Weight Loss

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FAQ's

Weight loss calculator: How do I calculate my BMI and weight loss?

Calculating your BMI (Body Mass Index) and tracking your weight loss can help you monitor your progress towards a healthier weight. Here is how to calculate both:

BMI Calculation:

BMI is a widely used measure to determine if a person has a healthy body weight for their height. To calculate your BMI, use the following formula: 

BMI = weight (kg) / (height (m))^2

For weight in pounds and height in inches, you can use this formula:

BMI = (weight (lbs) / (height (in))^2) x 703

Once you have calculated your BMI, you can use the following ranges to interpret your result:

  • Underweight: BMI less than 18.5
  • Normal weight: BMI 18.5 to 24.9
  • Overweight: BMI 25 to 29.9
  • Obesity (Class 1): BMI 30 to 34.9
  • Obesity (Class 2): BMI 35 to 39.9
  • Obesity (Class 3): BMI 40 or higher

Keep in mind that BMI has some limitations, as it does not account for differences in muscle mass, fat distribution, or overall health.

Weight Loss Calculation:

To calculate your weight loss, you can use a simple formula to determine the difference between your initial weight and your current weight:

Weight loss = initial weight – current weight

To track your progress, you can also calculate the percentage of weight loss:

Percentage weight loss = (weight loss / initial weight) x 100

Remember that weight loss should be gradual and steady, with a recommended rate of 1 to 2 pounds per week. Always consult with a healthcare professional before starting a new diet or exercise program.

Should I try and do rapid weight loss without medication?

Rapid weight loss on your own is not recommended without medical supervision, as it can lead to various health issues and is often unsustainable in the long term.  Most people land up with a “Yo-Yo”  effect. They lose some weight then put it back on.

The recommended rate of weight loss is about 1 to 2 pounds (0.5 to 1 kilogram) per week. Losing weight at a slow and steady pace allows your body to adjust and increases the likelihood of maintaining your weight loss.

However, if you still want to know about some methods that may promote rapid weight loss, here are a fewdiets only options without medication:

  1. Low-calorie diet: Drastically reducing your calorie intake can lead to rapid weight loss. However, it can also lead to muscle loss, nutritional deficiencies, and slowed metabolism.
  2. Low-carb diet: Diets like the ketogenic diet or Atkins diet restrict carbohydrate intake, which may result in rapid weight loss initially due to water loss and glycogen depletion.
  3. Intermittent fasting: Intermittent fasting involves cycling between periods of eating and fasting, which may help some individuals lose weight quickly.
  4. Increased exercise: Engaging in high-intensity workouts or increasing the duration of your physical activity can lead to rapid weight loss. However, over-exercising can lead to injuries and other health issues.
  5. Liquid diets: Replacing some or all your meals with low-calorie liquid meals may lead to rapid weight loss. However, this approach can be difficult to sustain and may not provide all the necessary nutrients.

Please note that rapid weight loss can have negative effects on your health, such as gallstones, dehydration, electrolyte imbalances, and a weakened immune system. It is crucial to consult with a healthcare professional before starting any rapid weight loss program to ensure you are doing it safely and responsibly.

Should I do weight loss programs available using semaglutide?

Semaglutide is a medication originally developed to treat type 2 diabetes but has been found to promote weight loss as well. In 2021, the U.S. Food and Drug Administration (FDA) approved a higher-dose version of semaglutide (brand name Wegovy) specifically for chronic weight management in adults with obesity or overweight and at least one weight-related medical condition. Weight loss programs incorporating semaglutide are designed and supervised by healthcare professionals, such as physicians or endocrinologists.

What to expect at your practice as part of the weight loss program?

Rapid weight loss on your own is not recommended without medical supervision, as it can lead to various health issues and is often unsustainable in the long term.  Most people land up with a “Yo-Yo”  effect. They lose some weight then put it back on.

The recommended rate of weight loss is about 1 to 2 pounds (0.5 to 1 kilogram) per week. Losing weight at a slow and steady pace allows your body to adjust and increases the likelihood of maintaining your weight loss.

However, if you still want to know about some methods that may promote rapid weight loss, here are a fewdiets only options without medication:

The programs at our medical practice typically involve the following components:

  1. Semaglutide prescription: A healthcare professional will assess your medical history, current health status, and weight-related medical conditions to determine if semaglutide is suitable for you. If approved, they will prescribe the medication and provide instructions on dosage and administration.
  2. Regular monitoring and follow-up: Healthcare professionals will monitor your progress, evaluate the effectiveness of semaglutide, and adjust your treatment plan as needed. This may include regular check-ups, blood tests, and adjustments to your medication, diet, or exercise plan.
  3. Diet and nutrition counseling: A registered dietitian or nutritionist may work with you to develop a personalized meal plan that meets your nutritional needs while promoting weight loss. This typically involves a calorie-restricted diet with a focus on nutrient-dense foods along with recommended supplements to offset nausea and fatigue from the medication and weight loss..
  4. Exercise and physical activity guidance: A healthcare professional or fitness specialist will help you create an exercise plan that suits your fitness level and personal preferences. Regular physical activity is essential for weight loss and overall health.
  5. Behavioral counseling and support: Addressing the psychological aspects of weight management is crucial for long-term success. Counseling and support from mental health professionals or support groups can help you develop healthier habits, coping strategies, and a positive mindset.
These are discussed in detail below.

1. Weight loss injections that work Best.

Weight loss injections can be an effective option for some individuals when used alongside a healthy diet and regular exercise. It is important to consult with a healthcare professional before considering any weight loss injections to ensure they are safe and suitable for your individual needs.

