Medical Weight Loss

People using Semaglutide plus making lifestyle changes to improve diet and increase exercise can lose 5% to 20% of their body weight.

Weight loss will depend on medication dosage, length of time on the medication, and lifestyle changes.

Some clients may reach their weight loss goal in 2 to 3 months, while others will stay on the medication for longer.

It is important to continue following a healthy diet and exercise program after stopping medication to maintain the achieved weight loss.

You have a BMI (body mass index) of at least 25 (overweight).

Not pregnant, planning pregnancy in the near future, or breastfeeding.

Do not have or have a past history of:

• Medullary thyroid cancer (or family history)
• Gallbladder disease
• Pancreatitis
• Multiple endocrine neoplasia syndrome type 2 (MEN2)
• Diabetes
• Kidney disease
• Hypersensitivity to cobalt moiety or cobalamin molecule
• Leber’s disease
• Suicidal thoughts or behavior
• Ileus

Recent blood analysis is required for review prior to prescribing medication.  Blood test results within the last year is acceptable. 

• CBC (Complete Blood Count) 
• CMP (Comprehensive Metabolic Panel)
• TSH (Thyroid-Stimulating Hormone)

Semaglutide along with Vitamin B12 (Cyanocobalamin) from a PCAB Accredited compounding pharmacy.

Semaglutide belongs to a class of medications known as glucagon-like peptide-1 receptor agonists, or GLP-1 RAs.

It can suppress your appetite and signal you to feel full. When used in conjunction with diet and exercise, it can cause significant weight loss.

We start clients on a low dose to minimize side effects and slowly increase as needed.

We work with our clients to customize their dosage and prefer to keep clients on the lowest dose necessary to achieve desired results.

Dosage can range from 0.1 to 2.4 mg/week.

Store in the refrigerator. Keep all medicines out of the reach of children.

Throw away any unused medicine within 29 days of puncture or the BUD, which ever comes first. Do not flush unused medications or pour down a sink or drain. Throw away used needles in a hard, closed container that the needles cannot poke through. Keep this container away from children and pets.

Once per week injection, practically painless.

Small needle injected into the subcutaneous fat tissue of the stomach, thighs, or upper arm.

Can be completed yourself at home. You will be provided detailed instructions.

• Ideally use a different body area each time you give yourself a shot
• Use a new needle each time you inject your medicine and clean the vial and injection area with alcohol swabs
• Use this medicine on the same day each week, at any time of the day, with or without meals

Notify your provider of any side effects.

Common (often improve within first few weeks):

• Dizziness
• Fatigue
• Gastrointestinal issues (most common), such as diarrhea, constipation and gassiness
• Headache
• Stomach issues, including heartburn, acid reflux, nausea, vomiting, pain or distension (bloat)

Severe (rare but possible):

• Thyroid cancer—The FDA has issued its most serious warning (called a Boxed Warning) that GLP-1s may be associated with a type of thyroid cancer called medullary thyroid carcinoma. So far, this side effect has primarily been seen in laboratory studies using rodents, so the risk to humans has not been determined.
• Pancreatitis
• Gallbladder disease
• Rapid heartbeat
• Severe allergy (hypersensitivity)
• Low blood sugar
• Vision problems (diabetic retinopathy)
• Kidney disease
• Suicidal thoughts or behaviors