{"id":5443,"date":"2026-07-18T11:26:45","date_gmt":"2026-07-18T11:26:45","guid":{"rendered":"https:\/\/myvidamed.com\/landing-page\/"},"modified":"2026-07-24T06:49:03","modified_gmt":"2026-07-24T06:49:03","slug":"dm-intake-form","status":"publish","type":"page","link":"https:\/\/myvidamed.com\/en\/dm-intake-form\/","title":{"rendered":"Landing Page Intake Form"},"content":{"rendered":"\r\n\r\n<style>\r\n\r\n    \/* Savings sticker inside each duration card *\/\r\n.treatment-section label.duration-option {\r\n    flex-wrap: wrap;\r\n}\r\n.glp-save-sticker {\r\n    flex: 0 0 100%;\r\n    box-sizing: border-box;\r\n    border: 2px dashed #53c49c;\r\n    background: #f1faf6;\r\n    color: #0a7d5a;\r\n    border-radius: 10px;\r\n    padding: 10px 14px;\r\n    margin-top: 6px;\r\n    text-align: center;\r\n    font-size: 17px;\r\n    font-weight: 600;\r\n    line-height: 1.3;\r\n}\r\n.glp-save-sticker strong {\r\n    font-weight: 800;\r\n}\r\n@media (max-width: 767px) {\r\n    .glp-save-sticker { font-size: 15px; }\r\n}\r\n\r\n    \/* Hide native radios but keep them accessible\/clickable *\/\r\n.format-option input[type=\"radio\"],\r\n.duration-option input[type=\"radio\"] {\r\n  position: absolute;\r\n  opacity: 0;\r\n  width: 0;\r\n  height: 0;\r\n}\r\n\r\n.format-option,\r\n.duration-option {\r\n  cursor: pointer;\r\n}\r\n\r\n\/* Custom radio dot for duration options *\/\r\n.duration-option .radio {\r\n  width: 20px;\r\n  height: 20px;\r\n  border: 2px solid #ccc;\r\n  border-radius: 50%;\r\n  display: inline-block;\r\n  position: relative;\r\n  flex-shrink: 0;\r\n}\r\n\r\n.duration-option.selected .radio {\r\n  border-color: #0a7d5a;\r\n}\r\n\r\n.duration-option.selected .radio::after {\r\n  content: \"\";\r\n  position: absolute;\r\n  top: 50% !important;\r\n  left: 50% !important;\r\n  transform: translate(-50%, -50%);\r\n  width: 10px;\r\n  height: 10px;\r\n  border-radius: 50%;\r\n  background: #0a7d5a;\r\n}\r\n\r\nbody #glp-form .glp-select.error, body #glp-form .glp-select.input-error { border-color:#f02841 !important; }\r\n\r\n\r\n.wrap_question_6 span.required,\r\n.wrap_question_8 span.required,\r\n.wrap_question_11 span.required {\r\n    display: none;\r\n}\r\n\r\n    .wrap_question_7 span.required,\r\n    .wrap_question_9 span.required,\r\n    .wrap_question_5 span.required,\r\n    #glp-form button.prev{\r\n        display:none;\r\n    }\r\n  button[type=\"submit\"]:disabled {\r\n    opacity: 0.6;\r\n    cursor: not-allowed;\r\n    pointer-events: none;\r\n}\r\nbutton[type=\"submit\"].loading {\r\n    opacity: 0.6;\r\n    cursor: not-allowed;\r\n    pointer-events: none;\r\n    position: relative;\r\n}\r\nbutton[type=\"submit\"].loading::after {\r\n    content: \"\";\r\n    display: inline-block;\r\n    width: 14px;\r\n    height: 14px;\r\n    margin-left: 8px;\r\n    border: 2px solid rgba(255,255,255,.4);\r\n    border-top-color: #fff;\r\n    border-radius: 50%;\r\n    animation: btn-spin .8s linear infinite;\r\n    vertical-align: middle;\r\n}\r\n\r\n@keyframes btn-spin {\r\n    to {\r\n        transform: rotate(360deg);\r\n    }\r\n}\r\n  .hidden {\r\n    display:none;\r\n  }\r\n  .bmi-box {\r\n    background: #fff;\r\n    font-size: 26px;\r\n    line-height: 34px;\r\n    text-align: center;\r\n    border: 2px solid #06b97a;\r\n    padding: 20px;\r\n    border-radius: 8px;\r\n    margin-top:20px;\r\n    margin-bottom:20px;\r\n    color:#575757;\r\n}\r\n  @media only screen and (max-width: 767px) {\r\n    .progress-label,#ast-scroll-top {\r\n        display: none !important;\r\n    }\r\n     .bmi-box { font-size:23px; }\r\n     .page-template-blank-tmpl .glp-step .question-title { font-size:25px; text-align:left; }\r\n     .page-template-blank-tmpl .glp-step .hero-desc { font-size:20px; line-height:26px; text-align:left; }\r\n}\r\n    #glp-landing-page .glp-step[data-step=\"1\"].active {\r\n        display: block !important;\r\n    }\r\n    .glp-option {\r\n    display: flex;\r\n    align-items: center;\r\n    gap: 12px;\r\n}\r\n\r\n.gender-icon {\r\n    width: 100px;\r\n    height: 100px;\r\n    object-fit: contain;\r\n}\r\n\r\n#glp-field-gender .glp-options {\r\n    display: flex;\r\n    flex-direction: row;\r\n    gap: 18px;\r\n    justify-content: space-between;\r\n}\r\n\r\n#glp-field-gender .glp-option {\r\n    flex: 1 1 0;\r\n    width: auto !important;\r\n    max-width: calc(50% - 9px);\r\n    display: flex;\r\n    align-items: center;\r\n    flex-direction:column;\r\n}\r\n#glp-field-gender .glp-option::before,\r\n.glp-treatment-card .glp-option::before {\r\n  display:none;\r\n}\r\n.glp-row .col-6{\r\n  width: 100%;\r\n}\r\n.glp-treatment-grid{\r\n    display:grid;\r\n    grid-template-columns:repeat(auto-fit,minmax(320px,1fr));\r\n    gap:30px;\r\n}\r\n\r\n.glp-treatment-card{\r\n    cursor:pointer;\r\n}\r\n\r\n.glp-treatment-card input{\r\n    display:none;\r\n}\r\n\r\n.glp-card-inner{\r\n    padding:35px;\r\n    text-align:center;\r\n    border:2px solid #e8ecf4;\r\n    border-radius:24px;\r\n    background:#fff;\r\n    transition:.3s;\r\n}\r\n\r\n.glp-treatment-card img{\r\n    width:100px;\r\n    margin:0 auto 20px;\r\n    display:block;\r\n}\r\n\r\n.glp-step .text-center { text-align:center !important; }\r\n.medicine-icon { height:300px; }\r\n.medicine-icon img { width:100%; height:100%; }\r\n.treatment-options {\r\n  display: grid;\r\n  grid-template-columns: repeat(2, minmax(0, 1fr));\r\n  gap: 15px;\r\n  margin-top:20px;\r\n}\r\n\r\n.treatment-card {\r\n  background: #ffffff;\r\n  border: 1px solid #e9e9e9;\r\n  border-radius: 7px;\r\n  padding: 10px 8px 9px;\r\n  text-align: center;\r\n  min-width: 0;\r\n  min-height: 96px;\r\n  display: flex;\r\n  flex-direction: column;\r\n  align-items: center;\r\n  margin-bottom:35px;\r\n}\r\n\r\n.glp-card-inner .type{\r\n    font-size:22px;\r\n    font-weight:700;\r\n    margin-bottom:10px;\r\n}\r\n\r\n.glp-card-inner p{\r\n    font-size:14px;\r\n    line-height:1.6;\r\n}\r\n\r\n.glp-card-inner .price{\r\n    margin:25px 0;\r\n    font-size:14px;\r\n}\r\n\r\n.glp-card-inner .price strong{\r\n    font-size:22px;\r\n    color:#000;\r\n}\r\n\r\n.glp-treatment-actions{\r\n    display:flex;\r\n    gap:12px;\r\n    margin-top:20px;\r\n}\r\n\r\n\r\n.glp-card-inner .title {\r\n    font-size: 24px;\r\n    color: #000;\r\n    margin-bottom: 10px;\r\n    display: block;\r\n}\r\n\r\n\/* Question 13 *\/\r\n \r\n#glp-form .glp-step .wrap_question_13 label.glp-option{\r\n    position: relative;\r\n  \r\n    padding: 18px 20px 18px 60px !important;\r\n}\r\n\r\n\/* Common icon *\/\r\n.wrap_question_13 .glp-option::before{\r\n    content: \"\";\r\n    position: absolute;\r\n    left: 20px;\r\n    top: 50%;\r\n    transform: translateY(-50%);\r\n    width: 24px;\r\n    height: 24px;\r\n    background-repeat: no-repeat;\r\n    background-size: contain;\r\n    background-position: center;\r\n}\r\n\r\n\/* Email *\/\r\n.wrap_question_13 .glp-option:nth-child(1)::before{\r\n    background-image: url('https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/email.svg');\r\n}\r\n\r\n\/* Video *\/\r\n.wrap_question_13 .glp-option:nth-child(2)::before{\r\n    background-image: url('https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/video.svg');\r\n}\r\n\r\n\/* Phone *\/\r\n.wrap_question_13 .glp-option:nth-child(3)::before{\r\n    background-image: url('https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/phone.svg');\r\n}\r\n\r\n\/* Hide radio button if needed *\/\r\n.wrap_question_13 .glp-option input[type=\"radio\"]{\r\n    display:none;\r\n}\r\n\r\n.glp-progress{\r\n    display:flex;\r\n    align-items:center;\r\n    width:100%;\r\n    gap:30px;\r\n}\r\n\r\n.progress-item{\r\n    display:flex;\r\n    align-items:center;\r\n    flex:1;\r\n}\r\n\r\n.progress-circle{\r\n    width:36px;\r\n    height:36px;\r\n    border:2px solid #c8c8c8;\r\n    border-radius:50%;\r\n    position:relative;\r\n    background:#fff;\r\n    flex-shrink:0;\r\n}\r\n\r\n.progress-circle:after{\r\n    content:\"\";\r\n    width:10px;\r\n    height:10px;\r\n    border-radius:50%;\r\n    background:transparent;\r\n    position:absolute;\r\n    left:50%;\r\n    top:50%;\r\n    transform:translate(-50%,-50%);\r\n}\r\n\r\n.progress-item.active .progress-circle,\r\n.progress-item.completed .progress-circle{\r\n    border-color:#58a8ff;\r\n}\r\n\r\n.progress-item.active .progress-circle:after{\r\n    background:#58a8ff;\r\n}\r\n\r\n.progress-item.completed .progress-circle{\r\n    background:#58a8ff;\r\n}\r\n\r\n.progress-item.completed .progress-circle:after{\r\n    content:\"\u2713\";\r\n    color:#fff;\r\n    background:none;\r\n    width:auto;\r\n    height:auto;\r\n    font-size:18px;\r\n    font-weight:700;\r\n}\r\n\r\n.progress-label{\r\n    margin:0 18px 0 12px;\r\n    white-space:nowrap;\r\n    font-size:18px;\r\n    color:#999;\r\n}\r\n\r\n.progress-item.active .progress-label,\r\n.progress-item.completed .progress-label{\r\n    color:#53c49c;\r\n}\r\n\r\n.progress-line{\r\n    flex:1;\r\n    height:2px;\r\n    background:#d9d9d9;\r\n}\r\n\r\n.progress-item.completed .progress-line{\r\n    background:#58a8ff;\r\n}\r\n\r\n.glp-image {\r\n    width: 100%;\r\n    text-align: center;\r\n}\r\n\r\n.glp-image img {\r\n    display: block;\r\n    max-width: 100%;\r\n    height: auto;\r\n    margin: 0 auto;\r\n}\r\n.page-template-blank-tmpl #glp-form .glp-select {\r\n    appearance: none !important;\r\n    -webkit-appearance: none !important;\r\n    -moz-appearance: none !important;\r\n    background-image: none !important;\r\n}\r\n.page-template-blank-tmpl #glp-form .glp-select {\r\n    border: 1px solid #dee2e6 !important;\r\n    border-radius: 6px !important;\r\n    padding: 8px 10px !important;\r\n    margin-bottom: 0 !important;\r\n    height: 45px;\r\n    background: #fff !important;\r\n    font-size: 16px !important;\r\n    font-weight: 500 !important;\r\n    background-image: url(\"data:image\/svg+xml,%3csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 16 16'%3e%3cpath fill='none' stroke='%23343a40' stroke-linecap='round' stroke-linejoin='round' stroke-width='2' d='m2 5 6 6 6-6'\/%3e%3c\/svg%3e\") !important;\r\n    background-repeat: no-repeat !important;\r\n    background-size: 16px 12px !important;\r\n    background-position: right 15px center !important; \r\n    padding-right: 45px !important;\r\n}\r\n\r\n.page-template-blank-tmpl #glp-form input[type=\"text\"], .page-template-blank-tmpl .vm-ufield input[type=\"text\"], .page-template-blank-tmpl #glp-form input[type=\"email\"], .page-template-blank-tmpl .vm-ufield input[type=\"email\"], .page-template-blank-tmpl #glp-form input[type=\"tel\"], .page-template-blank-tmpl .vm-ufield input[type=\"tel\"], .page-template-blank-tmpl #glp-form input[type=\"number\"], .page-template-blank-tmpl .vm-ufield input[type=\"number\"], .page-template-blank-tmpl #glp-form input[name=\"name\"], .page-template-blank-tmpl .vm-ufield input[name=\"name\"], .page-template-blank-tmpl #glp-form input[name=\"phone\"], .page-template-blank-tmpl .vm-ufield input[name=\"phone\"], .page-template-blank-tmpl #glp-form input[name=\"zip\"], .page-template-blank-tmpl .vm-ufield input[name=\"zip\"], .page-template-blank-tmpl #glp-form textarea, .page-template-blank-tmpl .vm-ufield textarea, .page-template-blank-tmpl input[type=\"date\"], .page-template-blank-tmpl #glp-form select, .page-template-blank-tmpl .vm-ufield select {\r\n    border: 1px solid #dee2e6 !important;\r\n    border-radius: 6px !important;\r\n    padding: 8px 10px !important;\r\n    margin-bottom: 0 !important;\r\n    height: 45px;\r\n    background: #fff !important;\r\n    font-size: 16px !important;\r\n    font-weight: 500 !important;\r\n}\r\n\r\n.glp-progress { display:flex; align-items:center; width:100%; padding:20px 24px; background:#f5f2ed; box-sizing:border-box; max-width:1230px; margin:auto; background:transparent;margin-bottom:20px;  }\r\n.progress-item{display:flex;align-items:center;flex:1}\r\n.progress-item:last-child{flex:0 0 auto}\r\n.progress-circle{width:22px;height:22px;border:2px solid #c7c7c7;border-radius:50%;background:transparent;box-sizing:border-box;flex-shrink:0;display:inline-flex;align-items:center;justify-content:center}\r\n.progress-label{margin-left:10px;font-size:16px;color:#9b9b9b;white-space:nowrap}\r\n.progress-line{flex:1;height:1px;background:#c7c7c7;margin:0 16px}\r\n.progress-item.active .progress-circle{border-color:#53c49c}\r\n.progress-item.active .progress-circle::after{content:\"\";width:10px;height:10px;border-radius:50%;background:#53c49c}\r\n.progress-item.active .progress-label{color:#53c49c}\r\n.progress-item.completed .progress-circle{border-color:#53c49c;background:#53c49c}\r\n.progress-item.completed .progress-line{background:#53c49c}\r\n.progress-circle{transform:scale(1.6);margin-right:12px;}\r\n.glp-question{\r\n    margin:0;\r\n}\r\n\r\n.glp-step .hero-title{\r\n    display:block;\r\n    font-size:42px !important;\r\n    line-height:1.1 !important;\r\n    color:#1f2430;\r\n    margin-bottom:24px;\r\n    text-align:left;\r\n    \r\n    \r\n}\r\n\r\n.glp-step .hero-title .highlight {\r\n    color:#53c49c;\r\n     \r\n}\r\n\r\n.glp-step .hero-desc{\r\n    display:block;\r\n    font-size:22px;\r\n    line-height:1.6;\r\n    color:#666;\r\n    margin-bottom:20px;\r\n    font-weight:400;\r\n    text-align:left;\r\n}\r\n.page-template-blank-tmpl #glp-form > .glp-field > select { background:#fff !important; }\r\n.page-template-blank-tmpl .glp-step .mb-5 { margin-bottom:20px !important; }\r\n.glp-step .question-title {\r\n    display:block;\r\n    font-size:32px;\r\n    line-height:1.15;\r\n    font-weight:600;\r\n    color:#1f2430;\r\n    text-align:left;\r\n    \r\n}\r\n.custom-list-landing-form { padding-left:15px; }\r\n.custom-list-landing-form li { font-weight:400 !important; font-size:20px;  list-style-type: disc;  }\r\n.glp-progress-wrapper {\r\n    display: flex;\r\n    gap: 12px;\r\n    border-bottom: 1px solid #ccc;\r\n}\r\n\r\n.glp-back-btn {\r\n    width: 40px;\r\n    height: 40px;\r\n    border: none;\r\n    background: transparent;\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    cursor: pointer;\r\n    color: #333;\r\n    font-size: 22px;\r\n    padding: 0;\r\n}\r\n\r\n.glp-back-btn:hover {\r\n    color: #000;\r\n}\r\n.trust-image-wrap {\r\n    text-align: center;\r\n    margin: 20px 0;\r\n}\r\n\r\n.trust-image {\r\n    width: 200px;\r\n    max-width: 100%;\r\n    height: auto;\r\n    display: inline-block;\r\n}\r\n\r\n.not-qualified-icon {\r\n    width: 60px;\r\n    height: 60px;\r\n    background-color: #06b97a; \r\n    color: #ffffff;\r\n    border-radius: 50%;\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    font-size: 28px;\r\n    font-weight: bold;\r\n    line-height: 1;\r\n    margin-bottom: 12px;\r\n}\r\n\r\n.not-qualified-label {\r\n    color: #06b97a;\r\n    font-size: 19px;\r\n    font-weight: 500;\r\n    letter-spacing: 1px;\r\n    text-transform: uppercase;\r\n}\r\n.green-color.bold {\r\n    font-weight:inherit;\r\n}\r\nimg {\r\n    border-radius: 15px;\r\n}\r\n\r\n.green-color { color: #06b97a; }\r\n.page-template-blank-tmpl .glp-step label { font-size:19px !important; }\r\n.legitscript-image-wrap { width:80px; margin:20px auto; }\r\n.legitscript-image-wrap img { width:100%; height:100%;  }\r\n\/* .not-qualified{max-width:850px;margin:60px auto;padding:20px;text-align:center;font-family:Inter,Arial,sans-serif}\r\n.not-qualified-icon{width:90px;height:90px;margin:0 auto 20px;border-radius:50%;background:#53c49c;color:#fff;font-size:46px;font-weight:300;display:flex;align-items:center;justify-content:center;box-shadow:0 12px 35px #53c49c47}\r\n.not-qualified-label{display:block;text-transform:uppercase;letter-spacing:2px;font-size:15px;font-weight:700;color:#53c49c;margin-bottom:18px}\r\n.not-qualified h2{margin:0 auto 30px;max-width:760px;font-family:Georgia,serif;font-size:60px;line-height:1.15;font-weight:500;color:#1f2937}\r\n\r\n.not-qualified .bmi-box strong{color:#222;font-weight:700} *\/\r\n .not-qualified .description { font-size: 24px;\r\n    line-height: 32px; text-align:center; color:#575757; } \r\n.glp-bmi-value { color:#53c49c;font-weight:700;background:#fff;border-radius:100px}\r\n.review-text { margin-top:28px; color:#515050; font-size:20px; text-align:center; }\r\n.glp-step h2 {\r\n    font-size: 32px !important;\r\n}\r\n\r\nh1.mb-4.fw-normal {\r\n    font-size: 32px !important;\r\n    text-align: center;\r\n}\r\n.page-template-blank-tmpl .not-qualified h2 {margin:25px 0 20px;font-size:45px !important; line-height:47px !important;color:#222;font-weight:700}\r\n.page-template-blank-tmpl .not-qualified h2 span { margin-top:8px; color:#53c49c; font-weight:600; }\r\n.page-template-blank-tmpl .qualified-heading {margin: 10px 0 10px;\r\n    font-size: 45px !important;\r\n    line-height: 47px !important; color: #222 !important;\r\n    text-align: left !important;\r\n    margin-bottom: 20px !important;\r\n    font-weight: 600 !important;   }\r\n    .qualified-top .success {\r\n        color: #53c49c;\r\n    }\r\n.qualified-top .glp-bmi-value { background:transparent; color:#001c4c; }\r\n.page-template-blank-tmpl .qualified-top { margin:20px 0 20px; font-size:20px; line-height:1.2; font-weight:700; color:#222;   }\r\n.qualified-heading span { margin-top:10px;color:#53c49c; font-weight:600; }\r\n.glp-navigation{display:flex;justify-content:center;gap:16px}\r\n.page-template-blank-tmpl .glp-cc-form { margin-top:35px; }\r\n\r\n.page-template-blank-tmpl .glp-option:has(input:checked) {\r\n     box-shadow:none;\r\n}\r\n.page-template-blank-tmpl .glp-option::before {\r\n    display:none;\r\n}\r\n.page-template-blank-tmpl #glp-form .glp-step label.glp-option { padding:12px 18px !important; border:1px solid #ccc !important;  }\r\n.page-template-blank-tmpl #glp-form .glp-step label.glp-option:hover { border-color:#ccc !important; transform: translateY(0px);\r\n    box-shadow: none; }\r\n.page-template-blank-tmpl #glp-form .glp-step label.glp-option:has(input:checked) { border:2px solid #06b97a !important; background-color: #fdfaf5 !important;\r\n    font-weight: 500 !important; }\r\n.page-template-blank-tmpl .glp-option input[type=\"radio\"], .page-template-blank-tmpl .glp-option input[type=\"checkbox\"] {  appearance: none;\r\n    -webkit-appearance: none;\r\n    width: 16px !important;\r\n    display: block !important;\r\n    height: 16px;\r\n    border: 2px solid #bdbdbd !important;\r\n    border-radius: 50%;\r\n    background: #fff !important;\r\n    cursor: pointer;\r\n    position: relative;\r\n    margin: 0 !important;\r\n    opacity:1 !important;\r\n    flex-shrink: 0; }\r\n\r\n.page-template-blank-tmpl .glp-option input[type=\"radio\"]:checked,  .page-template-blank-tmpl .glp-option input[type=\"checkbox\"]:checked {\r\n    border: 2px solid #53c49c !important;\r\n    background: #53c49c !important;\r\n}\r\n.page-template-blank-tmpl .glp-question { font-size:35px !important;  text-align:left !important;  }\r\n.page-template-blank-tmpl #glp-form .glp-step #glp-field-gender label.glp-option {\r\n    border:2px solid #ccc !important; padding:25px 15px !important; font-size:24px !important; \r\n}\r\n.page-template-blank-tmpl #glp-field-gender .glp-option  input[type=\"radio\"], .page-template-blank-tmpl #glp-field-gender .glp-option input[type=\"checkbox\"] { display:none !important; }\r\n.page-template-blank-tmpl .glp-options { gap:10px; }\r\n.page-template-blank-tmpl #glp-form .glp-step #glp-field-gender label.glp-option:hover {\r\n    background-color: #f1f1f1 !important; border-color:#ccc !important; box-shadow:none !important; transform: translateY(-0px) !important;\r\n}\r\n.page-template-blank-tmpl #glp-form .glp-step #glp-field-gender label.glp-option:has(input:checked) {\r\n    border-color:#06b97a !important; \r\n}\r\n.hero-desc.subtitile-heading { font-size:17px; color:#1e293b; margin-top:15px;  }\r\n\r\n .page-template-blank-tmpl #glp-form .glp-step .wrap_question_9 label.glp-option,  .page-template-blank-tmpl #glp-form .glp-step .wrap_question_10 label.glp-option, .page-template-blank-tmpl #glp-form .glp-step label.glp-option.single-option, .page-template-blank-tmpl #glp-form .glp-step .wrap_question_6 label.glp-option { border: 0 !important;\r\n    background: transparent !important; padding: 2px 0 !important;\r\n    margin: 0 !important; }\r\n.page-template-blank-tmpl #glp-form .glp-step .wrap_question_9 label.glp-option:has(input:checked),  .page-template-blank-tmpl #glp-form .glp-step .wrap_question_10 label.glp-option:has(input:checked), .page-template-blank-tmpl #glp-form .glp-step label.glp-option.single-option:has(input:checked), .page-template-blank-tmpl #glp-form .glp-step .wrap_question_6 label.glp-option:has(input:checked)  {\r\n        border: 0 !important;\r\n    background: transparent !important;\r\n    }\r\n.page-template-blank-tmpl #glp-form .glp-step .wrap_question_9 label.glp-option input[type=\"checkbox\"],  .page-template-blank-tmpl #glp-form .glp-step .wrap_question_10 label.glp-option input[type=\"checkbox\"], .page-template-blank-tmpl #glp-form .glp-step label.glp-option.single-option input[type=\"checkbox\"],  .page-template-blank-tmpl #glp-form .glp-step .wrap_question_6 label.glp-option input[type=\"checkbox\"] {\r\n    width: 20px !important;\r\n    height: 20px;\r\n    border-radius: 6px;\r\n    background: #fff;\r\n    cursor: pointer;\r\n    margin: 0;\r\n    position: relative;\r\n    flex-shrink: 0;\r\n    transition: all .25s ease;\r\n}\r\n.page-template-blank-tmpl .custom-input .single-option input[type=\"checkbox\"]:checked::after { display:none !important; }\r\n.page-template-blank-tmpl .wrap_question_9 .glp-option input[type=\"checkbox\"]:checked,  .page-template-blank-tmpl .wrap_question_10 .glp-option input[type=\"checkbox\"]:checked, .page-template-blank-tmpl .glp-option.single-option input[type=\"checkbox\"]:checked, .page-template-blank-tmpl .wrap_question_6 .glp-option input[type=\"checkbox\"]:checked {\r\n    background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='http:\/\/www.w3.org\/2000\/svg' viewBox='0 0 16 16'%3E%3Cpath fill='none' stroke='white' stroke-width='2.5' stroke-linecap='round' stroke-linejoin='round' d='M3.5 8.5l3 3 6-7'\/%3E%3C\/svg%3E\") !important;\r\n    background-repeat: no-repeat;\r\n    background-position: center;\r\n    background-size: 12px;\r\n}\r\n.logos-list{\r\n    display:flex;\r\n    justify-content:center;\r\n    align-items:center;\r\n    gap:30px;\r\n    list-style:none;\r\n    padding:0;\r\n    margin:0;\r\n}\r\n\r\n.logos-list li{\r\n    display:flex;\r\n    align-items:center;\r\n    justify-content:center;\r\n    height:70px; \r\n}\r\n\r\n.logos-list li img{\r\n    display:block;\r\n    max-height:45px;     \r\n    width:auto;\r\n    max-width:100%;\r\n    object-fit:contain;  \r\n    opacity:.45;      \r\n    transition:.3s;\r\n    filter:grayscale(100%);\r\n    overflow:inherit;\r\n}\r\n.page-template-blank-tmpl .consent-hide-q.custom-input .glp-question {\r\n    font-weight: 500 !important;\r\n    font-size: 20px !important;\r\n    line-height: 29px !important;\r\n}\r\n.graph-image { width:100%; max-width:546px; margin-left:auto; margin-right:auto; }\r\n\r\n.glp-top {\r\n    display: flex;\r\n    justify-content: space-between;\r\n    align-items: flex-start;\r\n}\r\n.glp-rating {\r\n    text-align: center;\r\n    margin-top: 0;\r\n    width:250px;\r\n}\r\n\r\n.stars {\r\n    color: #ffb900;\r\n    font-size: 35px;\r\n    line-height: 1;\r\n    letter-spacing: 2px;\r\n}\r\n\r\n.customers {\r\n    margin-top: 8px;\r\n    font-size: 23px;\r\n    line-height: 1.2;\r\n    font-weight: 500;\r\n    color:#000;\r\n}\r\n\/* -------------------------\r\n   INFO BOXES\r\n------------------------- *\/\r\n\r\n.glp-info-boxes {\r\n    display: flex;\r\n    justify-content: center;\r\n    align-items: stretch;\r\n    gap: 28px;\r\n    margin-top: 10px;\r\n}\r\n\r\n.glp-info-box {\r\n    min-width: 155px;\r\n    padding: 13px 24px;\r\n    box-sizing: border-box;\r\n    border: 2px solid #000;\r\n    border-radius: 11px;\r\n    display: flex;\r\n    flex-direction: column;\r\n    justify-content: center;\r\n    align-items: center;\r\n}\r\n\r\n.glp-info-box:nth-child(2) {\r\n    min-width: 228px;\r\n}\r\n\r\n.box-title {\r\n    font-size: 20px;\r\n    font-weight: 800;\r\n    letter-spacing: 2px;\r\n    margin-bottom: 7px;\r\n    color:#000;\r\n    font-weight:700;\r\n}\r\n\r\n.box-value {\r\n    font-size:29px;\r\n    line-height: 1;\r\n    font-weight: 500;\r\n    color:#000;\r\n}\r\n.highlight-title {\r\n    color: #001c4c !important;\r\n    font-size: 30px;\r\n    line-height: 60px;\r\n    font-weight: 700;\r\n    text-transform:uppercase;\r\n}\r\n.highlight-title span {\r\n    color: #53c49c;\r\n    font-style: italic;\r\n    text-decoration: underline;\r\n    text-decoration-thickness: 2px;\r\n    text-underline-offset: 5px;\r\n}\r\n.recommendation-top {\r\n    display: flex;\r\n    justify-content: space-between;\r\n    align-items: flex-start;\r\n}\r\n.recommendation-bottle {\r\n    width: 275px;\r\n    margin-left: 15px;\r\n    display: flex;\r\n    justify-content: center;\r\n}\r\n\r\n\r\n.recommendation-bottle img {\r\n    width: 100%;\r\n    height: auto;\r\n    display: block;\r\n}\r\n.recommendation-rating {\r\n    display: flex;\r\n    justify-content: center;\r\n    align-items: center;\r\n    margin: 10px auto 65px;\r\n}\r\n\r\n\r\n.recommendation-rating img {\r\n    width: 275px;\r\n    max-width: 100%;\r\n    height: auto;\r\n    display: block;\r\n}\r\nbody .glp-info-box {\r\n    margin:20px 0;\r\n}\r\n.recommendation-section{\r\n    margin-top:10px;\r\n}\r\n\r\n\/* =========================================\r\n   SUCCESS BOX\r\n========================================= *\/\r\n\r\n.success-box {\r\n    max-width: 875px;\r\n    min-height: 180px;\r\n    margin: 0 auto;\r\n    padding: 25px 35px;\r\n    box-sizing: border-box;\r\n    background: #c6bd8c;\r\n    border-radius: 22px;\r\n    display: flex;\r\n    align-items: center;\r\n    gap: 25px;\r\n    margin-top:50px;\r\n    margin-bottom:20px;\r\n}\r\n\r\n\r\n\/* =========================================\r\n   SMALL BOTTLE\r\n========================================= *\/\r\n\r\n.success-bottle {\r\n    width: 65px;\r\n    flex-shrink: 0;\r\n    display: flex;\r\n    justify-content: center;\r\n    align-items: center;\r\n}\r\n\r\n\r\n.success-bottle img {\r\n    width: 55px;\r\n    height: auto;\r\n    display: block;\r\n}\r\n\r\n\r\n\/* =========================================\r\n   SUCCESS TEXT\r\n========================================= *\/\r\n\r\n.success-text {\r\n    flex: 1;\r\n    font-size: 29px;\r\n    line-height: 1.35;\r\n    font-weight: 400;\r\n    color:#000;\r\n}\r\n\r\n\r\n.success-text strong {\r\n    color: #ffffff;\r\n    font-style: italic;\r\n    font-weight: 800;\r\n}\r\n\r\n\r\n\/* =========================================\r\n   