Terms and Conditions of Use



1. Terms

By accessing this website, accessible from https://leaneryouwellness.com/, you are agreeing to be bound by these website’s “Terms and Conditions of Use” and agree that you are responsible for the agreement with any applicable laws. If you disagree with any of these terms, you are prohibited from accessing this site. The materials contained in this website are protected by copyright and trade mark law.

2. Use License

Permission is granted to temporarily download one copy of the materials on the Leaner You Wellness website for personal, non-commercial transitory viewing only. This is the grant of a license, not a transfer of title, and under this license you may not:

• modify or copy the materials;
• use the materials for any commercial purpose or for any public display;
• attempt to reverse engineer any software contained on Relive Wellington’s Website;
• remove any copyright or other proprietary notations from the materials; or
• transferring the materials to another person or “mirror” the materials on any other server.

This will allow Leaner You Wellness to terminate, upon violations of any of these restrictions, your viewing, copying, or printing rights.

3. Disclaimer

All the materials on the Leaner You Wellness website are provided “as is”. Leaner You Wellness makes no warranties, either expressed or implied, and therefore negates all other warranties. Furthermore, Leaner You Wellness does not make any representations concerning the accuracy or reliability of the use of the materials on its website or otherwise relating to such materials or any sites linked to this website.

4. Limitations

Leaner You Wellness or its suppliers will not be held accountable for any damages that will arise with the use or inability to use the materials on the Leaner You Wellness website, even if Leaner You Wellness authorized representatives have been notified, orally or written, of the possibility of such damage. Some jurisdiction do not allow limitations on implied warranties or limitations of liability for incidental damages, these limitations may not apply to you.

5. Revisions and Errata

The materials appearing on the Leaner You Wellness Website may include technical, typographical, or photographic errors. Leaner You Wellness will not promise that any of the materials in this Website are accurate, complete, or current. Leaner You Wellness may change the materials contained on its Website at any time without notice. Leaner You Wellness does not make any commitment to update the materials.

6. Links

Leaner You Wellness has not reviewed all of the sites linked to its Website and is not responsible for the contents of any such linked site. The presence of any link does not imply endorsement by Leaner You Wellness of the site. The use of any linked website is at the user’s own risk.

7. Site Terms of Use Modifications

Leaner You Wellness may revise these Terms of Use for its Website at any time without prior notice. By using this Website, you are agreeing to be bound by the current version of these Terms and Conditions of Use.

8. Your Privacy

Please read our Privacy Policy.

9. Governing Law

Any claim related to the Leaner You Wellness Website shall be governed by the laws of the United States without regards to its conflict of law provisions.

Acknowledgments for Medically Managed Weight Loss Therapy through Leaner You Wellness

You voluntarily entering into a medically managed weight loss program with Anthony Tomasello, P.A. DBA Leaner You Wellness.  You fully realize that entering any program involving weight reduction, which includes moderate calorie restriction, exercise, and medications involves potential risks and side effects. 

You acknowledge those with obesity/morbid obesity, particularly those with hypertension, heart disease, or diabetes, have a statistically higher chance of suffering sudden death when compared to normal weight people without such medical problems. Rare instances of sudden death have occurred while obese patients were undergoing medically supervised weight reduction, though no cause and effect relationship with the diet has been established. The possibility cannot be excluded that some undefined or unknown factor in the treatment program could increase this risk in an already medically vulnerable patient

You are aware there is a risk of gallbladder disease.  Any program resulting in rapid weight loss may lead to the formation of gallstones and could lead to cholelithiasis or cholecystitis (inflammation of the gallbladder).  This can be an emergency and may require surgery.  Symptoms include abdominal pain, low back pain, nausea, vomiting. 

You are aware there is a risk of pancreatitis (inflammation of the pancreas), which has been associated with semaglutide/tirzepatide use.  It can also be caused by gallstones and/or alcohol consumption.  Symptoms include abdominal pain, nausea, vomiting, fevers.  You are aware that pancreatitis may require hospitalization and can lead to serious complications and death. 

You are aware there is a risk of potential side effects including nausea, vomiting, stomach upset/reflux, diarrhea, and/or constipation.  If these effects occur and persist or become problematic, you agree to contact the provider to discuss symptoms.  You are aware the majority of patients tolerate this without issue.   

You are am aware there is a risk for drug interactions as it is not known if semaglutide/tirzepatide is safe and effective  when taken with other prescription, over the counter or herbal weight loss products.  Therefore, you agree that you will check with the prescribing medical provider before starting the program and before beginning any additional medications or supplements. 

You are aware there are risks related to pregnancy (biological females).  You agree that if you become pregnant that you will inform my provider immediately.  You will cease calorie restrictions and cease use of medications provided by this establishment.  You understand calorie restriction and use of GLP-1/GIP medications may be harmful to the fetus.  You acknowledge that you should take measures to avoid pregnancy while on this program.

You acknowledge that you understand that the amount of weight loss varies from patient to patient, and is, to a large extent, dependent on each patient’s personal motivation and commitment to their diet and exercise plan. You are aware that no claims as to efficacy or specific amount of weight loss is either expressed or implied. 

You understand the importance of routine follow up appointments with my provider to monitor my progress during treatment.  You understand this is vital to the safety of the treatment program.  You understand that you may be charged a fee for missed appointments. 

You authorize Anthony Tomasello, P.A. DBA Leaner You Wellness to evaluate you for admission to the weight management program and treat me accordingly.  You consent to obtaining blood work before and during treatment if deemed necessary.

You understand some treatment modalities utilized by Anthony Tomasello, P.A. DBA Leaner You Wellness may not be supported by scientific medical literature and could be seen as experimental or based on anecdotal claims.  You also understand that some of the medications that may be utilized within the medically managed weight loss program are considered “off label” use and may not be FDA approved for the purposes herein. 

You also recognize the potential risks of this treatment program, and also understand the benefits of weight loss, which may include:

1. Higher self esteem, improved emotional and psychological well being.
2. Decreased risk of heart disease including high blood pressure, heart attack, and stroke.
3. Improved insulin resistance and decreased risk of developing diabetes. 
4. Improved mobility, less pain, decreased risk of developing arthritis and other musculoskeletal conditions that are caused by excessive weight.
5. Lower risk for multiple cancers.
6. Improved sleep quality.
7. Lower instances of erectile dysfunction (biological males)

You acknowledge that the medically managed weight loss program recommended to me by Anthony Tomasello, P.A. DBA Leaner You Wellness is one of multiple strategies to lose weight.  Alternative options include diet and exercise alone without medications, the use of other types of medications, non medical weight loss program, or bariatric surgical options. 

You understand that Anthony Tomasello, P.A. DBA Leaner You Wellness does not accept commercial or government sponsored health insurance. I understand that payment is due at the time of treatment and there are no exceptions.  I am aware that personal checks are not accepted.  I understand individual results may vary.  There is no warranty or guarantee of results and there are no refunds.  I agree that payment cannot be disputed if I do not agree with the treatment plan.  I understand that should this account be referred to an agency or attorney for collection, I will be responsible for all collection costs, attorney fees and court costs.  I understand that all billing inquiries and refund requests must be in writing.