Semaglutide is a once weekly injection that can help you lose weight by reducing your cravings
What is Semaglutide?
Semaglutide is an FDA-approved prescription peptide for weight management*. Originally used to treat Type 2 diabetes, two robust studies show its efficacy in weight management in non-type 2 diabetic patients. Semaglutide is a compounded medication that also available under the brand names of Ozempic and Wegovy.
Semaglutide is a once weekly injectable that binds to the GLP-1 receptors which are located on the beta receptors of the pancreas and areas of the brain. Binding increases insulin secretion which lowers glucose levels, reduces post-prandial glucagon secretion, promotes early satiety (you feel full faster), slows down gastric emptying (you stay feeling full longer), and helps reduce appetite & cravings.
How will Semaglutide affect me?
Semaglutide Function on Specific Organs:
- Brain: Helps Regulate appetite and cravings
- Stomach: Slows down emptying of stomach after meals
- Pancreas: Increase insulin production to help regulate glucose levels
- Liver: Reduces production of glucose
Aside from weight loss, patients taking Semaglutide have also seen a decreased risk of certain conditions like cardiovascular disease, diabetes, joint pain and reduced blood pressure.
Who can NOT use Seamaglutide?
The following conditions are contraindications for using Semaglutide, if you have or have a history of any of these conditions it is NOT recommended that you use Semaglutide.
- diabetic retinopathy, a type of damage to the eye from diabetes
- low blood sugar
- disease of the gallbladder
- acute inflammation of the pancreas
- decreased kidney function
- medullary thyroid cancer
- multiple endocrine neoplasia type 2
- family history of medullary thyroid carcinoma
- kidney disease with likely reduction in kidney function
What is the process for starting Semaglutide?
Stage 1: To get started on Semaglutide at Well Medical Arts we first schedule you for a one hour consultation to teach you about how to safely use Semaglutide and help determine your realistic goals and set you up for continued success. A $100 deposit is required for all initial appointments this deposit is deducted from your first bill when purchasing your Semaglutide medication at that appointment. At this appointment you will leave with your first 2 months of medication to get started. We will also schedule a 1 month follow up to check in with you and ensure you are meeting the goals we have collaboratively set with you.
Some patients will see enough weight loss after the intial 2 months that continued treatment is not needed. Others with more weight to lose will want to continue on to the second stage.
Stage 2: After the initial 2 month course of Semaglutide we will have you come back to start month 3-4. At this appointment the dosage will be increased and this is where we see the impressive weight loss happen. For some clients looking to lose a good amount we may continue a third course to achieve desired results. It is not recommended to take Seamaglutide for more than 6 months but we hope that with your desire and commitment we can hit and even surpass your goals.
When can I expect to see results from Semaglutide?
Most patients will notice some body weight loss in the first month, the real game changing benefits are usually fully noticed starting after three months of treatment. (Results may vary based on treatment plan)
Semaglutide is a medication that dosage strength increases over time. This allows your body to adjust and tolerate the medication better. We do not start at a high dose as you could have an increased risk of side effects such as nausea, diarrhea, constipation, and abdominal pain.
Are there side effect when using Semaglutide?
There are potential negative side effects. The most common are nausea, diarrhea, constipation, and abdominal pain. We recommend patients reduce their portion size and stop eating once they start feeling full when starting the medication. This is because your stomach empties at a slower rate when you are on the medication. Overeating greatly increases the incidence of nausea.
While there is never a miracle cure when losing weight, at home use of Semaglutide in conjunction with a healthy diet and exercise has shown an average of 15% loss of total body weight in a 68 week study***.
*Side effects may occur and include the following: Low blood sugar (in people with type 2 diabetes), upset stomach, heartburn, burping, gas, bloating, nausea, vomiting, stomach pain, loss of appetite, diarrhea, constipation, stomach flu symptoms, headache, dizziness, and tiredness.
***Studies done by the New England Journal of Medicine and Journal of American Medical Association. For more information, visit Once-Weekly Semaglutide in Adults with Overweight or Obesity | NEJM
Instructions for using Semaglutide
Semaglutide must be ramped up slowly to minimize any adverse side effects. For the first two months you will be starting on a lower medication dosage and must keep up with your weekly injections to be able to move up to the next stronger dosage beginning month 3 (this is where the amazing weight loss starts to happen).
We recommend you set a weekly recurring alarm in your phone to remind you. It is recommended to take Semaglutide the same day each week, if you forget on your day take your dose as soon as possible.
- Starter dose for month 1 (Semaglutide/methylcobalamin 1mg/1mg/ml)
inject 0.25cc (0.25mg) subcutaneously once a week for 4 weeks
- After 4 weeks Starter dose is increased to 0.5cc (0.5mg) subcutaneously once a week for another 4 weeks
NOTE: Please schedule your 2 month follow up as close to or before you are due so that you can keep on your dosage schedule.
- Maintenance dose for Month 3-4 (Semaglutide/Methyl 5mg/1mg/ml) Inject 0.2cc (1mg) subcutaneously once a week . This is the therapeutic dosing and where you will begin to see more dramatic effects.
If you have any issues or questions about your Semaglutide medication please call Well Medical Arts at 206-935-5689.
Keep Your Semaglutide Medication refrigerated to ensure it keeps its potency.
While using Semaglutide, it is highly recommended that you:
- Eat a fibrous diet. Focus on fruits and vegetables that are high in fiber
- Eat small high protein meals as digestion is slowed down while on this medication
- Avoid foods high in fat as they take longer to digest
- Limit alcohol intake as this medication can lower blood pressure
- Drink at least 32oz of water a day to avoid constipation