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Blog | Alto Pharmacy

Seasonal allergies aren’t limited to spring. For many people, the onset of autumn — and the beginning of ragweed pollination — brings itchy eyes, a stuffy nose, and other telltale allergy symptoms. Here’s more on what triggers fall allergies and the best ways to treat and prevent them.

How to Navigate Fall Allergies

While spring allergies are primarily caused by grass and tree pollen, the main culprit of fall allergies is ragweed pollen, which begins in late summer, peaks in September, and can continue into October or even November.

Other pollen-producing weeds that can cause fall allergy symptoms include:

Mold is another common trigger of fall allergies, with piles of fallen leaves a ripe breeding ground for mold growth.

Like all seasonal allergies, fall allergies have intensified in recent years as a result of climate change. Rising temperatures and higher levels of carbon dioxide in the atmosphere have extended the pollination of many plants, including ragweed, which allows for a longer allergy season.

Even if you are more prone to allergies than others, there are steps you can take to prevent symptoms. Here are our top prevention tips specifically for fall allergies.

Avoiding known allergens is the best way to prevent an allergic reaction. To limit your exposure to ragweed pollen, shut the windows as much as possible on windy days when pollen counts are high. (You can find your local pollen count online or in a weather app.) If you’re going outside on a high-pollen day, wearing a hat and sunglasses can protect your face from pollen and reduce the chances of symptoms developing.

If you are sensitive to mold, it’s best to have someone else rake the leaves — and be sure to toss those aging jack-o-lanterns well before they start to rot. If you have to do some fall yard work yourself, wear a mask to reduce mold exposure as much as possible.

Be mindful of indoor mold growth as well. Using a dehumidifier can help you keep the humidity in your home at optimal levels.

An outdoor pollen encounter can bring the allergen into your home. To keep the house or apartment pollen-free, change your clothes and take off your shoes as soon as you're inside. Wash clothes and bedding regularly as an additional preventive step.

These precautions are especially important if you have allergy-induced asthma, the most common type of asthma, which occurs when exposure to pollen, mold, or other allergens results in inflammation in the airways.

Although fall allergies are triggered by different substances than spring allergies, they can be treated with the same over-the-counter allergy medications. 

Over-the-counter nasal sprays including Nasacort® (triamcinolone), Flonase® (fluticasone), and Rhinocort® (budesonide) prevent nasal inflammation and reduce stuffiness and sneezing. They may be taken in advance of allergy season to potentially prevent the onset of symptoms altogether.

Eye drops can relieve itchy, red, or watery eyes.

Oral antihistamines including Zyrtec® (cetirizine), Clarinex® (desloratadine), Allegra® (fexofenadine), Alavert® (loratadine), Claritin® (loratadine), Xyzal® (levocetirizine), and Benadryl® (diphenhydramine) can be taken preventatively or on an as-needed basis to reduce sneezing, sniffling, and itching. These medications offer fast relief, going into effect from 15 minutes up to two hours. Benadryl can cause drowsiness and is not recommended to take before driving or other activities that require your attention.

Decongestants including Afrin® and Sudafed® can be taken to relieve stuffiness, however they can worsen symptoms when taken over an extended period of time and should not be used as a long-term treatment.

Many of the above OTC allergy medications are available for purchase at the Essentials Store in the Alto app! To browse the selection, tap the "Store" icon along the bottom of the app or in your account on desktop.

If you have allergy-induced asthma, allergy medications will likely be a part of your asthma treatment plan, but they are not a substitute for asthma medication. In addition to consulting an allergist, speak with your primary care provider as soon as asthma symptoms appear so that you can find the best treatment plan.

If your allergy symptoms persist after trying over-the-counter medications and consulting with your primary care provider, it may be time to see a specialist. Allergists and immunologists have extensive training in allergy treatment. In addition to helping identify specific allergy triggers, these specialists can also facilitate additional treatment options like immunotherapy. This process gradually exposes you to allergens to decrease your sensitivity to them. It can be administered as injections or sublingual tablets placed beneath the tongue. 

Stock up on allergy essentials in the Alto app

Purchase allergy season essentials like Claritin, Flonase, Zyrtec, Allegra and more right from your Alto account. You can order these over-the-counter products whenever you need them or add them to your next prescription delivery.

