What do I need to qualify for Clomid?

If you’re experiencing fatigue, low libido, difficulty concentrating, or unexplained weight gain, low testosterone (Low T) might be to blame. The good news? You no longer need to visit a doctor’s office in person to get evaluated and treated. Telehealth has revolutionized access to Low T care—but navigating the legal landscape and finding legitimate providers requires some homework.

In this guide, we’ll walk you through everything you need to know about getting low testosterone treatment via telehealth in 2025, including what’s legal, how the process works, and what to watch out for.

Is Telehealth Low T Treatment Legal?

Yes—telehealth low testosterone treatment is legal across all 50 states in 2025. Federal and most state regulations now permit healthcare providers to diagnose and prescribe medications for Low T via video or phone consultations, without requiring an initial in-person visit.

Here’s why: During the COVID-19 pandemic, the Drug Enforcement Administration (DEA) temporarily waived the requirement for an in-person medical exam before prescribing controlled substances (like testosterone) via telehealth. That flexibility has been extended through December 31, 2025, giving patients continued access to online Low T care. For non-controlled medications like clomiphene (Clomid), which is often used off-label to treat Low T, there has never been a federal in-person exam requirement—meaning telehealth prescribing for Clomid has always been legal.

Federal Rules: The Ryan Haight Act and DEA Waivers

Under the Ryan Haight Act (passed in 2008), doctors typically cannot prescribe controlled substances—including testosterone injections (Schedule III)—without first conducting an in-person medical evaluation. However, since March 2020, the DEA has suspended this rule under public health emergency flexibilities. The most recent extension in November 2024 keeps the waiver active until at least the end of 2025.

What this means for you: You can legally receive a prescription for testosterone therapy or other controlled hormone treatments entirely online, as long as your provider follows standard medical protocols (more on that below). If you opt for a non-controlled treatment like Clomid, federal law has no telehealth restrictions at all.

Important: The DEA is expected to propose new telemedicine regulations in early 2026, which may reintroduce some in-person requirements for controlled substance prescribing. Stay informed, and consider working with a telehealth provider that keeps you updated on rule changes.

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State-by-State Variations: Does Your State Require an In-Person Visit?

While federal rules broadly allow telehealth Low T treatment, state laws can add extra requirements. Most states permit fully remote diagnosis and prescribing for testosterone-related medications, but a handful still mandate periodic in-person exams or impose restrictions on nurse practitioners and physician assistants. Here’s a snapshot of key states:

States with No In-Person Requirement for Non-Controlled Meds (like Clomid):

• California, Texas, Florida, New York, Delaware, New Hampshire: These states allow providers to establish care and prescribe non-controlled medications (including Clomid for Low T) entirely via telehealth, with no mandated in-person visit.

States Requiring Periodic In-Person Visits:

• Georgia: Requires an initial in-person exam (or a referral from an in-state provider) before starting telehealth treatment, plus an annual attempt at an in-person follow-up.
• Alabama: If you receive telehealth care more than four times in 12 months for the same condition, Alabama law requires at least one in-person visit within that year. (This can be with a collaborating local provider.)

States That Recently Relaxed Rules:

• New Hampshire: In August 2025, New Hampshire eliminated its prior in-person exam requirement for controlled substances (including testosterone), replacing it with an annual in-person evaluation requirement. This means you can start treatment remotely and follow up once a year in person or via a hybrid model.
• California: AB 1503, under consideration in 2025, would further modernize the state’s ‘good faith exam’ standard to explicitly allow asynchronous (questionnaire-based) evaluations for certain prescriptions. Already, California providers can conduct a telehealth exam and prescribe without seeing you face-to-face.

Bottom Line:

Check your state’s specific telehealth rules before starting treatment. Most patients won’t face barriers, but if you live in Georgia or Alabama, plan for at least one in-person touchpoint within your first year of care.

How Does Telehealth Low T Treatment Work?

Telehealth Low T treatment should mirror the quality and thoroughness of an in-office visit. Legitimate providers follow a structured process to ensure you receive safe, personalized care. Here’s what to expect:

1. Initial Consultation (Video or Phone Visit)

You’ll meet with a licensed healthcare provider—typically a physician, nurse practitioner, or physician assistant—via video call or phone. The provider will:

• Review your symptoms (fatigue, low sex drive, mood changes, difficulty building muscle, etc.)
• Discuss your medical history, including any heart conditions, prostate issues, or prior hormone therapy
• Ask about lifestyle factors (sleep, exercise, stress)

This isn’t a quick form—you should have a real conversation with a clinician who takes time to understand your concerns.

