 90 day supply. Acute treatment is enough for 9-18 treatments. Nausea treatment come with enough tablets/capsules for 30 treatments.

Yes, but like any medicine the treatment isn’t guaranteed to work. Extensive research studies show that all the medicines we prescribe are effective. You can discuss the differences between each medicine with one of our doctors or nurse practitioners.

The definition of success for preventative treatment is not as clear. It can take at least two months for the medicine to make a difference, and success tends to result in any of the following:

• 50% reduction in the frequency of your migraines
• Material reduction in how long your migraines last
• Improved effectiveness when you take acute medication

Acute treatment - sumatriptan or rizatriptan can take 24 hours to see the full benefit.

Preventative treatment - you’ll need to take the medicines for at least two months to see the full benefits. We can adjust the dosage based on how you say you feel.

Nausea treatment - ondanstron and metoclopramide can take at least 30 minutes before you notice the benefits.

It’s very easy to use our Migraine service. Most people complete the process in 15 mins.

1. Complete our simple health questionnaire
2. Create an account (make sure you do this to save your answers)
3. Make payment with a credit or debit card (we won’t charge your card until after your consultation)
4. Short video consultation with a Lemonaid doctor or nurse practitioner.
5. Receive your medicine in the mail every 3 months with our free fast delivery.

We’ll send you a secure message a month after your consultation to make sure the medicine is working. If you want to speak to us sooner, you can message us anytime.

Yes. It's safe to use our migraine service as long as you answer our health questions fully and accurately. A member of our medical team will decide if it's appropriate to give you a prescription based on our strict medical guidelines.

Please read the information we provide about the risks and benefits of treatment and only take the medicine according to the instructions. If you have any side effects with the medicine, let us know. It’s important that you make an informed decision about whether to use Lemonaid and take the medicines we prescribe.

If you are currently experiencing the worst headache or migraine of your life, this can be a life-threatening emergency. Please contact 911 immediately or go to your nearest emergency room or hospital.

Yes, doctors or nurse practitioners diagnose migraines primarily based on your history and symptoms. Our medical team will ask you the same questions they’d ask if they saw you in person.

However because of our commitment to safety and strict medical guidelines, we ask that you see a doctor in person for a full evaluation of your headaches if you’ve never been diagnosed with migraines before.

If for any reason our doctor or nurse practitioner thinks it’s not safe to treat you, we want charge you anything for the consultation and we’ll ask you to see a doctor in person.

We pride ourselves on great medical care and amazing customer service. We have a fantastic patient support team, medical team and in-house pharmacy team who will all take as much time with you as you need.

We think it’s important for our migraine patients to be able to speak to one of our medical team to ask any questions, and important for our medical team to speak with and see our patients over video to help rule out any other underlying and potentially serious conditions.

If your medicine doesn’t work you should let us know so that we can help. We may be able to adjust the dosage or the medicine.

You always have the option of not doing anything about your migraines or trying to improve your migraines through techniques that don’t involve taking any prescription medicines. This can include behavioral or lifestyle changes to avoid triggers for your migraines. You can also see a doctor in person who may offer different treatment options.

Depending upon the medicines we recommend, we may ask a follow-up question about your blood pressure or heart rate. It’s not safe to take some migraine medicines if your blood pressure or heart rate are below or above a certain level. If we ask you for these readings, it’s really important that you provide us with accurate readings.

Many pharmacies have machines where you can measure your blood pressure and heart rate for free.

Use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'. You can buy them in most pharmacies or online. Always read the instructions carefully. We don't recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

Take 2 readings in both arms and give us the highest number you record.

At the wrist, lightly press the index and middle fingers of one hand on the opposite wrist, just below the base of the thumb. Count the number of beats in 15 seconds, and multiply by four. This is your heart rate.

Do not measure your heart rate within 24 hours after exercise or a stressful event, as this can affect your heart rate.

Also do not take the reading after you have been sitting or standing for a long period of time.

After a video consultation with our medical team you can take medicines that can improve your PE. Our service is private, convenient and affordable. Depending upon what you prefer, you can get your medicine delivered to your door or you can pick it up at a local pharmacy.

Premature ejaculation is defined as ejaculation that occurs too early, before you’re ready. It can happen before or during intercourse. For many men and couples, it causes distress and embarrassment.

We don’t know exactly what causes PE. It’s often a combination of psychological and physical factors. Some men start to have symptoms during a particularly stressful time in their lives and other men have always experienced PE.

You can use our service if you're male and between the ages of 30 and 72. If you have a history of suicidal thoughts or actions, or other mood disorders, we recommend that you see a doctor or nurse practitioner in person instead of using our service.

We may prescribe sildenafil or sertraline if you use our PE service. You can ask any questions about the medicines during your video consultation with one of our medical team. Sildenafil and setraline are approved by the FDA, but not for treating PE. In that sense any medicines we prescribe to treat your PE are ‘off label’.

sildenafil
Many men who suffer from PE also have erectile dysfunction (ED). If you have both PE and ED, we’ll treat your ED first, because sometimes the ED treatment can improve your PE. The most common ED treatment we prescribe is generic sildenafil. Sildenafil is the active ingredient in Viagra.

