For GLP-1 clinics & med spas

Two in three GLP‑1 patients quit. Yours don't have to.

Gigi, your retention agent, texts every patient through the queasy weeks, catches the 11pm "should I stop?", and escalates to your clinicians the moment it matters.

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11:04
G
Gigi
Today 11:04 PM
did the 5mg step-up yesterday and i've been queasy all night. honestly thinking this isn't for me
That's the roughest 72 hours of the whole program, Sam. Your body is adjusting to the new dose, for most people it settles in a few days.
From your care team's playbook for tonight: small bland dinner, slow sips of water, nothing greasy. I'll check on you in the morning.
ok. it's just hard when the scale barely moves
You're down 4.1 lb in 3 weeks, right on track. And you told me the night snacking stopped, that's the medication working.
true. ok, sticking with it
Good call. Quick check-in before Friday's dose review with Dr. Patel, takes 10 seconds:
iMessage
The numbers working against you
64.8%
Quit within 12 months
Non-diabetic patients on GLP-1 therapyGigi's whole job is this number
28.2%
Quit over side effects
The #1 documented causeCoached before each dose step‑up
~6mo
Median time on therapy
Half a typical book gone by month sixStretched by plateau + refill saves
$150-350/mo
Revenue per patient
Walks out with every quiet dropoutPlus $200-500 to replace them

Real-world data from 125,474 US adults starting GLP-1s (Truveta, JAMA Network Open 2025).

Three texts that decide a patient's year

The playbook runs on moments like these, every one from your clinician-approved script library.

Day 1 · expectations4:12 PM
Welcome, Sam. One thing nobody tells you about month one: appetite quiets first, the scale follows. Weeks 1-2 are adjustment, not results.
Nausea around each dose change is normal and passes in a few days. I'll be here when it shows up.
good to know honestly. nobody explained that
Expectations set before week one. Pre-empted surprises stop being quit reasons.
Week 8 · step-up eve8:30 PM
Tomorrow is step-up day, Sam, on Dr. Patel's schedule. The first 72 hours can be the rough patch. Your care team's tips: smaller meals, slow fluids, skip anything greasy.
will i feel as bad as last time?
Most people find round two milder, and it passes faster. If vomiting won't stop, message me and I'll get your care team on it immediately.
Coached before the danger window, not after the damage. Side effects drive 28.2% of quits.
Month 7 · the plateau9:15 AM
scale hasn't moved in 3 weeks. is this even still working??
That's the plateau, Sam. It arrives around now for most people, and it means maintenance, not failure.
You're down 11.2% and holding. I've flagged Dr. Patel for a dose review, does Friday 2:00 PM work?
The stall becomes a dose review, not a cancellation.

Every wobble, caught while it's still saveable

Your whole book on one board, risk-scored from silence, side effects, and refill gaps. Gigi works the wobbly ones; your staff only step in when it matters.

Patients312 active23 at riskGigi · on
Priya Shah
Semaglutide 0.5 mg · week 1
-1.2 lb
Onboarding
2m ago
Marcus Webb
Tirzepatide 5 mg · week 6
-9.8 lb
Silent 6d
1h ago
Dana Kowalski
Semaglutide 1 mg · week 9
-11.4 lb
Side effects
3h ago
Sam Rivera
Tirzepatide 5 mg · week 3
-4.1 lb
On track
today
Jorge Ruiz
Semaglutide 1.7 mg · week 14
-19.5 lb
Dose review
Fri 2:00 PM
Amara Diallo
Maintenance · month 10
-41.0 lb
Saved
was at-risk
Red-flag escalation On-call paged · 11:42 PM
G
Dana Kowalski
Semaglutide 1 mg · week 9
Handled
Dana: been vomiting since last night, can't keep water down
Gigi: That's beyond normal side effects, Dana. I'm connecting your care team right now.
Gigi → on-call: Severe GI red flag, week 9. Chart and full transcript attached.
✓ Escalated to staff · 42 secondsNever handled by AI
The log · same event, your sideAudit-ready
11:41 PM

Dana K inbound: "been vomiting since last night, can't keep water down"

11:41 PM

Red-flag rule matched: severe GI. Escalation triggered, agent stands down.

11:42 PM

On-call paged with chart + full transcript attached.

11:47 PM

Dr. Patel acknowledged. Patient notified her care team is on it.

8:14 AM

Follow-up booked by staff. Note written back to the record.