2. Lab Testing for Diagnosis

You cannot be legitimately diagnosed with low testosterone without bloodwork. The American Urological Association (AUA) recommends two separate morning testosterone measurements showing levels below 300 ng/dL, combined with symptoms of Low T, before starting treatment.

Your telehealth provider will either:

• Order lab tests at a nearby lab (Quest Diagnostics, LabCorp, etc.) if you haven’t had recent testing
• Review labs you’ve already completed (within the past few months)

Expect to provide:

• Total testosterone (drawn in the morning, when levels are highest)
• Possibly free testosterone and SHBG (sex hormone-binding globulin) for a fuller picture
• Additional tests like PSA (prostate-specific antigen), CBC (complete blood count), and liver function tests to screen for contraindications

Red flag: If a telehealth service offers to prescribe testosterone or Clomid based only on a questionnaire—no labs, no live consultation—do not proceed. This is not legitimate medical care and may violate state and federal law.

3. Treatment Plan and Prescription

Once Low T is confirmed, your provider will discuss treatment options:

• Testosterone replacement therapy (TRT): Injections, gels, or patches (Schedule III controlled substance)
• Clomiphene citrate (Clomid): An oral medication, FDA-approved for female fertility but used off-label in men to stimulate the body’s own testosterone production. Clomid is not a controlled substance, making it easier to prescribe via telehealth. It’s often preferred for younger men or those wanting to preserve fertility, since TRT can impair sperm production.
• hCG (human chorionic gonadotropin): Sometimes combined with Clomid or used alone to maintain fertility while boosting testosterone.

Your provider will e-prescribe your medication to a pharmacy of your choice (or, in some cases, ship it directly if they use a partner pharmacy). Most states now require e-prescribing for all medications, including controlled substances like testosterone.

4. Ongoing Monitoring and Follow-Up

Low T treatment isn’t a ‘one and done’ prescription. Responsible telehealth providers will schedule follow-up visits (typically every 3–6 months) to:

• Reassess your symptoms
• Order repeat lab work to monitor testosterone levels, red blood cell count, liver enzymes, and PSA
• Adjust dosing as needed
• Check for side effects (e.g., acne, mood swings, elevated hematocrit)

If you’re on testosterone (a controlled substance), your doctor may be required to check your state’s Prescription Monitoring Program (PMP) before each refill or every few months, depending on state law. This ensures no one is ‘doctor shopping’ or misusing hormones.

Who Can Prescribe Low T Medications via Telehealth?

Not all healthcare providers have the same prescribing authority. Depending on your state, you may see a physician (MD or DO), a nurse practitioner (NP), or a physician assistant (PA). Here’s how it breaks down:

Physicians (MDs and DOs)

Doctors can prescribe any medication—controlled or not—in all 50 states via telehealth (subject to the state’s telehealth rules). If you see an MD or DO, there are no extra restrictions.

Nurse Practitioners (NPs)

Full Practice Authority States (e.g., California, New York, New Hampshire, Delaware): NPs can independently evaluate patients and prescribe testosterone, Clomid, or other Low T medications without physician oversight.

Restricted Practice States (e.g., Texas, Florida, Alabama): NPs must work under a collaborative agreement with a physician. In Texas, for example, NPs cannot prescribe Schedule II controlled substances in outpatient settings—but since testosterone is Schedule III, Texas NPs can prescribe it (with their collaborating physician’s approval). Clomid (non-controlled) is fair game for NPs in all states.

No Schedule II Authority (Georgia, Oklahoma): NPs in Georgia cannot prescribe Schedule II drugs at all, though they can prescribe Schedule III–V (including testosterone) under supervision. Clomid is still an option.

Physician Assistants (PAs)

PAs work under a supervising physician in every state, but most can prescribe controlled substances if their supervising MD delegates that authority. For Low T treatment, PAs typically have similar prescribing abilities as NPs in the same state.

