My first year was good. I had a great coach, things went smoothly, and I was successful. I joined because it was physician-led and supposedly evidence-based. When I joined, we discussed that GLP-1's are taken indefinitely (what the literature supports). I was excited to join for year two. Unfortunately, things have been fairly disappointing for year two. First, the message changed to "the meds were just a bridge, but it's the intensive lifestyle interventions that really make a difference." There is no data to support this, and clear data to refute this. Second, support has been minimally responsive in year two. I reached out over a month ago because they didn't refill my medications, and am still waiting for resolution. I understand that there are shortages, but I sent them a pharmacy that has it in stock over two weeks ago, and still nothing. It seems that the bulk of the program for year two is a facebook group. This is not useful, and I can't be the only person who wants much less facebook in their life. SO, Two stars instead of one because year one was solid, but year two has been such a disappointment.