Some FDA-approved weight loss injections that have shown effectiveness include:

  1. Liraglutide (Saxenda): Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist, initially developed to treat type 2 diabetes. Saxenda is the higher-dose version specifically approved for weight loss. It works by mimicking a hormone that helps regulate appetite, making you feel fuller and eat less. Common side effects include nausea, diarrhea, and constipation.
  2. Semaglutide (Wegovy): Like Liraglutide, Semaglutide is another GLP-1 receptor agonist. It has also been approved by the FDA for chronic weight management in adults with obesity or overweight and at least one weight-related medical condition. Common side effects may include nausea, diarrhea, and constipation.
It is crucial to remember that weight loss injections should not replace a healthy diet and regular exercise. They are generally prescribedprescribed to individuals with a BMI of 30 or higher or those with a BMI of 27 or higher who have weight-related health issues.

Does semaglutide work?

Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist used for the treatment of type 2 diabetes and obesity. It works by mimicking the action of the hormone GLP-1, which has several effects on the body that help regulate blood sugar levels and promote weight loss. Here’s how semaglutide works:

  1. Increasing insulin secretion: When blood sugar levels are high, semaglutide stimulates the beta cells in the pancreas to release more insulin. Insulin is a hormone that helps lower blood sugar by allowing glucose to enter cells, where it is used for energy or stored.
  2. Reducing glucagon secretion: Semaglutide also suppresses the release of glucagon, a hormone that opposes insulin’s action. Glucagon increases blood sugar levels by promoting the breakdown of stored glucose in the liver. By inhibiting glucagon secretion, semaglutide helps to lower blood sugar levels.
  3. Slowing gastric emptying: Semaglutide slows down the rate at which the stomach empties, leading to a prolonged feeling of fullness after eating. This helps to reduce food intake and supports weight loss.
  4. Decreasing appetite: Semaglutide affects appetite regulation by interacting with the central nervous system, particularly the hypothalamus. It helps to reduce hunger and increase feelings of fullness, contributing to lower caloric intake and weight loss.

Semaglutide is typically administered through subcutaneous injections, either as a once-weekly formulation or, in some cases, as a once-daily formulation. It is often used alongside other diabetes medications or lifestyle interventions, such as diet and exercise, to achieve better blood sugar control and weight management.

Are blood draws monitoring and follow up necessary for this program?

The Importance of Regular Testing When Taking Semaglutide: Why A Blood Test and Evaluation Every Four Weeks Matters

Reasons for Regular Blood Testing Every Four Weeks

  1. Monitoring Side Effects: Semaglutide, like any medication, may cause side effects in some individuals. Gastrointestinal issues, such as nausea, vomiting, diarrhea, and constipation, are common during the initial stages of treatment. Regular testing every four weeks can help your doctor identify and address these issues promptly, ensuring your treatment remains safe and effective.
  2. Dosage Increase every four weeks:  Increased dosage can cause increased side effects. Your blood needs to be monitored after every four weeks to see how your body is managing the increased medication and evaluation of potential side effects,  specially Amylase levels that can increase dramatically and cause acute pancreatitis.
  3. Blood Sugar Control: Although semaglutide is primarily prescribed for type 2 diabetes management, it can cause blood sugar fluctuations in non-diabetic individuals as well. Regular blood tests every four weeks can help your doctor monitor your blood sugar levels and make any necessary adjustments to your dosage to maintain optimal blood sugar control.
  4. Kidney Function Monitoring: In rare cases, semaglutide may affect kidney function. Regular blood tests can detect any changes in kidney function early on, allowing your doctor to make any necessary adjustments to your treatment plan and prevent potential complications.
  5. Thyroid Function Assessment: Semaglutide has been associated with an increased risk of thyroid tumors in animal studies. Although this risk is not yet confirmed in humans, regular blood tests every four weeks can help your doctor monitor your thyroid function and ensure that any potential issues are addressed promptly.
  6. Tracking Treatment Progress: Regular blood tests provide valuable data on your body’s response to semaglutide. Unfortunately, taking Semaglutide may  trigger acute Pancreatitis. It is important to have your Amylase levels checked monthly to ensure your Pancreas are  not being damaged by the medication.  This information can help your healthcare team make informed decisions about your treatment, such as adjusting the dosage or duration, to optimize your weight loss results.
  7. Ensuring Compliance: Regular testing can also serve as a motivation for individuals to adhere to their treatment plan. Knowing that you have scheduled check-ups can encourage you to be consistent with your medication and make healthier lifestyle choices, ultimately enhancing your weight loss progress.
What makes our medical practice different from various tele-marketing weight loss clinics where you do not have your blood evaluated periodically or ever meet with the medical staff in person, is the strong focus on ensuring that our patients are medically assessed and evaluated during their weight loss process. This helps to ensure they are not experiencing side effects from taking the Semaglutide.

Which diet is best for the weightweight loss programs: most effective?

There is not a one-size-fits-all approach to weight loss, as the most effective program for an individual depends on their unique needs, preferences, and lifestyle. However, some weight loss programs have gained popularity due to their effectiveness for many people. Here are a couple of the most effective weight loss programs:

  1. The Mediterranean Diet: This diet emphasizes whole, plant-based foods, healthy fats (e.g., olive oil), lean proteins, and moderate consumption of red wine. Research has shown that the Mediterranean diet can support weight loss and improve overall health. Although it is not a structured program, many people find it easy to follow and enjoy the variety of foods allowed.
  2. The DASH Diet: The Dietary Approaches to Stop Hypertension (DASH) diet focuses on reducing sodium intake and promoting the consumption of nutrient-dense foods, such as fruits, vegetables, whole grains, lean proteins, and low-fat dairy. While designed to help lower blood pressure, the DASH diet has also been found effective for weight loss.
We recommend the Mediterranean diet for our patients on an injectable weight loss program as the combination has produced excellent results for our patients.