Takeaway: Make sure your telehealth provider is licensed in your state and authorized to prescribe the specific medication you need. Klarity Health, for instance, connects patients with licensed providers in their state who can prescribe both controlled and non-controlled Low T treatments in compliance with local laws.

Clomid for Low T: Why It’s a Popular Telehealth Option

Clomiphene citrate (brand name Clomid) deserves special attention because it’s become one of the most commonly prescribed Low T medications via telehealth—and for good reason.

What Is Clomid?

Clomid is a selective estrogen receptor modulator (SERM) originally approved by the FDA to treat female infertility. However, it’s widely used off-label in men with low testosterone. Clomid works by blocking estrogen receptors in the brain, which tricks the body into producing more luteinizing hormone (LH) and follicle-stimulating hormone (FSH). These hormones signal the testicles to make more testosterone naturally.

Why Clomid Is Ideal for Telehealth:

• Not a controlled substance: Unlike testosterone injections, Clomid isn’t regulated by the DEA under the Ryan Haight Act, so there are no federal in-person exam requirements. Providers can prescribe it freely via telehealth in any state (barring specific state restrictions).
• Preserves fertility: Testosterone replacement therapy shuts down the body’s natural testosterone production and can significantly reduce sperm count. Clomid, on the other hand, stimulates natural testosterone production, making it a great choice for men who want to maintain or improve fertility.
• Oral medication: No injections, no messy gels—just a pill taken daily or every other day.
• Lower cost and easier refills: Clomid is generic and inexpensive compared to some testosterone formulations. Because it’s not controlled, refills are simpler (no special prescriptions or PMP checks).

Is Clomid Right for You?

Clomid isn’t for everyone. It’s most effective in men with secondary hypogonadism (where the problem is in the brain’s signaling, not the testicles themselves). Your telehealth provider will help determine if you’re a candidate based on your labs and symptoms. Some men don’t respond well to Clomid or prefer the more predictable results of direct testosterone replacement. The key is having an informed discussion with your provider about the pros and cons.

Safety and Red Flags: How to Spot a Legitimate Telehealth Provider

The explosion of telehealth has brought incredible convenience—but also some bad actors. In 2025, federal authorities secured the first-ever conviction of a telehealth startup founder for illegally distributing controlled substances (an ADHD service that prescribed 40 million Adderall pills without proper exams). While that case involved stimulants, it underscores the importance of choosing a reputable provider for any telehealth prescribing, including Low T treatment.

✅ Signs of a Legitimate Telehealth Low T Service:

• Licensed providers in your state: The doctor, NP, or PA must hold an active license in the state where you live.
• Live consultation required: You should have a real-time video or phone visit, not just fill out a form.
• Lab testing mandatory: No prescription without recent testosterone lab results.
• Transparent pricing: Upfront costs for consultations, labs, and medications (no hidden fees).
• Insurance or cash-pay options: Legitimate services often accept insurance or provide clear self-pay rates. (Klarity Health, for example, accepts both insurance and transparent cash pricing.)
• Follow-up care plan: You’re not handed a prescription and forgotten. Good providers schedule regular check-ins and repeat labs.
• Proper e-prescribing: Medications are sent to a licensed U.S. pharmacy (or a vetted partner pharmacy), not shipped from overseas or through unregulated channels.

🚩 Red Flags to Avoid:

• No live doctor visit: Services that prescribe based solely on a questionnaire or AI chatbot.
• No labs required: ‘Tell us your symptoms, get your prescription’—this is illegal and unsafe.
• Out-of-state or unlicensed providers: Make sure the provider is licensed where you live, not just where the company is headquartered.
• Promises of ‘steroids’ or ‘no questions asked’: Legitimate providers follow medical guidelines and won’t prescribe anabolic steroids without a valid diagnosis.
• Shipping controlled substances from abroad: Testosterone is a controlled substance in the U.S.—importing it without a prescription is a federal crime.
• Poor communication or no way to reach your provider: You should be able to message or call your doctor if you have concerns.

If something feels off, trust your gut. Your health—and your legal safety—are too important to risk with a shady operation.

What About Insurance? Does Telehealth Low T Treatment Cost More?

Cost is a common concern with telehealth. The good news: telehealth visits for Low T are often covered by insurance, just like in-person visits. Thanks to pandemic-era policy changes (many of which have been extended), most insurers now reimburse telehealth at the same rate as office visits.

