Investigational Compound Consent

Last updated: July 2026

Effective date: [EFFECTIVE DATE]

This document is a working draft prepared for internal review. It must be reviewed and approved by qualified healthcare counsel before publication.

This Investigational Compound Consent applies to certain peptides and compounds, such as GLP-3 and similar agents, that may be prescribed to you through originshealth.com by physicians affiliated with [ORIGINS LEGAL ENTITY NAME] (“Origins Health”). Origins Health is a direct-to-consumer telehealth company that operates entirely online and has no physical clinic. Please read this consent carefully before using any such product.

Investigational Status

Certain peptides and compounds are considered investigational. This means they have not been approved by the U.S. Food and Drug Administration (“FDA”) for the uses described, and the available scientific and clinical evidence about their safety and effectiveness may be limited or evolving. These products are not FDA-approved for the purposes for which they may be prescribed to you.

Prescribed at Physician Discretion

Any investigational compound is prescribed only at the independent discretion of a licensed physician who has reviewed your health questionnaire. The physician may decline to prescribe, may recommend an alternative, or may discontinue therapy at any time. A prescription is never guaranteed.

Risks and Uncertainty

Because these compounds are investigational, all possible risks, side effects, and long-term effects may not be fully known.
You may experience side effects, some of which could be serious or unexpected.
The benefit, if any, cannot be guaranteed, and the product may not work for you.
Interactions with other medications, supplements, or conditions may occur.

You should discuss any questions or concerns with the prescribing physician and report any side effects promptly. Seek emergency care for any severe or life-threatening reaction.

Acknowledgment of Risks

By choosing to use an investigational compound, you acknowledge that you understand its investigational status, that it is not FDA-approved for the described uses, and that you accept the known and unknown risks involved. You confirm that you have had the opportunity to ask questions and that your questions have been addressed.

Your Right to Decline

Your use of any investigational compound is entirely voluntary. You may decline to use these products, and you may stop using them at any time. Declining will not affect your ability to be considered for other treatments for which you may be eligible.

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