Recommended weight loss supplements to takefor or to help in losing weight?

Many weight loss supplements are marketed as aids for weight loss, but their effectiveness varies, and some may have potential side effects. It’s essential to consult with a healthcare professional before taking any supplements, especially if you have existing health conditions or are taking medications.

The programs at our medical practice typically involve the following components:

  1. Caffeine: A natural stimulant found in coffee, tea, and many other products, caffeine may help increase metabolism and fat oxidation. However, excessive caffeine intake can lead to side effects such as insomnia, increased heart rate, and high blood pressure.
  2. Green tea extract: Rich in antioxidants called catechins, green tea extract may boost metabolism and fat oxidation. Some studies suggest modest weight loss benefits, but results are not consistent across all studies.
  3. Garcinia cambogia: Derived from the fruit of the Garcinia gummi-gutta plant, this supplement contains hydroxycitric acid (HCA), which is believed to help suppress appetite and inhibit fat production. However, studies on its effectiveness are limited and mixed.
  4. Glucomannan: This is a natural dietary fiber derived from the konjac plant’s roots. It can absorb water and expand your stomach, helping you feel fuller and reducing calorie intake. Some studies have shown modest weight loss benefits, but more research is needed.
  5. Conjugated linoleic acid (CLA): CLA is a fatty acid found naturally in some animal products like beef and dairy. It is believed to help reduce body fat and increase lean body mass. However, research on CLA’s effectiveness is mixed, and it may cause side effects like digestive problems.
  6. Raspberry ketones: Found in raspberries, this compound is thought to increase fat breakdown and metabolism. However, studies on raspberry ketones have mostly been conducted in animals, and its effectiveness in humans is unclear.

Please note that weight loss supplements should not be considered a substitute for a healthy diet and regular exercise. A balanced diet, portion control, and regular physical activity are the most effective ways to achieve and maintain a healthy weight.

Always consult with a healthcare professional before taking any weight loss supplements to ensure they are safe and suitable for your individual needs.

Recommended IV Drips to take during weight loss?

IV drips, also known as intravenous therapy, involve administering fluids and nutrients directly into the bloodstream through a vein. Although IV drips are commonly used in medical settings to treat dehydration, nutrient deficiencies, or other health issues, some wellness clinics and spas offer IV drips as part of weight loss or wellness programs.

Please note that IV drips should only be administered under the supervision of a qualified healthcare professional. It is essential to consult with a healthcare provider to determine if an IV drip is appropriate for your weight loss journey and to ensure safety.

Some IV drips that may be offered in the context of weight loss or wellness programs include:

  1. Hydration drips:  These drips primarily consist of saline solutions to hydrate the body and may include electrolytes to replenish any imbalances. Proper hydration is essential for overall health, and staying hydrated may help control appetite and support metabolism.
  2. Vitamin and mineral drips: These IV drips contain a mix of essential vitamins and minerals, such as vitamin C, B vitamins, magnesium, and zinc. While these nutrients are crucial for overall health, it isbetter to obtain them through a balanced diet unless a deficiency is present.
  3. Amino acid drips: Amino acids are the building blocks of proteins, and some IV drips may contain a mix of essential and non-essential amino acids. While amino acids play a role in various bodily functions, including metabolism, it’s generally recommended to obtain them through a balanced diet.
  4. Fat-burning drips: Some clinics may offer IV drips that claim to contain ingredients that boost metabolism or burn fat, such as L-carnitine, MIC (methionine, inositol, and choline), or B vitamins. However, evidence supporting the effectiveness of these drips for weight loss is limited.

It’s important to remember that IV drips should not replace a healthy diet and regular exercise when it comes to weight loss. The best approach to achieving and maintaining a healthy weight involves a balanced diet, portion control, and regular physical activity. Always consult with a healthcare professional before considering any IV therapy for weight loss.

In summary on Diet and Nutrition to support weight loss:

The most effective weight loss program for you will be one that you can stick to long-term, aligns with your lifestyle and preferences, and supports your overall health.

Once you sign up for the program you will receive a customized nutrition and dietpackage.

What is best Exercise and physical activity program to undertakewith semaglutide to maximize weight loss?

Here are some general guidelines for an exercise program that might be suitable for someone taking semaglutide:

  1. Aerobic exercise: Aim for 2.5 hours aerobic activity or 75 minutes of vigorous-intensity aerobic activity per week. Examples of moderate-intensity aerobic activities include brisk walking, cycling on flat terrain, and swimming. Vigorous-intensity aerobic activities include running, fast cycling, or swimming laps.
  2. Resistance training: Incorporate strength training exercises at least twice a week. Focus on working all major muscle groups, including legs, hips, back, chest, shoulders, and arms. Use resistance bands, weights, or bodyweight exercises like push-ups and squats.
  3. Flexibility and balance: Add stretching exercises to your routine to maintain flexibility and reduce the risk of injury. Yoga or tai chi can also help improve balance and flexibility.
  4. Gradual progression: Start slowly and increase the intensity and duration of your workouts gradually. This will help you avoid injury and minimize any potential negative effects of the medication on your exercise performance.
  5. Monitor your blood sugar: Keep track of your blood sugar levels before, during, and after exercise, especially if you have diabetes. This will help you understand how your body responds to physical activity and make necessary adjustments to your exercise routine or medication, if needed.
  6. Stay hydrated: Drink water before, during, and after exercise to stay properly hydrated.
  7. Listen to your body: Pay attention to how your body feels during and after exercise. If you experience any unusual symptoms or discomfort, stop exercising and consult your healthcare provider.