Typical Costs (Without Insurance):

• Initial consultation: $100–$200
• Lab testing: $50–$150 (varies by panel; some providers include this in consultation fee)
• Medication (monthly):
• Clomid (generic clomiphene): $20–$50/month
• Testosterone injections (generic): $30–$100/month
• Testosterone gel or patches: $100–$400/month (brand-name products more expensive)
• Follow-up visits: $50–$150 per visit (every 3–6 months)

With Insurance:

If you have health insurance, your telehealth visit and labs may be covered under your plan’s preventive care or specialist visit benefits (subject to copays and deductibles). Prescription coverage depends on your pharmacy benefit—generic testosterone and Clomid are usually on formularies, while brand-name products may require prior authorization.

Klarity Health Tip: Klarity accepts both insurance and cash-pay, so you can choose the payment method that works best for you. Transparent pricing means no surprise bills, and our providers can help you navigate insurance coverage for labs and medications.

State-Specific Rules You Should Know

We’ve covered general trends, but here are a few state-specific nuances that might affect your care:

• Texas: NPs and PAs can prescribe testosterone (Schedule III) under a collaborative agreement, but they cannot prescribe Schedule II drugs in outpatient settings. Telehealth Low T treatment is fully legal with no in-person visit required for Clomid or testosterone. Providers must check the state’s Prescription Monitoring Program before prescribing certain controlled substances.

• California: No in-person visit required for telehealth prescribing (as long as a ‘good faith exam’ is conducted, which can be via video). AB 1503 (pending in 2025) may further liberalize rules to allow asynchronous exams. California NPs have full practice authority and can prescribe independently. CURES (California’s PMP) must be checked every 4 months for ongoing controlled substance prescriptions.

• Florida: Telehealth is allowed for Schedule III–V controlled substances (like testosterone), but Schedule II drugs cannot be prescribed via telehealth except in specific settings (psychiatric care, hospice, nursing homes). Clomid (non-controlled) can be prescribed freely. NPs and PAs must have physician supervision to prescribe controlled substances.

• New York: NPs have full independent practice authority (no physician required). New York adopted a rule in May 2025 requiring an in-person exam before prescribing controlled substances via telehealth—but this rule is currently overridden by the federal DEA waiver (active through end of 2025). After that, New York’s in-person rule will kick in unless the DEA extends the waiver again.

• Georgia: Requires an initial in-person exam or a referral from a Georgia-licensed provider before starting telehealth treatment. Must attempt an in-person follow-up at least annually. NPs cannot prescribe Schedule II drugs (testosterone is Schedule III, so NPs can prescribe it under supervision). Clomid is prescribable via telehealth with proper initial evaluation.

• New Hampshire: As of August 2025, New Hampshire allows fully remote prescribing of controlled substances (including testosterone) as long as the patient has an in-person evaluation at least once every 12 months. NPs have full practice authority.

• Alabama: Requires an in-person visit within 12 months if you receive telehealth care more than four times for the same issue. NPs can prescribe Schedule III–V (including testosterone) with collaboration; Clomid is fair game.

Check your state’s rules before starting treatment. Telehealth regulations are evolving, and staying informed protects you from unintentional violations.

The Future of Telehealth Low T Treatment: What’s Coming in 2026?

The current federal telehealth flexibilities for controlled substance prescribing are set to expire on December 31, 2025. The DEA has hinted at proposing a new ‘special registration’ system that would allow certain telehealth providers to prescribe controlled substances remotely without an in-person exam—but as of late 2025, no final rule has been published.

What this could mean for you:

• Likely extension into 2026: Given bipartisan support for telehealth and strong industry advocacy, many experts expect the DEA to extend the current waiver a fourth time, or phase in new rules gradually.
• Possible new requirements: The DEA may require a one-time in-person visit (within the first year of treatment) or mandate that telehealth providers obtain a special federal registration. These changes would not affect non-controlled medications like Clomid, which have never been subject to the in-person rule.
• State-level changes: Some states may tighten or loosen their own telehealth laws in 2026. For example, New York’s in-person requirement for controlled Rx (currently paused) will become enforceable if the federal waiver ends.

Takeaway: Don’t panic if you’re on testosterone therapy via telehealth. Most scenarios involve continuity of care, possibly with a one-time in-person visit added. Klarity Health and other reputable providers will keep you informed and help you comply with any new rules.

