Medical Weight Loss

Medical Weight Management Membership

This program is tailored to every patient's specific needs and situations.  Initiation into the weight loss program includes a thorough health and phsycial examination during your first visit.  We will disclose anything that may interfere with your weight loss journey.  A history of present illness and current medications will be discussed.  A review of labwork may be necessary such as a complete blood count, comprehensive metabolic panel, fasting lipid panel, thyroid panel, hemoglobin A1c and Insulin.  A copy of previous labwork within the last 12 months may be uploaded into the patient portal for the healthcare provider to review or the provider can order labs to be sent to your preferred lab if the healthcare provider decides that labwork is necessary after initial assessment.  The provider will discuss different options available for weight loss that the patient qualifies for and provide all necessary educational materials.  A body composition analysis will be completed monthly for the first 4 months and will be repeated as needed during the program.  This is used to monitor water weight, basal metabolic rate, and subcutaneous fat. 

GLP-1 MEDICATIONS

Semaglutide is a once weekly injection that works by mimicking a natural hormone (GLP-1) in your body that regulates appetite and blood sugar.  This means you'll feel fuller longer, making it easier to stick to your healthy eating plan and resist cravings.  It's not just about shedding pounds; it's about improving your overall health and well-being.  With semaglutide, you can experience real results, regain your confidence, and enjoy a healthier lifestyle.  Join countless others who have successfully used semaglutide to take control of their weight.  Start your journey today and unlock the new you!

Tirzepatide is an innovative treatment designed to help you achieve your weight loss goals while enhancing your health.  Tirzepatide targets multiple pathways in your body to help control appetite and improve metabolism.  Tirzepatide combines the effects of GLP-1 and another hormone called GIP (gastric inhibitory peptide), which helps enhance insulin secretion and further regulates appetite.  Many patients have experienced significant weight loss and improved energy levels, allowing them to embrace a healthier lifestyle.  Start your journey to a healthier, happier you!

**SEMAGLUTIDE AND TIRZEPATIDE SUBLINGUAL DROPS AVAILABLE IF PATIENT DOES NOT WANT INJECTIONS.

INDICATIONS/DOSAGE

• weight management
• obesity
• type 2 diabetes mellitus 
• reduction of cardiovascular mortality

WEEK BY WEEK MEDICATION DOSE GUIDE

SEMAGLUTIDE:

• Week 1 to 4: give 0.25 mg subcutaneously once weekly.  Starting at a low dose will help reduce GI symptoms that are associated with initial therapy.  After the initial dose is introduced, then you will start titrating up on the medication in the upcoming weeks.
• Week 5 - 8: 0.5 mg subcutaneously once weekly
• Week 9 - 12: 1 mg subcutaneously once weekly
• Week 13 - 16: 1.7 mg subcutaneously once weekly.
• Week 17 and onward: 2.4 mg subcutaneously once weekly

TIRZEPATIDE:

• Week 1 to 4: 2.5 mg once weekly 
• Week 5 - 8: 5 mg once weekly
• Week 9 - 12: 7.5 mg once weekly 
• Week 13 - 16: 10 mg once weekly
• Week 17 and onward: 10 mg or more once weekly depending on patient progress and medication tolerance.

Dosing escalation will be delayed by 4 weeks if patient is not tolerating medication.

WHAT SIDE EFFECTS MAY I NOTICE WHEN I START THESE MEDICATIONS

Side effects that should be reported to the provider ASAP:

• Dehydration - incresed thirst, dry mouth, feeling faint or lightheaded, headache, dark yellow or brown urine.
• Allergic reactions - itching, hives, skin rash, swelling of the lips, face, tongue, or throat.
• Change in vision.
• Hypoglycemia - shakiness, sweating, blurred vision, seiures, coma, dizziness, confusion, irritability, heart palpitations, fatigue, weakness.
• Heart palpitations - rapid, pounding, or irregular heartbeat.
• Gallbladder problems - severe stomach pain, nausea, vomiting, fever.
• Kidney injury - decrease in the amount of urine, swelling of the ankles, hands, or feet.
• Pancreatitis - sudden and intense upper abdominal pain that may radiate to your back, nausea, vomiting, fever, rapid pulse.
• Thoughts of suicide or self-harm, worsening mood, feelings of depression.

Side effects that do not usually require medical attention (report to the healthcare provider if they are bothersome):

• Loss of appetite
• Diarrhea
• Nausea
• Stomach pain
• Vomiting
• Hair loss

**Initial visit includes precribed daily supplements/vitamins to help prevent hair loss and other possible bothersome side effects.  Will provide Zofran as needed for nausea/vomiting.

 

WHERE SHOULD I STORE MY MEDICATION:

Store medication in the refrigerator.  Do not freeze the medication.  The medication should be kept in the original container until you are ready for your scheduled dose.  Make sure this medication is kept out of reach from children and pets.

CONDITIONS THAT NEED TO BE DISCLOSED BEFORE STARTING THIS MEDICATION:

• Eye disease or any vision problems
• Endocrine tumors (MEN2) or a family history of these tumors 
• Mental health status, depression, suicidal thoughts, plans or previous attempts
• Gallbladder disease
• Kidney disease
• History of pancreatitis
• Stomach or intestinal problems
• Thyroid cancer or family history of thyroid cancer
• Unusual allergic reactions to GLP-1 medications, foods, dyes, or other preservatives
• Pregnant or trying to become pregnant
• Breast-feeding
• Insulin or other medications for diabetes

The provider will request a list of all medications, herbs, non-prescription drugs, or dietary supplements you use.  The provider will inquire about smoking, alcohol intake, or use of illegal drugs.  This is a safety precaution to make sure drug interctions do not occur.

