medical weight loss

mini-guide

semaglutide

&

Tirzepatide

iv hydralounge

about this guide

There's a buzz in the air, and it's all about groundbreaking weight loss medications Semaglutide and Tirzepatide. ​Initially designed for diabetics and those medically overweight, they've taken the spotlight, gaining national ​attention as a revolutionary aid for weight loss. A recent trial reveals that Semaglutide may lower the risk of heart ​attacks, strokes, or cardiovascular death by a whopping 20%. Over the course of five years, this trial followed ​17,500 individuals with a history of heart disease. Fresh hope is here, and it's transforming lives.


In this guide, we will unpack how these injections work, their success rates, proper usage, and more! Keep reading ​for all the ins and outs on what sets Semaglutide and Tirzepatide apart from other conventional weight loss ​programs.

understanding

semaglutide

Semaglutide mimics the GLP-1 hormone, released in the gut in ​response to eating. One role of GLP-1 is to prompt the body to ​produce more insulin, which reduces blood sugar. For that ​reason, healthcare providers have used Semaglutide for more ​than 15 years to treat Type 2 diabetes. But GLP-1 in higher ​amounts also interacts with the parts of the brain that suppress ​your appetite and signal you to feel full. When used in ​conjunction with diet and exercise, it can result in significant ​weight loss — and a reduced risk of cancer, diabetes, and heart ​disease — in people who are obese or overweight.

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understanding

tirzepatide

Tirzepatide activates receptors of hormones, like GLP-1 and GIP, ​to reduce appetite and food intake. It’s effectiveness for chronic ​weight management in combination with a reduced-calorie diet ​and increased physical activity was established in two ​randomized, double-blind, placebo-controlled trials of adults with ​obesity or overweight with at least one weight-related condition. ​After 72 weeks of treatment, patients who received Tirzepatide ​at all three dose levels experienced a significant reduction in ​body weight compared to those who received placebo.

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Gradual weight loss within a few weeks

of starting treatment


Significant weight loss in a few months


Weight loss is a gradual process that typically takes

1-2 pounds

per week

Targets GIP receptors


Increases the body’s energy use independent

of diet


Starts to lower

glucose levels immediately


May take 8 weeks

to start noticing

weight loss results.


Targets GLP-1

receptors


Lowers blood

sugar


Decreases ​hunger


Makes you feel

fuller

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who qualifies for treatment?

While there is not an explicit set of criteria for these medical weight loss programs, there are many factors ​that make certain people more likely to benefit from these treatments.

These factors include, but aren’t limited to:

  • Having a BMI of 27 or more
  • Being at risk for or having at least one weight-related disease
  • Have tried and failed at losing weight from diet and exercise alone
  • Having a higher risk of cardiovascular diseases
  • Having high cholesterol


Those with a history or family history of medullary thyroid carcinoma, multiple endocrine neoplasia ​syndrome type 2, kidney disease or failure, or renal cancer, should avoid these treatments.


It is crucial to disclose your complete medical history during your consult to ensure the safety and ​effectiveness of the treatment. By working closely with the nurse practitioner, you can make informed ​decisions about your weight loss journey and receive the most suitable and beneficial care.

what to expect

All clients interested in our Medical Weight Loss Programs is required to qualify for said treatment. A free ​consultation with the nurse practitioner can be done in person or over the phone.


Once you have qualified for treatment, the nurse will go over proper technique for self-administering the injections. ​If you are uncomfortable doing it yourself you are more than welcome to come in and have one of our nurses do it ​for you.


These treatments are prescribed to be given weekly, via subcutaneous injection. This means the injection is ​going into a layer of fat, not muscle. The injection can be given in the back of your arm, your stomach, or the ​outer portion of your thigh.