Remember, always consult your healthcare provider before starting any new exercise program, particularly if you’reyou are taking medication like semaglutide or managing a health condition like diabetes. They can provide personalized recommendations based on your unique health needs and goals.

Once you sign up for the program you will receive a customized exercise package.

What is the best weight loss pill?

There is no definitive “best” weight loss pill for everyone, as individual responses to medications may vary. However, some FDA-approved prescription weight loss medications have been shown to be effective when used alongside a reduced-calorie diet and increased physical activity. It is essential to consult with a healthcare professional before considering any weight loss medication.

Some FDA-approved prescription weight loss medications include:

  1. Orlistat (Xenical, Alli): Orlistat works by inhibiting the absorption of dietary fat in the intestines. The prescription version (Xenical) is stronger than the over-the-counter version (Alli). Common side effects include gastrointestinal issues, such as oily stools and increased bowel movements.
  2. Phentermine/Topiramate (Qsymia): This combination medication suppresses appetite and increases the feeling of fullness. It may also have effects on metabolism. Common side effects include dry mouth, constipation, and a tingling sensation in the extremities.
  3. Naltrexone/Bupropion (Contrave): This combination medication targets the brain’s reward and hunger centers to reduce appetite and cravings. Common side effects include nausea, constipation, and headache.
  4. Liraglutide (Saxenda): Originally developed to treat type 2 diabetes, this medication is also approved for weight loss. It works by mimicking a hormone that helps regulate appetite. Common side effects include nausea, diarrhea, and constipation.
  5. Semaglutide (Wegovy):Like Liraglutide, Semaglutide is another glucagon-like peptide-1 (GLP-1) receptor agonist originally developed for type 2 diabetes but has been found effective in promoting weight loss. It was approved by the FDA in 2021 for chronic weight management.

Please note that weight loss medications should only be considered as an adjunct to a healthy diet and regular exercise. They are prescribed to individuals with a BMI of 30 or higher or those with a BMI of 27 or higher who have weight-related health issues.

It’s essential to consult with a healthcare professional before considering any weight loss medication to ensure it’s safe and suitable for your individual needs. Your healthcare provider can help you determine which medication, if any, is the most appropriate for your situation.

Can people over age 65 lose weight with weight loss injections?

Weight loss injections can be effective for some individuals over 65 when used in combination with a healthy diet and regular exercise. However, it is essential for older adults to consult with a healthcare professional before considering any weight loss injections to ensure they are safe and suitable for their specific needs and health conditions.

In older adults, healthcare providers will carefully assess the individual’s medical history, current health status, and any weight-related medical conditions before prescribing weight loss injections. Age-related factors such as a slower metabolism, decreased muscle mass, and potential medication interactions will be taken into consideration.

If a healthcare professional determines that weight loss injections are appropriate for an individual over 65, they may prescribe one of the FDA-approved injections, such as Liraglutide (Saxenda) or Semaglutide (Wegovy). These medications, which are glucagon-like peptide-1 (GLP-1) receptor agonists, work by suppressing appetite and increasing the feeling of fullness.

It’s crucial to remember that weight loss injections should not replace a healthy diet and regular exercise. Older adults should also focus on consuming a nutrient-dense diet, engaging in age-appropriate physical activity, and addressing any age-related health concerns that may impact weight loss.

Always consult with a healthcare professional before considering any weight loss injections for older adults to determine if they are safe and suitable for their individual needs and health conditions.

Do weight loss pills advertise on TV and the internet work?

Weight loss pills advertised on TV and the internet often make enticing claims about rapid weight loss and quick results. However, it’s important to approach these products with caution, as their effectiveness varies, and some may have potential side effects or even be harmful.

Many over-the-counter weight loss pills are not regulated by the FDA, which means their safety and efficacy may not have been adequately tested. Some weight loss pills might have modest effects on weight loss, but they are typically not a long-term solution and should not replace a healthy diet and regular exercise.

If you are considering using weight loss pills, it’s essential to consult with a healthcare professional before trying them. They can help determine if any FDA-approved prescription weight loss medications might be appropriate for your situation and provide guidance on a comprehensive weight loss plan that includes a balanced diet and regular physical activity.

In general, it’s crucial to be skeptical of weight loss pills advertised on TV and the internet, as they may not be as effective or safe as they claim. Instead, focus on developing healthy habits, such as eating a balanced diet, engaging in regular physical activity, and getting adequate sleep, to support long-term weight loss and overall well-being.

What is a metabolic reset?

A metabolic reset, also known as a metabolism, reset or metabolic reboot, is a concept that suggests you can reset or improve your metabolic rate through specific dietary and lifestyle changes. The idea is that by making these changes, you can increase your metabolism, promote fat burning, and support weight loss and overall health.

