Semaglutide & Tirzepatide

                                                           Semaglutide

Semaglutide  is a GLP-1 receptor agonist, which means it mimics the GLP-1 hormone and makes you feel less hungry. When you eat, your digestive tract releases the GLP-1 hormone, prompting the body to create more insulin. It can also send fullness signals to the brain.

It is a once weekly subcutaneous injection given with an insulin syringe either in office or at home.

Doses are gradually increased every 4 weeks or more or as needed until a max dose of 2.4 mg is reached.

This medication for those with a BMI >30 or >27 with hypertension, diabetes, or high cholesterol

Most common side effects are nausea, diarrhea, vomiting, constipation, headache, upset stomach, dizziness, feeling bloated, belching, gas, and heartburn. 

You should not use this if you or your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) or a history of pancreatitis. 

There is a chance that your insurance will cover this medication, it is always good to ask your primary care provider to see if you qualify. I am more than happy to start your weight loss journey while you wait for the decision from the insurance. For those covered but are unable to obtain medication from the pharmacy, I can order intermittent doses for in office or at home use as needed.

This medication is not the brand name, it is the generic. While the brand name medication is on the FDA shortage list, compounding pharmacies are able to produce and sell this medication. This is how most clinics are able to obtain the compound and prescribe it for less than the $1200 retail price. At this time my preferred pharmacy compounds the semaglutide with vitamin B12. 

                                                              Tirzepatide 

Tirzepatide is a once-weekly subcutaneous injectable peptide. Tirzepatide also the GLP-1 hormone and the GIP hormone. The GIP hormone can also trigger insulin creation and sensations of fullness. This means tirzepatide may offer an extra weight loss boost over semaglutide. With it being more expensive, why choose this over semaglutide? Tirzepatide is associated with fewer gastrointestinal side effects, potentially providing relief from common side effects such as nausea and vomiting. This medication is also supplied by a compounding pharmacy and is made with B6. 

Specifically to start Semaglutide  or Tirzepatide with Alluring Aesthetics:

You will need to have a primary care physician and see them for your annual physical.  This is important because as you lose weight your medications may need to be adjusted. You should have your labs drawn at the discretion of your provider. Before this will be prescribed, it is suggested that you provide lab work within the last year, but there are some exclusions. The minimum suggested lab work is a CBC and BMP, but having a TSH, A1C, and lipid panel will provide a better picture of overall health and the ability to lose weight. A free consultation is the first step, and this can be done in person or via telehealth. An in person visit when starting the medication is preferred, so we can discuss how to inject and do the first injection together, and do measurements to compare at future visits. 

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