The information provided on this website is for informational purposes and not a substitute for professional medical advice, diagnosis, or treatment. If you have questions or concerns about your health, please talk to your healthcare provider.

Frequently Asked Questions & Disclaimers

Frequently Asked Questions (FAQ)

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What services does ZYP Medical offer?

ZYP Medical specializes in medical weight loss (GLP-1 therapy including semaglutide and tirzepatide), men's health testosterone replacement therapy (TRT), virtual urgent care, minor medical condition treatments, prescription refills, and work excuse notes. We serve patients in Nebraska, Iowa, South Dakota, Kansas, Colorado, and Arizona.

Do I need insurance to use ZYP Medical?

No! ZYP Medical operates as a cash-pay, fee-for-service practice. We offer transparent, affordable pricing without the need for insurance. This allows us to keep costs low and provide direct, personalized care.

What states does ZYP Medical serve?

We provide telehealth services to patients located in Nebraska, Iowa, South Dakota, Kansas, Colorado, and Arizona. In-person visits are available at our Gretna, Nebraska clinic location.

How do virtual appointments work?

Virtual appointments are conducted via secure telehealth video or phone consultations. After booking your appointment, you'll receive instructions for accessing your virtual visit. Our board-certified provider, Joshua Peterson FNP-C, will evaluate your condition and provide personalized treatment recommendations.

How much does a consultation cost?

Initial consultations are $50 for a one-hour appointment with our licensed provider. Weight loss programs start at $143/month for semaglutide and $227/month for tirzepatide. Testosterone replacement therapy starts at $119/month. All pricing is transparent with no hidden fees.

How quickly can I get an appointment?

We typically offer same-day or next-day appointments for both virtual and in-person visits. We understand that when you need medical care, you want it quickly and conveniently.

Can I get prescription refills through ZYP Medical?

Yes, we offer prescription refill services for established patients. Virtual consultations for prescription refills are quick and convenient.

What is GLP-1 therapy for weight loss?

GLP-1 (glucagon-like peptide-1) medications like semaglutide and tirzepatide help with weight loss by reducing appetite, increasing feelings of fullness, and improving blood sugar regulation. These medications are prescribed when clinically appropriate as part of a comprehensive weight loss program.

Do you offer testosterone replacement therapy (TRT)?

Yes, ZYP Medical specializes in men's health and testosterone replacement therapy. After a thorough evaluation including lab work, our provider will determine if TRT is appropriate for your specific health needs. We offer the most affordable TRT in the Omaha metro area starting at $119/month.

Where is ZYP Medical located?

Our clinic is located at 11922 Standing Stone Drive, STE 200, Gretna, NE 68028 - just outside of Omaha, Nebraska. We're easily accessible from Omaha, Bellevue, Papillion, La Vista, and surrounding Sarpy County communities.

Who is the provider at ZYP Medical?

Joshua Peterson, FNP-C is a board-certified Family Nurse Practitioner with extensive experience in family medicine, men's health, and medical weight loss. He provides personalized, one-on-one care with direct access via text or call whenever you need support.

When to Go to the Emergency Room

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EMERGENCY MEDICAL CONDITIONS DISCLAIMER

ZYP Medical is not equipped nor appropriate for handling emergency medical conditions. If you are experiencing any life-threatening symptoms, please go to the nearest emergency room or call 911 immediately.

Seek Emergency Care Immediately if You Experience:

Chest pain or pressure
Severe difficulty breathing or shortness of breath
Uncontrolled bleeding
Sudden weakness, numbness, or paralysis (especially on one side of the body)
Severe abdominal pain
Loss of consciousness or altered mental status
Severe allergic reactions (anaphylaxis)
Stroke symptoms (facial drooping, arm weakness, speech difficulty)
Severe head injury or trauma
Suicidal thoughts or intent to harm yourself or others
Seizures (first-time or prolonged)
Severe burns
Suspected heart attack symptoms
Any other life-threatening condition

Scope of Care: ZYP Medical provides care for non-emergent, minor medical issues, medical weight loss, men's health, and general health consultations. We are unable to treat acute emergencies or conditions requiring immediate and intensive medical intervention such as emergency surgery, cardiac emergencies, or severe trauma.

Your Safety is Our Priority: When in doubt about whether your condition is an emergency, always err on the side of caution and seek emergency medical care. ZYP Medical cannot provide emergency services and delays in seeking appropriate emergency care could result in serious harm or death.

