We Prescribe
GLP-1 Medication

We have been prescribing this GLP-1 medication for over ten years and have a lot of experience with it. Some of the medications we prescribe include Wegovy, semaglutide and tirzepatide.

History of GLP-1

GLP-1 medications were relatively new in 2021 and 2023 in terms of their approval by the FDA for the treatment of obesity. In 2021, Wegovy was approved, and in 2023, ZepBound was approved. So, while that is fairly new historically, that class of medication has been used to treat type 2 diabetes for over ten years, and millions of people have been treated with this class of medication.

We believe they are safe and effective for most people, and we often use them in combination with other medications like phentermine, phendimetrazine, diethylpropion, or topiramate. Combination drug therapy almost always yields superior results, and that’s why we do it.

Cost of GLP-1

Insurance coverage for these products has not been very good for weight loss, but it’s a whole lot better for patients with diabetes.

Without insurance, a month’s supply of Wegovy costs roughly $1,200 or $1,300 in most cases. If you don’t have coverage and use a coupon program, the cost of the ZepBound drops to $550 a month. Compounded versions are much more affordable. In many cases, your cost per month comes down to between $100 and $200.

If you have questions, we would love to talk to you about them in the office.

How it Works

When you come into our offices for an appointment, we will discuss all weight loss options with you, including medication. We will work to find the right combination of methods to suit your needs to help you reach your weight loss goals.

Side Effects of GLP-1

The medicine essentially is a gut hormone that makes you feel full even when you haven’t eaten. Side effects may include nausea, heartburn, stomach crams, diarrhea, and constipation. Typically this happens when folks advance the dose of medication too fast.

The medication is designed to start at a low dose once a week for a month before considering advancing the dose. We recommend you work with a physician when you are making these considerations. We find some folks think they need to advance the dose, but really don’t need to. And that is when issues arise.

Start low, go slow and don’t advance the dose if it’s not necessary. And speak with a physician.

How To Administer GLP-1

The medications currently approved for weight loss in the treatment of obesity, Wegovy, and ZepBound, are weekly, once-weekly injectables that come in an auto-injector pen. In most cases, the patients can’t tell that they’ve done it to themselves. They hear the little auto-injector, but they don’t feel the sensation of pain.

Some of my patients use a compounded version of that because they cannot afford the brand-name stuff and have no insurance coverage. This comes in vials that you have to draw out with insulin needles and syringes. It’s still a once-a-week injection, and we teach you how to do it.

There is not yet an oral form approved for obesity.

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