We prescribe 3 different dosages of sildenafil: 20mg, 60mg, and 100mg

sertraline
If you have PE but not ED, we prescribe sertraline. You can take sertraline daily or as needed before sex. It’s most effective when you take it every day, but the risk of side effects or adverse events increases if you take it every day. You can discuss the risks and benefits during your video consultation.

We prescribe 2 different dosages of sertraline: 50mg or higher, if appropriate.

The cost will vary depending on what you and your clinician decide will be the most effective treatment. Sertraline costs $1 per day for a 90 day supply when taken on an ongoing basis. Sildenafil costs $2/pill for a 30 day supply.

Yes, but like any medicine the treatment isn’t guaranteed to work. Both medicines have been proven effective through extensive research studies. You’ll discuss which one is right for you with a member of our medical team.

It’s very easy to use our PE service. Most people complete the process in 15 mins.

1. Complete our simple health questionnaire
2. Create an account (make sure you do this to save your answers)
3. Place order with a credit card (we won’t charge your card until after your consultation)
4. Video consultation with a Lemonaid doctor or nurse practitioner. In IL, NY, PA and WA there you won’t have a video consultation and instead one of our team will review your information.
5. Receive your medicine in the mail with our free fast delivery.

We’ll send you a secure message a month after your consultation to make sure the medicine is working.

As a precaution, our medical team will need to have a video consultation after you finish your 90 day supply to make sure you’re doing ok. Make sure you either go to the website to initiate a consultation before you run out of medicine. You’ll answer the questionnaire again just like the first time.

Yes. It's safe to use our PE service as long as you answer our health questions fully and accurately. Please read the information we provide about the risks and benefits of treatment and only take the medicine according to the instructions.

A member of Lemonaid’s medical team will decide if it's appropriate to give you a prescription based on our strict medical guidelines.

Yes, our medical team can diagnose PE by asking you the same questions that they’d ask if they saw you in person. Because our medical team works to such strict medical guidelines, we maintain the same or higher standards than if we saw you in person. The doctor or nurse practitioner will let you know if they think you need to see a clinician in person rather than use Lemonaid.

We need to know your blood pressure because it's not safe for us to give you a prescription for some of the PE medicines if your blood pressure is below or above a certain level. Please make sure that your blood pressure reading is recent and accurate.

If you don’t have a recent reading, most Walmart, Sam’s Club, Rite Aid and Safeway have machines that you can use for free.

Medicines with nitrates or nitroglycerin can lower blood pressure when combined with some of the medicines we prescribe. This can be very dangerous to your health, possibly fatal.

We pride ourselves on great clinical and customer service. We have a fantastic support team and medical team who will all take as much time with you as you need. Unlike other telehealth companies, in most states we provide live video consultations with our medical team. This ensures that you get the best quality care and can ask any questions you have.

If the medicine doesn’t work after at least 5 tries, send us a message. Often times, a simple adjustment in dosage solves the problem.

If you decide to take Setraline on a daily basis, wait 2-3 weeks before deciding whether or not it works.

You always have the option of not doing anything about your PE or trying to improve your PE through techniques that don’t involve taking any prescription medicines.

Use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'. You can buy them in most pharmacies or online. Always read the instructions carefully. We don't recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising.

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

Take 2 readings in both arms and give us the highest number you record.

Our medical team can give you a prescription for a 3-month supply of prescription-only medicines that can help you stop smoking. Our medical team can write prescriptions for either Chantix or Zyban.

The medicines can double the chance that you stop smoking relative to not taking any medicines. The medicines we prescribe are more effective than over-the-counter alternatives.

It’s really simple. Choose between the two medicines we offer, then answer our health questions. If you don’t have insurance that covers your medicines, it’s important to know that Zyban costs 1/10th of Chantix.

After you’ve answered our health questions we’ll ask you to select a pharmacy in your area. We’ll send the prescription to the pharmacy you select.

If you’re in a state that requires our doctors or nurse practitioners to conduct a live video visit, you’ll have a short live video visit immediately after you select a pharmacy.

Once you’ve submitted all your information our doctors or nurse practitioners will review all your information and decide whether it’s appropriate to prescribe the medicine you’ve requested. If we give you a prescription, we’ll send it to the pharmacy you selected electronically.

You pay the pharmacy for your medicines when you go to pick them up.

$25 straight. Even if you have insurance, that could be less than the cost of your co-pay.

You need to be 18 or over and in one of the states where we operate.

Certain health conditions make it inappropriate for us to give you a stop smoking medicine, but we’ll ask you about your medical when you do a visit.

Chantix and Zyban work by blocking some of the places nicotine cravings happen in your brain.

Chantix is slightly more effective but it’s 10 times more expensive than Zyban if you have to pay for it yourself.

All other things being equal, if cost is a big driver, then Zyban is probably a better choice.

Chantix and Zyban are generally safe, but come with a higher risk of significant side effects than over-the-counter stop smoking medicines.