Why Choose Telehealth for Low T? The Benefits

Despite the regulatory complexities, telehealth offers clear advantages for Low T treatment:

1. Convenience

No need to take time off work or sit in a waiting room. You can consult with a provider from home, during lunch, or even while traveling.

2. Access to Specialists

In rural or underserved areas, telehealth connects you with experienced hormone specialists who might not practice nearby.

3. Privacy

Discussing Low T can feel personal or embarrassing for some men. Telehealth allows you to have these conversations in the privacy of your own home.

4. Continuity of Care

If you move or travel frequently, telehealth makes it easier to maintain a relationship with your provider across state lines (as long as they’re licensed in your new state).

5. Transparent Pricing

Many telehealth platforms offer upfront pricing and flexible payment options, so you know what you’re paying before you commit. Klarity Health, for instance, provides transparent pricing and accepts both insurance and cash-pay, ensuring you get the care you need without financial surprises.

How to Get Started with Telehealth Low T Treatment

Ready to take the next step? Here’s a simple roadmap:

Step 1: Research Providers

Look for a telehealth service with licensed providers in your state, positive patient reviews, and clear information about their process. Check that they require labs and live consultations (not just forms).

Step 2: Schedule a Consultation

Most services let you book online in minutes. You’ll provide some basic medical history upfront, then meet with a provider via video or phone.

Step 3: Complete Lab Testing

If you haven’t had recent testosterone labs, your provider will order them. Visit a local lab (usually within a few days), and your results will be sent directly to your provider.

Step 4: Discuss Your Results and Treatment Options

Once your labs are in, you’ll have a follow-up visit to review findings and decide on a treatment plan (TRT, Clomid, hCG, or a combination).

Step 5: Fill Your Prescription and Start Treatment

Your provider will e-prescribe to your preferred pharmacy. Pick up your medication (or have it delivered), and follow the dosing instructions.

Step 6: Attend Follow-Up Visits

Schedule regular check-ins (every 3–6 months) to monitor your progress and adjust treatment as needed. Your provider will order repeat labs to ensure your testosterone levels are optimizing and you’re not experiencing adverse effects.

Final Thoughts: Get the Care You Deserve

Low testosterone doesn’t have to control your life—and getting treatment doesn’t have to be complicated. Telehealth has made it easier than ever to access safe, effective Low T care from the comfort of your home, with licensed providers who follow the same rigorous standards as in-office visits.

Whether you’re interested in traditional testosterone replacement therapy or exploring alternatives like Clomid, the key is working with a reputable, licensed provider who prioritizes your health and safety. Stay informed about your state’s telehealth rules, ask questions during your consultation, and avoid services that cut corners.

Klarity Health is here to help. We connect patients with licensed healthcare providers in all 50 states for Low T evaluations and treatment. Our providers conduct thorough consultations, require lab testing, and offer transparent pricing—whether you’re using insurance or paying out of pocket. With flexible appointment times and responsive support, Klarity makes it simple to take control of your hormone health.

👉 Ready to get started? Schedule your telehealth Low T consultation with Klarity Health today and take the first step toward feeling like yourself again.

Frequently Asked Questions (FAQ)

Q: Can I get testosterone prescribed online without ever seeing a doctor in person?
A: Yes, as of late 2025, federal rules allow you to get testosterone prescribed via telehealth without an initial in-person visit (this waiver is active through December 31, 2025). However, a few states (like Georgia and Alabama) still require at least one in-person evaluation within the first year. Always check your state’s specific rules.

Q: Is Clomid as effective as testosterone injections?
A: Clomid can be very effective for men with secondary hypogonadism (low T caused by pituitary issues rather than testicular failure). It stimulates your body’s own testosterone production, so results may be less dramatic than direct testosterone replacement—but many men achieve normal levels on Clomid. It also preserves fertility, which TRT does not. Your provider will help determine the best option based on your labs and goals.

Q: Do I need to see a specialist, or can a family doctor prescribe Low T medication via telehealth?
A: Both are options. Many family doctors, nurse practitioners, and PAs can prescribe Low T medications via telehealth if they’re comfortable managing hormone therapy. Some patients prefer to see an endocrinologist or men’s health specialist (urologist) for more complex cases. Klarity Health offers access to providers experienced in hormone optimization.

