Semaglutide
Tirzepatide
Bella
Weight Loss
- Metformin Tablets
- Phentermine Capsules
- Naltrexone Capsules
- Phentermine & Topiramate Capsules
- Bupropion & Naltrexone Capsules
- Semaglutide 1mg, 2.5mg, 5mg injections
- Semaglutide Sublingual 1mg, 2mg Drops
- Tirzepatide 5mg, 10mg Injections
- Trutide 8mg Injections
- HcG Injections
- Lipo-B Injections
- Lipoburn Capsules
- Tesofensine 0.5mg, 1mg Capsules
- 5-amino Capsules
- Hexarelin 1mg, 3mg Capsules
- Hexarelin 6mg Injection
- Phendimetrazine Tablets
- ECA Step Program
Weight Loss
Before & After
Weight Loss FAQ's
What are the common side effects?
Nausea, vomiting, diarrhea, headaches, loss of appetite, constipation, GERD, changes in menstruation cycle have been seen. Every person is different and they may have some of the side effects or not at all. Some may have with every dose or every dose increase.
What can I do for the side effects?
Constipation: take Miralax once a day if you are prone before starting. If constipation persists, it can be taken twice a day. If no relief has been achieved a glycerin suppository, Magnesium citrate or oxide, Epsom salts, or enema can be used. Once stools have returned or softened, medication should be reduced to Miralax once a day and Colace once a day. Magnesium 350mg/day also helps. A liquid diet may be needed until stools return to a normal pattern.
Diarrhea: Eating bulk foods such as rice, bananas, bread/toast, potatoes, plain crackers, aged soft cheeses, cottage cheese, yogurt, green olives, dark chocolate, sourdough bread, pickles and applesauce can help bind stool or are a good source of probiotics. Probiotic medication or glutamine supplements can also help. Pepto-Bismol, Kaopectate or Imodium can also be used.
Headaches: The use of acetaminophen or ibuprofen can be used. Alternative methods include massage, cold compress or a heating pad.
Nausea: Eating raw ginger or placing in water, peppermint aromatherapy, eating bland foods like crackers or toast, drinking tea, medications like Zofran, Dramamine or Reglan can help ease symptoms. I have 4mg and 8mg Zofran for purchase if needed.
GERD: Heartburn and indigestion have been known to occur. Taking a daily medication like omeprazole or esomeprazole magnesium can help. Also the foods you eat will cause this as it sits in your stomach for long periods of time.
Can I drink alcohol or eat unhealthy foods while taking shot?
Do I have to exercise to lose weight?
You do not have to exercise but this is a great time to begin a new lifestyle choice. You will still lose weight, just not as quickly and you will regain back if you stop taking medication if a change in lifestyle is not made. Just adding walking at an incline is a great way to make changes. As you lose weight, it will become easier. Vitamin B12 at 4.2mcg/day also helps with increased energy to help you.
Is there anything I should be concerned with?
- Losing weight to fast, over 5 lbs in a week, can be cause for concern as you may be losing it too fast.
- Pancreatitis is also another concern. This is mostly described as a very sharp (severe) pain on the left side of your back that may spread to your chest and can feel worse after eating. You may also have fluid buildup in your stomach, fever, nausea, and vomiting with the pain. It is recommended to see your PCP if you experience any of these symptoms.
- This medication has been shown to cause thyroid cancer in rats. Any family history of this should be reported during your head to toe assessment as it can increase your risk of developing this disorder.
Will I always have to be on the medication to stay at the weight I want?
Do I have to go up to 50 units for Semaglutide or 75 units for Trizepatide?
I titrate you up and down on this medication. So if you are losing weight at 20 units, we do not need to increase your dose until you plateau at a weight for 2 weeks. Since hormones and what you consume affect your weight, it is always best to ensure that you have truly plateaued before moving you up in dosing.
What if I want to increase my dose before 4 weeks on my current dose?
If you have not lost any weight at your current dose for over 2 weeks, we can move you up to the next dose increase. We want to ensure that you are not increase too fast to cause any issues and ensure you lose weight safely.
When should I see weight loss?
Most people do not see any significant weight loss until 20 units. However, we want to ensure that you are not increasing your dose at an unsafe rate, that is why the dose is started off at 5 units for Semaglutide and 12.5 units for Trizepatide.
What weight loss options do you have?
We offer Metformin, Phentermine, Phentermine & Topiramate, Naltrexone, Bupropion & Naltrexone, Semaglutide- injectable and sublingual, Tirzepatide, Trutide, Tesofensine, and peptides like Lipo-B.
I am scared to give myself a shot, are you able to inject if for me?
Do I have to keep the medication refrigerated?
I am going on a vacation when I am supposed to take my shot, what should I do?
Remember that protein is the most important food you can eat along with plenty of water- ½ your body weight in ounces.
Salt intake will cause water retention and slow down weight loss, add 8 oz of water for every tsp of salt.
Weigh yourself weekly, same day, time and attire. I will need to see this log at least every month.
Please discontinue medication 7-10 days prior to any surgical procedure and share this with your anesthesia.