Chantix and Zyban can rarely cause serious side effects including increased risk of suicidal thought and behavior, severe allergic reaction, disability, and death. Each specific medicine will have a unique set of side effects.

The risk of continuing to smoke probably outweighs the risk of taking Chantix or Zyban.

There sure are, but they’re not as effective as the medicines we prescribe.

Some people stop smoking without any medicines. Other people use over-the-counter nicotine patches, gum or lozenges.

You start taking Chantix or Zyban a week before the date when you want to stop smoking.

Nicotine cravings will be worst in the first week after you stop, and by then the medicine should be helping. Cravings typically last from 2-4 weeks.

Yes. We recommend free programs that provide support as you try to stop smoking.

https://smokefree.gov/smokefree-text-messaging-programs

https://smokefree.gov/tools-tips/speak-expert

A sinus infection is an inflammation of the sinus cavities (spaces or air pockets) of the face. These sinus cavities are typically filled with air, but when inflamed can fill with mucus and produce facial pain and pressure. Common causes of sinus infection include infections from viruses, bacteria, and rarely fungus. Most sinus infections are caused by viruses.

Sinus infections that are caused by a virus will get better by themselves. It's not appropriate for us to prescribe antibiotics if we think a virus is the cause of your sinus infection, because antibiotics are only effective against bacteria.

The symptoms of a sinus infection can be similar to symptoms caused by allergies. In general, sinus infections can cause muscle aches, joint pains and fever, whereas allergies don't cause these symptoms. Allergies can cause runny nose, clear nasal discharge, itchy eyes or nose, and sometimes clear eye discharge. It's not appropriate for us to prescribe antibiotics if we think allergies are the cause of your symptoms.

We know having a sinus infection is a miserable experience. Using the latest most up to date medical guidelines and evidence and with your help, based on your medical history and symptoms, we can determine whether your acute sinus symptoms (colored nasal mucus / snot) may or may not benefit from antibiotics. Though the vast majority of acute sinus infection are due to viruses and don’t need any antibiotics, there are situations where antibiotics can be helpful.

Yes. Sinus infection is a diagnosis based on a patient's symptoms. For patients who are otherwise healthy and have no medical problems, there's no testing or imaging needed. We use the latest most up to date medical guidelines and evidence to determine whether you have a sinus infection that can be treated with antibiotics.

Great question. Both allergies and a sinus infection can look similar. In general, because sinus infection is often due to an infection, either a virus or bacteria, other symptoms like muscle aches, joint pains, and fever occur. Allergies don’t typically have these symptoms. Allergy symptoms usually are runny nose, clear nasal discharge, itchy eyes or nose, and/or clear eye discharge.

The majority of acute sinus infection cases are due to viral infections or colds. We can help you determine if your sinus infection might be a bacterial infection that could be helped with antibiotics. However, if you’ve had mild symptoms for less than a week, it may be too early to tell the difference between a bacterial or viral cause, and we recommend a wait and see approach. You may elect to use over-the-counter (OTC) remedies during this time, provided that you always read the leaflet that comes with the medicine for a full list of side effects and warnings.

For uncomplicated sinus infection, which is viral, you don’t need any treatment because the infection will get better by itself. In the case of bacterial sinus infection, antibiotics can be helpful. You should be feeling better within 3 days. Even if you’re feeling better, finish all of your antibiotic medicine.

The risks of taking antibiotic treatment include side effects or allergic reaction to the antibiotic. This is true anytime you get treatment with an antibiotic. In addition, sometimes the antibiotic we select won’t work as well as we expected which may mean additional treatment with another antibiotic or the need to see a doctor or nurse practitioner in person.

Finally, it’s possible that with an antibiotic, you may see no improvement because your symptoms are due to a virus rather than bacteria, so you may have taken an antibiotic unnecessarily. Also it’s very unlikely that your symptoms are due to a sinonasal cancer which can occur in 1 in 100,000 patients, which obviously antibiotics cannot treat. Certainly there are other causes as well, so if you’re not seeing improvement in 3 days, seek medical care.

If you have a bacterial infection, left untreated, it's possible it can spread to other parts of the head. Rare complications of bacterial sinus infection can include infection to the eye or brain, causing blindness, meningitis, and rarely death. Complications from acute bacterial sinus infections can occur in 1 in 1000 cases and often involves the eye.

You can try over-the-counter medicines to help with symptom relief. These include the following:

• Acetaminophen and/or non-steroidal anti-inflammatory (ibuprofen or Naprosyn) can be helpful for temporary relief of pain and fever.
• Saline rinse / irrigation – there is some evidence that rinsing the sinuses with saline rinse irrigation can help loosen up the mucous and provide temporary relief.
• Over the counter nasal steroid sprays - can be helpful if you have a history of seasonal allergies (hay fever)
• Antihistamines are not recommended as they can dry up the nasal lining causing more pain and discomfort. Antihistamines may be helpful if you have seasonal allergies / hay fever.
• Decongestants either tablets / pills (pseudoephedrine – behind the counter) or nasal spray (oxymetazoline) have been found helpful for relief of nasal congestion or stuffiness. However, there is no research that show that they help with sinus congestion. Side effects of these tablets / pills include heart palpitations, high blood pressure, and anxiety, so if you have a history of high blood pressure, heart disease, or anxiety, check with your doctor or pharmacist if these are appropriate for you. If you choose to use the nasal decongestant spray, DON’T use it for more than 3 consecutive days as this will cause your nasal congestion to be worse.