Prices begin at $300/month but will vary based on dosage. We do not take insurance, but we do accept ​HSAs and FSAs!


success rate

In a 2021 study, The New England Journal of Medicine found that participants with obesity or overweight who received a once-weekly ​2.4 milligram dose of Semaglutide, combined with lifestyle changes, experienced the following benefits:

  • 10% to 20% body weight loss
  • Reduced waist circumference
  • Improved blood sugar levels
  • Improved blood pressure
  • Improved cholesterol levels


In a 2023 study, SURMOUNT -4 found that participants with obesity or weight-related illnesses who received a once-weekly Tirzepatide ​injection, combined with diet and exercise, experienced the following benefits:

  • 20%-25% body weight loss
  • Improved blood sugar levels
  • Improved energy levels
  • Lower risk of cardiovascular diseases

potential side effects

Most common temporary side effects:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach pain
  • Constipation


Less common temporary side effects:

  • Bloating
  • Heartburn
  • Fatigue
  • Low blood sugar
  • Dizziness


Like all medications, it is important to pay close attention to any symptoms you may have, especially ​when beginning treatment, and to reach out to our nurse practitioner with any concerns or questions.

ways to reduce nausea

Natural ways to reduce nausea:


  • Eat bland, low fat foods like toast, rice, and crackers
  • Eat foods that contain ginger or peppermint
  • Avoid greasy, fried, or sweet foods
  • Avoid laying down after eating
  • Drink ice cold water
  • Get some fresh air
  • Get a B-Complex injection
  • Try aromatherapy


If these tips and tricks don’t help to alleviate nausea, we have Zofran available in IV or Injection form, ​which can alleviate your symptoms in as little as 30 minutes!

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Important information

Missed doses:

If you miss a dose of this medicine, take it as soon as ​possible. However, if it is almost time for your next ​dose, skip the missed dose and go back to your ​regular dosing schedule. Do not double doses.


Storage:

Keep out of the reach of children. Do not keep ​outdated medicine or medicine no longer needed. ​Store in the refrigerator. Do not freeze.


Your Practitioner:

Jenee Wechsler, ACNP

Subcutaneous Self-Injection

What is a Subcutaneous Injection?

A subcutaneous injection, as illustrated in the figure to the right, is given into the fatty layer of tissue just under the skin. Subcutaneous injections ​are given with a very small needle that causes little or no discomfort.

Step 1: Preparing for Your Injection

Find a comfortable, well lit working place to do the injection. Plan to do your injection at the same time each day if you will need more than one ​shot. Follow these steps to prepare for your shot:

  • Make sure it is the medication your doctor prescribed. If the medication has particles or is discolored, do not use it and check with your ​practitioner.
  • Assemble your supplies:
  • Disposable needle
  • Syringe loaded with medication
  • Alcohol swab
  • Puncture proof container


Step 2: Wash Your Hands

Wash your hands before any injection and repeat hand-washing if your hands come into contact with anything that might be considered dirty.

  • Take the stopper off of your syringe, and be very careful not to push the plunger once the stopper is off.
  • Open the needle and screw the needle onto the syringe


Step 3: Choosing the Injection Site

The following are sites for injections. Clean ​chosen area thoroughly with alcohol swab.

Hold the syringe in your dominant hand. Use the other hand to ​pinch a fold of skin at the cleaned injection site.

Holding the syringe like a pencil, use a quick "dart-like" motion to insert the needle either straight up and down (90-​degree angle) or at a slight angle (45 degrees) into the skin.

After the needle is inserted, let go of the skin. Slowly push down on the plunger all the way, until all the medication is ​injected. If blood comes into the syringe, do not inject medication, because the needle has entered a blood vessel. ​Withdraw the syringe and clean a new injection site.

Tips for Minimizing Injection Pain:

  • Remove all air bubbles from the syringe before injection
  • Wait until the alcohol on your skin has evaporated before injecting
  • Keep muscles in the injection area relaxed
  • Break through the skin quickly
  • Don’t change the direction of the needle as it goes in or comes out
  • Do NOT reuse disposable needles

Disposal of syringes and other sharp objects is monitored by the Environmental Protection Agency.


It is important to dispose of them properly for your safety and the safety of others. The EPA promotes all recycling ​activities and encourages you to discard medical waste sharps in sturdy, non-recyclable containers, when possible.


Place used syringes, pen needles, lancets, and other sharps in rigid containers resistant to leaks and punctures. Label ​filled containers “DO NOT RECYCLE.”


Filled commercial sharps containers may be placed with household trash. Sharps containers may also be available for ​purchase at your local pharmacy. You can also make your own sharps container using a heavy plastic bottle with a ​screw-on cap such as an old liquid laundry soap bottle. Seal with heavy-duty tape and label before disposing in your ​trash.


If the above options are not available to you, you can also bring your sharps back to either of our locations and we will ​dispose of them properly for you.

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