Are You Struggling to Lose Weight?

Tried Several Diets and Exercise?

• 30 kg/m2 or greater (obesity) • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, high cholesterol, sleep apnea)

Do not take semaglutide (or compounded semaglutide) or tirzepatide (Mounjaro) if:

• You have a personal or family history of medullary thyroid carcinoma (Thyroid Cancer), Multiple Endocrine Neoplasia syndrome.

• You are nursing, pregnant or plan to become pregnant while taking this medicine.

• You are diabetic and/or taking any medications related to lowering your blood sugar levels without talking to your Primary Care Physician.

• You have a history of Pancreatitis.

• You have a history of kidney disease/issues.

• You are allergic to or taking insulin or any other GLP-1 agonist (or GLP1/GIP) such as: Adlyxin®, Byetta®, Bydureon®, Ozempic®, Rybelsus®, Trulicity®, Victoza®, Wegovy®, Mounjaro®, Saxenda®, or other generic/compounded version of these medications.

• If you have other allergies.

This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor/pharmacist your medical history.

Semaglutide (Wegovy®/Ozempic®) and tirzepatide (Mounjaro®) are a once-a-week injection, self-administered in fatty area (subcutaneously) in thigh, upper arm, or abdominal area. They are to be taken the same time each week, with or without food.

Video instructions will be provided to show how to inject the medication.

The medications are delivered directly to your door. All of our medications are exclusively compounded from the highest accredited FDA-licensed pharmacies pursuant to Section 503A of the Federal Food, Drug, and Cosmetic Act.

The Semaglutide you may be prescribed is a generic compounded medication and is not associated with the Novo Nordisk™ company or the brand-name medications Wegovy® or Ozempic®. Tirzepatide is a generic compounded medication and not associated with Eli Lilly or the brand-name medication Mounjaro®.

Prior to obtaining a prescription for any weight loss medication, you must meet all the requirements, complete a medical history form, and sign the appropriate consent forms. Your history will be reviewed by Dr. Feltner and discussed during your virtual visit. Dr. Feltner will provide a “personalized plan” that takes into account the best nutrition and medication to help in your weight loss success. The virtual visit is your chance to ask any questions. Labs will be required within the last 3-6 months, or a lab order will be given to you at your appointment. Follow-up labs may be required for future visits. You must also provide a blood pressure reading at every appointment.

Once you have met all the requirements and had your virtual visit with Dr. Feltner, our office will collect the payment. Once the payment is confirmed, your prescription will be shipped directly to your home. Video instructions will be provided showing you how to inject the medication. Our virtual care team is available by phone, text or email for any questions or concerns.

*About 2 weeks prior to finishing your initial vial of medication, you should make a follow-up visit, giving plenty of time to ensure you can get an appointment with Dr. Feltner and to ensure delivery of your next prescription.

Weight loss varies depending on starting weight, age, gender, diet, and exercise. The most successful patients include a healthy diet with exercise. A Healthy Eating and Workout Plan (PDF with helpful tips and meal plans) will be provided free with helpful tips to help you on this journey.

Medications like semaglutide (Wegovy®) or tirzepatide (Mounjaro®) are not designed for short-term use. Obesity is a chronic and relapsing condition. Medications in combination with diet and exercise will need to be continued long term for continued success.

Nausea, vomiting, diarrhea, constipation, stomach pain, headache, acid reflux, indigestion, dehydration, and fatigue.
The most common side effect is nausea. This most often occurs after eating greasy, fatty, sugary foods or eating too much. It can also occur when first starting the medication and the first few days the dose escalation. Most of the side effects are mild and improve or subside with time.

Do not skip meals. Drink plenty of water to avoid constipation and dehydration. Eat smaller meals. Eat slower. Chew food thoroughly. Do not eat too late to prevent symptoms when laying down. Avoid sugary, fatty greasy foods which may upset the stomach.

The advantage of using compounded medications is that they can be started at lower doses and slowly increased or adjusted as tolerated to help prevent (or decrease) side effects.

ACID REFLUX– Over-the-counter Tums as needed, Pepcid and/or Prilosec
NAUSEA/VOMITING– usually occurs on the first days after the injection or when increasing to a higher dose. Zofran can be prescribed if needed.
CONSTIPATION– Metamucil or MiraLAX and plenty of water
DIARRHEA– Imodium

This is a doctor prescribed plan to help patients obtain the most effective weight loss medications which can be personalized for each patients’ goals and lifestyle. Our goal is to help improve patients’ quality of life and wellness by helping to establish long-term lifestyle changes, including a healthy diet and exercise, for a healthier, happier you.