This service provides antibiotic treatment for patients who have uncomplicated acute sinus infections from bacteria. If you find you’re getting infections more than often than you would like, we would recommend that you seek in person medical care to ensure that you don’t have any medical problems or nasal issues that make you more at risk for repeated sinus infections.

Our service is designed around the latest most up to date medical guidelines on the treatment of acute uncomplicated bacterial sinus infection. If it’s appropriate to prescribe you the same antibiotic based on our protocol, we will do so. If not, we can suggest an alternative treatment that we believe will be just as effective.

When taking antibiotics, expect to see improvement over the next 3 to 5 days. If you see no improvement after 3 to 5 days or see worsening symptoms despite antibiotic treatment after 2 to 3 days, there are other antibiotics that can be tried. If this happens, come back to us or see a healthcare professional in person.

Yes, if your sinus infection is caused by viruses or bacteria you’re potentially contagious. Stay home to prevent spreading to others. Cover your mouth or nose when coughing or sneezing. Wear a face mask.

Encourage those in close contact to you to wash their hands regularly and to keep their hands away from their eyes, nose, and mouth. Viruses and bacteria enter the body through these sites.

Quit smoking if you smoke. To decrease your chance of catching a cold, wash your hands regularly. Keep your hands away from your eyes, nose, and mouth.

Yes. Through Lemonaid you can get tested for chlamydia (kla-MIH-dee-ah) and gonorrhea (gon-o-RHEE-ah). They’re the two most common sexually transmitted diseases (STDs) caused by bacteria.

Chlamydia and gonorrhea are infections you can get in your vagina, penis, anus or throat. The urine test we use looks for chlamydia and gonorrhea in your penis or vagina.

About three million Americans get chlamydia every year. Gonorrhea is also common but not as common as chlamydia.

Getting tested is the only way to know if you have chlamydia and/or gonorrhea. Most people don’t have symptoms and won’t know they have them.

If you have chlamydia or gonorrhea and don’t get treated they can increase the chances of you getting other STDs, including HIV. You can also pass them on to your sex partners. If you’re a female they can cause infertility because they can damage your fallopian tubes.

is the cost to get checked for chlamydia and gonorrhea through Lemonaid. The cost breaks down into a Lemonaid visit fee and that we pay to the lab.

In all states other than New York you pay us for the labs. In New York, state law requires that you have to pay the lab directly, so if you order a test in New York we’ll refund the lab fees you pay to us.

We’ve negotiated great cash prices for our lab tests in order to keep costs down for all our patients, especially those without insurance. The prices we’ve negotiated mean that patients with insurance still have to pay cash for their labs.

You have to go to Quest Diagnostics to have an STD test through Lemonaid. They have thousands of testing centers around the US. You can find our nearest testing center here.

Most of our patients will get their STD test results within three business days. We’ll send you a private and secure message through your Lemonaid account when your test results are ready.

We use Quest Diagnostics just like everyone else does, so it’s unlikely that you’ll get your test results faster elsewhere.

Precisely how long your results take depends upon which testing center you go to, what time of day you go to the lab, what day of the week etc..

Chlamydia and gonorrhea are easy to treat with antibiotics. To treat chlamydia you need to take a course of oral antibiotics (pills). To treat gonorrhea you need to have an antibiotic injection/shot..

We can give you a prescription for chlamydia treatment after an online assessment if the test we order finds chlamydia. We can only give you a prescription if you ordered your test through Lemonaid.

We’re not able to give you a prescription to treat gonorrhea. You’ll need to see a doctor or nurse practitioner in person get an antibiotic injection/shot. Your local Planned Parenthood clinic can also provide the antibiotic injection.

The treatment we prescribe for chlamydia is effective so long as you take the medicine as instructed and finish the course. You’ll also need to make sure any sex partners from the last two months get treated. It’s easy for sex partners to give chlamydia and gonorrhea back to you if they don’t get treated themselves.

Chlamydia is super common. Three million Americans get chlamydia every year. Gonorrhea is also common but not as common as chlamydia.

Most people who have chlamydia or gonorrhea won’t have symptoms.

If you have symptoms, they may include: pain or burning when you urinate (pee); fluid from the vagina, penis or anus that smells bad or looks strange; bleeding from the vagina during or after sex; pain or tingling in the penis; pain in the lower belly or back, especially when having sex (in women); pain and/or swelling in the testicles (in men); or fever.

If you have symptoms we recommend you go see a medical professional in person if you can. That way you can have a physical exam and discuss the most appropriate tests.

Yes, we use Quest Diagnostics to run all of our STD tests. They’re the largest lab in the US. The urine test we order is exactly the same test that all doctors or nurse practitioners order.

The test should find chlamydia and gonorrhea in your penis or vagina unless you got them in the last two weeks. If you got them in the last two weeks the test may not find them even though you have them.