Four ways patients leave.
Four plays that stop it.

Every play runs from your clinician-approved scripts, escalates to your team when it matters, and writes itself to the log.

Side effects
28.2% of quits

Coaching lands before each dose step-up, the danger window. And the 11pm "should I stop?" gets a response in seconds, straight from your clinician-approved scripts: what's normal, what helps, what gets escalated.

Logged: coached before step-up, flag rules armed
The plateau
mo 6-15the stall window

The stall gets named as maintenance, not failure. Progress is reframed in percent lost, and your clinician gets a dose-review booking instead of a cancellation.

Logged: plateau protocol run, dose review booked
Cost & refills
12.8% + refill gaps

Reminders land before run-out and reorder requests route to your team. Savings programs get surfaced, and a step-down consult with your clinician beats a hard quit.

Logged: refill nudged 5 days early, gap closed
Silence
6 dayssilent is Gigi's re-engagement trigger

Missed check-ins and unopened texts trigger graded re-engagement: a nudge, then a personal check-in, then clinician outreach, before the patient is gone for good.

Logged: re-engaged after 6d silent, back on cadence

Underneath the plays: weekly weight logging by text (each 1% of body weight lost is linked to ~3% lower quit risk), onboarding expectation-setting, titration-day reminders, and win-back contact for patients who already left.

Safety & compliance

Your clinicians stay in charge

Gigi runs the predictable, your team handles the clinical. It never adjusts a dose, never gives medical advice, and adds nothing to your staff's to-do list until something genuinely needs them.

BAA signed. Built for healthcare messaging from day one.

Clinician-approved scripts only

Gigi says only what your clinical team has signed off on. No improvised medical advice, ever.

Hard red-flag rules

Pancreatitis symptoms, severe vomiting, hypoglycemia signs: routed to your staff immediately, never handled by the agent.

TCPA, opt-out & quiet hours

Consent, STOP handling, and quiet hours enforced by the engine itself, not by a policy document.

Every message logged

Timestamped, auditable, attached to the record. You can always show exactly what was said, and when.

Encrypted in transit and at rest, with access controls and audit logging monitored around the clock.

Month 12, still on therapy.

✓ The outcome every play above is built for

One agent, the whole GLP‑1 lifecycle

Start patients from the book you already own. Keep them through month twelve. Win back the ones who slip. Priced so the math does the selling.

Gross profit = program fee minus drug cost. US cash-pay programs typically charge $250-500 a month, landing $230-400 of gross profit. Canadian and lean telehealth-style programs often run lower. Set the slider to your own margin.

Patients you'll lose this year
65of 100
at the 64.8% baseline quit rate
Margin that walks out with them
$117k
at 6 lost months per quit
What Gigi costs
$12/patient/mo
$1,200/mo for your book, $14k a year
What Gigi saves
$6,450/mo
by keeping 43 of the 65 would-be quitters on therapy
5.4xreturn

Every $1 you put into Gigi comes back as $5.38 of kept margin.

Why two in three? Because our AI already converts at that rate for existing clients. The math above assumes Gigi matches it on your book, keeping two of every three would-be quitters on therapy.

The retention agent
Keep · Gigi
$12/patient/mo
No setup fee · cancel monthly · BAA included
Everything on this page: titration-week support, the 11pm intercept, refill rescue, plateau saves, and escalation with full logging. A 100-patient clinic pays $1,200 a month.
Unlimited patient conversations, 24/7
Clinician-approved script library
Red-flag escalation to your staff
TCPA, opt-out, and quiet hours enforced
Audit-ready log of every message
Start free
Grow · enrollment agent
$150/patient started
No monthly fee · pay only when someone starts therapy
One success fee, two hunting grounds: the botox-and-fillers book that never tried GLP-1s, and the 36-47% of quitters who reinitiate within a year. Gigi texts them, answers the awkward questions, and books the consult. Cheaper than the $200-500 a colder lead costs.
Works your dormant patient list, consent and quiet hours enforced
Stays close to churned patients and re-engages at the regain moment
Billed only on a Gigi-driven start or restart, verified in the log
Add enrollment

Med spas already pay $20-30 per patient per month for generic engagement tools. One saved patient covers 20-25 patients of Gigi, and every quit you prevent also saves the $200-500 it costs to replace them.

Your book is leaking.
Stop it this week.

Gigi enrolls your patients in an afternoon. $12 a month each, no setup fee, cancel monthly.

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