Metabolic health is physiology before it is willpower. The medications in this category act on incretin signaling — the gut-hormone system involved in appetite regulation, how quickly the stomach empties, and how the body handles glucose and insulin after a meal. That is a clinical mechanism, not a lifestyle product, which is why these are prescription medications.
Promise offers them one way. A licensed provider reviews your health history, your current medications, and your goals, then prescribes only when treatment is appropriate for you. Sometimes the answer is no, and a no is a legitimate outcome of a medical visit.