PERCENTAGE\r\n========================================= *\/\r\n\r\n.success-percentage {\r\n    width: 180px;\r\n    flex-shrink: 0;\r\n    display: flex;\r\n    flex-direction: column;\r\n    align-items: center;\r\n    justify-content: center;\r\n}\r\n\r\n\r\n.success-percentage strong {\r\n    color: #ffffff;\r\n    font-size: 55px;\r\n    line-height: 1;\r\n    font-weight: 800;\r\n}\r\n\r\n\r\n.success-percentage span {\r\n    margin-top: 8px;\r\n    color: #ffffff;\r\n    font-size: 21px;\r\n    letter-spacing: 1px;\r\n}\r\n.glp-trustimg img { width:320px; }\r\n\r\n@media(max-width:1024px) {\r\n.glp-navigation button{font-size:22px;height:64px}\r\n.page-template-blank-tmpl .glp-question {  font-size: 32px !important; line-height:37px !important; }\r\n}\r\n@media(max-width:767px) {\r\n     .glp-top {\r\n        display: block;\r\n    }\r\n    .glp-rating {\r\n    margin-top: 10px;\r\n    width: auto;\r\n}\r\n.recommendation-top {\r\n        display: flex;\r\n        flex-direction: column;\r\n    }\r\n    .highlight-title {\r\n        font-size:42px; line-height: 1.1 !important;\r\n    }\r\n    .glp-info-boxes {\r\n        flex-wrap: wrap;\r\n        gap: 12px;\r\n    }\r\n\r\n    .glp-info-box {\r\n        min-width: 0;\r\n        flex: 1 1 calc(50% - 12px);\r\n        padding: 10px;\r\n        margin:10px 0;\r\n    }\r\n\r\n    .glp-info-box:nth-child(2) {\r\n        min-width: 0;\r\n        flex: 1 1 100%;\r\n    }\r\n        .success-box {\r\n        min-height: auto;\r\n\r\n        padding: 22px 18px;\r\n\r\n        border-radius: 18px;\r\n\r\n        display: flex;\r\n\r\n        flex-wrap: wrap;\r\n\r\n        gap: 12px;\r\n    }\r\n\r\n\r\n    \/* SMALL BOTTLE *\/\r\n\r\n    .success-bottle {\r\n        width: 45px;\r\n    }\r\n\r\n\r\n    .success-bottle img {\r\n        width: 42px;\r\n    }\r\n\r\n\r\n    \/* TEXT *\/\r\n\r\n    .success-text {\r\n        flex: 1;\r\n\r\n        font-size: 20px;\r\n\r\n        line-height: 1.35;\r\n    }\r\n\r\n\r\n    \/* PERCENTAGE *\/\r\n\r\n    .success-percentage {\r\n        width: 100%;\r\n\r\n        margin-top: 10px;\r\n\r\n        align-items: center;\r\n    }\r\n\r\n\r\n    .success-percentage strong {\r\n        font-size: 43px;\r\n    }\r\n\r\n\r\n    .success-percentage span {\r\n        font-size: 17px;\r\n\r\n        margin-top: 5px;\r\n    }\r\n\r\n.recommendation-bottle {\r\n        margin-left: auto;\r\n    margin-right: auto;\r\n    margin-bottom: 20px;\r\n        width: 200px;\r\n}\r\n.glp-navigation button { font-size:18px; height:58px; }\r\n.glp-navigation{flex-direction:column}\r\n.glp-navigation button{width:100%}\r\n.page-template-blank-tmpl .glp-question { font-size:26px !important; line-height:30px !important;  } \r\n.page-template-blank-tmpl #glp-form input, .page-template-blank-tmpl #glp-form textarea, .page-template-blank-tmpl #glp-form select { padding:0 !important; }\r\n.logos-list{\r\n        gap:10px;\r\n        flex-wrap:wrap;\r\n    }\r\n\r\n    .logos-list li{\r\n        flex:0 0 calc(33.333% - 14px); \r\n        height:50px;\r\n    }\r\n\r\n    .logos-list li img{\r\n        max-height:28px;\r\n    }\r\n}\r\n@media(max-width:480px){\r\n    #glp-field-gender .glp-options {\r\n        flex-direction:column;\r\n    }\r\n    #glp-field-gender .glp-options .glp-option { max-width: 100% !important; }\r\n    .page-template-blank-tmpl .glp-question { font-size:26px; !important; }\r\n    .treatment-options {\r\n        grid-template-columns: repeat(1, minmax(0, 1fr));\r\n    }\r\n}\r\n.not-qualified-custom{display:flex;flex-direction:column;align-items:center;margin-bottom:25px}\r\n.not-qualified-icon{width:90px;height:90px;border-radius:50%;background:#ef4444;display:flex;align-items:center;justify-content:center;margin-bottom:18px;box-shadow:0 12px 30px #ef444440}\r\n.not-qualified-icon svg{width:36px;height:36px}\r\n.not-qualified-label{display:inline-block;background:#ffe8e8;color:#ef4444;padding:8px 18px;border-radius:50px;font-size:14px;font-weight:700;letter-spacing:.5px;text-transform:uppercase}\r\n\r\n.review-text{font-size:17px;line-height:1.8;color:#666;margin:20px 0}\r\n\r\n.bmi-box strong{color:#53c49c;font-size:24px;font-weight:700}\r\n.glp-navigation{display:flex;justify-content:center;margin-top:35px}\r\n.glp-navigation .prev{background:#53c49c;color:#fff;border:none;border-radius:50px;padding:16px 36px;font-size:16px;font-weight:600;cursor:pointer;transition:.3s ease;box-shadow:0 12px 30px #53c49c59}\r\n.glp-navigation .prev:hover{background:#43b58e;transform:translateY(-2px)}\r\n\r\n.mt-20{ margin-top:20px; }\r\n.section-label {\r\n    font-weight: 500 !important;\r\n    color: #000 !important;\r\n    margin-bottom: 5px !important;\r\n    display: block !important;\r\n    line-height: 35px;\r\n    font-size: 19px;\r\n  }\r\n\r\n  .section {\r\n    margin-bottom: 24px;\r\n  }\r\n\r\n  \/* Medication dropdown *\/\r\n  .med-dropdown {\r\n    position: relative;\r\n  }\r\n\r\n  .med-select {\r\n    background: #ffffff;\r\n    border: 1px solid #e4ddd0;\r\n    border-radius: 12px;\r\n    padding: 14px 16px;\r\n    display: flex;\r\n    justify-content: space-between;\r\n    align-items: center;\r\n    cursor: pointer;\r\n  }\r\n\r\n  .med-dropdown.open .med-select {\r\n    border-color: #53c49c;\r\n    border-radius: 12px 12px 0 0;\r\n  }\r\n\r\n  .med-select .med-name {\r\n    font-weight: 700;\r\n    font-size: 18px;\r\n    margin-bottom: 2px;\r\n    color:#000;\r\n  }\r\n\r\n  .med-select .med-desc {\r\n    font-size: 16px;\r\n    color:#000;\r\n  }\r\n\r\n  .med-select .chevron {\r\n    font-size: 18px;\r\n    margin-left: 12px;\r\n    transition: transform 0.15s ease;\r\n  }\r\n\r\n  .med-dropdown.open .chevron {\r\n    transform: rotate(180deg);\r\n  }\r\n\r\n  .med-options {\r\n    display: none;\r\n    position: absolute;\r\n    top: 100%;\r\n    left: 0;\r\n    right: 0;\r\n    background: #ffffff;\r\n    border: 1px solid #53c49c;\r\n    border-top: none;\r\n    border-radius: 0 0 12px 12px;\r\n    z-index: 10;\r\n    overflow: hidden;\r\n  }\r\n\r\n  .med-dropdown.open .med-options {\r\n    display: block;\r\n  }\r\n\r\n  .med-option {\r\n    padding: 14px 16px;\r\n    cursor: pointer;\r\n    border-top: 1px solid #e4ddd0;\r\n  }\r\n\r\n  .med-option:hover {\r\n    background: #f5f1e9;\r\n  }\r\n\r\n  .med-option.selected {\r\n    background: #e6f5ee;\r\n  }\r\n\r\n  .med-option .med-name {\r\n    font-weight: 700;\r\n    font-size: 16px;\r\n    margin-bottom: 2px;\r\n    color:#000;\r\n  }\r\n\r\n  .med-option .med-desc {\r\n    font-size: 13px;\r\n    color: #666;\r\n  }\r\n\r\n  \/* Format toggle *\/\r\n  .format-toggle {\r\n    display: flex;\r\n    gap: 12px;\r\n  }\r\n\r\n  .format-option {\r\n    flex: 1;\r\n    border: 1.5px solid #e4ddd0;\r\n    border-radius: 12px;\r\n    padding: 10px;\r\n    text-align: center;\r\n    font-weight: 700;\r\n    font-size: 18px;\r\n    cursor: pointer;\r\n    background: #ffffff;\r\n    color: #000;\r\n    transition: border-color 0.15s ease, color 0.15s ease;\r\n  }\r\n\r\n  .format-option.selected {\r\n    border-color: #53c49c;\r\n    color: #53c49c;\r\n  }\r\n\r\n  .format-note {\r\n    font-size: 16px;\r\n    color: #666;\r\n    margin-top: 10px;\r\n  }\r\n\r\n  \/* Price lock banner *\/\r\n  .price-banner {\r\n    background: transparent;\r\n    color: #53c49c;\r\n    border: 2px dashed #53c49c;\r\n    text-align: center;\r\n    border-radius: 10px;\r\n    padding: 12px 16px;\r\n    font-size: 18px;\r\n    margin-bottom: 35px;\r\n  }\r\n\r\n  .price-banner strong {\r\n    font-weight: 800;\r\n  }\r\n\r\n  \/* Duration options *\/\r\n  .duration-option {\r\n    position: relative;\r\n    border: 1.5px solid #e4ddd0;\r\n    border-radius: 12px;\r\n    padding: 28px 16px;\r\n    display: flex;\r\n    align-items: flex-start;\r\n    justify-content: space-between;\r\n    gap: 12px;\r\n    cursor: pointer;\r\n    background: #ffffff;\r\n    margin-bottom: 15px;\r\n  }\r\n\r\n  .duration-option.selected {\r\n    border-color: #53c49c;\r\n    border-width: 2px;\r\n  }\r\n\r\n  .best-value-badge {\r\n    position: absolute;\r\n    top: -18px;\r\n    left: 16px;\r\n    background: #53c49c;\r\n    color: #ffffff;\r\n    font-size: 11px;\r\n    font-weight: 700;\r\n    padding: 4px 10px;\r\n    border-radius: 999px;\r\n    line-height:22px;\r\n  }\r\n\r\n  .duration-left {\r\n    display: flex;\r\n    align-items: flex-start;\r\n    gap: 12px;\r\n  }\r\n\r\n  .radio {\r\n    width: 20px;\r\n    height: 20px;\r\n    border-radius: 50%;\r\n    border: 2px solid #e4ddd0;\r\n    flex-shrink: 0;\r\n    margin-top: 2px;\r\n    position: relative;\r\n  }\r\n\r\n  .duration-option.selected .radio {\r\n    border-color: #53c49c;\r\n  }\r\n.treatment-section label.duration-option { display:flex !important;  }\r\n  .duration-option.selected .radio::after {\r\n    content: \"\";\r\n    position: absolute;\r\n    inset: 3px;\r\n    background: #53c49c;\r\n    border-radius: 50%;\r\n  }\r\n\r\n  .duration-text .title {\r\n    font-weight: 700;\r\n    font-size: 16px;\r\n    margin-bottom: 10px;\r\n    color:#000;\r\n    line-height:16px;\r\n  }\r\n\r\n  .duration-text .desc {\r\n    font-size: 16px;\r\n    color: #666;\r\n    line-height:16px;\r\n  }\r\n\r\n  .duration-price {\r\n    text-align: right;\r\n    white-space: nowrap;\r\n  }\r\n\r\n  .duration-price .strike {\r\n    text-decoration: line-through;\r\n    color: #666;\r\n    font-size: 14px;\r\n    margin-right: 4px;\r\n  }\r\n\r\n  .duration-price .amount {\r\n    font-weight: 800;\r\n    font-size: 22px;\r\n    color:#000;\r\n  }\r\n\r\n  .duration-price .per {\r\n    font-size: 14px;\r\n    font-weight: 500;\r\n    color: #000;\r\n  }\r\n\r\n  .duration-price .save {\r\n    color: #53c49c;\r\n    font-weight: 700;\r\n    font-size: 15px;\r\n    margin-top: 2px;\r\n    line-height:18px;\r\n  }\r\n\r\n  .duration-price .per-mo {\r\n    font-size: 14px;\r\n    font-weight: 500;\r\n    color: #666;\r\n  }\r\n   .trust-section {\r\n    margin-top: 20px;\r\n    padding-top: 20px;\r\n    border-top: 1px solid #666;\r\n  }\r\n\r\n  .trust-item {\r\n    display: flex;\r\n    align-items: flex-start;\r\n    gap: 8px;\r\n    font-size: 17px;\r\n    line-height: 1.5;\r\n    color: #000;\r\n    margin-bottom: 5px;\r\n  }\r\n\r\n  .trust-item .check {\r\n    color: #53c49c;\r\n    font-weight: 700;\r\n    flex-shrink: 0;\r\n    margin-top: 1px;\r\n  }\r\n\r\n  .trust-note {\r\n    font-size: 16px;\r\n    line-height: 1.5;\r\n    color: #858585;\r\n    margin-top: 12px;\r\n  }\r\n\r\n  .more-details {\r\n    color: #000;\r\n    text-decoration: underline;\r\n  }\r\n\/*.glp-question-block {\r\n    max-width: 500px;\r\n    margin: auto;\r\n}\r\n*\/\r\n\/* Holiday offer *\/\r\n.glp-offer-box {\r\n    border: 2px dashed #53c49c;\r\n    border-radius: 10px;\r\n    padding: 16px;\r\n    text-align: center;\r\n    background: #fff;\r\n    margin: 20px 0;\r\n}\r\n.glp-offer-box .offer-title {\r\n    display: block;\r\n    font-size: 28px;\r\n    line-height: 1.2;\r\n    font-weight: 700;\r\n    color: #1f2430;\r\n}\r\n.glp-offer-box .offer-sub {\r\n    display: block;\r\n    font-size: 20px;\r\n    color: #0a7d5a;\r\n    margin-top: 6px;\r\n}\r\n.glp-offer-box .offer-note {\r\n    display: block;\r\n    font-size: 16px;\r\n    color: #4a4f5a;\r\n    margin-top: 6px;\r\n}\r\n.duration-price .refill-note {\r\n    font-size: 14px;\r\n    color: #555;\r\n}\r\n.glp-offer-applied {\r\n    font-size: 15px;\r\n    font-weight: 700;\r\n    color: #0a7d5a;\r\n    margin-top: 8px;\r\n}\r\n.glp-offer-help {\r\n    font-size: 14px;\r\n    color: #555;\r\n}\r\n.glp-order-summary {\r\n    border: 1px solid #e4ddd0;\r\n    border-radius: 11px;\r\n    padding: 16px 18px;\r\n    margin: 20px 0;\r\n    color: #000;\r\n    font-size: 17px;\r\n}\r\n.glp-order-summary .row {\r\n    display: flex;\r\n    justify-content: space-between;\r\n    gap: 12px;\r\n    margin-top: 8px;\r\n}\r\n.glp-order-summary .row.offer {\r\n    color: #0a7d5a;\r\n    font-weight: 700;\r\n}\r\n.glp-order-summary .row.total {\r\n    border-top: 1px solid #e4ddd0;\r\n    padding-top: 8px;\r\n    font-weight: 700;\r\n    font-size: 19px;\r\n}\r\n@media (max-width: 767px) {\r\n    .glp-offer-box .offer-title { font-size: 22px; }\r\n}\r\n\r\n  .td-title {\r\n    margin: 0 0 24px;\r\n    text-align: center;\r\n    font-size: 35px;\r\n    font-weight: 700;\r\n  }\r\n\r\n  \/* Treatment card *\/\r\n  .td-card {\r\n    display: flex;\r\n    gap: 16px;\r\n    padding: 26px;\r\n    background: #fff;\r\n    border: 3px solid #53c49c;\r\n    border-radius: 28px;\r\n  }\r\n\r\n  .td-card-image {\r\n    flex: 0 0 110px;\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    background: #53c49c;\r\n    border-radius: 14px;\r\n  }\r\n\r\n  .td-card-image img { max-width: 70%; height: auto; }\r\n\r\n  .td-details {\r\n    flex: 1;\r\n    margin: 0;\r\n    padding: 0;\r\n    list-style: none;\r\n  }\r\n\r\n  .td-details li {\r\n    display: flex;\r\n    justify-content: space-between;\r\n    align-items: center;\r\n    padding: 10px 0;\r\n    border-bottom: 1px solid #cfcfcf;\r\n    font-size: 17px;\r\n    color:#222;\r\n  }\r\n  .td-details li:first-child { padding-top: 0; }\r\n  .td-details li:last-child { border-bottom: 0; padding-bottom: 0; }\r\n\r\n  .td-details .td-value { font-weight: 600; text-align: right; }\r\n  .td-details .td-accent { color: #53c49c; font-weight: 700; }\r\n\r\n  .td-old {\r\n    margin-right: 6px;\r\n    color: #8c8c8c;\r\n    font-weight: 600;\r\n    text-decoration: line-through;\r\n  }\r\n\r\n  .td-details .td-total { font-weight: 700; font-size: 16px; }\r\n  .td-details .td-total .td-value { font-size: 18px; font-weight: 700; }\r\n\r\n  .td-note {\r\n    margin: 22px 0 18px;\r\n    text-align: center;\r\n    color: #222;\r\n    font-size: 17px;\r\n  }\r\n  .td-note strong { color: #53c49c; font-weight: 600; }\r\n\r\n  .td-code {\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    gap: 10px;\r\n    width: fit-content;\r\n    margin: 0 auto 20px;\r\n    padding: 16px 26px;\r\n    background: #fff;\r\n    border: 2px dashed #53c49c;\r\n    border-radius: 12px;\r\n    font-weight: 700;\r\n    font-size: 18px;\r\n    letter-spacing: .3px;\r\n    color:#222;\r\n  }\r\n  .td-code svg { width: 20px; height: 20px; fill: #53c49c; }\r\n\r\n  .td-banner {\r\n    display: flex;\r\n    align-items: center;\r\n    justify-content: center;\r\n    gap: 12px;\r\n    flex-wrap: wrap;\r\n    padding: 10px 16px;\r\n    background: #53c49c;\r\n    border-radius: 6px;\r\n    color: #fff;\r\n    font-weight: 500;\r\n    font-size: 17px;\r\n  }\r\n  .td-banner button {\r\n    padding: 7px 14px;\r\n    background: #fff;\r\n    border: 0;\r\n    border-radius: 8px;\r\n    color: #53c49c;\r\n    font: inherit;\r\n    font-size: 14px;\r\n    font-weight: 700;\r\n    cursor: pointer;\r\n  }\r\n  .td-banner button:focus-visible { outline: 3px solid #2a1a12; outline-offset: 2px; }\r\n\r\n  .td-perks {\r\n    margin: 22px 0 28px;\r\n    padding: 0;\r\n    list-style: none;\r\n    text-align: center;\r\n    color: #222;\r\n    font-size: 17px;\r\n    line-height: 1.9;\r\n  }\r\n\r\n  .td-due {\r\n    padding: 14px 16px;\r\n    background: #001C4C;\r\n    border-radius: 8px;\r\n    color: #fff;\r\n    text-align: center;\r\n    margin-bottom:30px;\r\n  }\r\n  .td-due strong { display: block; font-size: 19px; font-weight: 700; }\r\n  .td-due span { font-size: 16px; }\r\n\r\n  @media (max-width: 520px) {\r\n    .td-card { flex-direction: column; padding: 18px; }\r\n    .td-card-image { flex-basis: auto; padding: 24px 0; }\r\n    .td-details li { font-size: 14px; }\r\n    .td-title {\r\n        font-size: 26px;\r\n    }\r\n  }\r\n<\/style>\r\n<div class=\"glp-progress-wrapper\">\r\n    <div class=\"glp-progress\">\r\n        \r\n    <button type=\"button\" class=\"glp-back-btn\" id=\"glp-back-btn\" aria-label=\"Back\">\r\n        <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"28\" height=\"28\" viewBox=\"0 0 28 24\" fill=\"none\">\r\n            <path d=\"M24 12H5\" stroke=\"#1E293B\" stroke-width=\"2\" stroke-linecap=\"round\"\/>\r\n            <path d=\"M10 7L5 12L10 17\" stroke=\"#1E293B\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\r\n        <\/svg>\r\n    <\/button>\r\n\r\n    <div class=\"progress-item active\">\r\n        <span class=\"progress-circle\"><\/span>\r\n        <span class=\"progress-label\">Start<\/span>\r\n        <span class=\"progress-line\"><\/span>\r\n    <\/div>\r\n\r\n    <div class=\"progress-item\">\r\n        <span class=\"progress-circle\"><\/span>\r\n        <span class=\"progress-label\">Details<\/span>\r\n        <span class=\"progress-line\"><\/span>\r\n    <\/div>\r\n\r\n    <div class=\"progress-item\">\r\n        <span class=\"progress-circle\"><\/span>\r\n        <span class=\"progress-label\">Eligibility<\/span>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n<\/div>\r\n<div id=\"glp-form\">\r\n<form id=\"glp-landing-page\" class=\"glp-form glp-cc-form\" method=\"post\" enctype=\"multipart\/form-data\" novalidate\r\n      data-pricing='{&quot;tirzepatide&quot;:{&quot;monthly&quot;:{&quot;injection&quot;:397,&quot;oral&quot;:397},&quot;3month&quot;:{&quot;injection&quot;:987,&quot;oral&quot;:987}},&quot;semaglutide&quot;:{&quot;monthly&quot;:{&quot;injection&quot;:297,&quot;oral&quot;:297},&quot;3month&quot;:{&quot;injection&quot;:687,&quot;oral&quot;:717}}}'\r\n      data-offer=\"100\">\r\n\r\n\r\n    <input type=\"hidden\" name=\"action\" value=\"save_landing_page_glp_form\" \/> \r\n<input type=\"hidden\" name=\"stripe-email-field\" class=\"stripe-email-field input\" \/>\r\n<input type=\"hidden\" name=\"form-type\" value=\"landing-page\"\/>\r\n\r\n<div class=\"glp-step active\" data-skip=\"true\" data-step=\"0\">\r\n\r\n\r\n\r\n\r\n  <div class=\"glp-question-block\">\r\n\r\n        <div class=\"glp-image\">\r\n            <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/step1.jpg\"\r\n                        alt=\"GLP\">\r\n        <\/div>\r\n\r\n        <p class=\"glp-question mb-5\">\r\n\r\n            <span class=\"hero-title\">\r\n                Reach your goal weight                <span class=\"highlight\">\r\n                    without restrictive diets and exercise.                <\/span>\r\n            <\/span>\r\n\r\n            <span class=\"hero-desc\">\r\n                Let's calculate your BMI to make sure you're a good candidate for medical weight loss.            <\/span>\r\n\r\n            <span class=\"question-title\">\r\n                What is your height?            <\/span>\r\n\r\n\r\n\r\n        <\/p>\r\n\r\n    \r\n    <div class=\"glp-row\">\r\n\r\n      <!-- Height FT -->\r\n      <div class=\"glp-field\">\r\n        <label>Feet<\/label>\r\n            <select name=\"height_ft\" class=\"glp-select\" required>\r\n                <option value=\"\">Select feet<\/option>\r\n                                    <option value=\"4\">4<\/option>\r\n                                    <option value=\"5\">5<\/option>\r\n                                    <option value=\"6\">6<\/option>\r\n                            <\/select>\r\n\r\n        <!-- <small class=\"glp-help-text\">Please enter a number greater than or equal to 1<\/small> -->\r\n        <small class=\"glp-error-text\" data-error=\"height_ft\"><\/small>\r\n      <\/div>\r\n\r\n      <!-- Height IN -->\r\n      <div class=\"glp-field\">\r\n        <label>Inches<\/label>\r\n        <select name=\"height_in\" class=\"glp-select\" required>\r\n                    <option value=\"0\">0<\/option>\r\n                    <option value=\"1\">1<\/option>\r\n                    <option value=\"2\">2<\/option>\r\n                    <option value=\"3\">3<\/option>\r\n                    <option value=\"4\">4<\/option>\r\n                    <option value=\"5\">5<\/option>\r\n                    <option value=\"6\">6<\/option>\r\n                    <option value=\"7\">7<\/option>\r\n                    <option value=\"8\">8<\/option>\r\n                    <option value=\"9\">9<\/option>\r\n                    <option value=\"10\">10<\/option>\r\n                    <option value=\"11\">11<\/option>\r\n            <\/select>\r\n        <!-- <small class=\"glp-help-text\">Please enter a number from 0 to 11<\/small> -->\r\n        <small class=\"glp-error-text\" data-error=\"height_in\"><\/small>\r\n      <\/div>\r\n\r\n    <\/div>\r\n\r\n    <!-- Weight -->\r\n    <div class=\"glp-field\">\r\n      <label>Weight (lbs)<\/label>\r\n      <input type=\"number\" name=\"weight\" id=\"weight\" min=\"50\" max=\"700\" required>\r\n      <small class=\"glp-error-text\" data-error=\"weight\"><\/small>\r\n    <\/div>\r\n\r\n    <!-- BMI -->\r\n    <div class=\"glp-field hidden\">\r\n      <label>BMI<\/label>\r\n      <input type=\"hidden\" name=\"bmi\" id=\"bmi\" readonly>\r\n    <\/div>\r\n\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n    <button type=\"button\" class=\"next\">Continue<\/button>\r\n  <\/div>\r\n\r\n  <div class=\"trust-image-wrap\">\r\n    <img decoding=\"async\" class=\"trust-image\"\r\n        src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/trust.png?wuruewyu\"\r\n        alt=\"Trusted\">\r\n  <\/div>\r\n <!-- <div class=\"legitscript-image-wrap\">\r\n    <img decoding=\"async\" class=\"legitscript-image\"\r\n        src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/legit-script.png?wuruewyu\"\r\n        alt=\"Legitscript\">\r\n  <\/div> -->\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n  <div class=\"qualified hidden\">\r\n\r\n    <p class=\"qualified-top\">\r\n        <span class=\"success\">Perfect!<\/span>\r\n        With a BMI of        <strong><span class=\"glp-bmi-value\" id=\"glp-bmi-value\"><\/span><\/strong>,\r\n        we can continue.    <\/p>\r\n<div class=\"glp-image mt-20\">\r\n    <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/bmi.png\"\r\n         alt=\"GLP\">\r\n<\/div>\r\n\r\n\r\n    <h2 class=\"qualified-heading\">\r\n        We're in this together.        <span>Your goal is our goal.<\/span>\r\n    <\/h2>\r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n\r\n\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"not-qualified hidden\">\r\n    <div class=\"not-qualified-custom\">\r\n        <div class=\"not-qualified-icon\">\r\n            <svg width=\"37\" height=\"37\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"white\" stroke-width=\"2\" stroke-linecap=\"round\">\r\n                <line x1=\"6\" y1=\"6\" x2=\"18\" y2=\"18\"\/>\r\n                <line x1=\"18\" y1=\"6\" x2=\"6\" y2=\"18\"\/>\r\n            <\/svg>\r\n        <\/div>\r\n\r\n        <span class=\"not-qualified-label\">\r\n            NOT ELIGIBLE        <\/span>\r\n    <\/div>\r\n    <h2>\r\n        It looks like you may not qualify        <span class=\"green-color\">for treatment.<\/span>\r\n    <\/h2>\r\n\r\n    <p class=\"description\">\r\n        Based on your answers, it appears that you may not be a good fit for GLP-1 treatment at this time.    <\/p>\r\n\r\n    <div class=\"bmi-box\">\r\n        Your BMI is        <strong><span class=\"glp-bmi-value\" id=\"glp-bmi-value\"><\/span><\/strong>.\r\n        To qualify for GLP-1 medications your BMI needs to be 27 or higher.    <\/div>\r\n\r\n    <p class=\"review-text\">\r\n        If you feel this is inaccurate, please review your answers and make any necessary corrections.    <\/p>\r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">\r\n            \u2190 Review My Answers        <\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n        <\/div>\r\n\r\n<div class=\"glp-step\" data-step=\"0\">\r\n\r\n  <div class=\"glp-question-block\">\r\n\r\n\r\n            <p class=\"glp-question mb-5\"> Gender<\/p>\r\n\r\n\r\n    <!-- Gender -->\r\n    <div class=\"glp-field\" id=\"glp-field-gender\">\r\n      <div class=\"glp-options\">\r\n        <label class=\"glp-option\">\r\n          <input type=\"radio\" name=\"gender\" value=\"male\" required>\r\n                      <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/person-standing.svg\"\r\n                 alt=\"Male\"\r\n                 class=\"gender-icon\">\r\n\r\n          Male        <\/label>\r\n        <label class=\"glp-option\">\r\n          <input type=\"radio\" name=\"gender\" value=\"female\">\r\n                      <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/person-standing-dress.svg\"\r\n                 alt=\"Female\"\r\n                 class=\"gender-icon\">\r\n\r\n          Female        <\/label>\r\n      <\/div>\r\n      <small class=\"glp-error-text\" data-error=\"gender\"><\/small>\r\n    <\/div>\r\n\r\n\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n     <button type=\"button\" class=\"prev\">Back<\/button>\r\n    <button type=\"button\" class=\"next\">Continue<\/button>\r\n  <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_5\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        What are your weight loss goals?            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            \n                    <!-- Show Radio Buttons -->\n                   \n                    \n                    <!-- Show Radio Buttons -->\n                \n<div class=\"glp-options\">\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_5\"\n                value=\"Lose 1-20lbs for good\"\n                required            >\n                                    Lose 1-20lbs for good        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_5\"\n                value=\"Lose 21-50lbs for good\"\n                            >\n                                    Lose 21-50lbs for good        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_5\"\n                value=\"Lose over 50lbs for good\"\n                            >\n                                    Lose over 50lbs for good        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_5\"\n                value=\"Maintain my healthy weight\"\n                            >\n                                    Maintain my healthy weight        <\/label>\n    <\/div>\n\n\n                \n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step\">\r\n\r\n<h2 class=\"mb-4 fw-normal qualified-heading\">\r\n    It feels like magic, but it&#039;s    <span class=\"text-highlight green-color\">\r\n        <b>        metabolic science. <\/b>\r\n    <\/span>\r\n<\/h2>\r\n\r\n\r\n  <div class=\"glp-image graph-image\">\r\n                      <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/weight.png\"\r\n                 alt=\"GLP\">\r\n<\/div>\r\n <!-- <h4 class=\"mb-4 subtitle-heading\">\r\n    On average, GLP-1 patients <strong>lost 18% of their body weight<\/strong>.<\/h4> -->\r\n<h4 class=\"mb-4 subtitle-heading\">\r\n    Explore treatment options with medical guidance.<\/h4>\r\n\r\n<!