If your allergy treatment plan includes prescription medications, we can help. We’ll coordinate with your doctor and insurance to offer your medications at the best price we can find. Our expert pharmacists are available via in-app messaging to answer any questions you may have about symptoms or side effects.

This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or another qualified health provider with any questions you may have regarding a medical condition.

All third party trademarks (including logos and icons) referenced by Alto Pharmacy remain the property of their respective owners. Unless specifically identified as such, Alto’s use of third party trademarks does not indicate any relationship, sponsorship or endorsement between Alto and the owners of these trademarks.

There’s something to be said for the mentality of “age is just a number,” but it’s a fact that our minds and bodies change with time, and new health considerations arise as we grow older.

A Guide to Healthy Aging

Healthy aging, which encompasses your physical, emotional, and cognitive wellness, is a journey rather than a destination. While it requires an ongoing investment in your well-being, small steps and everyday choices can make a big impact. Here’s what to prioritize.

Access to primary care is a challenge in the US, and 40% of US adults report delaying or going without care due to financial barriers. Skipping a routine screening can be serious: according to the CDC, up to 40% of all fatalities linked to the five leading causes of death in the U.S. — heart disease, cancer, chronic lower respiratory diseases, stroke, and unintentional injuries — are preventable.

Since your risk for high blood pressure, high cholesterol, heart disease, diabetes, and other common conditions increases as you grow older, staying on track with preventative care is a key component of healthy aging. If you have been diagnosed with any of these conditions or another chronic illness, attending regular doctor’s appointments is also critical to feeling your best.

If you smoke, quitting is one of the most important steps you can take to maintain good health as you grow older. It’s never too late (or too early) to drop the habit: quitting smoking at any age can lower your risk for cancer, heart attack, stroke, and lung disease.

If you’re having difficulty, don’t be discouraged. It often takes multiple attempts to stop smoking for good. Ask your doctor for resources to support your efforts.

Regular physical activity is fundamental to heart-healthy living and to healthy aging. Not only can consistent exercise increase life expectancy, it is also correlated with a better quality of life and less physical discomfort.

Health experts recommend a minimum of 150 minutes of moderate-intensity physical exercise and two days of muscle-strengthening activities each week. The latter is very important for older adults, as muscle mass naturally declines as you age.

Remember that some physical activity is better than none, and you can break up your weekly exercise hours into smaller chunks that feel more manageable. Find additional tips on developing a fitness routine that works for you here.

More than 1 in 3 US adults report getting less than the recommended seven hours of sleep per night. There are several ways that the process of aging can interfere with a good night’s sleep:

Aging-related changes to your brain chemistry affect your circadian rhythms — the 24-hour cycles that control your body’s internal clock and regulate your mood, hunger, and sleep.

Changes in hormone production, like decreased melatonin levels, can also disrupt sleep as you grow older.

Some of the health diseases that are more common in older adults, like heart disease, diabetes, and arthritis, can contribute to poor sleep.

Aging-related lifestyle changes — for example, a less structured routine in retirement — can also result in more difficulty sleeping.

Simple steps can help improve sleep health. Start with the following:

Maintain a consistent sleep schedule, going to bed and waking up at the same time every day, including weekends.

Avoid the use of electronic devices close to bedtime.

Get plenty of natural light and stay physically active during the day, but avoid exercising close to bedtime.

Avoid consuming food or beverages close to bedtime, particularly caffeine, alcohol, and high-sugar or high-fat foods.

Keep your bedroom dark and quiet and maintain a comfortable temperature.

As you prioritize healthy aging, be sure to give your mental well-being plenty of attention. Many age-related physical changes — including the loss of vision and hearing and changes in memory and mobility — can make it challenging to maintain strong social ties. For this reason, older adults face an increased risk of isolation and loneliness.

Good mental health is important in and of itself — after all, each one of us deserves to experience fulfillment at every stage of life. But there are also physical and cognitive benefits of maintaining positive relationships as you age. Loneliness is associated with a greater risk for dementia, and strong, meaningful social connections are linked to better physical health.

