BRAND NEW & REVAMPED AFFORDABLE WEIGHT LOSS PROGRAM OPTIONS
Welcome to our Medically Supervised Wieght Loss Program!!
10/6/2024 COMPOUNDED TIRZEPATIDE UPDATE: STILL AVAILABLE
(will update here IF that changes)
Our compounding pharmacies are confident that their formulations will continue to be made.
Medically Supervised Weight Loss Program
We offer programs for everyone & for all budgets.
I'm sure you have heard that weight loss is easy! Just exercise more and eat less! Well, if you are like the majority of us, that piece of advice is not necessarily helpful; or accurate.
We understand there is just as much an emotional component to weight loss as there is a physical component. We also understand there is more to metabolism than just exercise and eating salads. Did you know that you could be eating and exercising appropriately but if you have an imbalance in your body, this can prevent you from losing weight, gaining muscle, and changing your metabolism? We look at all aspects.
We offer several different programs that are sure to fit your budget, lifestyle and goals. From insurance -covered medications to non insurance needed- compounded medications to even completely natural! Our programs are flexible, there are no contracts and we do not charge membership fees!
Our medically supervised weight loss program allows you an opportunity to take control of your health. We combine healthy diet, exercise, prescription medications, injections, and supplements to make your journey successful. We want you to develop the knowledge and tools needed to maintain your weight loss and lifestyle changes throughout your life on a long-term basis.
If you have tried other programs or do not know where to start, this is for you.
Remember, all medications are meant to be combined with lifestyle changes! The medications are life-changing, but they are not "magic." If anyone tells you otherwise, then run!
PLEASE NOTE THIS IS FOR THE WEIGHT LOSS PROGRAM ONLY. IF YOU WANT TO BE WORKED UP FOR ANY OTHER CONDITIONS OR HAVE ANY OTHER LAB WORK DRAWN, YOU MUST SCHEDULE A SEPARATE PRIMARY CARE/FUNCTIONAL MEDICINE APPOINTMENT. THEY ARE NOT COMBINED.
Yes! You can also use your HSA/FSA card! We also accept Care Credit!
WHY CHOOSE US!
We know there are SO MANY different places for you to obtain weight loss medications. Here's why you should work with us:
- We are a small practice that offers UNIQUE & PERSONALIZED approaches to weight loss
- You are NOT just a number among thousands of other patients
- We believe in QUALITY and not QUANTITY
- We obtain medications from actual FDA-approved pharmacies; NOT peptide companies (which are unsafe)
- You are followed by licensed medical practitioners and have monthly visits (in-office or telemedicine)
- You have the ability to reach out with questions and have licensed practitioners guide you
- We work with you AFTER achieving your goal weight
- We offer titration schedules that allow you to not only hit your therapeutic levels quicker, achieve goal weight quicker and safer BUT also save you money
- Our patient monitoring & follow up schedules ensure that you are taking the right dose for you and that we keep side effects to a bare minimum
- We look at the WHOLE PERSON and manage conditions that will affect your weight loss progress
- We are not a medspa where it is one-size-fits-all approach
Please note that the reason we are able to secure such great pricing for our compound medications is because we order in bulk once a week, every Friday. Currently, there is up to a 14 business day turn time to receive medications.
WEIGHT LOSS PROGRAM STEPS...EASY AS 1-2-3
Step One: Schedule Weight Loss Initial Consult, Complete New Patient Paperw
Step Two: Select the Program Based on Medication (See Below for Options)
Step Three: Start the Program!
Initial Appointment/Consult
Initial Appointment
This is your initial visit for the weight loss program; either a new patient or established. We will discuss the medications available to you, review your medical history and talk about your goals. We will also order lab work to check your baseline levels. If you have labs dated within 90 days, we can use those. If you will be prescribed a stimulant medication, you will have an EKG ordered.
If you are ready to get started, you can do so at this visit. If not, no worries-you can start anytime!