-- <p class=\"hero-desc subtitile-heading\">\r\n    Compounded GLP-1 medications offer <strong>effective active ingredients<\/strong> \u2013 but at a fraction of the price (80% less) and are more consistently available.    <br>\r\n\r\n    Explore your options with medical guidance. A licensed provider will review your information to determine if treatment is right for you.<\/p>  -->\r\n\r\n\r\n<p class=\"hero-desc subtitile-heading\">\r\n    A licensed provider will review your health history and determine whether a compounded medication is appropriate for you. Available options and pricing are shown before you submit your application.<\/p>\r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<p class=\"hero-desc subtitile-heading\" style=\"text-align:center; margin-bottom:0; margin-top:60px;\">We've been featured on<\/p>\r\n<ul class=\"logos-list\">\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/Forbes-1.png\" \/><\/li>\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/Yahoo-1.png\" \/><\/li>\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/TNYT-1.png\" \/><\/li>\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/WSJ-1.png\" \/><\/li>\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/NBC-News-1.png\" \/><\/li>\r\n    <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/FOX-1.png\" \/><\/li>\r\n<\/ul>\r\n<\/div>\r\n\r\n<div class=\"glp-step\">\r\n<h2 class=\"mb-4 fw-normal glp-question\">\r\n    Nothing has worked like this. I am down <span class=\"green-color bold\">52lbs in 3 months.<\/span> I've never experienced anything like it. I have more <span class=\"green-color bold\">energy and confidence<\/span> than I've had in years!<\/h2>\r\n\r\n\r\n  <div class=\"glp-image\">\r\n                  <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/Before_After 3.png\"\r\n                 alt=\"GLP\">\r\n<\/div>\r\n  \r\n<p class=\"hero-desc subtitile-heading\">\r\n    Elena <strong>dropped<\/strong> 52lbs and <i>upped<\/i> her confidence in <span class=\"green-color\">only 3 months!<\/span><\/p>\r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n <!-- Your Treatment Details  -->\r\n\r\n<!-- <div class=\"td-wrap glp-step\">\r\n    <h4 class=\"td-title\">Your Treatment Details<\/h4>\r\n\r\n    <section class=\"td-card\">\r\n      <div class=\"td-card-image\">\r\n         <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/03\/semaglutide-oral.png\" alt=\"Semaglutide vial\"> \r\n      <\/div>\r\n\r\n      <ul class=\"td-details\">\r\n        <li><span>Medication:<\/span> <span class=\"td-value\">Semaglutide Injections<\/span><\/li>\r\n        <li><span>Plan:<\/span> <span class=\"td-value\">6-Month Plan<\/span><\/li>\r\n        <li><span>Savings:<\/span> <span class=\"td-value td-accent\">$900<\/span><\/li>\r\n        <li><span>Shipping:<\/span> <span class=\"td-value td-accent\">FREE<\/span><\/li>\r\n        <li>\r\n          <span>Monthly:<\/span>\r\n          <span class=\"td-value\"><span class=\"td-old\">$297\/mo<\/span><span class=\"td-accent\">$147\/mo<\/span><\/span>\r\n        <\/li>\r\n        <li class=\"td-total\">\r\n          <span>Total:<\/span>\r\n          <span class=\"td-value\"><span class=\"td-old\">$1,782<\/span>$882<\/span>\r\n        <\/li>\r\n      <\/ul>\r\n    <\/section>\r\n\r\n    <p class=\"td-note\">You are saving <strong>$900<\/strong> vs monthly with your exclusive plan<\/p>\r\n\r\n    <div class=\"td-code\">\r\n      <svg viewBox=\"0 0 24 24\" aria-hidden=\"true\"><path d=\"M21.41 11.58l-9-9A2 2 0 0 0 11 2H4a2 2 0 0 0-2 2v7a2 2 0 0 0 .59 1.42l9 9a2 2 0 0 0 2.82 0l7-7a2 2 0 0 0 0-2.84zM6.5 8A1.5 1.5 0 1 1 8 6.5 1.5 1.5 0 0 1 6.5 8z\"\/><\/svg>\r\n      CODE APPLIED: FALL900\r\n    <\/div>\r\n\r\n    <div class=\"td-banner\">\r\n      Your reservation expired.\r\n      <button type=\"button\">Extend My Time<\/button>\r\n    <\/div>\r\n\r\n    <ul class=\"td-perks\">\r\n      <li>\u2713 Same Price. All Dosage Levels.<\/li>\r\n      <li>\u2713 Prescribed &amp; shipped within 48 hours<\/li>\r\n      <li>\u2713 UNLIMITED doctor calls 7 days a week<\/li>\r\n    <\/ul>\r\n\r\n    <div class=\"td-due\">\r\n      <strong>$882 Due Today<\/strong>\r\n      <span>Only charged if your prescription is approved.<\/span>\r\n    <\/div>\r\n<\/div> -->\r\n\r\n<div class=\"glp-step\">\r\n    <h2 class=\"mb-4 fw-normal qualified-heading\">\r\n        How will GLP-1        <span class=\"green-color bold\"> <i> work for you? <\/i> <\/span>\r\n    <\/h2>\r\n\r\n    <div class=\"glp-image graph-image\">\r\n        <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/vidaease-of-weightloss.png\"\r\n            alt=\"GLP\">\r\n    <\/div>\r\n  \r\n        <h5 class=\" mb-4\">\r\n            <ul class=\"custom-list-landing-form\">\r\n                <li>\r\n                    <strong>Week 1 - 4 :<\/strong> Your body gets acclimated to GLP-1 medication                <\/li>\r\n\r\n                <li>\r\n                    <strong>Week 4 - 8 :<\/strong> Weight loss is increasing more and more                <\/li>\r\n\r\n                <li>\r\n                    <strong>Week 9+ :<\/strong> Your body has become a <strong>burning machine<\/strong>                <\/li>\r\n            <\/ul>\r\n        <\/h5>\r\n\r\n    <p class=\"hero-desc subtitile-heading\">\r\n        We identify the <span class=\"green-color\">root causes<\/span> of your metabolic issues, so you get a <strong>long-term solution,<\/strong> not just another quick fix.    <\/p>\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n    <p class=\"hero-desc subtitile-heading\" style=\"text-align:center; margin-bottom:0; margin-top:60px;\"> We've been featured on <\/p>\r\n    <ul class=\"logos-list\">\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/Forbes-1.png\" \/><\/li>\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/Yahoo-1.png\" \/><\/li>\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/TNYT-1.png\" \/><\/li>\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/WSJ-1.png\" \/><\/li>\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/NBC-News-1.png\" \/><\/li>\r\n        <li><img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/FOX-1.png\" \/><\/li>\r\n    <\/ul>\r\n<\/div>\r\n\r\n\r\n\r\n\r\n \r\n\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_6\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        What weight loss initiatives have you tried in the past? Select all that apply            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-options\">\n                \n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_6[]\"\n                            value=\"Exercise, Dieting\"\n                            required                        >\n                        Exercise, Dieting                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_6[]\"\n                            value=\"Weight-loss Supplements\"\n                            required                        >\n                        Weight-loss Supplements                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_6[]\"\n                            value=\"Intermittent Fasting\"\n                            required                        >\n                        Intermittent Fasting                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_6[]\"\n                            value=\"None of the Above\"\n                            required                        >\n                        None of the Above                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_6[]\"\n                            value=\"Other\"\n                            required                        >\n                        Other                    <\/label>\n                            <\/div>\n\n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_7\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Are you currently taking any GLP-1 medications?            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            \n                    <!-- Show Radio Buttons -->\n                   \n                    \n                    <!-- Show Radio Buttons -->\n                \n<div class=\"glp-options\">\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_7\"\n                value=\"Yes\"\n                required            >\n                                    Yes        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_7\"\n                value=\"No\"\n                            >\n                                    No        <\/label>\n    <\/div>\n\n\n                \n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_8\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Are you currently pregnant, breastfeeding, or planning to become pregnant within the next 2 months?            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            \n                    <!-- Show Radio Buttons -->\n                   \n                    \n                    <!-- Show Radio Buttons -->\n                \n<div class=\"glp-options\">\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_8\"\n                value=\"Yes\"\n                required            >\n                                    Yes        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_8\"\n                value=\"No\"\n                            >\n                                    No        <\/label>\n    <\/div>\n\n\n                \n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_9\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Do you have any of the following conditions? Did you have any in the past? (Select any that apply.)            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-options\">\n                \n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Gastroparesis\"\n                            required                        >\n                        Gastroparesis                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Pancreatic Cancer\"\n                            required                        >\n                        Pancreatic Cancer                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Pancreatitis\"\n                            required                        >\n                        Pancreatitis                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Type 1 diabetes or diabetes requiring insulin\"\n                            required                        >\n                        Type 1 diabetes or diabetes requiring insulin                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Hypoglycemia\"\n                            required                        >\n                        Hypoglycemia                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Medullary Thyroid Cancer (MTC) or family history of MTC\"\n                            required                        >\n                        Medullary Thyroid Cancer (MTC) or family history of MTC                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Bipolar Disorder\"\n                            required                        >\n                        Bipolar Disorder                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Schizophrenia\"\n                            required                        >\n                        Schizophrenia                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Family or personal history of Multiple Endocrine Neoplasia (MEN-2) syndrome\"\n                            required                        >\n                        Family or personal history of Multiple Endocrine Neoplasia (MEN-2) syndrome                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Anorexia or Bulimia\"\n                            required                        >\n                        Anorexia or Bulimia                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Current symptomatic gallstones or active gallbladder disease\"\n                            required                        >\n                        Current symptomatic gallstones or active gallbladder disease                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"Active Substance Abuse Disorder\"\n                            required                        >\n                        Active Substance Abuse Disorder                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_9[]\"\n                            value=\"None of the above\"\n                            required                        >\n                        None of the above                    <\/label>\n                            <\/div>\n\n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_10\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Please check all current or past medical conditions. Select all that apply            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-options\">\n                \n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Hypertension (high blood pressure)\"\n                            required                        >\n                        Hypertension (high blood pressure)                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"High cholesterol\"\n                            required                        >\n                        High cholesterol                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Type 2 