To enjoy the later chapters of life — and to support your cognitive and cardiovascular health — stay connected to friends and loved ones, seek community in various forms, and look for opportunities to give back. Remember that small acts of connection go far — and that four-legged companions count too. (We’re serious — having a pet is good for those cholesterol and blood pressure numbers!)

Choose a reliable and flexible pharmacy partner

Alto Pharmacy makes it simple to live your healthiest life by providing an easier, more supportive, and more affordable prescription experience. Our pharmacists are here with information and answers, even during nights and weekends. And the Alto app gives you control and convenience in managing your medications, with auto refills, medication bundling, and custom dosing reminders.

Limiting your exposure to ultraviolet (UV) radiation, a leading cause of skin cancer, is the most impactful way to protect your skin. This can be easier said than done — a number of misconceptions about UV rays make it difficult to take appropriate precautions and practice true sun safety.

Five Myths About UV Radiation

In honor of UV Safety Awareness Month, observed every July, take a closer look at how this type of radiation actually affects the skin — and one other very important organ, too! 

Before we debunk common misconceptions about UV rays, let’s review what they are.

Radiation refers to the emission of electromagnetic energy from any source. There are many types of radiation, with varying intensity, or frequencies. At one end of the spectrum are the high-energy x-rays and gamma rays. At the other are the long-wavelength, low-energy radio waves. Visible light is also a form of electromagnetic energy — the only one that humans can see — and different colors have different wavelengths.

UV radiation sits in the middle of the spectrum. Since UV rays don’t have enough energy to penetrate the body more deeply, they primarily affect the skin. These rays come from the sun as well as artificial sources like tanning beds. Similar to how there are many colors with distinct wavelengths within the medium-frequency category of visible light, there are different types of UV radiation with different amounts of energy.

UVA and UVB rays are the main types to be mindful of as you consider how to limit your UV exposure. 

Lower-energy UVA rays are primarily associated with skin damage like wrinkles but can also contribute to the development of skin cancer.

Higher-energy UVB rays are the main source of sunburns and skin cancer.

UVC rays exist as well, but they have so much energy that sun-emitted UVC radiation reacts with ozone before it can even reach the ground, let alone your skin. This is why they don’t often surface in conversations about sun protection. However, it’s still possible to be exposed to these UV rays from artificial sources including lamps and lasers.

Myth: You don’t have to worry about UV radiation on cold or cloudy days

You may feel the sun less when temperatures drop, but UV protection is a year-round effort. The sun’s heat comes from infrared rays — another important form of electromagnetic energy — which don’t harm the skin. Lower temperatures might result in less infrared radiation, but not less UV radiation, so any change in the sun’s output on colder days does not affect your risk for sunburn or skin damage. In fact, winter brings an additional risk for UV radiation exposure, as bright snow reflects UV rays, sending them back in your direction.

Meanwhile, cloudy days also require vigilant UV protection. Though it’s true that UV levels are highest on clear, cloudless days, these rays can still make their way to the ground even under gloomy weather.

Myth: UV radiation only damages fair skin

It’s true that skin tone is a factor in your risk for skin cancer, and people with light, fair skin generally face the highest risk. However, skin cancer can affect anyone regardless of age, race, gender, or ethnicity, and the relationship between melanin — the pigment that produces different skin tones — and UV radiation is nuanced.

Darker skin has higher amounts of melanin than lighter skin. Since melanin blocks a certain amount of UV rays, a person with darker skin is less likely to get sunburned. At the same time, having more melanin does not make a person immune to the harmful effects of UV radiation, which can increase the risk of skin cancer without causing a sunburn.

Myth: Regular sunscreen usage causes vitamin D deficiency

Vitamin D, which helps your body absorb calcium, is essential for strong bone health. It can also boost immunity and support a healthy nervous system. Sunlight is a primary source of vitamin D production, along with vitamin D-rich foods such as trout, salmon, egg yolks, and vitamin-D fortified milk and cereal, and nutritional supplements.

While more sunshine may increase vitamin D production, UV protection doesn’t equal vitamin D deficiency. With other options for consuming this important nutrient, you can practice sun safety and get those vitamins in.

Myth: High-SPF sunscreen alone will protect your skin from UV rays

That number on every bottle of sunscreen is often misunderstood. SPF, which stands for sun protection factor, is a measure of UV exposure rather than the duration of protection. An SPF number indicates how much UV radiation it would take to burn your skin when using that product as opposed to if you were not wearing any sunscreen.