Weight Loss Pricing
RAPID RAMP UP Compounded Semaglutide (All-Inclusive Monthly Program)
ALL-INCLUSIVE•NO INSURANCE NEEDED•NO PHARMACY BACK-ORDERS •NO CONTRACTS•MONTH-TO-MONTH•PAY AS YOU GO•NO MEMBERSHIP FEES
1st Month: 0.25mg-1mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS WEEKLY; NOT MONTHLY
2nd Month: 1.25mg-2mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS WEEKLY; NOT MONTHLY
3rd Month+ OR 2mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
3rd Month+ OR 2.5mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
- No, it isn't a mistake; the highest dose is cheaper than the lower 2mg dosing
0.25mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this or on maintenance dosing
0.5mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this or on maintenance dosing
1mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this or on maintenance dosing
1.7mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
2mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
2.5mg Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment (via patient portal)
- 30 day supply of medication shipped to you of 2.5mg dosing
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
REGULAR RAMP UP Compounded Semaglutide (All-Inclusive Monthly Program)
ALL-INCLUSIVE•NO INSURANCE NEEDED•NO PHARMACY BACK-ORDERS •NO CONTRACTS•MONTH-TO-MONTH•PAY AS YOU GO•NO MEMBERSHIP FEES
1st Month: 0.25mg X 4 Weeks (All-Inclusive) or Individual Dosing
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS MONTHLY
2nd Month: 0.50mg X 4 Weeks (All-Inclusive) or Individual Dosing
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS MONTHLY
3rd Month: 1mg X 4 Weeks (All-Inclusive) or Individual Dosing
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS MONTHLY
4th Month: 1.7mg X 4 Weeks (All-Inclusive) or Individual Dosing
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS MONTHLY
5th Month: 2.5mg X 4 Weeks (All-Inclusive) or Individual Dosing
- 30 days supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
RAMP UP IS MONTHLY
ORAL Compounded Semaglutide (All-Inclusive Monthly Program)
ALL-INCLUSIVE•NO INSURANCE NEEDED•NO PHARMACY BACK-ORDERS •NO CONTRACTS•MONTH-TO-MONTH•PAY AS YOU GO•NO MEMBERSHIP FEES
2.5mg Capsules Every Other Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
5mg Capsules Every Other Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
10mg Capsules Every Other Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
2.5mg Capsules Every Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
Compounded Tirzepatide (All-Inclusive Monthly Program)
ALL-INCLUSIVE•NO INSURANCE NEEDED•NO PHARMACY BACK-ORDERS •NO CONTRACTS•MONTH-TO-MONTH•PAY AS YOU GO•NO MEMBERSHIP FEES
1st Month OR 2.5mg Dosing or Individual Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
2nd Month OR 5mg Dosing or Individual Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
7.5mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
10mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
12.5mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
15mg Dosing (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
2.5MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 5mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this or be on maintenance dosing
5MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 5mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
7.5MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 7.5mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
10MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 10mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
12.5MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 10mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
15MG-Refill Yourself & Save Money *Eligible ONLY after 3 mos
- You submit your own refill request without an appointment by CLICKING HERE
- 30 day supply of medication shipped to you for 10mg ONLY
- You will be required to follow-up every 3 months (at which time, you will be charged for the all-inclusive plan at whatever dosing you're on)
- If you haven't been seen in 3 months, your refill request will be denied
- You must be on our program for 3 months to be eligible for this
5mg Capsules Every Other Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
10mg Capsules Every Other Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
5mg Capsules Every Day (All-Inclusive)
- 30 day supply of medication shipped to you
- Monthly follow-up visit & medication refill (renewal)
- Individualized weight loss planning
- Ability to integrate overall functional wellness to ensure proper metabolic, hormone and thyroid balancing for optimal weight loss results
- Unlimited support access during office hours
USING INSURANCE FOR A GLP-1? READ HERE FIRST!
Even if you have insurance, it isn't always the best choice. Here's why:
- Not all insurance plans cover these medications-it is VERY difficult to get approval; we recommend first checking with your insurance to see if it's even a possibility
- If this medication is covered, ask your insurance if they require a prior authorization and if so, what the requirements are (many require that you have tried & failed at least X amount of other medications first, the dates you tried them and the outcome ( they will verify this information)
- If a prior authorization is required & we must get involved, we charge a $50 prior auth fee (non-refundable)
- There are no guarantees that insurance will approve; even with a prior authorization request
- Retail pharmacies are often out of stock; we have no control over brand name retail pharmacy supplies
- Pharmacies have the right to refuse the sale if you are not diabetic; even with an approval from your insurance
- You must take the medication according to the instructions; meaning you will not be able to titrate up on the dosing at the frequent intervals as appropriate for weight loss
- A very strict criteria must be met with insurance companies
If you are unable to obtain an approval from your insurance company, do not have insurance, do not meet the criteria, the pharmacy is out of stock or refusing to dispense, please select the compounding program. There is no criteria from insurance and the medication is never out of stock.
