Thank you for your interest in Motley Rice. Please complete this form to contact one of our medical drug attorneys. Name Telephone Number Email Address What state do you live in Which GLP-1 RA product(s) did you take? A compounded version Mounjaro Ozempic Rybelsus Saxenda Trulicity Victoza Wegovy Zepbound Other… Enter other… Which GLP-1 RA product did you take? A compounded version Mounjaro only Ozempic only Rybelsus only Saxenda only Trulicity only Victoza only Wegovy only Zepbound only Other, explain below What year did you begin taking a GLP-1 RA product? Are you still taking a GLP-1 RA product? Yes No When did you stop? Have you been hospitalized or required medical care for any of the following conditions? Blood Clots Deep Vein Thrombosis (DVT) Intestinal Obstruction Severe or Permanent Stomach Paralysis Gastric Distress Necrotizing Pancreatitis Pancreatic Cancer Pulmonary Embolism Surgical Complications Vision Changes or LossSudden blindness, color blindness, optic stroke, other vison loss Have you been hospitalized or required medical care for any of the following conditions? Pancreatic cancer Surgical complications Pulmonary aspiration Deep vein thrombosis (DVT) Did you use a telehealth provider to get your prescription? Yes No Which telehealth provider? Everly Health Noom Ro Teledoc Weight Watchers Other Tell us about your potential case (500 character limit) By submitting this form, I agree that Motley Rice LLC may collect my information and use it pursuant to its privacy policy. Yes NoIf you do not agree with our website privacy policy please call 1.800.768.4026 to discuss your potential case. Leave this field blank