I MISSED. DOSE, WHAT SHOULD I DO NOW?

     If a dose has been missed and the next scheduled dose is MORE than 3 days away, the missed dose may be taken as soon as possible.  If you missed a dose and the next scheduled dose is LESS than 3 days away, do not take the missed dose.  The next dose should be taken at the regular scheduled time.  Extra or "double" doses should not be taken.  If two or more doses are missed (2 weeks or more), take the next dose at your regular time or call/message the care team to discuss your options.

DIET/EXERCISE 

Diet and nutrition will be discussed at the initial visit and as needed through follow-up visits.

• A meal plan will be created initilly and can be modified throughout the program as needed.
• Your will have unlimited messaging and support from the care team, unlimited access to the patient portal where you can pload weekly accountability check-in sheets to be revieed by the provider and discussed at follow-up visits.
• Personalized nutrition and lifestyle advice.
• Access to weekly meal plans.
• Ongoing nutrition education.
• Content including recipes, podcasts, videos, etc.
• Exerccise is recommended 2-3 days a week during this program.  A personal trainer is extremely beneficial for any weight loss program.

 

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https://cleanstartweightloss.com/

If you're tired of diets that leave you feeling weak and hungry, relying on bars and shakes that just do not deliver results, it's time to explore a lasting solution to your challenges.

WHAT IS THE CLEAN START WEIGHT LOSS PROGRAM?

Clean start is a medically supervised program that enables you to shed pounds quickly and safely, all wile experiencing minimal hunger.  This comprehensive approach addresses the physical, emotional, and psychological factors contributing to your weight challenges, paving the way for a lasting solution.

WHY IS THE CLEAN START PROGRAM SO GREAT?

Women love the clean start program for many reasons like:

• Clients lose weight rapidly
• Resets metabolism allowing weight to stay off!
• Body reshaping is a result of this program for compliant clients.
• Clients are able to significantly lower their calorie intake without hunger or cravings.
• There are no dangerous drugs or trendy food pairings.

HOW IS THIS PROGRAM DIFFERENT FROM OTHER DIETS?

The Clean Start program helps our clients dropn pounds while resetting their metabolism.  Resetting the metabolism is the key to keeping weight off.  Dieting can be so difficult and frustrating because when you restrict calories, your body may slow down its metabolism to conserve energy, a phenomenon known as metabolic adaption.  Once you resume normal eating, the slower metabolism can lead to rapid weight gain, as your body is now more efficient at storing calories.  This is called metabolic adaption.  Thats why consistent lifestyle changes is important.  The Clean Start Weight Loss Program turns that trend around.  Your metabolism will be reset at your new, lower weight.  This makes permanent weight loss a possibility!

ARE YOU READY FOR A TRANSFORMATION AND A CLEAN START?

Reclaim your health and transform your life!  Take control now of your weight, hunger and reset your metabolism for life!  Do not bother wasting time on diets that are not sustainable or realistic.  Contact us Southeastern Health and Wellness for a free consultation about the Clean Start Weight Loss Program.  Contact us today to get started living the healthier and happier version of YOU!

 

Q&A:

Is medical weight loss the same as dieting?

Medical weight loss is science-backed physician-guided weight management. While diets can offer general guidelines and initial results, they’re often difficult to maintain, and weight can creep back on. This is partly because fad diets can’t consider your whole-body health and adapt to your needs.

By assessing your health, reviewing your medical history, and discussing your goals, Hannah can create and adjust an evidence-based program unique to you.

What goes into a medical weight loss plan?

Your first step is a consultation at Southeastern Health and Wellness so Hannah can gather the necessary information. This vital data about your health establishes a foundation for sustainable weight loss and overall wellness. Your personalized plan may include:

Nutritional counseling

A good food plan considers complex factors. Hannah gives individualized recommendations based on your dietary restrictions or preferences, activity levels, and nutritional needs. She can also recommend medical-grade supplements if you’re low on specific nutrients.

Good nutrition helps you reach your weight goals and can also improve your overall health and mood.

Physical activity

No matter your current fitness level, Hannah focuses on activities you enjoy and encourages more movement in your life. She can help you stay safe and injury-resistant as you improve your capabilities and revitalize your metabolism.

As your mobility improves, you may have fewer body aches and pains. Being more active may also help you rest better if you struggle to get a good night’s sleep.

How can medical weight loss improve my well-being?

If you experience symptoms of weight-related medical conditions, losing weight can alleviate pain and discomfort. An integrative, science-backed approach helps decrease your risk of:

• Insulin resistance and type 2 diabetes
• Heart attack
• Stroke
• High cholesterol
• Certain cancers
• Obstructive sleep apnea
• High blood pressure
• Joint pain and osteoarthritis

Studies also indicate that carrying significant extra weight can increase the likelihood of you experiencing anxiety, depression, and other mental health struggles. Southeastern Health and Wellness offers full support to get you to a healthy weight while building your confidence.

When you’re ready to experience consistent, reliable results, schedule a medical weight loss appointment online or call Southeastern Health and Wellness.