HAVE INSURANCE? NON-COMPOUNDED WEIGHT LOSS MEDICATIONS
GLP-1 Injections
INSURANCE APPROVAL REQUIRED FOR MEDICATIONS • NO CONTRACTS OR MEMBERSHIP FEES • MONTH-TO-MONTH • PAY AS YOU GO PER MONTH • You must have an approvable & verifiable medical diagnosis to be considered: Type 2 Diabetes, Pre-diabetes, PCOS, Insulin Resistance/Metabolic Syndrome, Hypertension, Hyperlipidemia, Non-alcoholic Fatty Liver or other Cardiovascular Disease. *Medicare does not cover.
Ozempic/Wegovy/Mounjaro/ ZepBound
Included:
- Prescription for 30 day supply (4 pens) sent to the pharmacy of your choice
- Monthly follow-up visit & medication refill
- Individualized weight loss planning
- If your insurance requires a prior authorization, there is a $50 non-refundable fee (there is no guarantee of coverage or if the medication will be in stock at the pharmacy)
Non-Compounded Weight Loss Pills-Fill at Local Pharmacy
INSURANCE APPROVAL REQUIRED FOR MEDICATIONS • NO CONTRACTS OR MEMBERSHIP FEES • MONTH-TO-MONTH • PAY AS YOU PER MONTH
Various Rxs: Phentermine and more!
Included in Monthly Fee:
- We offer various Weight Loss Rxs that are not GLPs: phentermine, topiramate, bupropion, naltrexone and more!
- Prescription for 30 day supply of the medication(s) sent to the local pharmacy of your choice
- Monthly follow-up visit & medication refill
- Individualized weight loss planning
- If your insurance denies coverage, we recommend GoodRx or switching to compounded options (we do NOT process prior authorizations for this medication due to inexpensive cost with GoodRx)
PREFER NATURAL WEIGHT LOSS?
Natural Weight Loss Program
ALL INCLUSIVE • NO INSURANCE NEEDED • NO CONTRACTS OR MEMBERSHIP FEES • MONTH-TO-MONTH • PAY AS YOU GO
Dawson MetabolXX
Included:
- Monthly follow-up visit
- Metabolic and hormone balancing and treatment
- Individualized weight loss planning
- Monthly supply of natural weight loss nutraceuticals either picked up in office or shipped to your home: Lipo Fat Burning & Energy Injection twice weekly, Insulin Resistance Supplement taken daily, Appetite Suppressant with Energy taken daily.
- Unlimited support access during office hours
Need a Weight Loss Visit but do not need meds?
Do you need to be seen for a weight loss appointment but do not need medication refills or want to renew a monthly, all-inclusive package? We've got you covered! You can see us for a regular weight loss office visit for $125. *Please note that the all-inclusive pricing is more affordable but we understand patients have unique needs so we like to provide options!
Semaglutide Injection
Other Names: Wegovy, Ozempic
Originally used for managing diabetes under the name Ozempic, a higher dose of the same medication was evaluated for weight loss and the results were dramatic with the average person losing 15+% of their body weight with a BMI of 30 or greater. This is an injection that is typically administered once a week on a titration dose. Semaglutide works by mimicking a hormone called glucagon-like peptide-1 (GLP-1) that targets areas of the brain that regulate appetite and food intake; it is a powerful appetite suppressant. It also works by increasing the production of insulin and appears to enhance growth of β cells in the pancreas, which are the sites of insulin production. Additionally, it inhibits glucagon, which is a hormone that increases blood sugar. It has been known to aid not only in weight loss, but helps to lower glucose levels in those who are pre-diabetic or who have type 2 diabetes. Additionally, it will:
- Delay stomach emptying, leading to a feeling of fullness and smaller meal size
- Slow intestinal motility
- Lowers blood sugars, in part by reducing the production of sugar in the liver
- Stimulates insulin secretion by the pancreas
We start our patients off at a low dose and gradually increase the dose weekly.
Expected weight loss is 1-2 pounds (average) per week with a targeted total weight loss of 15% of body fat (based upon a BMI over greater than 30%).
You may not be a good candidate for this medication if you have diabetic retinopathy, uncontrolled blood sugar, decreased kidney function, pancreatitis, medullary thyroid cancer, or multiple endocrine neoplasia type 2.
