The follow-up quality is what separates the good ones for me too - my provider does a short video call each refill and actually asks about appetite and side effects before sending anything. Down 51 lbs now and I can say the check-ins caught issues I would've brushed off myself. Worth asking upfront how their renewals work before signing up.
[US] Best US telehealth options right now?
The renewal process question is the right filter - I asked mine before signing up and it turned out they do a real video visit each refill, not just a form. Down 39 lbs and honestly the check-ins are where I got the most value, way more than the intake call ever was.
Comparing notes like this helps more than people realize. Supply's been tight in my area too.
On Mounjaro myself and down 48 lbs, and I learned the same lesson the hard way - my first provider in the Houston area did everything by form and I felt like a number. Switched to one that does a live video check-in each refill and it's night and day for catching side effect stuff early. If supply gets tight again like reply 3 mentioned, having an actual person to call has helped me navigate the shortages too.
I promise this isn't a sign anything's gone wrong. The doubt creeps in for all of us at some point.