WEIGHT LOSS AT
Directly managed by a licensed, experienced physician
Convenient, on site injections
Weekly monitoring of progress
Weight managment is a struggle almost everyone can relate to. This has changed since the advent of semaglutide use for weight loss. Unlike traditional weight loss methods, such as diet and exercise, which require consistent effort and may take several weeks or even months to yield results, semaglutide injections offer a more convenient and potentially faster approach. While semaglutide injections have shown promising results in clinical trials, they are not without potential side effects, and are not suitable for everyone. As with any weight loss program, it is important to consult with a healthcare provider before beginning treatment with semaglutide injections, and to continue to monitor one's health throughout the course of treatment.
WHAT TO EXPECT
Weight loss with semaglutide consists of two stages:
Titration Phase (2 months)
In this phase, you will start at a low weekly dose of the medication to gauge your tolerance, and gradually increase in dose until your maintenance dosage is reached (determined by you and Dr. Corey).
Maintenance Phase (1 month increments)
Once your maintenance dose is reached, you will remain at that dose for one month increments until you reach your desired body weight.
Treatment Type: Once weekly injection
Appointment Duration: 5 min
Treatment Discomfort: 1/10
Treatment Frequency: Weekly for up to 6 months
WHY WELLSPRING FOR WEIGHT LOSS?
Dr. Corey is well versed with weight loss medications, and has been prescribing semaglutide in her Primary Care practice for years. She is a licensed and board-certified medical doctor with training and expertise in obesity medicine and endocrinology, and has extensive experience working with patients who struggle with weight management. She understands the unique challenges that individuals face when trying to lose weight and maintain a healthy lifestyle, and she knows how to tailor treatment plans to meet their individual needs. She has carefully reviewed the clinical trials and studies that have been conducted on these drugs, and she has a thorough understanding of their mechanisms of action, potential side effects, and optimal dosing regimens.
CONSULTATION & PRICING
Initial consultation + Titration Phase - $995
Initial consultation with Dr. Corey
Thorough review of medical history and issues
In depth physical exam and screening
Please bring lab results with you from within the last 2 years
A follow up visit with Dr. Corey with vitals and measurements at 1 and 2 months after beginning treatment.
2 months of convenient, weekly injections (8), given in our office by our trained staff.
Monthly Maintenance - $600/month
Monthly program only after you have gone through the initial titration phase
Includes 4 weekly injections and 1 consultation per month
Obesity is on the rise and leads to significant risk for medical conditions and early death. We define obesity based on body mass index (BMI). We calculate BMI using gender, height, and weight.
We use BMI to not only determine a person's risk for disease but also to make decisions regarding weight loss options. BMI is also what insurance coverage and on label prescribing use to determine cost.
Maintaining a normal weight and healthy lifestyle goes beyond physical appearances. Obesity carries the risk for significant morbidity, including increased risk for diabetes, high blood pressure, heart attack, stroke and abnormal cholesterol. The higher the BMI, the higher the risk for medical problems and early death.
The initial treatment in all individuals seeking a weight loss program is to work on comprehensive lifestyle changes. These lifestyle changes center around a healthy diet and active lifestyle. Most successful patients use regular self-tracking of food, exercise and weight.
Often by the time patients are coming in looking for weight loss options, they have tried exhaustive diets and exercise programs. There are many that go in to why a person has a difficult time losing weight. You cannot change most of these elements, such as age, genetics, and chronic medical problems. Weight loss shots greatly benefit these factors that cannot be changed, due to their high effectiveness.
What is semaglutide?
Semaglutide is a prescription drug that falls under a class of medications called glucagon like peptide-1 (GLP-1) agonists. Semaglutide is the active ingredient found in the brand names Ozempic and Wegovy. This class of medications was originally FDA approved for the treatment of diabetes.
One of the side effects was weight loss and semaglutide has since been FDA approved for weight reduction. Researchers studied semaglutide in a 68 week trial and observed long term, significant weight loss.
What is the mechanism of action for semaglutide?
Semaglutide works similarly to a natural occurring horomone in your body. This receptor agonist works in the brain to control cravings and appetite. Semaglutide also works by slowing down how quickly food moves through the digestive tract. This leads to feeling full more quickly with less food and feeling full longer.
Semaglutide comes in an injection form and pill form. The healthcare provider administers the injectable form once weekly in the abdomen, thigh, or arm. You take the oral tablet once per day, and it is weaker than the injectable version.
What are common side effects from semaglutide?
Semaglutide slows down how quickly food is digested, making digestive side effects the most common. Common side effects include nausea, constipation, diarrhea, acid reflux and fatigue. More rare complications include pancreatitis, gallbladder problems, kidney injury and thyroid problems.
Who should avoid semaglutide injections?
Patients that have a personal or family history of thyroid cancer or multiple endocrine neoplastic syndrome should take take this drug. Common symptoms of thyroid cancer include a thyroid mass, trouble swallowing and voice changes. Patients with a history of pancreatitis should use this medication with caution.
