Semaglutide, sold under the brand names Wegovy and Ozempic among others, is an antidiabetic medication used for the treatment of type 2 diabetes and long-term weight management. Semaglutide is a weekly injection proven to result in effective and long term weight loss. Semaglutide is a GLP-1 receptor agonist, meaning that it mimics the action of the human incretin glucagon-like peptide-1 (GLP-1), thereby increasing insulin secretion and increasing blood sugar disposal and improving glycemic control. It appears to enhance growth of pancreatic beta cells, which are responsible for insulin production and release. It also inhibits the production of glucagon, which is a hormone that increases glycogenolysis (release of stored carbohydrate from the liver) and gluconeogenesis (synthesis of new glucose). It reduces food intake by lowering appetite and slowing down digestion in the stomach, helping to reduce body fat. Its half-life in the blood is about seven days (165–184 hours). Pricing
0.25mg - (4 Week Supply) - $250
0.5mg - (4 Week Supply) - $275
1mg - (4 Week Supply) - $300
2mg - (4 Week Supply) - $350
Compounded Tirzepatide Plus
Tirzepatide Plus is a once-weekly GIP (glucose-dependent insulinotropic polypeptide) receptor and GLP-1 (glucagon-like peptide-1) receptor agonist, representing a new class of medicines studied for the treatment of obesity. Tirzepatide is a single peptide that triggers the body's receptors for GIP and GLP-1, two natural incretin hormones. Cyanocobalamin will help increase energy. GIP has decreased food intake and increased energy expenditure, resulting in weight reductions. Combined with a GLP-1 receptor agonist, it has a more significant effect on glucose and body weight effects.
Substantial A1C reductions.
Boosted weight loss.
Improvements in cardiometabolic measures.
Reduce appetite.
Pricing
2.5mg - (4 Week Supply) - $350
5mg - (4 Week Supply) - $350
7.5mg - (4 Week Supply) - $450
10mg - (4 Week Supply) - $450
12.5mg - (4 Week Supply) - $650
Aminophylline 2.5% / Glycyrrhetinic Acid 0.5%
The fat on the thighs and abdominal area is more difficult to mobilize due to increased alpha-2 adrenergic receptor activity induced by estrogen. Lipolysis can be initiated through adipocyte receptor stimulation (beta-adrenergic) or inhibition (adenosine or alpha-2 adrenergic) or by inhibition of phosphodiesterase. Since many people desire regional thigh and abdominal fat loss, Topical aminophylline abdominal and thigh cream has been introduced as a method of treating cellulite, or dimpled thighs and buttocks. Cortisol is involved in the distribution and deposition of fat, and its action is regulated by the activity of 11beta-hydroxysteroid dehydrogenase. Glycyrrhetinic acid, the active principle of licorice root, blocks 11beta-hydroxysteroid dehydrogenase type 1, thus reducing the availability of cortisol at the level of adipocytes. These two products together work as an excellent addition to help with localized fat reduction in those areas where patients are having difficulty losing those last couple of inches.
Pricing: $125 as an add on to a standard office visit
Buproprion/Naltrexone
Contrave is an anorexiant and is used to help manage weight in obese or overweight adults with weight-related medical problems. Ideal patient: Weight loss patient who lacks energy/motivation; depressed weight loss patient; weight loss patient who complains of cravings (patients who crave specific foods) or binge-eating Pricing:
Metformin
Metformin is a medicine used together with diet to lower high blood sugar levels in patients with type 2 diabetes. Metformin works by lowering the amount of glucose absorbed from intestines, decreasing how much glucose is made in the liver and improving insulin sensitivity. Ideal patient: Weight loss patient who is insulin resistant/metabolic syndrome Pricing: Medication: Based on insurance or current coupon pricing
B-12 Injection
Vitamin B-12 (cobalamin) plays an essential role in red blood cell formation, cell metabolism, nerve function and the production of DNA, the molecules inside cells that carry genetic information. Pricing: $20/injection
Phentermine and Phentermine containing products
Phentermine is similar to an amphetamine. It stimulates the central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite. Phentermine is used together with diet and exercise to treat obesity, especially in people with risk factors such as high blood pressure, high cholesterol, or diabetes. Certain criteria must be met and must be an established primary care patient prior to initiation of treatment. Pricing: Based on current fee schedule per office visit Medication: Based on pharmacy rate