Tirzepatide Injection
Other Names: Mounjaro/ZepBound
Tirzepatide is a novel drug used to treat diabetes, which has also been found to result in significant weight loss. According to clinical trials, it was shown to be effective in treating type 2 diabetes and expected to likely become the most effective weight loss medication available. This is very similar to semaglutide (GLP-1); however, tirzepatide is a dual GIP (glucose-dependent insulinotropic polypeptide or gastric inhibitory peptide) and a GLP-1 (glucagon-like peptide-1) receptor agonist, and it is the first drug of its kind. Known as a "game changer" by many medical professionals in the field of endocrinology and metabolic health, this medication has 2 hormones that produce satiety. This is a once a week injection, which is titrated over a period of time. Clinical trials have shown an impressive weight loss of 5-22.5% of body weight! It works by:
- Delaying stomach emptying, leading to a feeling of fullness and smaller meal size and craving control
- Activates the satiety centers of the brain
- Lowers blood sugars, in part by reducing the production of sugar in the liver and boosting insulin production and suppressing glucagon production
- Lowers A1c levels and possibly reverses cardiovascular disease
We start our patients off at a low dose and gradually increase the dose weekly.
Expected weight loss is 1-4 pounds (average) per week with a targeted total weight loss of 22.5% of body fat (based upon a BMI over greater than 30%).
You may not be a good candidate for this medication if you have diabetic retinopathy, uncontrolled blood sugar, decreased kidney function, pancreatitis, medullary thyroid cancer, or multiple endocrine neoplasia type 2.
Phentermine/topiramate capsules
Other Names: Qysmia, Adipex, Topamax
This is a unique combination that works synergistically to help decrease appetite, increase energy level, and increase the feeling of being full. Phentermine is a stimulant appetite suppressant, increases energy levels, and helps reduce cravings and binge eating. Topiramate is classically used for seizure disorders and migraines, but because of the way it works on the neurotransmitters of the brain, it can aid in weight loss by making foods (sugars and sodas) taste less appealing, and by increasing the feeling of being full.
Expected weight loss is 0.5-2 pounds (average) per week with a targeted total weight loss of 6.6% of body fat (based upon a BMI over greater than 30%).
Typically you are not a good candidate for this medication if you have uncontrolled high blood pressure, glaucoma, hyperthyroidism, history of heart attack or stroke, irregular heart beat, breastfeeding or are pregnant, or if you are taking a MAOI medication.
Bupropion/Naltrexone capsules
Other Names: Contrave, Wellbutrin
This is a combination of two medications that have been used on their own for years to treat other conditions such as smoking cessation, anti-depressant, alcohol and opioid addiction. Combined together, they address two centers in the brain from the hypothalamus to control hunger urges all while restricting the reward mechanism that makes eating satisfying. These actions reduce feelings of hunger and food cravings that often undermine your best efforts to keep your diet on track.
Expected weight loss is 0.5-1 pound (average) per week with a targeted total weight loss of 5-6% of body fat (based upon a BMI over greater than 30%).
You might not be a good candidate for this medication if you are already on an anti-depressant.
Lipo Ultimate Fat Burning & Energy Injection
A Great Tool!
Our Lipo Ultimate Fat Burning & Energy Injection is a customized formula containing vitamins, minerals, supplements, and amino acids that burn fat, block carbohydrate metabolism, boost energy, and help with mental clarity and focus.
The following ingredients are present:
- Vitamin B1 (Improves immune system, helps convert fat and carbohydrates into energy)
- Vitamin B2 (Increases metabolism, supports immune system)
- Vitamin B3 (Reduces insulin resistance, lower blood sugar, converts food into energy, keeps skin, hair & nails healthy)
- Vitamin B5 (Metabolism of proteins, carbohydrates and fats and involved in production of cholesterol and hormones)
- Vitamin B6 (Promotes red blood cell production and converts food to energy)
- Vitamin B12 (Energy, healthy nerve cells and is more bio available form than other B12 forms)
- Methionine (Helps break down sugars and carbohydrates and convert to energy)
- Inositol (Converts food to energy)
- Choline (Healthy nerve cells, cuts muscle recovery time, helps convert fat to energy)
- Carnitine (Building block for proteins and helps body burn fat as fuel)
This is a fantastic adjunct for an energy boost, metabolism boost, overall wellness boost and feel-good boost, during your weight loss journey.
Frequently Asked Questions/INSTRUCTIONS
It is whatever you would like! Most patients love the virtual & telemedicine option; however, we always do offer in-office visits if you prefer.