A higher SPF does provide more protection than lower ones, in terms of the percentage of UV rays you are exposed to. What it won’t do is protect your skin for a longer duration of time, and simply applying an SPF 50 sunscreen or higher does not make you immune to the risks of sun exposure. Other factors affect how much a sunscreen protects you, including when you’re out in the sun — solar energy fluctuates throughout the day, and an hour of UV exposure at 9 am equals 15 minutes at 1 pm — and skin type.

In fact, the false sense of security offered by a higher number can sometimes lead to a sunburn: because of the confusion surrounding sunscreen and SPF numbers, many people spend longer time outdoors when wearing a higher SPF. It’s recommended to apply sunscreen 30 minutes before you go outside and again every two hours, or right after swimming.

One other consideration to be mindful of: standard sunscreen products — including some high SPF options — only protect you from UVB rays. To prevent the skin damage and premature aging caused by UVA rays, opt for a broad-spectrum sunscreen, which offers protection against both types of UV radiation.

Myth: UV ray protection is limited to skincare

Skin isn’t the only organ harmed by UV rays — high exposure can also increase your risk of eye health issues, including cataracts, eye cancers, non-cancerous growths, and snow blindness. Sunglasses are a great defense, but be sure to purchase a pair that blocks both UVA and UVB rays. Additionally, general sun safety practices like wearing a hat, carefully planning your outdoor time, and avoiding tanning beds will protect your eyes as well as your skin.

It takes a strategy bigger than sunscreen to protect yourself from UV radiation. Here’s what the experts recommend.

Apply sunscreen every day, regardless of temperature or weather conditions. The American Academy of Dermatology recommends using a broad-spectrum, water-resistant sunscreen with an SPF of at least 30 or higher. (Don’t forget to reapply every two hours no matter the SPF!)

Supplement sunscreen with a wide-brimmed hat, sunglasses with UV protection, and sun protective-clothing like long-sleeved shirts with light fabrics. Also, some clothing offers even more effective sun protection — look for options with a UPF (ultraviolet protection factor) number.

Seek shade and try to stay out of direct sunlight between 10 am to 2 pm, when UV radiation peaks.

Opt for self-tanning products over tanning beds — when it comes to skin health, artificial UV radiation is no less harmful than the sun’s rays.

Be especially vigilant with both skin and eye protection when you’re near reflective surfaces like water, snow, and sand.

Delivering sun protection right to your doorstep

Get sun protection right from your Alto account! Purchase over-the-counter products including sunscreen from our Essentials Store at any time, or add them to your next prescription delivery.  

There’s a spectrum of infertility experiences. The 11% of US couples affected by secondary infertility first have difficulty conceiving after previously giving birth without fertility treatment.

Infertility can be overwhelming to navigate regardless of when it occurs in the family building journey. And secondary infertility can bring unique challenges of its own. Fortunately, the condition is just as treatable as primary infertility, or difficulty becoming pregnant for the first time.

What to Know About Secondary Infertility

There’s a spectrum of infertility experiences. The 11% of US couples affected by secondary infertility first have difficulty conceiving after previously giving birth without fertility treatment.

Infertility can be overwhelming to navigate regardless of when it occurs in the family building journey. And secondary infertility can bring unique challenges of its own. Fortunately, the condition is just as treatable as primary infertility, or difficulty becoming pregnant for the first time.

Here’s what to know about causes, treatment options, and support resources for secondary infertility.

Like primary infertility, secondary infertility can be caused by female reproductive factors, male reproductive factors, a combination of both, or unknown causes.

Causes of secondary infertility in women and people assigned female at birth

Women become less fertile as they age, with a significant decline in the quantity and quality of their eggs from the mid 30s until they eventually reach menopause. Lower-quality eggs are more likely to have chromosomal abnormalities, which increases the chance of miscarriage and reduces the chance of a successful pregnancy.

Structural issues with reproductive organs

Blocked or damaged reproductive organs, specifically the fallopian tubes or uterus, can result in secondary infertility. There are several potential reasons for damage to the female reproductive organs.

