GLP-1
Semaglutide & Tirzepatide
Things you need to know prior…
Step A: Storage Instructions
1. Store your medication in the refrigerator.
2. Keep away from light.
3. Do not freeze.
Step C: Shipping Address
1. Medications are shipped each month to the shipping address on file following your scheduled monthly appointment with our medical team.
2. It is the patient’s responsibility to ensure the shipping address on file is accurate at all times.
3. Any request to change a shipping address must be submitted in writing via text message or email to our office manager prior to the scheduled appointment. Address changes submitted after the appointment will not be processed. Verbal requests are not accepted to ensure no errors are made.
Step C: Review the following "At-Home Injection Instructions"
Pre-filled Syringes
1. Wash your hands thoroughly with soap and water.
2. Select an injection site: abdomen (at least 2 inches away from the belly button), outer thigh, or back of the upper arm. Rotate sites with each dose. Avoid areas that are bruised, red, tender, scarred, or irritated.
3. Clean the selected area with an alcohol swab and allow it to air dry completely.
4. Remove the needle cap from the prefilled syringe, taking care not to touch the needle.
5. Gently pinch a fold of skin at the injection site using your thumb and fingers.
6. Insert the needle straight into the pinched skin at a 90-degree angle.
7. Press the plunger slowly and steadily until all medication is injected.
8. Keep the needle in place for 5–10 seconds to ensure the full dose is delivered, then remove it straight out.
9. Release the skin fold and apply gentle pressure with gauze or a cotton ball if needed. Do not rub the area. Mild redness or tenderness is normal.
10. Dispose of the used syringe immediately in an approved sharps container. Do not reuse needles or syringes. If medication leaks, do not re-inject; contact your provider with any concerns.
Tirzepatide Only - Pre-filled Syringes
Please refer to the below administration instructions once you receive your Tirzepatide medication.
What It Is
Semaglutide and Tirzepatide are prescription injectable medications used for medical weight management and metabolic support. These medications are administered as a once-weekly subcutaneous injection and are prescribed as part of a comprehensive medical treatment program.
How It Works
Semaglutide and Tirzepatide work by regulating appetite and hunger signals, slowing gastric emptying, increasing feelings of fullness, and improving insulin sensitivity and blood sugar regulation. Together, these effects help reduce caloric intake and support sustained weight loss when combined with proper nutrition and lifestyle habits.
Expected Benefits
Expected benefits may include reduced appetite and food cravings, improved portion control, gradual weight loss over time, and improvement in metabolic markers. Individual results may vary.
When to Use
These medications are administered once weekly on the same day each week as a subcutaneous injection. Common injection sites include the abdomen, thigh, or upper arm, and injection sites should be rotated regularly. Patients must follow the exact dosing and titration schedule provided by their medical provider and should not change their dose unless instructed.
Possible Side Effects
Common side effects may include nausea, vomiting, diarrhea, constipation, decreased appetite, bloating or indigestion, fatigue, and headache. These effects are typically mild to moderate and often improve as the body adjusts to the medication. Less common side effects may include dizziness, acid reflux or heartburn, and injection site irritation.
Contact Your Provider If You Experience
Patients should contact their provider promptly if they experience persistent or severe nausea or vomiting, inability to tolerate fluids, severe abdominal pain or pain radiating to the back, or symptoms suggestive of pancreatitis such as severe abdominal pain with vomiting. Patients should also notify their provider if they experience signs of gallbladder issues, including right upper abdominal pain, nausea, or fever. Symptoms of hypoglycemia, particularly in patients with diabetes or those using insulin, may include shakiness, sweating, dizziness, confusion, or a rapid heartbeat and should be reported immediately. Signs of an allergic reaction such as swelling or difficulty breathing require urgent medical attention so call 911.
Who Should Not Use
Semaglutide and Tirzepatide should not be used by individuals with a personal or family history of medullary thyroid carcinoma, Multiple Endocrine Neoplasia syndrome type 2, a history of pancreatitis, severe gastrointestinal disease such as gastroparesis, or known hypersensitivity to the medication or its components. These medications are also contraindicated in patients who are pregnant, trying to become pregnant, or breastfeeding.
Treatment Expectations
Weight loss with Semaglutide and Tirzepatide is gradual and varies between individuals. Side effects are most common during dose escalation periods. Ongoing follow-up appointments are required to monitor safety, tolerance, and response to treatment, and dosage adjustments may be made as clinically indicated. Optimal results are achieved when medication is combined with appropriate nutrition and lifestyle modifications.
Vitamin B12 (Methylcobalamin or Cyanocobalamin)
Some patients receive Vitamin B12 as part of their GLP-1 therapy to support energy production, red blood cell formation, and nervous system function. Vitamin B12 is generally well tolerated, and excess amounts are typically excreted by the body. In rare cases, administering higher than prescribed amounts may result in symptoms such as headache, nausea, diarrhea, anxiety, acne-like skin eruptions, flushing, new neurological symptoms, palpitations. Contact your provider if you experience any of these symptoms.
Vitamin B6 (Pyridoxine)
Some patients receive Vitamin B6 as part of their GLP-1 therapy to support metabolism, nervous system function, immune health, and to help reduce nausea. When administered in excessive amounts or more frequently than prescribed, Vitamin B6 may cause symptoms such as tingling or numbness in the hands or feet, sensitivity to touch, balance difficulties, fatigue, or headache, burning sensations, weakness, or coordination changes. Prolonged excessive intake may lead to nerve irritation. Contact your provider if you experience any of these symptoms.
Nutrition Guide and Exercise Videos
Click here for our GLP specific meal plan and exercise videos.
Patient Responsibility
Patients are responsible for following prescribed dosing instructions, attending required follow-up appointments, and communicating any side effects or concerns promptly. Patients must maintain adequate hydration and nutrition, store medication properly, and dispose of sharps safely. Patients acknowledge that results vary and are not guaranteed.
