ChooseQ Reviews

ChooseQ is the telehealth partner Qsymia's manufacturer directs patients to from qsymia.com, which makes it the official route to a Qsymia prescription online. The model is simple and cheap: register, complete a short medical questionnaire, select an independent medical professional licensed in your state, and pay a flat $65 telehealth visit fee. If the prescription is issued, you choose from multiple ways to receive the medication. Qsymia is a phentermine and topiramate combination — an older, non-GLP-1 approach that produces less average weight loss than semaglutide or tirzepatide but costs far less and suits people who cannot use injectables. It carries real risks that need attention: significant birth defect risk requiring pregnancy prevention, eye symptoms, metabolic acidosis requiring blood monitoring, and a required taper when stopping.

• Adults meeting the labeled indication for chronic weight management
• Must be 18 years or older
• Must not be pregnant, and effective pregnancy prevention is required — Qsymia can cause birth defects
• Not for people with glaucoma, hyperthyroidism, or taking MAO inhibitors
• Requires blood testing to measure acid levels before and during treatment

• Only offers one medication — Qsymia and nothing else
• Significant birth defect risk means mandatory pregnancy prevention
• Requires blood monitoring for metabolic acidosis
• Must be tapered when stopping rather than discontinued abruptly
• Average weight loss is well below what GLP-1 medications produce