Complications related to sexually transmitted infections (STIs) like pelvic inflammatory disease (PID), chlamydia, or gonorrhea can block the fallopian tubes.

Procedures such as dilation and curettage (D&C) or a c-section delivery can cause scarring in the uterus.

Benign polyps or fibroids may block fallopian tubes or interfere with the implantation of a fertilized egg, or embryo.

Polycystic ovary syndrome (PCOS) is characterized by a hormone imbalance that impacts ovulation. It is a leading cause of female infertility.

Endometriosis occurs when tissue that should only grow in the uterus implants and grows elsewhere. The abnormal tissue growth — as well as surgical procedures to remove it — can block the fallopian tubes, preventing the fertilization of an egg. Endometriosis can also interfere with embryo implantation.

Changes in weight or other lifestyle factors

Being underweight or overweight can both impact a woman’s fertility. So can behavioral or lifestyle factors including smoking and substance use.

Causes of secondary infertility in men and people assigned male at birth

Male infertility most often stems from issues with sperm production, including sperm quality, motility, or quantity. Contributing factors may include the following.

Decline in the quality of semen, the fluid that carries sperm

Health conditions including hormone, pituitary gland, or immune system problems and genetic conditions like cystic fibrosis

Certain medications and medical treatments, including some blood pressure and arthritis medications and treatment for cancer, urinary tract infections, and more

If you are experiencing secondary infertility, you may be wondering why it’s more difficult to conceive than before. Here are some reasons why a fertility issue may develop later in life.

Both male and female fertility change over time. The quantity and quality of a woman’s eggs decline with age. There is a similar, though not as severe, relationship between age and sperm quantity and quality. It’s also possible that a fertility issue has become more severe over time. 

Physical changes, new health issues, or lifestyle factors can influence a male or female partner’s fertility. Weight gain or loss or shifts in habits like smoking or substance use may lead to more difficulty conceiving.

A new diagnosis of pelvic inflammatory disease, chlamydia, or gonorrhea is another potential factor in secondary infertility.

Taking a new medication could also change a person’s fertility. For example, common treatments for high blood pressure, arthritis, seizures, or ulcerative colitis can impact sperm quality. And treatment for certain types of cancer can also affect both male and female fertility.

Fertility issues caused by a previous pregnancy or birth

Structural issues with the fallopian tubes or uterus can develop as the result of a complication from a previous miscarriage, pregnancy, or birth.

The timeline for seeking treatment for secondary infertility is the same as that for primary infertility and depends on your age. 

If you are under 35, most health experts suggest consulting a reproductive specialist after a year of trying to conceive.

If you are between 35 and 40, you may want to pursue testing or treatment after six months of trying to become pregnant.

If you are over 40, you may want to pursue testing or treatment before you start trying to conceive.

It’s important to be proactive about seeking treatment for secondary infertility. To increase your chances of success with treatment, don’t wait to pursue a consultation with a fertility specialist based on your past experience(s) conceiving.

It is also recommended to pursue testing or treatment before trying to conceive if you or your partner have any of the following risk factors for secondary infertility:

A history of a sexually transmitted infection such as pelvic inflammatory disease

Common treatment options for secondary infertility

There are many treatment options that can help increase your chances of conception. The most effective course of treatment depends on the underlying cause of your or your partner’s fertility issues. These are some common treatments for secondary infertility.

In vitro fertilization (IVF) is a form of assisted reproductive technology (ART) in which eggs and sperm are fertilized in a laboratory and then placed into the uterus with the potential outcome of a pregnancy. In addition to treating female infertility, IVF can also be used when male infertility is a factor.

Intrauterine insemination (IUI) is a type of artificial insemination in which sperm that have been washed and concentrated are placed directly into a woman’s uterus during ovulation.

Injectable fertility medications like gonadotropins and oral fertility medications such as Clomid® and Femara® can treat fertility-related hormonal imbalances in women.

Oral fertility medications such as Clomid®, letrozole (Femara®), and anastrozole (Arimidex®) and injectable gonadotropin therapy are common treatments for male infertility.

Secondary infertility can be a difficult and emotionally complex diagnosis to process. The need for support is just as great as it is for primary infertility. It’s often helpful to connect with others who have faced similar challenges. RESOLVE: The National Infertility Association offers virtual and in-person support groups specifically for secondary infertility.