What is the cost of semaglutide?
Since semaglutide does not have a generic yet, the retail price of Ozempic and Wegovy is over $1000 per month. To offset the cost of Ozempic, drug companies may offer limited time discount cards. However these are not a long term solution. Taking Ozempic without an insurance company is too expensive for most people.
A way to make this drug more affordable is to use a compounding pharmacy. Not all compounded pharmacies are the same quality. For semaglutide in Roswell, we order from a trusted, well known pharmacy with rigorous standards.
Who is the ideal client for semaglutide injections?
The ideal client has at least 10 pounds they want to lose and have exhausted other weight loss options. If you suffer from acid reflux, constipation or diarrhea, these problems can certainly get worse during use. Luckily, the side effects are mostly self limited and improve with duration of use.
What is semaglutide treatment duration?
This depends on a many factors include weight loss goal, consistency and lifestyle. On average, patients stay on semaglutide for 6 months or more. If there is less weight to lose than they may only need a few months of treatment. However, if you desire more weight loss, you may need longer than 6 months.
Do patients regain weight back after they stop semaglutide injections?
Weight regain after stopping semaglutide is a common concern that patients express. This is easy to understand as semaglutide injections are an investment and commitment.
There have been several studies to look into whether weight gain is a significant concern. In one study, there was weight gain in both the treatment and placebo arm. The semaglutide group ending up with a net weight loss while the placebo arm ended up with a net weight gain.
This makes sense because once you stop taking the medication, hunger and cravings can return to pre-treatment levels. This is why lifestyle changes, in addition to medications are so important. Semaglutide can help achieve your weight loss goals but long term success does require lifestyle interventions.
Ultimately, some weight gain is common after stopping semaglutide treatment. However, this is less true than with diet and exercise interventions alone. Meaning without treatment, you are more likely to regain more weight.
Obesity is a significant problem in our society and finally we have effective and safe treatment options. Utilizing a compounding pharmacy for semaglutide further makes these options more affordable and attainable for all patients.
How many units will I need?Each patient has unique anatomy and goals so the dosage is impossible to guess without a thorough consultation by one of our experienced injectors. We will analyze your facial expressions from the beginning of encounter (often without you realizing) and take asymmetries into consideration along with the strength and direction of muscles fibers. Traditionally, for Botox and Xeomin, the companies set out guidelines on what doses should be given. For crows feet, they recommend ~10-16 units per side, for a total of 20-32 units. The area between your eyebrows requires 20 units and the forehead requires 20 units. Dysport is a little bit different in terms of dosing, but no need to worry about that. At Wellspring Skincare, we believe less is more. Clinically, we have amazing results by under treating patients and bringing them back in 2 weeks, where we can always add additional units if more are required. We want you to have natural looking, long lasting results.
Will the injections hurt?Generally speaking, no. Each patient has a unique experience and reaction to pain but overall, your procedure will be quite painless. At Wellspring Skincare, we injection Botox, Xeomin, and Dysport using a small needle (similar to an insulin syringe) to minimize discomfort. The actual procedure often takes less than five minutes, making any discomfort short-lived and over quickly. If you have had a negative experience with toxin injections in the past or do not tolerate small amounts of pain well, please inform us and we can take extra steps with topical anesthetic for additional comfort. And for no additional charge, Dr. Corey and Susan will keep you distracted the entire time with funny jokes and countless good times.
Will I look fake or overdone?Botox, Dysport, and Xeomin are dose and injector dependent. After a thorough evaluation of your anatomy and after discussing your treatment goals, our experienced providers will make a recommendation on dosage and locations. At Wellspring Skincare, we strive for natural, youthful looking results and discourage overuse of any treatment.
How do neurotoxins like Botox, Dysport or Xeomin work?Botox, Dysport, and Xeomin all work by binding to nerve terminals, inhibiting musculature contractions, reducing the wrinkles and fine lines associated with facial expressions. Botox, Dysport, and Xeomin all are made from botulinum toxin but they differ in their side chains, allowing them to be branded differently.
Can you tell me more about the history of botulinum toxin?It's funny you should ask, because the history of botulinum toxin is fascinating. The toxin is produced by a bacteria that was first discovered after food poisoning outbreaks in 1793, but the actual toxin wasn't discovered until much later. In the 1920's, the first scientists began to try to isolate the toxin however they weren't successful for another twenty years. In the 1970's, scientists first used botulinum toxin therapeutically to treat misalignment of the eyes, and they noticed that the wrinkles around the area were gone post-injection. Allergan was the first company to license the toxin, branding it Botox, cosmetically gaining FDA approval in 2002. Dysport was cosmetically approved in 2009, followed by Xeomin in 2011. Most recently, a new toxin named Daxxify was FDA approved with a longer duration of action!