Medical weight loss

Glucagon-like peptide (GLP-1) is a hormone made in the gut.  It stimulates insulin secretion, inhibits glucagon secretion, slows gastric emptying, and helps regulate the appetite. All of these result in weight loss. 

Both work to regulate your blood sugar, slow gastric emptying, and block glucagon made in the liver.  This makes you full longer, and your body releases less sugar.  These combined actions lead to homeostasis of glucose which results in burning fat. This leads to decreased appetite and weight loss.  The GIP in Tirzepatide further suppresses appetite. 

 Semaglutide is a GLP-1. It has been shown in clinical trials to be up to twice as effective as other weight loss drugs with up to 15-20% body weight loss. 

Tirzepatide is a GLP-1 with GIP.  In clinical trials, those using Tirzepatide lost an average of 20.9% of their body weight. 

Usually these medications are well tolerated, though common side effects include nausea, bloating, diarrhea, and constipation. Tirzepatide is generally better tolerated.  If side effects are present, we will often modify dosing to mitigate these effects. Many report a positive effect of decreased desire for sweets and alcohol.

Those with a personal of family history of medullary thyroid cancer (MEN Type 2), those with type 1 diabetes, history of diabetic ketoacidosis (DKA), history of diabetic retinopathy, history of pancreatitis, severe kidney or liver problems, or if you have had an allergic reaction to a GLP-1

Once your intake is complete and you have decided on the program option you are most interested in, we will have you return to the office to pick up your product and supplies and have you perform your first injection. You will then self administer at home once weekly. 

We work closely with US pharmacies that do not use the salt base forms. These pharmacies are approved by the FDA for manufacturing these medications, use third party testing for verification of purity and sterility, and follow all FDA guidelines.

Though online options are available, many are using product that has not been tested for validity, purity, or composition.  Some online options are providing medications not produced in FDA approved facilities, not for human use (salt base) or for research purposes only. Often these services do not offer Practitioner consult with incomplete intake and laboratory testing.

On a GLP-1 medication for weight loss, you can typically expect to lose about 1-2 pounds per week. This rate can vary depending on individual factors like starting weight, metabolism, and adherence to the treatment plan.

Yes, we do!  Our nurse practitioner, Dana will discuss with you what pricing will be if a “microdosing program” with a GLP-1 medication is preferred by the patient.  A microdosing program is usually designed for individuals looking to maintain their weight loss results or take a gentler approach to GLP-1 therapy. With smaller, consistent doses, this program helps support appetite control, blood sugar regulation, and overall wellness without the intensity of standard dosing.

Typically 1 – 2 months, depending on the individual patient.

Incorporating a prebiotic and a probiotic is highly recommended to alleviate indigestion and heartburn. Additionally, it is a great idea to incorporate an iron, B-complex, magnesium, and potassium as well. 

If you are feeling low on energy, try drinking a glass of water, moving your body (walk, yoga, lifting weights, biking ect.) for at least 15 minutes. Exercise will help to boost your metabolism, which will in-turn increase your energy levels. Additionally, taking a daily multivitamin, B-complex, and D3 supplement has been shown to help with energy levels. 

Avoid eating greasy, fried and fatty foods. Avoid sugar and candy, chips, and snacks. Your diet should consist of lean proteins, and veggies/fruits. Eat protein and veggies at the beginning of your meal then a small amount of carbs at the end. Some people notice improvement in heartburn with cutting back on caffeine intake. 

Avoid an empty stomach. Digestive enzymes and ginger in all forms (tea, lozenges, low sugar, ginger ale etc.) can be helpful. If you are vomiting, please call the clinic. Our clinic phone number is: 360-755-5148

This is called hypoglycemia. This occurs when the sugar in your circulatory system is too low. Symptoms may include feeling jittery, brain fog, sweaty palms, and irritability. If this occurs, eat a small snack with food fat and sugar. For example: A banana and peanut butter, small glass of milk, fruit and nuts). Please let us know if this occurs. 

This is an optional add on injection for those on the weight loss program, or as a stand alone.  It can improve energy, metabolism, and reduce side effects.  These substances are involved in fat metabolism (lipotropics) and help by maintaining a healthy liver. The liver plays an important role in human metabolism like storing glucose, breaking down protein, and removing toxic substances from the body. It also produces bile which aids in digestion and the breakdown of fats.

Mino

• Methionine: an essential amino acid required during the body’s production of choline. It reduces fat and aids in lowering cholesterol by assisting with the breakdown of sugars and carbohydrates and converts them into energy. 
• Inositol: metabolizes fats and cholesterol and aids in transporting fat in the blood system. It helps with redistribution of body fat and can help to lower cholesterol levels. It helps the body convert food into energy.
• Choline: choline is a fat emulsifier which helps with the processing of cholesterol so that it does not settle on the walls of arteries. It is also essential for nerve and brain function.
• B6: Promotes red blood cell production and helps convert food into energy.
• B1 Thiamine: Improves immune function and helps to convert fat into energy. 
• B2 Riboflavin: Increases metabolism and supports immune function. 
• Carnitine: Improves fat metabolism and energy, reduces recovery times, and promotes muscle building potential. The amino acids (methionine, inositol, and choline) plus B12 stimulates the liver to increase fat metabolism. As soon as the effect of these substances wear off the body begins to gradually return to its normal metabolic rate. 

This is generally well tolerated, but potential side effects are nausea and diarrhea.

• Other benefits: assists with lowering cholesterol, fatty liver disease, and insulin resistance. 
• Benefits: increases energy production, and exercise performance.