To learn more, search their directory of support groups by topic.

Fertility treatment can be a challenging journey, but Alto is with you every step of the way. We offer reliable same-day delivery of your medications and fertility resources like personalized injection guide videos and access to fertility-trained pharmacists.

Interested in learning more about how Alto can support your treatment? Request a price quote online or reach out through secure in-app messaging.

Last month, Alto celebrated the well-deserved promotions of many Altoids across the company. Among those promoted is Elnaz Moshfeghian, who is now Alto’s VP of Strategic Planning & Business Operations. Elnaz shares more about her new role, what she’s most excited about at Alto, and advice she has for those looking to make a career pivot.  

Catching up with Elnaz Moshfeghian, Alto’s new VP of Strategic Planning & Business Operations | Alto

Last month, Alto celebrated the well-deserved promotions of many Altoids across the company. Among those promoted is Elnaz Moshfeghian, who is now Alto’s VP of Strategic Planning & Business Operations.

Elnaz joined Alto in 2016 as a software engineer and when we last connected with her in 2020, she shared her thoughts on building a career in engineering. Since then, Elnaz has pivoted to a truly cross functional, strategy-focused role, where she applies learnings from her engineering experience with her ability to identify opportunities for growth. 

Below, Elnaz shares more about her new role, what she’s most excited about at Alto, and advice she has for those looking to make a career pivot.  

To start, congratulations on your new role! You joined Alto 6.5 years ago, and so much has changed both within the company and the industry at large. Can you tell me a little bit about your journey at Alto? 

I’ve always been attracted to problems that are cross functional and can be solved by bringing together different teams - pharmacists, technicians, logistics, dispatch, sales. I really enjoyed it as an engineer, given that when I joined there were no product managers. We all had to figure out what we were going to build and build it ourselves. I loved working with teams, which is why I pursued the manager track. I noticed pretty quickly that the most interesting and challenging problems rarely came down to technical decisions, but more-so to people and priorities. 

As I grew in my engineering career, and got to lead teams solving problems, I was always searching for how to expand my understanding and impact across the business. I had the opportunity to shift into a strategy and operations role, which allowed me to shadow the CEO and learn a great deal while also identifying the company’s key priorities, understanding how they're doing, and ensuring that they stay on track. The new role allows me to use everything I’ve learned over the last 6.5 years at the company while at the same time, learning a lot from a seasoned leader like Alicia on how to run a business. 

Your previous experience was in engineering, and you didn’t work in healthcare or pharma before joining Alto. What has been the biggest surprise to you since joining the company? 

There are a lot of different hands in healthcare; it's a really complex space and there’s a lot at stake. I’m always mystified by how hard it is to align different parties’ incentives to result in the right outcome for patients. It underscores the importance of Alto’s mission: to fulfill medicine’s true purpose — to improve quality of life — for everyone who needs it.

Tell me a little bit about your current role. What are you most excited by? 

I’ve loved seeing how the different pieces of the company connect, and being able to connect the dots when we’re missing something. It’s been really fun to see how a little bit of communication and collaboration can go a long way. I also love thinking about how what we’re doing today could set us up for bigger things in the future, and how we build today in a way that opens a lot of doors for us down the line. 

In your opinion, what are the biggest opportunities for the company? 

There’s always an opportunity to be excellent at the basics. Are we consistently providing the best patient experience? Are we getting patients the best price? Are we saving time for prescribers and their offices? Those are problems that we’ve been solving for a long time, but it just gets more interesting and challenging as we’ve gone into new markets and therapeutic areas, and worked with different kinds of patients and prescribers than we used to. 

Something that I’ve always been intrigued by is - how do you bring more transparency around pricing to prescribers and patients at the earliest possible time, so that they can make the best decisions? It’s something that’s really missing in the industry. It’s not easy to do, and that’s definitely something I think a lot about - ‘How can we be the one who makes it easy for prescribers to know what they’re about to send to the patient, and for the patient to know what their other options are?’ Because a lot of times, what your insurance may cover and what your doctor may prescribe may not always be the best option. There might be other options, and I think a lot of people don’t know to ask about that. 