Q: Will my insurance cover telehealth Low T visits?
A: Most insurance plans now cover telehealth visits at the same rate as in-office visits (subject to your copay or deductible). Lab work and prescriptions are usually covered under your standard benefits. Contact your insurer to confirm, or ask Klarity Health’s team—we can help you navigate coverage.

Q: What happens if the DEA ends the telehealth waiver in 2026?
A: If the waiver isn’t extended, new federal rules may require a one-time in-person visit (or a special telemedicine registration for providers). Non-controlled medications like Clomid would not be affected. Reputable telehealth services like Klarity Health will help you comply with any new requirements and ensure continuity of care.

Q: Can I use a telehealth service in one state if I live in another?
A: No—your provider must be licensed in the state where you physically reside at the time of the consultation. (There are limited exceptions for bordering states with reciprocity agreements, but generally you need a provider licensed in your home state.)

Q: How do I know if a telehealth Low T service is legitimate?
A: Look for these signs: licensed providers in your state, mandatory lab testing, live consultations (not just forms), transparent pricing, and proper e-prescribing to U.S. pharmacies. Avoid services that promise prescriptions without labs or that ship controlled substances from overseas.

Q: Are there any side effects of Low T treatment I should know about?
A: Yes. Testosterone therapy can increase red blood cell count (raising risk of blood clots), cause acne or oily skin, worsen sleep apnea, and potentially stimulate prostate growth (which is why PSA monitoring is important). Clomid is generally well-tolerated but can cause mood swings or visual disturbances in some men. Your provider will monitor you closely and adjust treatment as needed.

Citations & Research Sources

This article is based on the most current regulatory and clinical information available as of December 2025. Key sources include:

1. DEA and HHS Announcement (Nov 2024) – DEA and HHS Extend Telemedicine Flexibilities for Prescribing Controlled Substances Through 2025. Official statement confirming the third extension of COVID-era telehealth prescribing rules. www.dea.gov

2. JD Supra (McDermott Will & Emery, Nov 2025) – DEA Signals Extension of Telemedicine Flexibilities into 2026. Legal analysis of federal telemedicine policy and pending DEA rulemaking. www.jdsupra.com

3. Sheppard Mullin Law Blog (Aug 2025) – Telehealth and ‘In-Person’ Visits: A 50-State Survey. Comprehensive review of state-specific telehealth prescribing rules and recent legislative changes. www.jdsupra.com

4. American Urological Association (AUA) Guidelines – Testosterone Deficiency Guideline (Reviewed 2024). Clinical standards for diagnosing and treating low testosterone, including lab testing protocols. www.auanet.org

5. Reuters (Nov 2025) – U.S. Jury Convicts Founder of ADHD Startup in Adderall Fraud Scheme. Report on the first federal prosecution of a telehealth company for illegal controlled substance distribution, highlighting enforcement trends. www.reuters.com

Additional state-specific regulations verified through official medical board websites, state statutes, and legal analyses current as of November–December 2025. All federal rules confirmed against DEA announcements and Department of Justice guidance.

📅 RESEARCH CURRENCY STATEMENT
Verified as of: December 17, 2025
DEA Rules Status: COVID-19 telehealth flexibilities for controlled substances extended through Dec 31, 2025 (third extension in Nov 2024). No new DEA final rule in effect yet (special registration pending). Non-controlled substance prescribing via telehealth remains unrestricted federally (Ryan Haight Act in-person rule applies only to controlled drugs).

Source:

• https://www.axios.com/2024/11/18/covid-telehealth-prescribing-extended-adderall#:~:text=The%20Drug%20Enforcement%20Administration%20,year%20extension
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• https://floridapolitics.com/archives/514926-governor-signs-bill-allowing-providers-to-use-telehealth-to-prescribe-some-controlled-substances/#:~:text=Providers%20currently%20are%20allowed%20to,of%20a%20nursing%20home%20facility
• https://www.jdsupra.com/legalnews/telehealth-and-in-person-visits-6106096/#:~:text=In%20May%202025%2C%20the%20New,1%5D%20These%20exceptions%20include
• https://www.cchpca.org/topic/online-prescribing/#:~:text=,at%20the%20request%20of%20a