The test does not look for chlamydia or gonorrhea in your throat or anus.

Yes, treatment is effective. To treat chlamydia you need to take antibiotic pills. To treat gonorrhea you need an antibiotic injection/shot..

We prescribe low cost antibiotics that cost under $20 with free coupons that you get find online.

Yes, Lemonaid is private and confidential just like all healthcare services.

Because we comply with state regulations like all healthcare providers, we generally have to notify your county health department if your test finds chlamydia or gonorrhea.

Depending upon when you last got checked and the specifics of who you have sex with, you should think about getting checked for other STDs, including HIV.

Depending upon your personal situation you should also consider getting checked for chlamydia and gonorrhea in your throat and anus. The urine test we offer does not check for chlamydia and gonorrhea in your throat or anus.

Most UTIs are bladder infections. Women tend to get more bladder infections than men.

A bladder infection isn't serious if you treat it straight away. But a bladder infection becomes serious if it spreads to your kidneys. A kidney infection can cause permanent damage and is serious.

In women, the symptoms that are typical of a UTI can sometimes be confused with symptoms caused by other vaginal infections.

Yes. There's lots of research to show that we can make the right diagnosis in the vast majority of cases even without running a test on your urine. What's important is that we ask you the right questions and you answer our questions accurately.

Specifically, we'll ask you health questions to confirm that you have 3 common symptoms of a UTI. We'll then ask you other questions to make sure you don't have a different cause of these symptoms.

If we think something other than a simple UTI is the cause of your symptoms, we'll tell you that we can't give you a prescription and we'll refund your visit fee.

Even though we know we can make the right diagnosis in the vast majority of cases, it’s important that you understand the risks of using our service when we can’t run a test on your urine. If we could run tests on your urine then our diagnosis would be even more accurate.

If we diagnose you with a UTI and you don’t actually have a UTI, then we’ll be giving you an antibiotic that you don’t need. Taking antibiotics you don’t need can cause harm from the possible side effects of the medicine and increases the chances that you’ll build resistance to that antibiotic. If something other than a UTI is the cause of your symptoms then by diagnosing you with and treating you for a UTI we haven’t resolved or identified the underlying problem.

If you actually have a UTI and we incorrectly decide that you don’t have a UTI, the risk is that we’ll delay your care. Whenever we tell someone that we can’t help, we’ll always give you clear instructions to go see a medical professional in person.

We'll prescribe one of 3 antibiotics to treat you if we're confident that you have a simple UTI. The 3 antibiotics we use are: nitrofurantoin (Macrobid), trimethoprim-sulfamethoxazole (Bactrim), and cephalexin (Keflex).

The exact medicine we'll give you depends on everything we learn about you. We even vary the medicine we prescribe based on exactly where you live. That's because our doctors or nurse practitioners use data on antibiotic resistance in your local area to decide the very best treatment.

We don't allow our patients to request a specific medicine because we always follow nationally-recognized guidelines and local antibiotic resistance reports to select the antibiotic that's best for you.

The course of treatment lasts from 3-7 days, depending upon the medicine we give you.

It's important that you complete the entire course of antibiotics we prescribe you. Not taking the full course of treatment is not recommended because it makes it easier for your UTI to return and you may become resistant to the antibiotic we give you.

What you’ll pay at the pharmacy depends upon whether you have insurance and your specific health plan. But in general, the cash cost for the medicines we prescribe is $4-60 for a full course.

If you miss a dose, you should take the medicine you missed as soon as possible. But if it’s already close to the time to take your next dose, wait until the time of your next dose and take a single dose, then stick to your regular dosing schedule.

If you still have symptoms 3 days after taking the medicine we give you or if you develop new symptoms such as fever, chills, nausea, vomiting, pain in your back or sides, or bloody urine, you should seek medical attention in person.

We can’t treat women under 18, women who are post-menopausal and men. If this applies to you, please see a doctor or nurse practitioner for an in-person examination and a face-to-face discussion.

If you’re under 18 you’re more likely to have a complicated UTI. We can only treat simple UTIs.

If you’re post-menopausal, changes associated with aging can cause symptoms that are easily confused with a UTI. This makes it difficult for us to make an accurate diagnosis.

We can’t treat men. Men are more likely to have a complicated UTI. We can only treat uncomplicated UTIs.

Other health conditions and symptoms also make it essential that you see a doctor or nurse practitioner face-to-face rather than use our online service. We tell you about these as part of our health questions so that you get the right level of care as quickly as possible.

You will first complete a detailed intake process which allows us to gather information about your health history, health concerns, medications, and more. After completing the intake process, a Lemonaid Health affiliated healthcare provider will review and conduct a consultation to determine if a weight loss treatment is appropriate for you. If suitable, your provider will discuss medication options and recommend a personalized treatment plan.

Typically, treatment begins with a lower dose to minimize side effects, gradually increasing over time until achieving a maintenance dosage. If a Lemonaid Health affiliated healthcare provider determines that weight loss treatment is appropriate for you, the provider will establish the appropriate dosing schedule for you.