What are the biggest challenges in the pharmaceutical industry today? 

I think there’s been a lot of great activity from different patient advocacy groups and state governments to regulate the worst of what’s happened in healthcare. It’s been cool to see that take shape over the last five years. The challenge is that it’s very hard to write legislation and force some of these things, and so I’ve honestly gotten more interested in how do you write the right laws and approach regulation in a way that allows innovation to still happen and thrive, and still protects the patient at the end of the day. 

Back to your engineering roots – what advice do you have for young engineers?

Given the state of venture capital and the industry, a lot of engineers are going to earlier-stage companies, because there’s a little bit more investment and activity happening. I had to figure that out along the way - how do you operate as the third engineer on the team? Being anyone in an early-stage, small company - and an engineer especially - comes with its own unique challenges and skills. It’s not something there’s a ton of resources around. There’s a lot of resources about how to start a company, but not a lot for how engineers can grow their career at a company at that stage. So, my advice would be to seek out mentorship and cross functional peers from whom you can learn and grow. 

You pivoted from engineering to operations and strategy. What advice do you have for someone looking to make a career change? 

As an engineer, I’ve really focused on making an impact, whether that’s through building a product or shaping the business with what I know, with tech being the backbone. And I think that’s something we don’t talk about as much in engineering - how do you take your skills and really channel them for maximum impact and better understanding of a business? And for people who want to start their own companies someday, taking the path I did could be really valuable. It allows you to be a better entrepreneur and a better contributor if you can see the connection between engineering choices and the systems you’re building, and how they impact your customer and other parties. 

The other piece is being comfortable with wearing a lot of different hats. It’s what really helped my growth, and it’s counter to a lot of advice you get. People will tell you to go deep, get specialized and go down one path. You need to, to some extent; I absolutely had to figure out how to be a better engineer and a better leader. But the most growth for me wasn’t necessarily to stay in engineering – it was to take a turn. Hopefully, I can give colleagues a little more confidence who want to take a turn and increase their impact, growth and learning. 

Catching up with Elnaz Moshfeghian, Alto’s new VP of Strategic Planning & Business Operations 

Staying on track with treatment and fully benefiting from a medication entails more than simply filling a prescription. It requires patients to take an active role in their health journeys, with education, clinical monitoring, and side effect management all necessary for proper drug utilization.

How Alto’s High-Touch Model Supports Patient Engagement

Pharmacists are an invaluable healthcare resource for those with complex treatment plans. Unfortunately, the traditional retail and mail-order models fail to maximize the possibilities of pharmacy care, without opportunities for ongoing engagement with patients. Not only are retail pharmacists often inundated with many tasks, it’s difficult for patients to discuss their health in a crowded store with a line of other customers behind them. And patients receiving their medication by mail often have limited visibility into delivery details or difficulty connecting with the pharmacy team. 

Alto Pharmacy offers a supported and convenient prescription journey at every step. We ensure that our patients have the information they need to get started with specialty medications and feel confident about their care. In addition to providing a simple onboarding experience, we have a team with robust clinical expertise and a high-touch model that allows patients to easily benefit from it.

We are also expanding our reach to fertility patients through our new nationwide* mail-order offering. Patients who receive fertility medications through mail-order experience the same convenience and support as those we serve via local courier delivery, with seamless onboarding, easy and supported medication management, and access to experts. 

And with an integrated and customizable tech stack — including both our proprietary pharmacy management software and our patient app — there are many ways for partners to provide additional engagement and supplement other support programs.

Here’s how Alto’s model enhances medication education and gives you, as a partner, the opportunity to more deeply engage our shared patients.

Alto offers a supportive and simple patient onboarding experience with proactive multichannel communication. We give patients a welcome text or call within 60 minutes of receiving their prescription, guiding them through their first order. Those who need to transfer an existing prescription to Alto can do so within minutes in our app.

If more information is necessary to fill a prescription, we make sure that patients and providers are both fully in the loop. We keep the patient informed at every step of the billing process, offering support with prior authorizations as needed. Through Alto Connect, our free communications portal for providers, clinical teams can view active medication details and quickly understand when additional steps are required to fill a prescription.