First, please know that every one is different and therefore, the needs of medication are different. For example, emotional eating, metabolic syndrome, etc.
Here is a breakdown of medication uses and average results:
- Phen/Top is a stimulant appetite suppressant. It works immediately to reduce hunger and cravings. Weight loss is approximately 6-10%. Tolerance to this medication is built up quickly so effectiveness decreases over time. We do start on a low dose and titrate up to help avoid this.
- Bup/Nal is a non-stimulant appetite suppressant. It works semi-immediately to reduce hunger and cravings. Weight loss is approximately 3-5%. We start on a low dose and titrate up.
- Phentermine only is a short-term stand alone appetite suppressant. Weight loss is approximately 6-8% when used alone. Tolerance to this medication does occur quickly without combining with the topiramate.
- Semaglutide/Ozempic/Wegovy is a GLP-1 injection. It works by delaying gastric emptying, making you feel full longer and faster, increases insulin sensitivity and works on a biological and metabolic level to promote weight loss and reverse/prevent certain diseases. Weight loss is approximately 15-20%. We start on a low dose and titrate up to max dosing.
- Tirzepatide/Mounjaro is a GLP-1 and GIP injection. This works the same way semaglutide does but with an extra hormone that increases the effectiveness. Weight loss is approximately 20-30%. We start on a low dose and titrate up to max dosing.
All appointments are self-scheduled online.
For your first visit, you will schedule under Initial Weight Loss appointment if you are a new patient.
For your monthly visits (aka renewal visit), you will schedule under "Weight Loss Med Refill"
For monthly Lipo Fat Burning & Energy B12 injection, you will schedule online under "Injection Only."
All appointments online are self-scheduled for telemedicine. If you prefer an in-office visit, please let us know (we have to schedule you).
We recommend not doing this; although it is possible. We really want you to focus on making lifestyle changes and the more medications you take, the harder it may be to maintain weight loss after coming off the medications.
This is an individualized answer; everyone is different and is based on medication.
The injections are approved for long-term use. We recommend continuing until you have hit goal weight and then weaning down to ensure you can maintain. Remember, it takes these injections about 4-6 weeks to even hit a therapeutic level for effectiveness. Consistent and long-term weight loss typically does not occur until max dose is reached.
For the capsules, tolerance is built up over time so effectiveness starts to decrease after several months.
The GLP and GLP/GIP medications are NOT immediate; unlike what social media has made it seem like. The first several weeks of low dose administration are what is preparing your body for the therapeutic level. Once you hit the therapeutic level, you will notice the biggest changes. This level is when you have hit max dosing (2mg) which is on or around week 8. That is not to say you will not lose weight or have appetite suppression in the first 8 weeks, but the results are typically slow going while we titrate your dose. Many patients ask if they can titrate sooner and increase the dose themselves. This is NOT allowed as the consequences are too great. Rome was not built in a day-be patient-it will happen!
A compounding pharmacy is a special type of pharmacy that is able to "make" or compound medications specifically for a person and their individual needs. The ingredients they use are the same active ingredient found in brand name medications. They are able to add ingredients to make medications more effective (like adding B12, etc) or by removing ingredients that are harmful (like dyes, gluten, etc).
We have been using compounding pharmacies for over 2 decades (they are not new) and are highly regulated and sterile. Each pharmacy and each medication that is compounded will have extensive sterility and quality control checks.
The reason we use compounding pharmacies for weight loss medications is because #1 they are able to compound the active ingredient in the brand name medications at a much cheaper price (because generics are not yet available for Ozempic/Wegovy (semaglutide) or Mounjaro (tirzepatide); #2 there is no issues with insurance denying medications because it is self pay at an affordable cost; #3 while slight delays can happen (average of 2 weeks based on volume), these medications are available and never on back order; #4 we can customize dosing to fit our patients individual needs.
Compounding pharmacies are sterile and highly regulated. They are completely safe.
The active ingredients in these medications are the "generic" forms for the brand name. They are effective and produce the same results as the brand names. Most brand name medications have a generic. When they do not, it means that the patent is not yet available. HOWEVER, the patient is for the ingredient itself. Compounding pharmacies are NOT permitted by law to compound a medication that is commercially available unless there is a manufacturer back order OR if the main i/active ingredient is being compounding with another ingredient. In the case of these weight loss medications, compounding pharmacies typically will compound the active ingredient with B12, L-carnitine or another similar co-ingredient.