The membership costs per month for ongoing treatment support. Your monthly membership begins when your prescription is sent to the dispensing pharmacy, which occurs after your eligibility consultation and if treatment is deemed appropriate.

Please note that all medications, including GLP-1s are billed separately and are not included in the membership cost. Medication cost depends on the prescribed medication.

The cost depends on the prescribed medication. Compounded Semaglutide costs $299/month, Ozempic® costs $1199/month, and Wegovy® costs $1599/month.

Our weight loss offering is cash-pay only, so you'll need to pay out of pocket. Lemonaid Health cannot accept insurance for membership fees, medication costs, or medical fees.

A Lemonaid Health affiliated healthcare provider will review your health history, weight loss goals, and various other data points to see if you qualify for treatment. Some exclusion criteria includes:

• Patients under 18 or over 75
• Certain medical conditions may make it unsafe to take GLP-1 medication including but not limited to:
  • A personal and/or family history of medullary thyroid carcinoma and/or personal diagnosis of multiple endocrine neoplasia type 2 (MEN2)
  • Type 1 Diabetes
  • Past or current pancreatic cancer
  • Past or current pancreatitis
  • Past or current bowel obstruction, gastroparesis or ileus
  • Current cancer treatment
  • Current suicidal thoughts or ideations
• Some other medical conditions may make it unsafe to treat you online and our medical team will recommend you see a health care provider in person.

The compounded semaglutide medication offered through Lemonaid Health contains the same active ingredients as Ozempic® and Wegovy®. Lemonaid Health does not offer compounded semaglutide with a “salt base.”

For most patients, one lab order per year is included in the cost of the membership. This lab test can be fulfilled at a Quest location and is part of your weight loss membership. It evaluates various metabolism biomarkers to understand how your body is functioning. Lab testing is not included or available for customers in NJ, NY, or RI.

GLP-1 medications, such as semaglutide, may cause side effects including nausea, vomiting, diarrhea, constipation, and abdominal pain. Less common side effects include headache, fatigue, and dizziness. In rare cases, they can cause more serious side effects such as pancreatitis, kidney problems, bowel obstruction, or allergic reactions.

Always discuss potential side effects with a healthcare provider.

Important safety information

During the intake process, you will schedule a consultation call with a Lemonaid Health affiliated healthcare provider to discuss the appropriateness of weight loss medication.

During prescription renewal visits, you will have the opportunity to discuss your treatment with your provider. Additionally, you can message your provider with any clinical questions related to your treatment plan.

If you need to get in touch about non-urgent side effects, you can use the secure messaging on the Lemonaid Health platform or by calling 888-536-2267 during our business hours. For emergencies, call 911.

Weight loss injections, such as those containing GLP-1 agonists like semaglutide, work by mimicking the hormone GLP-1, which helps regulate appetite and blood sugar levels. These injections slow gastric emptying and increase feelings of fullness, potentially leading to weight loss.

The rate and amount of weight loss varies depending on the individual's starting weight, adherence to the program, and specific medications used. On average, patients on GLP-1 medication can lose 15% of their body weight in a year. ^*It is important to remember that results and timelines can vary.

New England Journal Of Medicine

^*In a 68-week placebo-controlled study of 1,961 obese and overweight non-diabetic adults with weight-related conditions, those on semaglutide lost on average 14.9% of their weight as opposed to 2% of the placebo group. Both groups followed a reduced-calorie diet, increased physical activity, and monthly nutritional counseling. Starting semaglutide (Wegovy®) dosage was 0.25mg per week, increasing to 2.4mg. The trial was overseen and sponsored by Novo Nordisk.

Persons who stop taking GLP-1 medication may gain back any weight they lost. While these medications assist with weight loss, the cornerstone of treatment is comprehensive lifestyle interventions. These include diet, exercise and behavioral modification to develop healthy habits that promote losing weight. Being consistent and patient is crucial; small changes can make a large impact over time. Regular self monitoring of food intake, exercise, and weight may also help you achieve and maintain your goals.

We believe in you and your capability to make these changes. We can offer guidance, direction, and advice, and we're here to support you along the way. We encourage you to consider a comprehensive lifestyle intervention program such as the Diabetes Prevention Program. Such programs may include behavioral self-management training, individual case managers, group and/or individual sessions, individualized adherence strategies, and a network of training, feedback, and clinical support. You can search for programs in your area by entering your zip code.

Compounding is the process of creating a customized medication to meet the specific needs of a patient. Compounded medications can also be made when FDA-approved drugs are in shortage.

Lemonaid Health works with state-licensed compounding pharmacies to offer compounded semaglutide. This medication uses the same active ingredient as Ozempic® and Wegovy®.

Lemonaid Health offers access to compounded semaglutide, made in State Board of Pharmacy licensed sterile compounding pharmacies in the United States that are FDA-inspected 503(b) outsourcing facilities. Both the FDA and state boards of pharmacy share responsibility in regulating aspects of compounding. Licensed compounding pharmacies must comply with both federal and state laws, including administrative requirements and quality standards.

