Semaglutide's brand name is Wegovy, and we offer it at Precision Health
Semaglutide - the game changer in sustained weight loss
Have you been struggling with weight loss? Want something in addition to or as an alternative to phentermine? Afraid of taking stimulant medications for weight loss? Are typical weight loss drugs contraindicated for you? Do you have prediabetes? Are you considering bariatric surgery? Well, there is a "new kid in town" - semaglutide.
Semaglutide is a member of a class of drugs that have been used for diabetes management for over a decade - GLP1-RAs (glucagon-like peptide 1 receptor agonists). The weight loss effects of these agents has been known for some time, however, semaglutide appears to be the "best-in-class" GLP-1 RA for weight loss and was recently approved for weight loss by the FDA under the brand name Wegovy®.
How well does semaglutide work?
Low-dose semaglutide (1.0mg) once-weekly resulted in an average 11 pound weight loss in 12 weeks.
A recent 20-week, phase II trial investigated the effects of subcutaneous administration of semaglutide 2.4 mg on gastric emptying, appetite, and energy intake in patients. Patients receiving semaglutide 2.4 mg in this trial lost 9.9% of their bodyweight, compared with 0.4% in those receiving placebo.
High-dose (2.4mg) Semaglutide has been studied in non-diabetic patients suffering from obesity. The New England Journal of Medicine's publication of the STEP trial revealed more than 50 percent of trial participants lost 15 percent of their body weight, and between 33 to 40 percent are losing 20 percent of their body weight. This number is superior to the current best weight loss agent (phentermine plus topiramate; approximately 10% body weight loss in a year).
How does semaglutide work?
Semaglutide mimics the effect of "feeling full" resulting in a decreased caloric intake. Semaglutide will delay gastric emptying by reducing glucagon secretion in a glucose-dependent manner. The delay in gastric emptying can reduce appetite, improve control of eating, and reduce food cravings.
How is semaglutide administered?
Currently, we are only offering semaglutide as a once-weekly subcutaneous injection. It may be available as an oral agent in the future, but we haven’t seen good studies on the oral form for weight loss. While some of you may be afraid of injections, these are actually quite straightforward injections with a VERY SMALL needle into the abdominal area (like insulin injections). There are big advantages to the once-weekly dosing - you don’t have to remember your medications and the semaglutide is working 24/7 suppressing your appetite without the stimulant effects of typical weight loss medication. The dosing schedule is the following: 0.25 mg/week for weeks 1-4; 0.5 mg/week for weeks 5-8; 1.0 mg/week for weeks 9-12; 1.7 mg/week for weeks 13-16; and 2.4 mg/week for subsequent weeks.
Does semaglutide have side effects?
Most common side effects are: nausea, diarrhea, vomiting, constipation, stomach (abdomen) pain, headache, tiredness (fatigue), upset stomach, dizziness, feeling bloated, belching, gas, stomach flu, and heartburn. Note that most of these are manageable by proper dosing and some overlap with the intended effect of "feeling full".
Are you a candidate for semaglutide?
There are only two qualifications for semaglutide:
A BMI over 30 and no weight-related complications
A BMI over 27 with weight-related complications
You can check your BMI online but a BMI of 27 corresponds to about 180 lbs in a 5'8" person and a BMI of 30 corresponds to 200 lbs in a 5'8" person. If your BMI does not quite meet those numbers, you may still qualify if your body composition determined in the office shows excess fat.
Is there anyone who can't take semaglutide?
There are rare situations where semaglutide is contraindicated. Patients with a personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
Does insurance cover semaglutide?
Semaglutide is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. It currently is very expensive ($1300-1800 a month).
I can't afford that. Is there any other way?
Dr. Brown has access to semaglutide from a compounding pharmacy for on-going use. The cost of the program is $200 for the first two months paid upfront ($400 - there is a two month minimum) and $250 per 2.5 mg vial thereafter. THESE PRICES INCLUDE THE MEDICATION AND OFFICE VISITS. The increase in price in later months is due to the increased dosages. While we do accept HSA plans, we do not take insurance or Medicare for payment for this service/product.
THE ENTERTAINMENT INDUSTRY PROGRAM REQUIRES AN INITIAL VISIT TO ONE OF OUR CONVENIENT PRECISION HEALTH OFFICES
Clients will receive a 5-week program consisting of the following: (1) VIP assessment with physician; (2) Best-in-class 3-D Body Composition scan; (3) Weight management medications; (4) Lipotropic B (fat burner) and B-12 Health Optimizing Boost injections; (5) All-natural Super Energy supplements; (6) Lipo B plus (fat burner) supplements; (7) Precision Health premium protein meal replacements; (8) and a virtual follow-up session with our renowned health coach; and (9) a complimentary food diary review.
Steps to Get Started:
1. Download "Precision Health" App
2. Complete Online Profile
3. Look under the category "New Client Weight Program"
4. Select the ENTERTAINMENT INDUSTRYl" option
5. Schedule and Pay (Need help at this point? Text 404-496-6028 once profile is complete)
6. Complete Form at top of Confirmation Email