Semaglutide, prescribed by a doctor in the building.
A once-weekly injection that supports appetite control, so you feel full sooner and stay full longer.
Semaglutide is the more established of the two medications we prescribe. It starts with an evaluation call with the doctor, not a questionnaire, and the same team checks in with you at months 1, 3 and 6.
It works with a signal your body already sends.
After you eat, your gut releases a hormone called GLP-1 that tells your brain you've had enough. Semaglutide acts like a longer-lasting version of that signal.
You feel satisfied with smaller portions, and the constant pull toward food quiets down. Most people describe it as not thinking about food all day anymore.
Food leaves your stomach more slowly, so a meal holds you longer. It's also why eating too much or too fast can bring on nausea early on.
It supports your body's own insulin response after meals, which helps smooth out the spikes and crashes that drive cravings.
One small injection, the same day each week, at home. We show you how before you start.
The doctor decides that with you, not a form.
Your evaluation call is where your history gets read. If semaglutide isn't a fit, you'll hear that plainly, along with what might be a better option.
- Adults working to lose weight who haven't gotten there with diet and exercise alone
- People whose weight is affecting their health, energy or joints
- Anyone who wants a doctor supervising the process, not an app
- People ready to pair the medicine with protein, movement and the check-ins
- A BMI under 27, or under 30 without a weight-related condition like high blood pressure, high cholesterol, type 2 diabetes or sleep apnea
- Anyone pregnant, planning a pregnancy or breastfeeding
- A personal or family history of medullary thyroid cancer or MEN 2
- A history of pancreatitis
- Type 1 diabetes
The doctor will also ask about your medications, kidney health and any history of gallbladder or stomach problems.
Start low, go at your pace.
A conversation with the doctor about your history, your goals and what you've tried. It's where he decides whether semaglutide fits you.
Everyone starts at the lowest dose so your body can adjust. We show you how to give the injection, and most people are comfortable after the first one.
The dose goes up gradually, usually monthly, and only when you're ready. If side effects show up, the dose waits.
Your dose, side effects and progress get reviewed by the team. Questions in between go to the nurse or doctor, any time.
What's common, and when to call.
Most side effects are stomach-related, show up early or after a dose increase, and ease as your body adjusts. That's why the dose goes up slowly.
Nausea, feeling full quickly, burping, constipation or loose stools, and less interest in food. Smaller meals, eating slowly and drinking more water help most people.
Vomiting that won't stop, not being able to keep fluids down, or side effects that make it hard to get through your day. We may hold or lower your dose.
Severe stomach pain that won't go away, especially if it spreads to your back, pain in your upper right belly with fever or yellowing skin, or signs of an allergic reaction.
Two options. The doctor picks with you.
| Semaglutide | Tirzepatide | |
|---|---|---|
| Works on | One pathway: GLP-1 | Two pathways: GLP-1 and GIP |
| How often | One injection a week | One injection a week |
| What it supports | Appetite control, fullness after meals, steadier blood sugar | The same, through two hormone signals instead of one |
| Often chosen when | You're starting out, or the doctor wants the longer-established option | Your history points that way, or semaglutide wasn't the right fit |
| Side effects | Mostly stomach-related, easing with time | Mostly stomach-related, easing with time |
Both medications are prescribed by our physician after an evaluation and dispensed through a licensed pharmacy. Results vary from person to person. Neither is for anyone who is pregnant, planning a pregnancy or breastfeeding.
Semaglutide supports appetite so the work gets easier, not optional. Protein, sleep, movement and the check-ins are what keep the results after the program ends.
No medical director in another state, no questionnaire and a shipping label. The physician who evaluates you and writes the prescription is in the building, and his team knows your file.
Questions about semaglutide.
How much weight will I lose?
Results vary from person to person, and we don't promise a number. What we can promise is a doctor who sets your dose, checks in at months 1, 3 and 6, and adjusts with you.
How soon will I notice a difference?
Many people notice their appetite change in the first few weeks, even on the starting dose. Weight change takes longer, because the dose goes up slowly on purpose.
What happens if I stop?
Appetite usually comes back when the medication stops, which is why the habits you build during the program matter. The doctor will talk through how and when to taper.
Is this the same as the brand-name medication?
Ask the doctor on your evaluation call. He'll tell you exactly what you'd be taking, at what dose, and where it's dispensed from, before you decide.
What does it cost?
$49 for the evaluation call, medication from $129 a month depending on your dose, and $49 for each check-in at months 1, 3 and 6. That's all of it.
Can I take it if I have diabetes?
Tell the doctor about any diabetes medication you take, especially insulin or sulfonylureas, since the doses may need adjusting. That's part of the evaluation call.