Ian Justl Ellis, MD

Board-certified physician redefining GLP-1 and hormone optimization through MyLevel™ precision dosing and medication level targeting. Founder of Voafit.

[Ian Justl Ellis, MD @voafitmd]

@Be_like_legend @Richkhid132 Sheesh.

[Ian Justl Ellis, MD @voafitmd]

Two words kept coming to mind when I thought about GLP-1 medications today: control and freedom.

That is what most people want in the first place. Not just weight loss. Not just less hunger. Real control over appetite, over choices, and over the ability to enjoy life without being at the mercy of cravings.

But here is the irony: for many patients, GLP-1 medications can end up taking some of that control away.

The medication starts deciding when you feel hungry, how much you can eat, and how you feel, whether that fits your life or not. Got a wedding this weekend? A vacation? A dinner you have been looking forward to? With standard fixed dosing, the medication does not know what is on your calendar, and it does not care.

That is not freedom. And it is not real control either.

With MyLevel precision GLP-1 dosing, the goal is to put you back in the driver’s seat of your own experience. Want more flexibility for a special occasion or a certain season of life? Turn your medication level down. Need a stretch of tighter appetite control and more focused progress? Turn it up. Your life, your timeline, your choice.

GLP-1 medications are remarkable tools. But tools work best in the hands of a skilled craftsman, not when they are turned all the way up and left to run the shop themselves.

If you feel like your medication is running you instead of the other way around, let’s fix that. Book a consult with my team, and we will help you fine-tune your dosing so you can get both the results and the experience you actually want.

Get to know our clinic and our approach at https://t.co/RBUqvxYMkB.

[Ian Justl Ellis, MD @voafitmd]

I get questions all the time about the best dosing interval for GLP-1s. Weekly, twice weekly, microdosing....etc.

Here's the best answer:

The amount of the dose typically determines how HIGH your medication levels get (and thereby your maximum appetite suppression and risk of side effects).

How often you dose typically determines how LOW your medication levels get before your next dose.

The closer your doses are together, the less variability there will between maximum medication levels.

At our clinic, we set a target medication level and our application allows us to calculate both the exact dose needed to hit that level with any individual dose, and also to set the preferred dosing interval depending on how tightly the patient wants their levels to be controlled.

I've attached two photos--both patients have the same target level (how high their medication levels get).

However, one patient doses once a week and has a lot more variability in their levels. This gives them more dietary freedom and flexibility towards the end of the week.

The other patient doses every 3 days. The peak level is the same--but they stay much closer to that line on average.

To summarize: need more appetite suppression? Increase your target level. Want tighter control? Take the dose needed to hit that level more often.

To learn more, visit https://t.co/VQ2t3hlTzj or feel free to ask questions in the comments!

[Ian Justl Ellis, MD @voafitmd]

The standard dosing protocol for GLP-1s is fatally flawed.

I have found that the difference in medication level between a plateau, progress, and intolerable side effects on a GLP-1 can be as small as 2-4%.

The standard dosing increment for a GLP-1 is 50-100%.

No wonder ao many patients aren’t having success.

[Ian Justl Ellis, MD @voafitmd]

Uncomfortable truth about GLP-1 medications:

40–70% of people quit these medications.

Not because the drugs “don’t work.”

They quit because the dosing schedule they were prescribed made success nearly impossible.

The problem often isn’t the medication.

It’s the dosing model we were taught to use.

We need to rethink how these medications are prescribed.

More on this soon.

#MyLevel #GLP1 #PrecisionMedicine

[Ian Justl Ellis, MD @voafitmd]

For the past few years, I’ve been working on a different way of using and prescribing GLP-1 medications.

In clinical practice, I kept seeing the same pattern. Some patients felt great and made steady progress, while others struggled with side effects, inconsistency, or eventually stopped treatment altogether. The difference often wasn’t motivation or discipline. It was how the medication was being used.

Most GLP-1 protocols rely on fixed dose schedules. But these medications don’t really behave in “steps.” They build and change in the body over time, and how someone feels is driven more by their medication level than the number on the prescription.

Over the past year, working closely with patients, we began using a level-based approach focused on identifying the medication level where each person feels and performs best. That work evolved into what is now called MyLevel™.

As this approach developed, we began noticing consistent patterns. Patients often experienced fewer side effects, more stable appetite control, and meaningful progress using much lower doses than are commonly used in standard titration schedules. Just as importantly, far fewer people felt the need to stop treatment altogether.

We’re now starting to share this approach more publicly with the goal of helping more people succeed with GLP-1 therapy safely and sustainably.

If you want to understand the idea behind MyLevel™, these are the best places to start:

Overview page:
https://t.co/G0tO3o9oey

Full conversation explaining the concept:
https://t.co/HkuxdPHMzx

More educational content coming soon.