Some common strategies or recommendations associated with a metabolic reset include:

  1. Eating a balanced diet: Consuming a nutrient-dense diet rich in whole foods, such as fruits, vegetables, lean proteins, whole grains, and healthy fats, can provide your body with the necessary nutrients for optimal metabolic function.
  2. Practicing portion control: Overeating can lead to weight gain and may negatively impact metabolic health. Learning to manage portion sizes and being mindful of hunger and fullness cues can help maintain a healthy weight.
  3. Regular physical activity: Engaging in regular exercise, including both aerobic and strength training activities, can help improve metabolism by increasing muscle mass and promoting fat burning.
  4. Getting adequate sleep: Sleep plays a vital role in overall health, including metabolic function. Poor sleep can negatively impact hormones related to appetite and metabolism, so it’s essential to prioritize sleep for optimal metabolic health.
  5. Reducing stress: Chronic stress can negatively impact hormones, such as cortisol, which can affect metabolism and lead to weight gain. Incorporating stress-reducing techniques, such as meditation, yoga, or deep breathing exercises, can help support metabolic health.
  6. Staying hydrated: Drinking enough water is essential for overall health, and it also plays a role in metabolism. Staying hydrated can help support optimal metabolic function and may even help with weight loss by promoting feelings of fullness.
While the term “metabolic reset” might suggest a quick fix, it’s essential to remember that improving metabolic health and achieving sustainable weight loss requires long-term commitment to a healthy lifestyle. It’s always a good idea to consult with a healthcare professional or registered dietitian for personalized advice on improving metabolism and supporting overall health.

Explain in detail what is Patients Medical Rapid Weight Loss Injectable based program?

Introduction

Hi, I am Dee and I have been the Practice Director at Patients Medical since 2004. Many of you may have met me when you stopped by the practice.

Embarking on a weight loss journey can be challenging, but sometimes, the right tools can make all the difference. As someone who has struggled with weight loss for years, I tried various diets and exercise regimens with minimal success. It was not until I discovered semaglutide (Ozempic) that I experienced a significant transformation. In this blog, I will share my personal experience with semaglutide, the challenges I faced, and how it ultimately changed my life.

You may find it useful as you start your own weight loss journey.

I decided to give Semaglutide a try, and I am so glad I did! I have lost over twenty pounds in the past few months, and I feel great. I have more energy, I sleep better, and my clothes fit better.

When I started the program in September 2022,  I was 5’10” tall and weighed 200 pounds.
Today  in March 2023, six months later I am still 5’10” tall but only  weigh 177 pounds.

A Desperate Search for a Solution

Like many people, I spent years attempting different diets and workout routines, hoping to shed the extra pounds that were affecting my health and self-confidence. Unfortunately, despite my best efforts, I couldn’t achieve the long-lasting results I desired. Frustration and disappointment were my constant companions until my doctor at Patients Medical introduced me to semaglutide.

The Turning Point: Semaglutide

Semaglutide, also known as Ozempic, is primarily prescribed for treating type 2 diabetes. However, recent studies revealed its potential for weight loss in non-diabetic individuals as well. My doctor explained that semaglutide is a GLP-1 receptor agonist that works by regulating appetite and blood sugar levels. Intrigued by the science behind it, I decided to try it.

Semaglutide works by helping your body produce more insulin, which helps you to control your blood sugar levels. However, Semaglutide also has a side effect of weight loss.

My Experience with Semaglutide

Once I started using semaglutide, I noticed a significant decrease in my appetite. I felt full more quickly and experienced fewer cravings, which made it easier to control my calorie intake. With the help of a balanced diet and regular exercise, I began to see steady weight loss results.

In the beginning, I experienced some mild gastrointestinal side effects, such as nausea and bloating. However, these symptoms subsided as my body adjusted to the medication. Regular blood tests and check-ups with my doctor ensured that I was responding well to the treatment and helped to minimize any potential side effects.

Integrating Healthy Habits for Maximum Results

While semaglutide was an essential tool in my weight loss journey, it was not a magic bullet. I still needed to make conscious decisions about my diet and exercise routine to maximize my results. I focused on consuming nutrient-dense, whole foods, such as lean proteins, fruits, vegetables, whole grains, and healthy fats. I also developed an exercise routine that included a mix of cardiovascular activities and strength training.

Here are some of my tips for success with Semaglutide: 

  1. Be patient. Semaglutide takes time to work. Do not expect to see results overnight.
  2. Be consistent. Take your Semaglutide injections every week, even if you do not see results right away.
  3. Blood testing:  Make sure you have your blood evaluated every four weeks to ensure you are not experiencing side effects from this medication.
  4. Eat a healthy diet. Semaglutide can help you to lose weight, but it is important to eat a healthy diet along with it.
  5. Exercise regularly. Semaglutide can help you to lose weight, but it’s important to exercise regularly along with it.
  6. Do not give up. There will be times when you want to give up. But if you stick with it, Semaglutide can help you to achieve your weight loss goals.

The Importance of Regular Testing When Taking Semaglutide: Why A Blood Test and Evaluation Every Four Weeks Matters