There are close to 10,000 compounding pharmacies licensed in the US; however, we only use a handful that have the highest sterility, quality control and efficacy. Currently our preferred pharmacies are (in no particular order): Olympia, Magnum, South Lake, CPA, Shields, Empower, MetroMeds.
As you can imagine, the weight loss craze is hot right now. Just like everyone else, compounding pharmacies are being inundated with orders from doctors nationwide and they process them in the order in which they receive. They have to compound medications as they receive orders (they are not stockpiled) and then they go through sterility checks before they can be shipped out. The normal turn time to receive medications has always been about 3-5 business days. Currently with the high volume, intermittent delays may occur for up to 14 business days. We do recommend planning ahead for refills. No, there is nothing we can do to expedite their process.
First, you will want to order insulin syringes; we recommend through Amazon. I would search for a 100 unit insulin syringe with 31g x 5/16" needle. Also grab some alcohol pads.
When you get your vial of medication, please be sure to read instructions on storage. Some are to be stored in the freezer and others in the frig (read YOUR vial each time and do not rely on what your friends are doing; everyone has different meds).
If you have never injected yourself before, please contact our office for guidance for your first administration.
If you have injected yourself before, you will follow the instructions on how to dose yourself and then inject either into the fat on your abdomen, fat of your thigh or fat on your arm. This must go into the fat and not muscle.
I also recommend drawing up your dose over the carpet or counter/sink to avoid dropping and shattering the vial. YIKES!
Capsules: should be stored at room temperature.
Injections: each medication and pharmacy is different. Please READ your labels on your package to learn if it is to be stored in the FREEZER or REFRIGERATOR. It will never be left out. Most of the pharmacies now are using refrigerator stored vials.
Great question! We do not recommend any diets that have a name to it, like Keto, Paleo, etc. In order to achieve REAL long-term results, you have to eat REAL food! We believe in eating whole foods and meals that are balanced and portioned for you.
We will guide you through appropriate daily intake and even give you tips, tricks and sample lists. Every patient is different so daily intake will vary from patient to patient.
You do not have to deprive yourself either! However, there is a time for when you are able to occasionally treat yourself.
However, we do not recommend drinking alcoholic beverages. We don't recommend drinking ordinarily if you are trying to lose weight and get healthy but weight loss medications and wine, beer, or other alcohol do not go well together.
SOME insurance plans will cover Ozempic, Wegovy, or Mounjaro IF you meet their criteria. All plans are different so please check with your plan. In order for us to consider you as a candidate for insurance use, you must have : Type 2 Diabetes, Pre-diabetes, PCOS, Insulin Resistance, Metabolic Syndrome, Hypertension, Hyperlipidemia, Non-alcoholic Fatty Liver Disease or other Cardiovascular Disease WITH proven failure to other treatments (this is not our criteria, but insurance criteria).
We do not process prior authorizations!
Please note, there are no guarantees of insurance authorizations OR that the pharmacy will even have the medication in stock. The fee is non-refundable. We recommend you take advantage of our affordable compounded options if that happens.
Medication is only written for 30 days at a time. We do not write for 90 days, even if insurance requires this. This is to appropriately monitor and adjust dosing on a regular basis for best outcomes, responsible prescribing and patient care. There are no exceptions.
This is VERY common.
Insurance has a very strict criteria that needs to be met (as defined above). If you do not meet the health criteria and/or have tried and failed a number of different medications first, it is likely to be denied.
Also, many retail pharmacies like CVS, Walgreens, etc does have the right to refuse sale of these medications without an uncontrolled diabetes diagnosis; despite a prior authorization approval. Yes! This happens a lot.
If this happens, we strongly encourage you to take advantage of our very affordable compounded options. You will not have to worry about insurance or availability at the pharmacy. You can also use HSA/FSA cards.
We do require our patients to complete their prior authorization request to their insurance (as we are out of network); however, if you would like our assistance or if we must get involved, there is a $50 prepaid, non-refundable fee for our time.
Medicare does not cover these medications at this time.
Ozempic & Wegovy through insurance must follow the monthly titration schedule. This means you will stay at each dosing for 4 weeks before moving up. This is the typical titration for medication management of chronic health conditions but not for anti-obesity. Compounded semaglutide is titrated weekly so you will move up to the next dose each week. This provides the most effective weight loss results.
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