Chronic Conditions Disclaimer

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CHRONIC CONDITIONS CARE LIMITATIONS

ZYP Medical specializes in providing care for non-emergent, minor medical issues, medical weight loss, men's health testosterone therapy, and general health consultations. Our services are not designed to manage chronic medical conditions that require ongoing, long-term treatment and intensive monitoring.

Exception: We do provide long-term management for medical weight loss programs and testosterone replacement therapy when clinically appropriate.

Conditions Requiring Specialist Care: If you have chronic conditions such as diabetes, uncontrolled hypertension, heart disease, kidney disease, liver disease, autoimmune disorders, or any other long-term illness requiring continuous management, please consult with a specialist or your primary care physician who can provide the necessary comprehensive ongoing care.

Our Recommendation: For chronic care needs, we strongly recommend establishing care with qualified healthcare providers who specialize in chronic disease management. These conditions require regular monitoring, medication adjustments, and coordinated care that extends beyond our scope of practice.

Minor Acute Conditions: ZYP Medical is ideal for treating minor acute conditions such as cold and flu symptoms, minor infections, allergic reactions (non-severe), minor skin conditions, minor injuries, and other non-emergency health concerns.

If you have questions about whether ZYP Medical can appropriately treat your condition, please contact us at (402) 407-2847 or email info@Zypmed.com before scheduling an appointment.

Weight Loss Medication Disclaimer

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COMPOUNDED GLP-1 WEIGHT LOSS MEDICATIONS DISCLAIMER

Individual Results May Vary: The effectiveness of weight loss medications varies from person to person. Results depend on various factors, including individual health conditions, metabolism, adherence to prescribed treatment plans, dietary habits, exercise, lifestyle changes, genetics, and other variables. Past results do not guarantee future outcomes.

Compounded Medications: Compounded semaglutide and tirzepatide are NOT FDA-approved for weight loss. These medications are compounded by licensed pharmacies under the supervision of licensed healthcare providers and prescribed off-label when clinically appropriate. FDA-approved brand-name GLP-1 medications (Wegovy, Ozempic, Mounjaro, Zepbound) are recommended as first-line treatment for obesity when available and covered by insurance.

Medical Appropriateness: At ZYP Medical, a licensed healthcare provider will evaluate whether weight loss medications are medically appropriate and necessary for your specific health needs during your consultation. Not all patients will qualify for GLP-1 therapy.

Risks and Considerations: Compounded medications may carry risks including variations in potency, purity, and safety compared to FDA-approved medications. Common side effects of GLP-1 medications include nausea, vomiting, diarrhea, constipation, abdominal pain, headache, fatigue, and injection site reactions. More serious risks may include pancreatitis, gallbladder disease, kidney problems, low blood sugar (especially in diabetics), thyroid tumors (including medullary thyroid carcinoma), and allergic reactions.

Contraindications: GLP-1 medications are not appropriate for patients with a personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, severe gastrointestinal disease, or who are pregnant or breastfeeding.

Patient Responsibility: By choosing to use weight loss medications, you acknowledge that you have been informed of the potential risks, benefits, and alternatives and have discussed these thoroughly with your healthcare provider. You agree to follow the treatment plan prescribed by your healthcare provider, attend regular follow-up appointments, and promptly report any side effects or concerns.

No Guarantee of Results: ZYP Medical does not guarantee specific weight loss outcomes with the use of these medications. Weight loss results may vary widely among individuals. Some patients may experience significant weight loss while others may see minimal results.

Ongoing Monitoring Required: Regular follow-up appointments and monitoring are essential to ensure the safe and effective use of weight loss medications. Your healthcare provider will monitor your progress, adjust dosages as needed, and evaluate for any adverse effects. Missing follow-up appointments may result in discontinuation of treatment.

Lifestyle Modifications: Weight loss medications are most effective when combined with dietary changes, increased physical activity, and behavioral modifications. Medications alone are not sufficient for sustainable weight loss.

Legal and Regulatory Compliance: ZYP Medical operates in full compliance with all applicable state and federal regulations regarding the prescribing and dispensing of medications. All prescriptions are written by licensed healthcare providers with appropriate prescriptive authority in the state where the patient resides.

Cost and Insurance: Weight loss medications prescribed by ZYP Medical are typically not covered by insurance. Patients are responsible for all costs associated with consultations, medications, and follow-up care. Pricing is transparent and discussed prior to initiating treatment.