Reasons for Regular Blood Testing Every Four Weeks

  1. Monitoring Side Effects: Semaglutide, like any medication, may cause side effects in some individuals. Gastrointestinal issues, such as nausea, vomiting, diarrhea, and constipation, are common during the initial stages of treatment. Regular testing every four weeks can help your doctor identify and address these issues promptly, ensuring your treatment remains safe and effective.
  2. Dosage Increase every four weeks:  Increased dosage can cause increased side effects. Your blood needs to be monitored after every four weeks to see how your body is handling the increased medication and evaluation of potential side effects,  specially Amylase levels that can increase dramatically and cause acute pancreatitis.
  3. Blood Sugar Control: Although semaglutide is primarily prescribed for type 2 diabetes management, it can cause blood sugar fluctuations in non-diabetic individuals as well. Regular blood tests every four weeks can help your doctor monitor your blood sugar levels and make any necessary adjustments to your dosage to maintain optimal blood sugar control.
  4. Kidney Function Monitoring: In rare cases, semaglutide may affect kidney function. Regular blood tests can detect any changes in kidney function early on, allowing your doctor to make any necessary adjustments to your treatment plan and prevent potential complications.
  5. Thyroid Function Assessment: Semaglutide has been associated with an increased risk of thyroid tumors in animal studies. Although this risk is not yet confirmed in humans, regular blood tests every four weeks can help your doctor monitor your thyroid function and ensure that any potential issues are addressed promptly.
  6. Tracking Treatment Progress: Regular blood tests provide valuable data on your body’s response to semaglutide. Unfortunately, taking Semaglutide may  trigger acute Pancreatitis. It is important to have your Amylase levels checked monthly to ensure your Pancreas are  not being damaged by the medication.  This information can help your healthcare team make informed decisions about your treatment, such as adjusting the dosage or duration, to optimize your weight loss results.
  7. Ensuring Compliance: Regular testing can also serve as a motivation for individuals to adhere to their treatment plan. Knowing that you have scheduled check-ups can encourage you to be consistent with your medication and make healthier lifestyle choices, ultimately enhancing your weight loss progress.

What makes our medical practice different from various tele-marketing weight loss clinics where you do not have your blood evaluated periodically or ever meet with the medical staff in person, is the strong focus on ensuring that our patients are medically assessed and evaluated during their weight loss process.

This helps to ensure they are not experiencing side effects from taking the Semaglutide.

The Importance of Regular Testing When Taking Semaglutide: Why A Blood Test and Evaluation Every Four Weeks Matters

A great protocol is to come to the office for an initial blood draw, get your weight and BMI noted, and a short medical consultation with our physicians to review your blood test results to ensure you are medically fit to start this diet.

Then get your prescription for medication.

Follow this up by coming into the office every month, get your weight checked, BMI checked, get a follow up blood draw, and have our medical staff review your medical history to ensure everything is okay.

Check your amylase level and other pancreatic levels to ensure the dosage is not causing any side effects.

During these monthly visits many patients also like to get a Vitamin IV drip to offset any weakness caused by rapid weight loss as well as pickup support supplements to take daily  at home .

The Outcome: A Healthier, Happier Me

Over time, by following this protocol I managed to lose a significant amount of weight, and my overall health improved dramatically. I felt more energetic, confident, and happier with my appearance. Thanks to semaglutide, combined with my commitment to a healthy lifestyle, I finally achieved the lasting weight loss results I had been seeking for years.

Conclusion

My weight loss journey with semaglutide was life changing. It taught me the importance of perseverance, self-discipline, and the value of using evidence-based methods to achieve my goals. If you are struggling with weight loss and are considering trying semaglutide, I encourage you to consult with your healthcare professional to determine if it’s the right choice for you. With dedication, persistence, and the right tools, you too can achieve the weight loss success you’ve always desired.

Semaglutide is not a magic pill, and it is not for everyone. But if you are struggling with your weight, it is worth talking to our doctor about.

How much does the program cost?

The Weight Loss Program at Patients Medical:

Membership Sale Price!
SPECIAL! YOUR FIRST VISIT IS FREE!
After that:

$99/month for first twelve months.

Membership Includes:

Monthly prescription to FDA-approved medication for weight-loss. Includes diagnostic testing to help derive your treatment plan. Subject to medical eligibility. Specifically:

  • Support and Messaging with Expert Board-Certified MD Doctors with over 20 years’ experience  and medical staff. This includes review of the blood test results being performed monthly.
  • Monthly GLP-1a Prescription (Ozempic, Mounjaro, Saxenda, Rybelsus, Trulicity, Victoza, or Wegovy)
  • Initial Metabolic Lab Order & Analysis. Blood test draw  cost is $35 and is not included. Test costs are typically covered by insurance. Blood tests are recommended every four weeks to ensure there are no side effects.
  • In the event the test results indicate any abnormalities  for which medical treatment may be  necessary, you will be referred to your own primary physician for follow up.
  •   Customized Diet Weight-Loss Plan

The medication cost is not included and can vary from $20 per month if your insurance pays for it to $1,250 per month if your insurance will not pay.
A low-cost Generic version of Ozempic  (Semaglutide) is available at our clinic with prescription for $399.00 per month, it also comes as injections.
The monthly subscription fee doesn’t start until after initial blood test results are received and reviewed.

Additionally, we are running a promotion for the first month free. So, your first membership fee will not be billed until after you complete your initial blood draw.

We try to make the program as risk-free as possible, so if you’re unhappy for any reason, then you can unsubscribe at any time.

How do I sign up?

To schedule an in person on Tele-medicine appointment

Please call our office at 1-212-794-8800 or email us at info@patientsmedical.com. We look forward to hearing from you!

What happens if I need to pause or stop my membership?
No problem.

To Pause:

You can pause the monthly membership with no additional cost by sending us an email. To resume just send us an email confirming you wish to restart, and you can pick up where you left off.

To Stop:

You can stop the monthly membership with no additional cost by sending us an email. You will be billed $99.00 for one month’s  fee as a termination cost.  There are no other charges for termination.

Results Guaranteed 15% Weight Loss Promise

Our Guaranteed Program!

15%  Average Body Weight Lost,   GLP-1 Medications, If Appropriate FSA/HAS Savings Card Accepted.

Our Guarantee:  If you do not lose 15% of your body fat in 12 months, if you follow the weight loss protocol, you can stay on the program with our support for 3 more months FREE!

