Payment is made via Credit or Debit card. The first cycle is 4 months this is the acclimation period to the maintenance dose of 2.5mg of Semaglutide. If your choose recurring payments, you will be billed monthly on the same day, each month that you made your initial payment for $400 for 4 months. If you choose to pay month to month your payment will be $439 each month and you are responsible for reordering. After the first cycle is finished you will begin the second cycle. You well at that time enroll into the second cycle with a subsequent blood exam (no cost to you). A new form will be sent via Email requesting permission to be billed monthly for $500 until you have reached your weight loss goals and discontinue the program, or 68 weeks at which time we will need to reevaluate your condition. If you choose month to month the payment will be $539 each month and you will be responsible for reordering. You may also choose to pay either recurring bill or month by month, whichever is best for you.