diabetes\"\n                            required                        >\n                        Type 2 diabetes                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Obstructive sleep apnea\"\n                            required                        >\n                        Obstructive sleep apnea                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Gout\"\n                            required                        >\n                        Gout                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Metabolic syndrome\"\n                            required                        >\n                        Metabolic syndrome                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Heart disease, stroke, or peripheral vascular disease\"\n                            required                        >\n                        Heart disease, stroke, or peripheral vascular disease                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Heart Failure\"\n                            required                        >\n                        Heart Failure                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Atrial fibrillation or flutter\"\n                            required                        >\n                        Atrial fibrillation or flutter                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Tachycardia or fast heart rate\"\n                            required                        >\n                        Tachycardia or fast heart rate                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Any ECG abnormality or heart rhythm abnormality\"\n                            required                        >\n                        Any ECG abnormality or heart rhythm abnormality                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Gallbladder removed\"\n                            required                        >\n                        Gallbladder removed                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Fatty Liver (MASLD or MASH)\"\n                            required                        >\n                        Fatty Liver (MASLD or MASH)                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Cirrhosis or end-stage liver disease\"\n                            required                        >\n                        Cirrhosis or end-stage liver disease                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Chronic Kidney Disease Stage 3 or greater\"\n                            required                        >\n                        Chronic Kidney Disease Stage 3 or greater                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"Hypothyroidism, Hyperthyroidism, or Thyroid Issues\"\n                            required                        >\n                        Hypothyroidism, Hyperthyroidism, or Thyroid Issues                    <\/label>\n                                    <label class=\"glp-option\">\n                        <input \n                            type=\"checkbox\"\n                            name=\"question_10[]\"\n                            value=\"None of the Above\"\n                            required                        >\n                        None of the Above                    <\/label>\n                            <\/div>\n\n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_11\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Do you have any allergies? (If none, just type \u201cN\/A.\u201d)            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-field\">\n                <input \n                    id =\"question_11\"\n                    type=\"text\"\n                    name=\"question_11\"\n                    class=\"glp-input\"\n                    value=\"N\/A\"\n                    required                >\n            <\/div>\n\n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_12\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        List any surgeries you have had in the past: If you haven&#039;t had any surgeries, type N\/A            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-field\">\n                <input \n                    id =\"question_12\"\n                    type=\"text\"\n                    name=\"question_12\"\n                    class=\"glp-input\"\n                    value=\"N\/A\"\n                    required                >\n            <\/div>\n\n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n\r\n\r\n<div class=\"glp-step\" >\r\n\r\n  <div class=\"glp-image\">\r\n                  <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/medications.jpg\"\r\n                 alt=\"GLP\">\r\n<\/div>\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_21\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Are you currently taking any medications, including prescriptions, over-the-counter meds, or supplements? If yes, please list them here! (The more details, the better!)            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            <div class=\"glp-field\">\n                <input \n                    id =\"question_21\"\n                    type=\"text\"\n                    name=\"question_21\"\n                    class=\"glp-input\"\n                    value=\"N\/A\"\n                    required                >\n            <\/div>\n\n        \n    <\/div>\n\n    \r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n           <button type=\"button\" class=\"next\">Continue<\/button>\r\n  \r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step\" data-step=\"0\">\r\n\r\n  <div class=\"glp-question-block\">\r\n\r\n            <p class=\"glp-question mb-5\"> Date of Birth<\/p>\r\n\r\n    <!-- DOB -->\r\n    <div class=\"glp-field\">\r\n    \r\n      <input type=\"text\" name=\"dob\" id=\"dob\" required>\r\n      <small class=\"glp-error-text\" data-error=\"dob\"><\/small>\r\n    <\/div>\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n     <button type=\"button\" class=\"prev\">Back<\/button>\r\n    <button type=\"button\" class=\"next\">Continue<\/button>\r\n  <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step\">\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_13\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Which type of consultation do you prefer? (Let us know what works best for you!)            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            \n                    <!-- Show Radio Buttons -->\n                   \n                    \n                    <!-- Show Radio Buttons -->\n                \n<div class=\"glp-options\">\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_13\"\n                value=\"Email and Text Message (Fastest Option)\"\n                required            >\n                                    Email and Text Message (Fastest Option)        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_13\"\n                value=\"Video Call\"\n                            >\n                                    Video Call        <\/label>\n    \n        <label class=\"glp-option multi-option\">\n            <input \n                type=\"radio\"\n                name=\"question_13\"\n                value=\"Phone Call\"\n                            >\n                                    Phone Call        <\/label>\n    <\/div>\n\n\n                \n        \n    <\/div>\n\n      \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n<div class=\"glp-step\" data-step=\"\">\r\n  <div class=\"glp-row\">\r\n  <div class=\"col-6 mb-3 relative\">\r\n    <label>First Name*<\/label>\r\n    <input name=\"name\" required autocomplete=\"first_name\">\r\n  <\/div>\r\n   <div class=\"col-6 mb-3 relative\">\r\n    <label>Last Name*<\/label>\r\n    <input type=\"text\" name=\"last_name\" required autocomplete=\"off\">\r\n  <\/div>\r\n\r\n  <div class=\"col-6 mb-3 relative\">\r\n    <label>Phone*<\/label>\r\n    <input name=\"phone\" required autocomplete=\"off\" class=\"us-phone\"\r\n       value=\"+1 (___) ___ - ____\" mask=\"+1 (___) ___ - ____\" placeholder=\"+1 (___) ___ - ____\" >\r\n  <\/div>\r\n\r\n  <div class=\"col-6 mb-3 relative\">\r\n    <label>Email*<\/label>\r\n    <input type=\"email\" name=\"email\" required autocomplete=\"email\">\r\n  <\/div>\r\n\r\n  <div class=\"col-6 mb-3 relative\">\r\n    <label>Zip Code*<\/label>\r\n    <input name=\"zip\" required autocomplete=\"postal-code\">\r\n  <\/div>\r\n<\/div>\r\n\r\n      <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n<\/div>\r\n\r\n<div class=\"glp-step\" data-step=\"15\">\r\n\r\n\r\n\r\n  <div class=\"glp-question-block consent-hide-q custom-input\">\r\n\r\n    <p class=\"glp-question mb-5\">\r\n      Please review and attest to the following before continuing.      <br> <br>\r\n\r\n      <strong>Consent:<\/strong>\r\n      I confirm that I am the patient completing this intake form and have reviewed all questions carefully. I attest that my answers are true, accurate, and complete to the best of my knowledge. I understand the importance of providing my doctor with complete and accurate health information for my care.      <span class=\"required\">*<\/span>\r\n    <\/p>\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_17\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Please confirm that all the information you&#039;ve provided is true and complete. Consent: I confirm that I am the patient completing this intake form and have reviewed all questions carefully. I attest that my answers are true, accurate, and complete to the best of my knowledge. I understand the importance of providing my doctor with complete and accurate health information for my care.            <span class=\"required\">*<\/span>        <\/p>\n\n        \n            \n                    <!-- Show Radio Buttons -->\n                   \n                    \n                    <!-- Show Radio Buttons -->\n                \n<div class=\"glp-options\">\n    \n        <label class=\"glp-option single-option\">\n            <input \n                type=\"checkbox\"\n                name=\"question_17[]\"\n                value=\"I agree and consent\"\n                required            >\n                                    I agree and consent        <\/label>\n    <\/div>\n\n\n                \n        \n    <\/div>\n\n    \r\n    <small class=\"glp-error-text\" data-error=\"consent\"><\/small>\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n    <button type=\"button\" class=\"prev\">Back<\/button>\r\n    <button type=\"button\" class=\"next\">Continue<\/button>\r\n  <\/div>\r\n\r\n<\/div>\r\n\r\n<!-- Screen A  Medication overview (informational, no selection) -->\r\n\r\n<div class=\"glp-step\">\r\n      <h2 class=\"glp-question mb-5\" style=\"text-align:center !important;\">Explore your treatment options<\/h2>\r\n      <p class=\"hero-desc text-center\"> \r\n        <!-- You qualify for both medications based on your intake form. You'll choose your treatment in the next step. \r\n    <br> -->\r\n             Injection and oral options may be available. A licensed provider will determine which treatment and format, if any, are appropriate for you.    <\/p>\r\n    \r\n    <div class=\"treatment-options\">\r\n      <div class=\"treatment-card\">\r\n        <div class=\"medicine-icon semaglutide-icon\">\r\n            <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/10\/semaglutide-injection.png\" \/>\r\n        <\/div>\r\n        <h3 style=\"margin-bottom:15px;\">Compounded Semaglutide<\/h3>\r\n        <!-- <p>\r\n          Weekly injectable or daily tablet. Reduces appetite and controls cravings naturally. Clinically studied for significant weight loss.        <\/p> -->\r\n<p>\r\n  Compounded semaglutide. A licensed provider will review whether this treatment is appropriate for you.<\/p>\r\n      <\/div>\r\n      <div class=\"treatment-card\">\r\n        <div class=\"medicine-icon tirzepatide-icon\">\r\n            <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/uploads\/2026\/07\/tirjepatide-injection.png\" \/>\r\n        <\/div>\r\n        <h3 style=\"margin-bottom:15px;\">Compounded Tirzepatide<\/h3>\r\n        <!-- <p>\r\n          Weekly injectable or daily tablet. Dual-action for powerful results. Clinically studied for notable weight loss.        <\/p> -->\r\n    <p>\r\n  Compounded tirzepatide. A licensed provider will review whether this treatment is appropriate for you.<\/p>\r\n    <\/div>\r\n    <\/div>\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n    <p class=\"hero-desc subtitile-heading text-center\">\r\n      You'll choose format (injection or oral) and treatment duration in the next step.    <\/p>\r\n    <p class=\"medical-disclaimer\">\r\n    <strong>Medical Disclaimer<\/strong><br>\r\n    Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality.<\/p>\r\n<\/div>\r\n\r\n\r\n\r\n<!-- Screen B  Treatment Selection (medication, format & duration) -->\r\n <div class=\"glp-step\">\r\n\r\n  <h2 class=\"glp-question mb-5\">Choose your treatment<\/h2>\r\n  <p class=\"hero-desc\">Based on your intake form, you qualify for both medications. You can change your choice anytime.    <br>\r\n    You can review available options below. A licensed provider will determine whether a treatment is appropriate for you.