Step A: Order Supplies​

1. Syringes: Please click HERE to order from amazon the necessary syringes you will need to administer the medication. 

2. Alcohol wipes

3. Small sharps container: Click HERE to purchase a small sharps container from amazon.

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Step B: Storage Instructions

1. Store your medication in the refrigerator. 

2. Keep away from light.

3. Do not freeze.

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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 the program manager prior to the scheduled appointment. Address changes submitted after the appointment will not be processed. Verbal requests are not accepted to ensure there are no errors in address change.​​​​​​​​​​​​​​​​​​​

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Step D: Administration Instructions
   1.    Confirm Your Dose: Check your medication vial and prescription label for the number of units prescribed. If the dose is unclear, contact your provider before injecting. Do not guess.
   2.    Wash Hands & Gather Supplies: Wash hands with soap and water. Gather your vial, syringe, alcohol pad, and sharps container.
   3.    Prepare the Vial: Inspect the medication. Clean the rubber stopper with an alcohol pad.
   4.    Draw Up Medication: Insert needle into vial, invert vial, and draw up the exact number of units prescribed.
   5.    Choose Injection Site: Use a subcutaneous site (abdomen, thigh, or upper arm). Rotate sites each injection. Clean skin with alcohol and let dry.
   6.    Inject Medication: Pinch skin and inject at a 90-degree angle or as instructed. Inject slowly, then remove needle. Apply gentle pressure if needed. Rub the area afterwards for 5 seconds.
   7.    Dispose Safely: Place syringe immediately in a sharps container. Never reuse needles.
   8.    After Injection: Mild redness or soreness is normal. Contact your provider if you experience unusual symptoms or reactions.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Nutrition Guide and Exercise Videos

Click here for our GLP specific meal plan and exercise videos

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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.