 YES! Free for another three months or until you lose weight – whichever comes first!

The Guarantee is effective  if you do not achieve a minimum of 15% weight loss at the end of your 12-month weight loss Program.

Your weight loss will be determined by calculating the percentage change of your weight from the start to the end of your Program. For purposes of calculating weight loss percentage, we will use your first synched weight following receipt of your startup weight loss date. Any refund will exclude the cost of your medication, labs and/or other items and services charged by third parties.

To be eligible for the guarantee, you must have:

  • Signed up for theProgram after January 1, 2023.
  • Not been taking any prescription weight loss medication during the twelve months prior to purchasing your Program (examples include: phentermine, GLP-1 medications like Ozempic, Saxenda, or Wegovy).
  • Completed the entire one-year  Program; and
  • Complied with the requirements of our Program, including: 
  • Following the medical team’s recommendations for medication use, including making any medication changes and adjustments, and clinically appropriate duration of use.
  • Actively participating in tracking throughout the Program.
  • Not canceling or missing coaching sessions. 
  • Tracking weekly goals set by your coach.

Does Patients Medical Offer prescriptions in all fiftystates?

The short answer is YES provided your state does not have specific limitations on Tele-Medicine,  Semaglutide is not a controlled substance.

Please sign up with your primary state of residence (the state on your government ID and mailing address). This is where you will need to be located for your doctor’s or Tele-medicine  appointment. In the future, If you plan to change your state of residence for 30 consecutive days or more, you can update your Support Team.

For more details, please click on link on State Specific notices at bottom of the home page.

See DEA note below for more information on Tele-Medicine laws.

The COVID-19 public health emergency (PHE) is set to expire on May 11, 2023, and there seems to be a scramble to extend some of the pandemic-related flexibilities involving telehealth. On March 1, 2023, the U.S. Drug Enforcement Administration (DEA) released two notices of proposed rulemaking to allow some of those flexibilities to continue but are nevertheless more restrictive than what has been permitted since the PHE went into effect. One proposed rule will allow telehealth to continue but no longer permit telehealth providers to prescribe controlled substances if the patient never had an in-person examination, subject to limited exceptions. Another proposed rule would expand the situations where doctors may prescribe buprenorphine, used in pain and withdrawal management.

Telehealth Prescribing of Controlled Substances

Pursuant to the Ryan Haight Online Pharmacy Consumer Protection Act of 2008 (Act), which serves as the basis for the proposed rules, unless an exception applies,1 controlled substances may not be distributed online without a valid prescription. Additionally, a provider must conduct at least one in-person patient visit before prescribing a controlled substance over the internet. The failure to conduct an in-person examination constitutes a violation of the Controlled Substances Act and carries potential civil and criminal penalties. 

What does insurance cover?

It depends on what health insurance you have.

Major insurance companies and Medicare are likely to cover costs for all blood testing, after copays and deductibles.

Insurance companies may cover costs for injectables for Pre-diabetes and Diabetes-2 patients after copays and deductibles and these costs after insurance pays for medication  are typically $25 per month.

In addition, for weight loss many of the GLP-1 providers offer coupons on their websites for discounted paymentsbringing costs down to about $25 per month or so. .  See links below for savings information:

https://www.ozempic.com/savings-and-resources/save-on-ozempic.html

https://www.novocare.com/obesity/products/wegovy/savings-offer.html

https://www.mounjaro.com/savings-resources#savings

In the scenario that there is no path to a low-cost GLP-1 for you, we offer low cost semaglutide (generic) for only $399 per month in our clinic.

If you have used up all the insurance benefits and coupons, like many of our patients, and cost is an issue, consider switching to the low-cost generic version of Semaglutide for $399 per month for the balance of your weight loss journey.

The $99 per month membership cost of the program is not covered by insurance. However, it is HSA/FSA eligible.

What are the results I can expect with GLP-1s?

The results you will experience depend upon your medical history, your medicine, the dosage, and your own commitment to following the recommended protocols.

Typically, patients on a GLP medication will lose about 10% to 20% of their weight over a 12-month period.

See the following article for medical details on medical Evidence-based weight loss interventions: individualized treatment options to maximize patient outcomes.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)02403-5/fulltext

GLP-1s are prescribed for long-term use, much like other medications to treat chronic conditions. If you stop the medication at any point, your The effects stop immediately if you stop taking the medication, and your appetite will return, resulting in some weight gain.

This is why we recommend that once you reach your weight loss goal,  you should discuss with your clinician about going to a maintenance program and dosage,

How long do I have to stay on Semaglutide? What happens if I stop? Side effects of stopping?

The duration of treatment with semaglutide depends on individual factors, such as your medical condition, treatment goals, and response to the medication. It is important to follow your healthcare provider’s recommendations regarding the duration of treatment and any necessary adjustments.

If you stop using semaglutide, several things may happen:

  1. Blood sugar control may worsen: Without the blood sugar-lowering effects of semaglutide, your blood sugar levels may increase, which could lead to a higher risk of diabetes-related complications. It is important to discuss alternative ways to manage your blood sugar with your healthcare provider if you decide to stop taking semaglutide.
  2. Weight gain: Semaglutide helps control appetite and promotes weight loss, so stopping the medication may result in weight gain. To minimize this risk, it’s essential to continue following a healthy diet and exercise routine.
  3. Withdrawal symptoms: Although withdrawal symptoms are not commonly reported with semaglutide, some individuals may experience temporary gastrointestinal symptoms, such as nausea or diarrhea, after stopping the medication. These symptoms typically resolve on their own, but if they persist or worsen, it’s important to consult your healthcare provider.
If you are considering stopping semaglutide, it’sit is crucial to discuss your concerns with our healthcare provider. They can help determine the best course of action for your specific situation, which may include adjusting the dosage, switching to an alternative medication, or implementing additional lifestyle changes to manage your diabetes or weight.

