Semaglutide and Tirzepatide
Weight Loss Services in Rochester
- MIC/ B Shots: biweekly or monthly injection of natural vitamins that help aid with the body’s natural mechanisms of metabolism with Methionine 25 mg, Inositol 50 mg, Choline Chloride 50 mg (MIC) and B-Vitamins – B5, B6 and B12. These vitamins aid with suppressing appetite naturally & not aggressively.
- Semaglutide and Tirzepatide: once weekly injection, must have a provider consult to discuss weight loss goals and BMI requirements for prescription. Must have a consult to discuss health history, current medications, and recent blood work within 3 months. Not all patients are deemed eligible for the medication if health history contraindicates the medication.
- Due to increased demand, the provider is only taking 5-6 weight loss clients a month for prescription medication.
Get Semaglutide Weight Loss Injection at the comfort of your home in Rochester NY
- Dosing is 0.25 mg weekly while starting the medication and maximum dosing of 2.5 mg subcutaneous. tThis is a once weekly self-injection if you qualify for the medication.
- Semaglutide is a GLP-1 RA, which mimics the hormone that is produced by your gut after you eat. This hormone sends a signal to the brain that you feel full.
- Initially developed for those with type 2 diabetes to control blood sugar, Semaglutide works to suppress your appetite and slow down gastric emptying of food, which keeps food in your stomach for longer periods of time.
- While on the medication, expected weight loss is 1-3 lbs a week
- Side effects are mostly GI upset including nausea, vomiting, change of bowels, diarrhea, constipation, acid reflux and belching.
- See frequently asked questions below on common thoughts.
Tirzepatide Weight Loss Injection
- Dosing 2.5 mg – and maximum dosing is 15 mg subcutaneous once weekly self injection. This is a once weekly self-injection if you qualify for the medication.
- Tirzepatide is similar to Semaglutide but acts as a dual GLP-1 RA and GIP which has two components to aid in weight loss and breaking through insulin resistance.
- The FDA approved Tirzepatide in May 2022, it is composed of 39 amino acids and is an analog of the gastric inhibitory polypeptide.
- This is commonly used as a long term medication >16 weeks of therapy for weight loss goal
- While on the medication, expected weight loss is 1-3 lbs a week
- Side effects are mostly GI upset including nausea, vomiting, change of bowels, diarrhea, constipation, acid reflux and belching.
Frequently Asked Questions
All about Semaglutide and Tirzepatide for Weight Loss:
• Semaglutide is a single GLP1-RA (glucagon-like peptide 1 receptor agonist) that was recently approved for weight loss by the FDA under the brand name Wegovy®
• Tirzepatide is a dual, GLP and GIP that in clinical trials is proven to be superior to Semaglutide for weight loss.
Where does the medication come from?
- Compounded pharmacies are an alternative way for patients to obtain a prescription medication without having to go through insurance.
- Compound pharmacies have to follow the FDA guidelines of producing a medication. This medication comes from a 503B FDA- Registered Outsourcing Facility which requires a prescription from a qualified provider with a DEA license.
How does Semaglutide and Tirzepatide work?
- It is a peptide that mimics the effect of “feeling full” resulting in decreased caloric intake.
- Typically food enters the stomach and your body digests it within 30-60 minutes. With the help of this medication, studies have found that food slowly digests in your stomach over 4-6 hours.
- The delay in gastric emptying will reduce appetite, improve control of eating, and reduce food cravings.
What side effects are expected and how long?
Most common side effects are GI upset. Most common side effect is nausea which is reported in roughly 40% of patients on Semaglutide. However, there was reported ~20% nausea rates with Tirzepatide.
→ If you experience nausea, you are prescribed Ondesatran 4 mg ODT tablets to subside nausea.
→ If you experience constipation, you are advised to increase fiber, hydration and recommend OTC medications such as Colace, Senna, or Miralax for stool softening.
→ If you experience diarrhea, you are advised to increase hydration to prevent dehydration and take Imodium, you also can receive an IV infusion at the comfort of your home for a discounted price.
Labs required prior to starting?
– Yes, it is required to review recent blood work prior to starting the medication to ensure your thyroid, kidneys and liver are functioning properly.
– Labs required include CBC, BMP or CMP, TSH with T4, optional Lipid Panel, B12, and D3
– You receive a free vitamin injection with the medication prescription.
Are you a candidate for this medication?
- A BMI over 30 and no weight-related complications
- A BMI over 27 with weight-related complications
Contraindications:
- There are rare situations where Semaglutide is contraindicated.
- Patients with a personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), history of Pancreatitis or type 1 Diabetes
- This medication is prescribed for short periods of time and typically under 6 months. It is advised to initiate healthy lifestyle factors of diet and exercise.
Alive Hydration