Lemonaid Health offers access to compounded semaglutide, made in State Board of Pharmacy licensed sterile compounding pharmacies that are FDA-inspected 503(b) outsourcing facilities. Our compounded semaglutide offering is the base form of semaglutide (same active ingredient as Ozempic® and Wegovy®) - not the sodium or acetate (“salt”) versions.

While facilities making compounded medications are strictly regulated for certain quality practices, the compounded medications themselves are not approved or evaluated by the FDA for safety, effectiveness, or quality.

The dosing for compounded semaglutide varies based on individual patient needs and medical guidance. Typically, treatment begins with a lower dose to minimize side effects, with gradual increases over time. If you receive a prescription for compounded semaglutide, a healthcare provider will determine the appropriate dosing schedule for you.

Compounded semaglutide is administered via subcutaneous injection. Your healthcare provider will instruct you on how to properly inject the medication. It is important to follow the dosing schedule and instructions provided to achieve the best results and minimize side effects. Injection should only occur 1 time per week. Dosage schedules at different frequencies are against safety recommendations.

Unfortunately, Lemonaid Health Weight Loss is not yet available in all 50 states; however, we're working to expand our offering as soon as possible.

If you have a FSA or HSA, your membership fees and medications may be eligible for reimbursement. Many HSA/FSA cards can be used at checkout.

^*Check with your FSA/HSA administrator or a tax professional for confirmation on the specific requirements for individual eligibility and reimbursement, including usage, procedures and qualifications.

To cancel your membership, just sign in to your Lemonaid Health account and message us, or call us at 888-536-2267.

Warning: It may not be advised to stop medication abruptly. Please send us a message and a member of the Medical Team can provide more information.

Not sure what to write when you want to cancel? Here's a message you can send us - we'll take it from there.

• I would like to cancel my weight loss membership. Please confirm that you have received this message and that my services have been canceled.

We do not have long-term contracts or fees associated with cancellation. However, you must cancel before the next billing period to avoid further charges. Link to refund policy.

Lemonaid can help you understand your risk of diabetes and prediabetes without you having to go to a doctor or nurse practitioner in person. If you already know you have diabetes or prediabetes we can help you understand how well you’re controlling your condition.

Our doctors or nurse practitioners order A1C blood sugar tests from Quest Diagnostics - the largest lab in the US.

Unlike other online testing services our doctors or nurse practitioners actually help you understand and interpret your result in the context of your health history.

If you’ve got symptoms of diabetes, a family history of diabetes, you’re 40 and over or you’re overweight or obese, or you have one of the other ‘risk factors’ you should consider testing your blood sugar levels to see if you have diabetes or prediabetes. 7 million Americans have diabetes but don’t know it.

If you have diabetes or prediabetes your might want to see how well your blood sugar is controlled.

If you don’t fall into one of the groups above and you don’t show any symptoms of diabetes, you’re welcome to take our A1C test but we want you to know that there isn’t sufficient data to show if the benefits of you taking the test outweigh the potential harm. Potential harms can include ‘false-positive’ results (a result that says a condition exists when, in fact, it doesn’t and this can result in you doing more tests), unnecessary testing with no change in your health, and overtreatment (treating an abnormal blood sugar level that may return to normal on its own and would have never caused health problems on its own).

You may want to be checked for diabetes if you have one or more of the following risk factors.

• You’re 40 years or older
• a family history of diabetes in a first degree relative
• a body mass index of 30 or more (obesity)
• ethnic background of African American, Hispanic, Native American, Asian American, and Pacific Islanders
• diabetes during pregnancy (gestational diabetes)
• polycystic ovarian syndrome
• high blood pressure
• history of vascular disease
• high cholesterol (especially if triglycerides >250)
• prediabetes or high fasting blood sugar

The A1C test is a blood test that looks for your ‘HgbA1c’ or ‘hemoglobin A1c’. HgbA1c is a measure of your average blood sugar over the past 3 months and is measured as a percentage. Another name for the A1C test is the HbA1c test.

The A1C test shows your average blood sugar levels over the last 3 months. By comparison, most home tests tell you your blood sugar level at a single point in time.

The results of your A1C test can tell you if your blood sugar is in the diabetes or prediabetes range.

Our service costs . This includes our visit fee and the lab fees of that we pass on to Quest Diagnostics. We don’t make any money on the lab fees.

Answer our health questions. We’ll ask about risk factors, family members with diabetes etc. Your answers will help our doctors or nurse practitioners interpret your A1C result.

Pay our visit and lab fees.

On the Quest Diagnostics website find your nearest Quest Diagnostics location that offers online appointments. You don’t need to make an appointment, but if a location offers online appointments then we know they’re connected to our online lab ordering system. You need to go to a Quest location so that they can draw your blood.

You don’t need to stop eating (fast) before doing the test.

When we get your A1C test results we’ll send you a confidential message through your Lemonaid account. Our message will help you interpret your A1C results. You can download a PDF document of your A1C test results from the MyQuest website.

Quest Diagnostics is the largest laboratory company in the US and has thousands of locations around the country. It’s important to select a location that allows you to book an appointment online. You don’t need to actually book an appointment, but if the location lets you book online appointments, then we know they’re connected to the online ordering system that we use to order your A1C test.