Who is eligible to join the program?

Currently, based on insurance and prescription guidelines, it is available to individuals for whom the following apply. We are actively working on expanding access. . 

  • Are between 18 – 64 years of age for either in person office visits or tele-medicine consultations.
  • If you are over 64 years of age,  you must come in for a physician appointment in person to the office for an evaluation to determine eligibility. See following note:
  1. Are between 18 – 64 years of age for either in person office visits or tele-medicine consultations.
  2. If you are over 64 years of age,  you must come in for a physician appointment in person to the office for an evaluation to determine eligibility. See following note:
    • In older adults, our healthcare providers will carefully assess the individual’s medical history, current health status, and any weight-related medical conditions before prescribing weight loss injections. Age-related factors such as a slower metabolism, decreased muscle mass, and potential medication interactions will be taken into consideration.
    • o If a healthcare professional determines that weight loss injections are appropriate for an individual over sixty-five, they may prescribe one of the FDA-approved injections, such as Semaglutide (Wegovy). These medications, which are glucagon-like peptide-1 (GLP-1) receptor agonists, work by suppressing appetite and increasing the feeling of fullness.
    • o Note: If you are over 64 years of age Medicare will not pay for the injections but likely to pay for the blood testing. You can however participate and benefit from taking the semaglutide (generic) injections for $399 per month.
  3. Have commercial or employer insurance or be self-payingpatients.
  4. Have a BMI that is >30, or >27 with one or more of the following metabolic conditions: diabetes, pre-diabetes, high cholesterol, high blood pressure, cardiovascular disease, non-alcoholic fatty liver disease, obstructive sleep apnea or PCOS.
  5. Who are not pregnant or breastfeeding?
  6. Who do not have an active substance abuse problem, an active eating disorder (e.g., anorexia or bulimia), type 1 diabetes, cancer, recent bariatric surgery (within the past 18 months), active gallbladder disease, a history of pancreatitis in the past six months, or a history of medullary thyroid cancer (MEN syndrome)
  7. Who live in the United States.

What are the medications that the doctors prescribe?

The medications prescribed are called GLP-1s (glucagon-like peptide-1s). These are often referred to by their brand name as below:

  • Wegovy®,
  • Ozempic®,
  • Mounjaro™
  • Semaglutide

All GLP-1s are clinically evaluated, stimulant-free, and non-habit forming. GLP-1s are powerful, naturally occurring hormones made by your gut that send signals to your brain to decrease your appetite, improve your metabolic system, and regulate your digestion so you can feel full longer and maximize nutrient absorption.

For more details on these medications please go to the home page section under MEDICATIONS

OUR PROVIDERS

We havephysicians who are all US-licensed with over 20 years clinical experience. They work together treating patients in our weight loss practice and include:

Dr. Emine Cosar, MD

Dr. Emine Cosar, MD has over 20 years of medical experience as a Gynecologist. She trained at the prestigious Istanbul University, Istanbul School of Medicine, and completed her residency at Marmara School of Medicine.

She has a special interest in Weight Loss for females, Reproductive Medicine and worked 3 years at Yale Reproductive Medicine as a visiting scholar.

“Dr. Cosar brings a wealth of clinical experience to the table.” (“Dr. Emine Cosar, Gynecologist and Obstetrician”) At Patients Medical she currently provides all routine Gynecology services including annual Gyn checkups, Ultrasounds, Pap smears, etc. and supports holistic and integrative gynecology modules. These modalities include Wellness and Preventative medicine and Bioidentical Hormone Replacement Therapy (BHRT).

Rashmi Gulati, MD

Rashmi Gulati, MD, provides innovative, individualized health care including weight loss that nurtures mind, body, and spirit. Since 2004 she has been the medical director at Patients Medical, where she delivers comprehensive personalized health care, treating each patient as a respected, unique individual. Through their integrative health care center in the heart of Manhattan, Dr. Gulati and her colleagues have become premier care providers serving patients locally and throughout the world.

“With residencies in pathology, internal medicine, pediatrics, and obstetrics and gynecology, Dr. Rashmi Gulati’s holistic approach blends the very best of evidence-based Western medicine with traditional Eastern medical paradigms.” (“Dr. Rashmi Gulati, MD – Regenerative Medicine Now”) Schooled in India and the United States, Dr. Gulati’s served a six-year medical directorship at Humana, a TRICARE contractor for the U.S. Department of Defense, after which she established her current practice at Patients Medical in Manhattan, New York. Her expansive knowledge of Eastern medical modalities and her rigorous Western medical training enables her to share a wealth of venerable medical wisdom and compassionate, holistic healing care with her patients.

Stuart Weg, MD

“Stuart Weg, MD is Patients Medical’s holistic pain management physician.” (“Stuart Weg, MD – Patients Medical”) He has 30 years’ experience in anesthesiology and pain management. His practice evolved from mainstream pain management to use alternative therapies to treat many chronic diseases and other types of imbalances that have been difficult to treat effectively with conventional medicine including.

• Chronic Pain
• Arthritis
• Chronic Fatigue
• Hepatitis C

Dr. Weg himself just lost over twenty pounds of weight using Semaglutide and enjoys helping and guiding patients on their weight loss journey.