Men's Health & Testosterone Therapy Disclaimer

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TESTOSTERONE REPLACEMENT THERAPY (TRT) DISCLAIMER

Off-Label Use and FDA Approval: Testosterone replacement therapy may be prescribed "off-label" for andropause (age-related testosterone decline) and is NOT FDA-approved for treatment of subclinically low testosterone levels or for men with normal to low-normal testosterone ranges. The FDA has approved testosterone therapy only for men with diagnosed hypogonadism due to specific medical conditions affecting the testes, pituitary gland, or hypothalamus.

Clinical Necessity: Testosterone therapy is generally not deemed clinically necessary for men with normal to low-normal testosterone levels (typically 300-1000 ng/dL). Treatment decisions are made on an individual basis considering symptoms, lab values, medical history, and overall health status. Your provider will determine if testosterone therapy is medically appropriate for your specific situation.

Required Evaluation: Before initiating testosterone therapy, patients must undergo comprehensive evaluation including detailed medical history, physical examination, and laboratory testing (including total testosterone, free testosterone, complete blood count, comprehensive metabolic panel, lipid panel, and PSA for men over 40).

Potential Benefits: When clinically appropriate, testosterone replacement therapy may help improve symptoms such as low energy, decreased libido, erectile dysfunction, reduced muscle mass, increased body fat, mood changes, difficulty concentrating, and decreased bone density associated with clinically low testosterone levels.

Risks and Side Effects of Testosterone Therapy:

Cardiovascular Risks: Increased risk of heart attack, stroke, blood clots, and cardiovascular events, particularly in older men or those with pre-existing heart disease
Prostate Health: Potential worsening of benign prostatic hyperplasia (BPH), increased PSA levels, and possible increased risk of prostate cancer (though evidence is controversial)
Blood Disorders: Elevated red blood cell count (polycythemia), increased hemoglobin and hematocrit which can increase blood clot risk
Sleep Apnea: Worsening of sleep apnea or development of new-onset sleep apnea
Infertility: Testosterone therapy suppresses sperm production and can cause temporary or permanent infertility
Testicular Atrophy: Shrinkage of testicles due to decreased natural testosterone production
Gynecomastia: Breast enlargement due to testosterone conversion to estrogen
Mood Changes: Increased aggression, mood swings, or irritability
Skin Reactions: Acne, oily skin, injection site reactions
Liver Problems: Elevated liver enzymes or liver damage (more common with oral testosterone)
Fluid Retention: Swelling in ankles and feet

Contraindications: Testosterone therapy is contraindicated in men with prostate cancer, breast cancer, uncontrolled heart failure, untreated severe sleep apnea, high red blood cell count, or who are trying to father children.

Ongoing Monitoring Required: Regular follow-up appointments and laboratory monitoring are mandatory for safe testosterone therapy. This includes monitoring testosterone levels, complete blood count, liver function, lipid panel, and PSA. Failure to attend follow-up appointments may result in discontinuation of therapy.

Not a Substitute for Lifestyle: Testosterone therapy is not a replacement for proper diet, exercise, sleep, and stress management. Lifestyle modifications should always be the foundation of men's health optimization.

Withdrawal and Dependency: Long-term testosterone use may suppress natural testosterone production. Discontinuing therapy may require medical supervision and may result in temporary low testosterone symptoms while natural production recovers.

Legal Considerations: Testosterone is a controlled substance (Schedule III). Prescriptions must be written by licensed healthcare providers and dispensed through licensed pharmacies. Sharing or selling testosterone is illegal and dangerous.

Patient Responsibility: By choosing testosterone replacement therapy, you acknowledge that you have been fully informed of the risks, benefits, and alternatives. You agree to follow the prescribed treatment plan, attend all follow-up appointments, report any side effects promptly, and have realistic expectations about treatment outcomes.

Individual Results Vary: Response to testosterone therapy varies significantly between individuals. Some men experience dramatic improvement in symptoms while others may notice minimal changes. ZYP Medical does not guarantee specific outcomes from testosterone therapy.

Insurance and Cost: Testosterone replacement therapy is typically not covered by insurance when prescribed for age-related decline or off-label uses. Patients are responsible for all costs. ZYP Medical offers transparent, affordable pricing for testosterone therapy starting at $119/month.