You should have your test result 3-5 business days after going to Quest Diagnostics. Exactly how long your result takes depends upon when in the week you go to the lab and which lab location you go to.

If the test shows you have higher than normal blood sugar levels then this is a sign you could have diabetes or prediabetes and you need to see a doctor or nurse practitioner in person for a more detailed evaluation.

Our doctors or nurse practitioners wouldn’t diagnose you with diabetes after a single test, and other health conditions can raise your blood sugar levels, not just diabetes and prediabetes.

Yes. We work with Quest Diagnostics, the largest laboratory company in the US, and their test is very accurate. We use the same test and the same laboratory that most doctor’s offices use.

But like all blood tests there’s a small chance of error. This means that if the test says you have a high A1C. there’s a small chance that you don’t. This chance exists whether you get the test through Lemonaid or from another doctor's office because we all use the same test. If the test is wrong it can cause you stress and can lead to more tests and more visits.

Your A1C test result can be falsely high or low if you’re anemic or you have kidney disease.

Diabetes and prediabetes are very common. Approximately 30 million Americans have diabetes. 7 million Americans have diabetes and don’t know it. 1.5 million Americans are diagnosed with diabetes every year.

5% of diabetes have type 1 diabetes. In type 1 diabetes your body doesn’t produce insulin. 95% of diabetes have type 2 diabetes. If you have type 2 diabetes your body doesn’t use insulin properly.

The symptoms below are typical if you have diabetes. However, some people with type 2 diabetes may not notice any symptoms. People with prediabetes may have no symptoms.

• Urinating/peeing often
• Feeling very thirsty
• Feeling very hungry - even though you are eating
• Extremely tired
• Blurry vision
• Cuts/bruises that heal slowly
• Weight loss - even though you’re eating more (type 1)
• Tingling, pain, or numbness in your hands/feet (type 2)

Cut your risk of developing diabetes in half by signing up for the National Diabetes Prevention Program recommended by the Centers for Disease Control (CDC). They have programs available in your state in person and also online.

https://nccd.cdc.gov/DDT_DPRP/Programs.aspx

Lemonaid is a convenient way to find out your blood type.

With Lemonaid you don’t have to take the time to go to a doctor’s office. Instead, our doctors or nurse practitioners order the lab test for you online and you can go straight to your nearest Quest Diagnostics, the largest laboratory company in the US.

Quest Diagnostics will take your blood and run the test. The test results will come back to our doctors or nurse practitioners and we’ll give you your results through your secure Lemonaid account.

The test will tell you if you’re blood group A, B, AB, or O and if you’re Rh negative or positive.

Yes. The blood type test use order is exactly the same test that other doctors or nurse practitioners order.

You pay us a total of . This includes our visit fee and the lab fees of that we pass on to Quest Diagnostics. We don’t make any money on the lab fees.

You don’t need to pay anything extra when you get to the lab.

You can’t use your insurance to pay for the labs we order.

No. You don’t need to fast before you go to Quest Diagnostics.

Create a Lemonaid account then select our blood type testing service. Pay using a debit or credit card.

Within 24 hours during business hours our doctors or nurse practitioners will contact you to say that we’ve ordered your labs.

You need to wait for the message from our doctors or nurse practitioners before you go to Quest Diagnostics. If you go to the lab before our doctors or nurse practitioners place your lab order the lab won’t be able to run your tests.

On the Quest Diagnostics website find your nearest Quest Diagnostics location that offers online appointments.

You don’t need to make an appointment, but if a location offers online appointments then we know they’re connected to our online lab ordering system.

You need to go to a Quest location so that they can draw your blood.

When we get your blood type test results we’ll send you a confidential message through your Lemonaid account. You can download a PDF document of your blood type test results from the MyQuest website.

You should have your test result 3-5 business days after going to Quest Diagnostics. Exactly how long your result takes depends upon when in the week you go to the lab and which lab location you go to.

We have four medical groups (LMND), all of which do business as "Lemonaid Health".

In Kansas, we provide care through LMND Medical Group, A Professional Association registered in Kansas.

In New Jersey, we provide care through LMND Medical Group, A Professional Corporation registered in New Jersey.

In Texas, we provide care through LMND Medical Group, A Professional Association registered in Texas.

In all states other than Kansas, New Jersey, and Texas, we provide care through LMND Medical Group, Inc., A Professional Corporation registered in California.

You can see the names and details of our doctors and nurse practitioners on our website. Feel free to “meet the team” and read more about our medical providers here:

www.lemonaidhealth.com/meet-our-physicians

We always provide the name of the medical professional who looked after you - if you want to check their credentials, you can contact your local state medical board or nursing board.

You can find the contact details for all state medical boards on this website: www.fsmb.org/contact-a-state-medical-board

You can find the contact details for all state nursing boards on this website: www.ncsbn.org/contact-bon.htm

NOTICE TO PATIENTS Medical doctors are licensed and regulated by the Medical Board of California. To check up on a license or to file a complaint go to www.mbc.ca.gov, email: [email protected], or call (800) 633-2322.