Preventive Care and Your Primary Care Provider
AliVera Health provides focused telehealth services, health education, and bridge care for selected minor, non-emergency concerns. Maintain an ongoing relationship with a primary care provider for preventive care, physical examinations, vaccinations, recommended screenings, and chronic-condition management.
Share your AliVera treatment plan, medication list, and laboratory results with your primary care provider. Keep preventive visits even when you feel well. Screening recommendations depend on your age, medical history, family history, and individual risks.
Daily Nutrition and Hydration
These are general guidelines for adults. Pregnancy, breastfeeding, older age, activity level, medications, and medical conditions can change your needs.
To convert pounds to kilograms: divide your weight in pounds by 2.2. Example: 154 pounds ÷ 2.2 = 70 kilograms.
A clinical starting estimate for fluid needs is 30–35 mL of total fluid per kilogram daily. For a 70 kg adult that is approximately 2.1–2.45 liters of total fluid — from beverages and food combined, not plain water on top of everything else. Ask for an individualized goal if you have heart failure, kidney disease, cirrhosis, low sodium, swelling, or a prescribed fluid restriction.
Spread fluids throughout the day. Heat, exercise, fever, vomiting, or diarrhea may change your needs. Avoid drinking large amounts rapidly.
| Nutrient | General adult guidance | Practical approach |
|---|---|---|
| Protein | 0.8 g/kg/day baseline. Older, active adults, or those losing weight may need more. | Fish, poultry, eggs, yogurt, tofu, beans, or lentils at each meal. Kidney disease may require a different goal. |
| Carbohydrates | 45–65% of daily calories (reference range, not a required target). | Choose high-fiber carbohydrates and distribute portions through the day. |
| Fiber | ~14 g per 1,000 calories. | Increase gradually using vegetables, fruit, oats, beans, and whole grains with adequate fluid. |
Note
Protein baseline for a 70 kg adult: 70 × 0.8 = 56 g/day. At 1,800 calories, 45–65% carbohydrate equals approximately 203–293 g/day. At 1,800 calories, the fiber estimate is approximately 25 g/day. These are examples, not a personalized meal prescription.
Heart-Healthy Eating and Better Cholesterol Results
Heart-healthy eating benefits people with and without diabetes.
Replace butter, fatty meats, and coconut or palm oils with appropriate portions of olive oil, nuts, seeds, fish, and other unsaturated-fat sources.
Eat more vegetables, whole fruit, beans, lentils, oats, and whole grains. Include soluble fiber from oats, barley, and beans.
Reduce processed meats, fried foods, sugary drinks, and heavily processed snacks. Choose lower-sodium foods.
Follow your prescribed cholesterol treatment and complete repeat testing when recommended. Food choices can improve cholesterol, but some patients also need medication because of inherited cholesterol levels or cardiovascular risk.
Carbohydrate Awareness, Blood Sugar, and Energy
Carbohydrate awareness is useful even without diabetes. Balanced meals can help avoid large blood-sugar swings and support steadier energy. Persistent fatigue needs medical evaluation — it should not automatically be blamed on carbohydrates.
A practical plate pattern: ½ plate nonstarchy vegetables, ¼ plate lean protein, ¼ plate high-fiber carbohydrate.
Pair carbohydrate foods with protein and fiber. Choose whole fruit more often than juice, limit sweetened drinks, and avoid skipping meals followed by very large portions.
There is no single carbohydrate limit for everyone over 24 hours. Your clinician or dietitian can set a target based on your calorie needs, medications, glucose results, and preferences.
Staying Nourished During GLP-1 or GLP-1/GIP Treatment
These medications may reduce appetite. You still need adequate food and fluids.
Plan small, regular meals rather than waiting until you feel very hungry. Include protein and nutrient-rich foods. Eat slowly and stop when comfortably satisfied.
Sip fluids regularly within your personal fluid goal. Avoid large, fatty meals if they worsen nausea. Track persistent symptoms and discuss them before increasing your dose.
Nausea, vomiting, diarrhea, constipation, abdominal discomfort, and reduced appetite can occur. Inadequate intake may contribute to headache, dizziness, weakness, constipation, dehydration, and loss of muscle.
Important
Contact the clinical team promptly for repeated vomiting, difficulty eating or drinking, worsening constipation, persistent dizziness, or symptoms interfering with daily activities. Low blood sugar is especially concerning if you also use insulin or certain diabetes medications.
Seek emergency care
Seek emergency care for severe or persistent abdominal pain (especially with vomiting), fainting or confusion, very little urine with significant weakness, severe abdominal swelling with vomiting or inability to pass stool or gas, or a severe allergic reaction. Do not wait for a portal reply.
Before you begin
Compounded products may have different concentrations. Verify the prescribed dose and syringe measurement with the pharmacy — never reuse a conversion from another vial. FDA has reported serious dosing errors, including dehydration and hospitalizations.
Understanding Peptide Therapy and Longevity Research
Peptides are small chains of amino acids. Some peptide medications have FDA-approved uses; many products promoted for wellness or longevity do not.
Compounded medications are not FDA-approved. Research findings from cells or animals do not prove that a product safely improves human health or extends life.
For many experimental peptides: human safety and effectiveness data are limited; the best dose, route, and long-term risks may be unknown; product purity, contamination, and immune reactions are concerns; and claims of reversing aging, repairing organs, or extending lifespan are not established.
AliVera's educational materials distinguish approved uses, off-label treatment, and experimental proposals. Recommendations change as reliable evidence develops. FDA has identified potential safety risks or major information gaps for several commonly marketed peptides.
Note
Ask your clinician which category applies to any peptide you are considering: FDA-approved, off-label, or experimental. This distinction affects how to weigh the evidence and what monitoring may be appropriate.
Your Responsibilities During Telehealth
For each visit, please have the following ready and follow these guidelines.
Provide your full name, date of birth, current callback number, and exact physical location including the state. Tell us if you are traveling — your home address does not establish where you are receiving care.
Be physically located in a state where your clinician is authorized to treat you. Join from a private, safe, stationary location. Do not participate while driving or operating equipment.
Keep your medication list, allergy list, and any recent lab results accessible during the visit. Report all medications, supplements, and over-the-counter products — including those not prescribed by AliVera.
Before you begin
AliVera Health is licensed to provide telehealth in 27 states and Washington D.C. If you are traveling outside your home state, confirm your location is covered before your visit.
This guide is for general educational purposes only and does not constitute medical advice. It does not replace the judgment of your clinician, pharmacist, or other qualified healthcare provider. Always follow your prescription label, product instructions, and the individualized guidance of your care team. If you have questions about your specific situation, contact AliVera Health or your primary care provider.