\r\n<\/p>\r\n                <div class=\"glp-offer-box\">\r\n            <span class=\"offer-title\">The Moment Is Now. Start Today!<\/span>\r\n            <span class=\"offer-sub\">\r\n                <strong>SAVE $100<\/strong> instantly on your first order            <\/span>\r\n            <span class=\"offer-note\">Eligibility is confirmed by a licensed physician before you start.<\/span>\r\n        <\/div>\r\n        \r\n  <!-- MEDICATION DROPDOWN (does not affect price) -->\r\n  <div class=\"treatment-section\">\r\n    <label class=\"section-label\" for=\"medication\">Medication<\/label>\r\n    <div class=\"med-dropdown\">\r\n      <select name=\"medication\" id=\"medication\" class=\"med-select-field\" required>\r\n        <option value=\"tirzepatide\" data-desc=\"Recommended \u00b7 dual-action, notable results\" selected>\r\n          Compounded Tirzepatide        <\/option>\r\n        <option value=\"semaglutide\" data-desc=\"Proven results, once-weekly dosing\">\r\n          Compounded Semaglutide        <\/option>\r\n      <\/select>\r\n      <div class=\"med-desc\" id=\"medSelectedDesc\">Recommended \u00b7 dual-action, notable results<\/div>\r\n      <p> <\/p>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <!-- FORMAT RADIO BUTTONS (does not affect price) -->\r\n  <div class=\"treatment-section\">\r\n    <span class=\"section-label\">Format<\/span>\r\n    <div class=\"format-toggle\">\r\n      <label class=\"format-option selected\">\r\n        <input type=\"radio\" name=\"format\" value=\"injection\" checked>\r\n        <span class=\"format-label\">Injection<\/span>\r\n      <\/label>\r\n      <label class=\"format-option\">\r\n        <input type=\"radio\" name=\"format\" value=\"oral\">\r\n        <span class=\"format-label\">Oral<\/span>\r\n      <\/label>\r\n    <\/div>\r\n    <div class=\"format-note\" id=\"formatNote\"\r\n         data-same=\"Same price for both formats\"\r\n         data-diff=\"3-month Oral is %s more than Injection\">\r\n      Same price for both formats    <\/div>\r\n\r\n  <\/div>\r\n\r\n  <!-- DURATION RADIO BUTTONS (drives price) -->\r\n    <!-- DURATION RADIO BUTTONS (price driven by medication) -->\r\n  <div class=\"treatment-section\">\r\n    <span class=\"section-label\">Duration<\/span>\r\n\r\n    <div class=\"price-banner\">\r\n      Your treatment price <strong>never goes up<\/strong>, even if your dose increases    <\/div>\r\n\r\n        \r\n    <!-- 3-MONTH (default selected) -->\r\n    <label class=\"duration-option selected\">\r\n      <input type=\"radio\" name=\"plan\" value=\"3month\" checked>\r\n      <span class=\"best-value-badge\">Best value<\/span>\r\n      <div class=\"duration-left\">\r\n        <span class=\"radio\"><\/span>\r\n        <div class=\"duration-text\">\r\n          <div class=\"title\">3-Month Treatment<\/div>\r\n          <div class=\"desc\">\r\n            One payment of            <span class=\"total-price\">$887<\/span>\r\n            today \u00b7 no auto-renewal          <\/div>\r\n        <\/div>\r\n      <\/div>\r\n      <div class=\"duration-price\">\r\n        <div>\r\n                      <span class=\"strike price-3-regular\">$987<\/span>\r\n                    <span class=\"amount price-3-sale\">$887<\/span>\r\n          <span class=\"per-mo\">total<\/span>\r\n        <\/div>\r\n       \r\n      <\/div>\r\n                    <div class=\"glp-save-sticker\">\r\n          You are saving <strong>$100<\/strong> on your first order        <\/div>\r\n          <\/label>\r\n\r\n    <!-- MONTHLY -->\r\n    <label class=\"duration-option\">\r\n      <input type=\"radio\" name=\"plan\" value=\"monthly\">\r\n      <div class=\"duration-left\">\r\n        <span class=\"radio\"><\/span>\r\n        <div class=\"duration-text\">\r\n          <div class=\"title\">Monthly Treatment<\/div>\r\n          <div class=\"desc\">No auto-charge \u00b7 refill reminder each month<\/div>\r\n        <\/div>\r\n      <\/div>\r\n      <div class=\"duration-price\">\r\n        <div>\r\n                      <span class=\"strike price-m-regular\">$397<\/span>\r\n                    <span class=\"amount price-m-sale\">$297<\/span>\r\n          <span class=\"per-mo\">first month<\/span>\r\n        <\/div>\r\n        \r\n          <div class=\"refill-note\">Refills $<span class=\"price-m-refill\">397<\/span>\/mo<\/div>\r\n              <\/div>\r\n                    <div class=\"glp-save-sticker\">\r\n          You are saving <strong>$100<\/strong> on your first order        <\/div>\r\n          <\/label>\r\n\r\n  <!-- Combined value for backend: e.g. tirzepatide_3month -->\r\n  <input type=\"hidden\" name=\"treatment_plan\" id=\"treatmentPlan\" value=\"tirzepatide_3month\">\r\n\r\n\r\n<div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n  <div class=\"trust-section\">\r\n    <div class=\"trust-item\">\r\n      <span class=\"check\">\u2713<\/span>\r\n      <span>You're only charged if the doctor approves your treatment. If you don't qualify, no charge is made.<\/span>\r\n    <\/div>\r\n    <div class=\"trust-item\">\r\n      <span class=\"check\">\u2713<\/span>\r\n      <span>Your card stays on file. Monthly treatment is not auto-billed \u2014 we text and email you a refill reminder 14 days before your refill is due, with a link to a short questionnaire. Completing it triggers the charge; you won't need to re-enter your payment info.<\/span>\r\n    <\/div>\r\n            <div class=\"trust-item\">\r\n      <span class=\"check\">\u2713<\/span>\r\n      <span>Holiday offer: $100 off your first order is applied automatically. Offer ends December 31, 2026. Not valid on refills or branded medications and can't be combined with other offers. Refills are billed at regular price.<\/span>\r\n    <\/div>\r\n        <div class=\"trust-note\">\r\n      If you choose the 3-month treatment, a single payment is made for the full amount. If you choose the monthly treatment, no automatic charge is made \u2014 you'll get a text and email reminder 14 days before your refill is due, and you're only charged once you complete the refill questionnaire. <a href=\"#\" class=\"more-details\">More details.<\/a>\r\n    <\/div>\r\n  <\/div>\r\n\r\n  <p class=\"medical-disclaimer\">\r\n    <strong>Medical Disclaimer<\/strong><br>\r\n    Compounded medications are not FDA-approved. The FDA does not review compounded drugs for safety, effectiveness, or quality.<\/p>\r\n\r\n\r\n        <\/div>\r\n        \r\n<div class=\"glp-step\">\r\n\r\n  <div class=\"glp-image\">\r\n                      <img decoding=\"async\" src=\"https:\/\/myvidamed.com\/wp-content\/plugins\/glp-form-plugin\/assets\/images\/reviews.png?4873468\"\r\n                 alt=\"GLP\">\r\n<\/div>\r\n  \r\n\r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"button\" class=\"next\">Continue<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step\" data-step=\"16\">\r\n\r\n  <h2 class=\"mb-5\">Billing Information<\/h2>\r\n\r\n  <div class=\"glp-row\">\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label>Address <span class=\"required\">*<\/span><\/label>\r\n      <input type=\"text\" name=\"street\" id=\"street\"\r\n        placeholder=\"House No, Building\" required>\r\n      <small class=\"glp-error-text\" data-error=\"street\"><\/small>\r\n    <\/div>\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label>Street Address<\/label>\r\n      <input type=\"text\" name=\"street2\" id=\"street2\"\r\n        placeholder=\"Street name\">\r\n    <\/div>\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-row\">\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label>City <span class=\"required\">*<\/span><\/label>\r\n      <input type=\"text\" name=\"city\" id=\"city\" required>\r\n      <small class=\"glp-error-text\" data-error=\"city\"><\/small>\r\n    <\/div>\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label for=\"state\">State \/ Province <span class=\"required\">*<\/span><\/label>\r\n      <select name=\"state\" id=\"state\" required class=\"glp-select\">\r\n        <option value=\"\">Select State<\/option>\r\n        <option value=\"AL\">Alabama<\/option><option value=\"AK\">Alaska<\/option>\r\n        <option value=\"AZ\">Arizona<\/option><option value=\"AR\">Arkansas<\/option>\r\n        <option value=\"CA\">California<\/option><option value=\"CO\">Colorado<\/option>\r\n        <option value=\"CT\">Connecticut<\/option><option value=\"DE\">Delaware<\/option>\r\n        <option value=\"FL\">Florida<\/option><option value=\"GA\">Georgia<\/option>\r\n        <option value=\"HI\">Hawaii<\/option><option value=\"ID\">Idaho<\/option>\r\n        <option value=\"IL\">Illinois<\/option><option value=\"IN\">Indiana<\/option>\r\n        <option value=\"IA\">Iowa<\/option><option value=\"KS\">Kansas<\/option>\r\n        <option value=\"KY\">Kentucky<\/option><option value=\"LA\">Louisiana<\/option>\r\n        <option value=\"ME\">Maine<\/option><option value=\"MD\">Maryland<\/option>\r\n        <option value=\"MA\">Massachusetts<\/option><option value=\"MI\">Michigan<\/option>\r\n        <option value=\"MN\">Minnesota<\/option><option value=\"MS\">Mississippi<\/option>\r\n        <option value=\"MO\">Missouri<\/option><option value=\"MT\">Montana<\/option>\r\n        <option value=\"NE\">Nebraska<\/option><option value=\"NV\">Nevada<\/option>\r\n        <option value=\"NH\">New Hampshire<\/option><option value=\"NJ\">New Jersey<\/option>\r\n        <option value=\"NM\">New Mexico<\/option><option value=\"NY\">New York<\/option>\r\n        <option value=\"NC\">North Carolina<\/option><option value=\"ND\">North Dakota<\/option>\r\n        <option value=\"OH\">Ohio<\/option><option value=\"OK\">Oklahoma<\/option>\r\n        <option value=\"OR\">Oregon<\/option><option value=\"PA\">Pennsylvania<\/option>\r\n        <option value=\"RI\">Rhode Island<\/option><option value=\"SC\">South Carolina<\/option>\r\n        <option value=\"SD\">South Dakota<\/option><option value=\"TN\">Tennessee<\/option>\r\n        <option value=\"TX\">Texas<\/option><option value=\"UT\">Utah<\/option>\r\n        <option value=\"VT\">Vermont<\/option><option value=\"VA\">Virginia<\/option>\r\n        <option value=\"WA\">Washington<\/option><option value=\"WV\">West Virginia<\/option>\r\n        <option value=\"WI\">Wisconsin<\/option><option value=\"WY\">Wyoming<\/option>\r\n      <\/select>\r\n      <small class=\"glp-error-text\" data-error=\"state\"><\/small>\r\n    <\/div>\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-row\">\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label>ZIP \/ Postal Code <span class=\"required\">*<\/span><\/label>\r\n      <input type=\"text\" name=\"zip\" id=\"zip\" required>\r\n      <small class=\"glp-error-text\" data-error=\"zip\"><\/small>\r\n    <\/div>\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label>Country<\/label>\r\n      <select name=\"country\" id=\"country\" class=\"glp-select\">\r\n        <option value=\"US\">United States<\/option>\r\n      <\/select>\r\n    <\/div>\r\n\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n    <button type=\"button\" class=\"prev\">Back<\/button>\r\n    <button type=\"button\" class=\"next\">Continue<\/button>\r\n  <\/div>\r\n\r\n<\/div>\r\n\r\n<div class=\"glp-step stripe-page step-end\" data-step=\"17\">\r\n\r\n  <div class=\"glp-question-block\">\r\n\r\n    <div class=\"glp-field mb-3\">\r\n      <label for=\"promo_code\">Promo Code<\/label>\r\n     \r\n              <div class=\"glp-offer-applied\">Holiday offer applied automatically: $100 off your first order.<\/div>\r\n  <div class=\"glp-offer-help\">Promo codes can&#039;t be combined with this offer.<\/div>\r\n  <input type=\"hidden\" name=\"promo_code\" id=\"promo_code\" value=\"holiday-offer\">\r\n\r\n    <\/div>\r\n    \r\n    <div class=\"glp-field mb-3\">\r\n      <label>Payment <span class=\"required\">*<\/span><\/label>\r\n      <div id=\"card-element\" class=\"glp-stripe-card\"><\/div>\r\n      <div id=\"card-errors\" class=\"glp-error-text\"><\/div>\r\n      <div id=\"stripeFields\"><\/div>\r\n      <div id=\"stripeErrors\"><\/div>\r\n      <div class=\"stripe-setup-id\">\r\n        <input type=\"hidden\" name=\"stripe-setup-id\" id=\"stripe-setup-id\" class=\"stripe-setup-id input\" \/>\r\n      <\/div>\r\n    <\/div>\r\n\r\n  <\/div>\r\n\r\n    <div class=\"glp-info-box\" style=\"color:#000;\">\r\n    <p>Important:<\/p>\r\n    <ul class=\"custom-list-landing-form\">\r\n      <li>You will only be charged if the doctor approves the medication. If you do not qualify, no charge will be made.<\/li>\r\n      <li>Your card is securely stored in the portal so you don't have to re-enter it. Vidamed does not auto-charge.<\/li>\r\n      <li>For Monthly plans: you're charged the first month price. Subsequent months are charged at regular price only after your approval.<\/li>\r\n      <li>For 3-month plans: it's a single upfront payment of the total amount.<\/li>\r\n      <li>You will always receive text\/email reminders to approve future refills.<\/li>\r\n    <\/ul>\r\n  <\/div>\r\n\r\n  <div class=\"glp-navigation\">\r\n    <button type=\"button\" class=\"prev\">Back<\/button>\r\n    <button type=\"button\" class=\"next next-payment\">Continue<\/button>\r\n  <\/div>\r\n\r\n<\/div>\r\n\r\n\r\n<div class=\"glp-step\" >\r\n\r\n    \n    <div class=\"glp-question-block  wrap_question_20\"\n             >\n\n        <p class=\"glp-question mb-5\">\n        Please upload a government-issued photo ID We use this only to verify your identity and protect your information. Foreign government IDs, such as a Mexican ID, are accepted.            <span class=\"required\">*<\/span>        <\/p>\n\n                    <div class=\"glp-text sub-heading\">\n                You may upload any government-issued photo ID, including a driver's \n                license, passport, state ID, or foreign government-issued ID, such as a Mexican ID.<\/div>\n            <div class=\"glp-field care-glp-upload-box\">\n\n    <label class=\"glp-upload-box\">\n\n        <input \n            type=\"file\"\n            name=\"question_20\"\n            accept=\"image\/*,.pdf\"\n            class=\"glp-input user_id_file\"\n            hidden\n            required        >\n\n        <div class=\"glp-upload-content\">\n            <p>Drag & drop your file here or click to upload<\/p>\n            <small>Accepted: JPG, PNG, PDF (Max 5MB)<\/small>\n        <\/div>\n\n    <\/label>\n\n    <div class=\"glp-file-preview\"><\/div>\n\n    <small class=\"glp-error-text\"><\/small>\n\n<\/div>\n\n\n        \n    <\/div>\n\n    \r\n    <div class=\"glp-navigation\">\r\n        <button type=\"button\" class=\"prev\">Back<\/button>\r\n        <button type=\"submit\" id=\"landing-submit-form\" class=\"glp-submit-btn\">Submit<\/button>\r\n    <\/div>\r\n\r\n<\/div>\r\n\r\n<input type=\"hidden\" name=\"tp_reference_id\" id=\"tpReferenceId\" value=\"\">\r\n\r\n<\/form>\r\n<\/div> \r\n<div class=\"glp-after-response hidden hide\">\r\n\r\n    <!-- <h2>What Happens Next?<\/h2>\r\n\r\n    <div class=\"glp-r-step\">\r\n        <span class=\"step-label\">STEP 1<\/span>\r\n        <h3>Physician Review<\/h3>\r\n        <p>\r\n            You&#039;re already pre-qualified. After checkout, a licensed healthcare provider will review your information and begin the approval process.        <\/p>\r\n    <\/div>\r\n\r\n    <div class=\"glp-r-step\">\r\n        <span class=\"step-label\">STEP 2<\/span>\r\n        <h3>Fast Prescription Approval<\/h3>\r\n        <p>\r\n            Many reviews are completed quickly, and same-day consultations may be available when clinically appropriate.        <\/p>\r\n    <\/div>\r\n\r\n    <div class=\"glp-r-step\">\r\n        <span class=\"step-label\">STEP 3<\/span>\r\n        <h3>Medication Preparation &amp; Shipping<\/h3>\r\n        <p>\r\n            Once approved, your medication is prepared and shipped. You&#039;ll receive tracking info within 1\u20132 business days, and your prescription will be on its way.        <\/p>\r\n    <\/div>\r\n\r\n    <div class=\"glp-r-step\">\r\n        <span class=\"step-label\">STEP 4<\/span>\r\n        <h3>Easy Refills<\/h3>\r\n        <p>\r\n            When it&#039;s time for a medication refill, you&#039;ll simply fill out a simple online form in your Vidamed Patient Portal. We&#039;ll send email and text updates with tracking info when your next shipment heads your way!        <\/p>\r\n    <\/div>\r\n\r\n    <div class=\"glp-r-step\">\r\n        <span class=\"step-label\">STEP 5<\/span>\r\n        <h3>Unlimited Support<\/h3>\r\n        <p>\r\n            Have questions about your progress, side effects, or dosage? You&#039;ll have unlimited, 24\/7 access to our nursing team and licensed clinicians \u2014 whenever you need us.        <\/p>\r\n    <\/div> -->\r\n\r\n<\/div>\r\n\r\n<script>\r\n(function () {\r\n    var field = document.getElementById('tpReferenceId');\r\n    if (field && !field.value) {\r\n        var rand = (window.crypto && crypto.randomUUID)\r\n            ? crypto.randomUUID().split('-')[0]\r\n            : Math.random().toString(36).slice(2, 10);\r\n        field.value = 'GLP-' + Date.now() + '-' + rand;\r\n    }\r\n})();\r\n\r\nwindow.glpSendTrustpilotInvitation = function () {\r\n    if (typeof window.tp !== 'function') return;\r\n\r\n    var form  = document.querySelector('.glp-cc-form');\r\n    var ref   = document.getElementById('tpReferenceId').value;\r\n    var email = form.querySelector('input[name=\"email\"]').value.trim();\r\n    var first = form.querySelector('input[name=\"name\"]').value.trim();\r\n    if (!email || !ref) return;\r\n\r\n    tp('createInvitation', {\r\n        recipientEmail: email,\r\n        recipientName: first,\r\n        referenceId: ref,\r\n        source: 'InvitationScript',\r\n        locale: 'en-US'\r\n    });\r\n};\r\n\r\n    (function () {\r\n    const form = document.querySelector('.glp-cc-form');\r\n    if (!form) return;\r\n\r\n    const nameInput    = form.querySelector('input[name=\"name\"]');\r\n    const lastInput    = form.querySelector('input[name=\"last_name\"]');\r\n    const genderInputs = form.querySelectorAll('input[name=\"gender\"]');\r\n\r\n    const nameEl   = form.querySelector('.js-customer-name');\r\n    const genderEl = form.querySelector('.js-gender');\r\n\r\n    function updateName() {\r\n        const first = nameInput ? nameInput.value.trim() : '';\r\n        const last  = lastInput ? lastInput.value.trim() : '';\r\n        if (nameEl) nameEl.textContent = [first, last].filter(Boolean).join(' ');\r\n    }\r\n\r\n    function updateGender() {\r\n        const selected = form.querySelector('input[name=\"gender\"]:checked');\r\n\r\n        if (selected && genderEl) {\r\n            const img = selected.closest('label')?.querySelector('img');\r\n            genderEl.textContent = img?.alt || selected.value;\r\n        }\r\n    }\r\n\r\n    if (nameInput) nameInput.addEventListener('input', updateName);\r\n    if (lastInput) lastInput.addEventListener('input', updateName);\r\n    genderInputs.forEach(el => el.addEventListener('change', updateGender));\r\n\r\n    \/\/ Reflect any pre-filled values on load\r\n   \/\/ updateName();\r\n \/\/   updateGender();\r\n\r\n    \/\/ Find the bmi input first, then walk up to ITS form\r\n    const bmiInput = document.querySelector('input[name=\"bmi\"]');\r\n    if (!bmiInput) return;\r\n\r\n\r\n\r\n    \/\/ Scope everything else to that same form\r\n    const weightInput = form.querySelector('input[name=\"weight\"]');\r\n    const weightEl    = form.querySelector('.js-current-weight');\r\n    const bmiEl       = form.querySelector('.js-bmi');\r\n\r\n    function updateWeightBmi() {\r\n        if (weightEl && weightInput && weightInput.value) {\r\n            weightEl.textContent = weightInput.value + 'lbs';\r\n        }\r\n        if (bmiEl) {\r\n            bmiEl.textContent = bmiInput.value;\r\n        }\r\n    }\r\n\r\n    \/\/ Use this wherever you set the BMI so listeners fire\r\n    function setBmi(value) {\r\n        bmiInput.value = value;\r\n        bmiInput.dispatchEvent(new Event('change'));\r\n    }\r\n    window.setBmi = setBmi;\r\n\r\n    if (weightInput) weightInput.addEventListener('input', updateWeightBmi);\r\n    bmiInput.addEventListener('change', updateWeightBmi);\r\n\r\n    \/\/ Catch programmatic changes\r\n    let lastBmi = bmiInput.value;\r\n\r\n    const observer = new MutationObserver(updateWeightBmi); \/\/ setAttribute('value', ...)\r\n    observer.observe(bmiInput, { attributes: true, attributeFilter: ['value'] });\r\n\r\n    setInterval(function () {                                \/\/ direct .value = ...\r\n        if (bmiInput.value !== lastBmi) {\r\n            lastBmi = bmiInput.value;\r\n            updateWeightBmi();\r\n        }\r\n    }, 300);\r\n\r\n    updateWeightBmi();\r\n\r\n\r\n})();\r\n\r\n  jQuery(function($){\r\n\r\n  \r\nfunction updatePlanOptions() {\r\n    var treatment = $('input[name=\"treatment\"]:checked').val();\r\n    if (!treatment) return;\r\n\r\n    var parts = treatment.split('_');\r\n    var medication = parts[0];\r\n\r\n    var $plan = $('#plan');\r\n\r\n    \/\/ Store the full option list once\r\n    if (!$plan.data('allOptions')) {\r\n        $plan.data('allOptions', $plan.find('option').clone());\r\n    }\r\n\r\n    var $all = $plan.data('allOptions');\r\n\r\n    \/\/ Rebuild: first option + matching ones\r\n    $plan.empty();\r\n    $plan.append($all.filter(':first').clone());\r\n    $all.filter('[data-treatment=\"' + medication + '\"]').each(function () {\r\n        $plan.append($(this).clone());\r\n    });\r\n\r\n    $plan.val('');\r\n}\r\n\r\nupdatePlanOptions();\r\n\r\n$(document).on('change', 'input[name=\"treatment\"]', function () {\r\n    updatePlanOptions();\r\n});\r\n});\r\njQuery(function ($) {\r\n    $('.wrap_question_8 input[name=\"question_8\"][value=\"No\"]')\r\n        .prop('checked', true)\r\n        .trigger('change');\r\n       $('.wrap_question_7 input[name=\"question_7\"][value=\"No\"]')\r\n        .prop('checked', true)\r\n        .trigger('change');\r\n\r\n        document.getElementById('glp-back-btn').addEventListener('click', function () {\r\n    const activeStep = document.querySelector('.glp-step.active');\r\n\r\n    if (!activeStep) return;\r\n\r\n    if (activeStep.dataset.step === '0') {\r\n        history.back();\r\n    } else {\r\n        activeStep.querySelector('.prev')?.click();\r\n    }\r\n});\r\n\r\n});\r\n\r\ndocument.addEventListener('DOMContentLoaded', function () {\r\n  const form = document.querySelector('.glp-cc-form');\r\n  if (!form) return;\r\n\r\n  const pricing = JSON.parse(form.getAttribute('data-pricing'));\r\n  const offer   = parseInt(form.getAttribute('data-offer') || '0', 10);\r\n\r\n  const medSelect   = document.getElementById('medication');\r\n  const medDesc     = document.getElementById('medSelectedDesc');\r\n  const treatmentIn = document.getElementById('treatmentPlan');\r\n  const formatNote  = document.getElementById('formatNote');\r\n\r\n  const q       = (sel) => form.querySelector(sel);\r\n  const setText = (sel, val) => form.querySelectorAll(sel).forEach((el) => { el.textContent = val; });\r\n  const usd     = (n) => '$' + n;\r\n\r\n  function current() {\r\n    const fmt  = q('input[name=\"format\"]:checked');\r\n    const plan = q('input[name=\"plan\"]:checked');\r\n    return {\r\n      med:     medSelect.value,\r\n      format:  fmt ? fmt.value : 'injection',\r\n      plan:    plan ? plan.value : '3month',\r\n      fmtEl:   fmt,\r\n      planEl:  plan\r\n    };\r\n  }\r\n\r\n  function updatePricing() {\r\n    const c  = current();\r\n    const p  = pricing[c.med];\r\n    const r3 = p['3month'][c.format];\r\n    const rm = p.monthly[c.format];\r\n\r\n    \/\/ Duration cards\r\n    setText('.price-3-regular', usd(r3));\r\n    setText('.price-3-sale',    usd(r3 - offer));\r\n    setText('.total-price',     usd(r3 - offer));\r\n    setText('.price-m-regular', usd(rm));\r\n    setText('.price-m-sale',    usd(rm - offer));\r\n    setText('.price-m-refill',  rm);\r\n\r\n    \/\/ Format note: flag when oral and injection cost different amounts\r\n    if (formatNote) {\r\n      const diff = p['3month'].oral - p['3month'].injection;\r\n      formatNote.textContent = diff > 0\r\n        ? formatNote.dataset.diff.replace('%s', usd(diff))\r\n        : formatNote.dataset.same;\r\n    }\r\n\r\n    \/\/ Checkout summary (uses the visible labels, so it is already translated)\r\n    const reg      = p[c.plan][c.format];\r\n    const medName  = medSelect.options[medSelect.selectedIndex].text.trim();\r\n    const fmtName  = c.fmtEl ? c.fmtEl.closest('.format-option').textContent.trim() : '';\r\n    const planName = c.planEl ? c.planEl.closest('.duration-option').querySelector('.title').textContent.trim() : '';\r\n    setText('.summary-product', [medName, fmtName, planName].filter(Boolean).join(' \u00b7 '));\r\n    setText('.summary-regular', usd(reg));\r\n    setText('.summary-total',   usd(reg - offer));\r\n\r\n    \/\/ Value for the backend, e.g. tirzepatide_3month\r\n    treatmentIn.value = c.med + '_' + c.plan;\r\n  }\r\n\r\n  medSelect.addEventListener('change', function () {\r\n    medDesc.textContent = this.options[this.selectedIndex].getAttribute('data-desc');\r\n    updatePricing();\r\n  });\r\n\r\n  form.querySelectorAll('input[name=\"format\"]').forEach(function (input) {\r\n    input.addEventListener('change', function () {\r\n      form.querySelectorAll('.format-option').forEach((el) => el.classList.remove('selected'));\r\n      this.closest('.format-option').classList.add('selected');\r\n      updatePricing();\r\n    });\r\n  });\r\n\r\n  form.querySelectorAll('input[name=\"plan\"]').forEach(function (input) {\r\n    input.addEventListener('change', function () {\r\n      form.querySelectorAll('.duration-option').forEach((el) => el.classList.remove('selected'));\r\n      this.closest('.duration-option').classList.add('selected');\r\n      updatePricing();\r\n    });\r\n  });\r\n\r\n  updatePricing(); \/\/ init\r\n});\r\n\r\n<\/script>\r\n<!-- \r\n<script>\r\n  const medDropdown = document.getElementById('medDropdown');\r\n  const medSelectToggle = document.getElementById('medSelectToggle');\r\n  const medSelectedName = document.getElementById('medSelectedName');\r\n  const medSelectedDesc = document.getElementById('medSelectedDesc');\r\n\r\n  medSelectToggle.addEventListener('click', () => {\r\n    medDropdown.classList.toggle('open');\r\n  });\r\n\r\n  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    document.querySelectorAll('.duration-option').forEach(o => o.classList.remove('selected'));\r\n      el.classList.add('selected');\r\n    });\r\n  });\r\n<\/script> -->\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank-tmpl.php","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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