Partner Opportunities to Supplement Patient Support

The majority of Alto patients use our app for intake, medication ordering, and delivery scheduling. Not only does this give patients control and convenience in managing their prescriptions, it provides opportunities for additional engagement from partners.

Our flexible technology capabilities allow for many possibilities, including in-app introductions to your medications. In this video, a specialist from our fertility team walks patients through injecting the Gonal-f® RFF Redi-ject® Pen.

Follow-Up and Improving the Patient Experience

Easy onboarding is just the beginning. Alto supports patients at every stage of the prescription journey so that they can get the most benefit from their medication. Our dedicated medication therapy management pharmacists, who focus entirely on disease state education and support for chronic conditions, proactively contact patients who take specialty medications to review their regimens.

We ask if they are experiencing any side effects and track all patient-reported outcomes. As a partner, you can have access to data and insights into your patients’ experience of your medications.

We’re also able to tailor a patient’s treatment to any titration schedule prescribed by their provider. In these cases, we inform the patient of this schedule and change in medication dosage at every step of the treatment.

We see our NPS of 88 as an attestation of our patients’ love and commitment to both Alto and their health. 

Choose Alto Pharmacy for your limited distribution network

Alto’s end-to-end dispensing model is specifically built for specialty and specialty lite products. To learn more about partnering with us, reach out to partnerships@alto.com.

Tech-Based, High-Touch Patient Engagement at Alto

Treatment for high cholesterol varies by individual. While some people are able to manage their cholesterol levels with lifestyle changes like exercise and diet alone, others need medication to lower their risk for heart health issues.

When Is Medication Necessary to Manage Cholesterol?

It’s common to have concerns about beginning treatment with medication, but remember that taking cholesterol-lowering medication is normal: more than 40 million U.S. adults take statins, the first-line medication for high cholesterol. And if you have high cholesterol, the most important thing is working with your doctor to determine what you need to live your healthiest life.

Below, we explain more about different cholesterol treatment options and when it may be necessary to take medication.

Before we dive in, let’s review the basics about cholesterol.

Cholesterol is a lipid — a soft, waxy, fat-like substance that’s found in your bloodstream and in your cells. There are two types: low-density lipoproteins (LDL) and high-density lipoproteins (HDL). LDL is also called “bad cholesterol” because it can build up on the walls of your blood vessels, increasing your risk of a heart attack or stroke. HDL is considered “good cholesterol” because it can help remove LDL cholesterol from your body. When we say high cholesterol, we are typically referring to a person’s levels of LDL cholesterol.

Triglycerides are another type of lipid that your doctor will monitor. Like LDL cholesterol, they can accumulate in your blood vessels and are associated with heart health issues. Total cholesterol is a measure of all three components: LDL cholesterol, HDL cholesterol, and triglycerides.

While the exact definition of “healthy” cholesterol may vary by individual, these are some general guidelines.

A healthy range for total cholesterol is typically considered to be less than 200 milligrams per deciliter (mg/dL).

A healthy range for HDL cholesterol is typically considered to be higher than 40 mg/dL for men and higher than 50 mg/dL for women.

A healthy range for LDL cholesterol is typically considered to be less than 100 mg/dL.

A healthy range for triglycerides is typically considered to be less than 150 mg/dL.

It is possible to have high triglycerides without having high LDL cholesterol levels. There are medications that specifically target triglycerides while high-intensity statins can lower both LDL cholesterol and triglyceride levels. 

Lifestyle changes that support healthy cholesterol levels

The following lifestyle practices can help you manage your cholesterol and triglycerides and are important even for those who take cholesterol-lowering medication.

Regular exercise: Moderate physical activity can help lower LDL cholesterol and increase HDL cholesterol. The American Heart Association recommends 150 minutes of moderate-intensity aerobic exercise per week, or about 30 minutes of moderate to intense exercise each day.

Diet: Certain types of food can increase your LDL cholesterol. Try to limit your consumption of saturated fats (common sources include red meat and full-fat dairy products) and avoid trans fats, also known as partially hydrogenated oils, as much as possible. On the other hand, unsaturated fats (olive oil, canola oil, and tree nuts); omega-3 fatty acids (salmon, mackerel, herring, and tuna); and soluble fiber (beans, peas, lentils, oats, and whole grains), can support healthy cholesterol levels.

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