Medical Weight Loss

Have you noticed that it is becoming more difficult to lose weight as you age? Did you hit 40 and suddenly have fat where you’ve never had it before? Whether you have those last 10 stubborn pounds or a significant amount to lose, we have an option for you. 

At Loop, we offer both oral and injectable GLP-1 weight-loss medication. Our protocols are customized to you and based on the most recent best practices in medical weight loss management.

In our program, you will receive:

Initial consultation with RN: We will discuss your goals, medical history, the process of our plan, and medication options, and take your initial weight/measurements and vitals. Comprehensive Labs will be ordered if necessary.
Onboarding Consultation with Provider: Physical exam and med history review, lab review, and an individualized program will be determined based on history, genetics, body type, and lifestyle.
Weekly check-ins: to monitor progress and maintain accountability. If you are on injection weight loss, you may receive complimentary b12 and lipotropic injections weekly at your appointment to support your weight loss efforts.

Schedule a consultation to learn more about how Loop can help you achieve your weight loss and health goals. 

How does GLP-1 agonist help with weight loss? GLP-1 stands for Glucagon-like Peptide -
1. It's a type of hormone called "incretins". These hormones have huge control over how the body digests food. 

When you eat food, the carbohydrate component breaks down into glucose. That glucose has to be transported around the body to be used for fuel.  This process requires insulin. Insulin is produced by the pancreas. It has 2 functions.  It makes it possible for the glucose to be pushed into cells, or stored as fat if there is too much left over. Over time, and with increased body weight, your hard-working pancreas has a harder time dealing with glucose.  It starts to struggle and becomes less efficient.

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GLP-1 stimulates the pancreas to secrete more insulin when you eat food and grow new insulin-producing cells. So your pancreas is going to be working much more efficiently.
It reduces the amount of sugar produced by the liver when you aren't eating. So it reduces high blood sugar levels when you don't have food on board.
Makes organs and cells all over the body more sensitive to insulin, meaning less insulin resistance and less damage to cells from circulating sugar.
Dramatically reduces the speed at which the stomach empties and food is digested, meaning you stay fuller longer which means you eat less. This is the primary way you lose weight. This effect does reduce over time for most people.
Acts on certain areas on the brain to reduce thirst and appetite. (so make sure you are remembering to drink enough water).

There are no manufacturer rules for dosing for weight loss. All dosing has been for diabetics and diabetic dosing is not relevant to weight loss.   (pt question: so and so said I should go up every 4 weeks.  Us:  So and so's provider is basing that on diabetic guidelines, not weight loss guidelines).  Moving up every 4 weeks automatically will usually cost you valuable weight loss progress in the long run due to side effects.  Also, your body will adjust to the medication too quickly and you will lose out on benefit over time. 

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  • O.25 increments, staying on the same dose as long as you are losing weight. (1-2lbs/week)
  • If plateau for 3 weeks with all lifestyle weight loss barriers addressed, then increase by 0.25. The highest dose is 2.4mg.

Nausea remedies:

  • Zofran (can be constipating in some)
  • Dramamine
  • Non-drowsy Dramamine
  • Ginger
  • B6
  • Generic Unisom (will make you sleepy)
  • Peppermint
  • Sniffing Rubbing Alcohol

For people who might be sensitive to side effects, and who live nearby, we can divide the shot into 2 doses given on:
Monday/Thurs
Monday/Friday 
Tues/Friday

The 2nd shot appt of the week will be very fast. No weigh in, just get the shot and go.

Indigestion:   Smaller meals.  Be aware of food triggers such as fatty/fried/dairy 

Constipation:  Daily probiotic (we carry a great one), prunes, coffee, increase water and fiber, miralax, Smooth Move tea by Traditional Medicinals, Fleets enema, Dr. Schulze's Easy Go.  

Once people are in a maintenance dose, we can consider dispensing the injections to do at home. (Gives people hope that they won't have to come in weekly for ages)  

Notes for the future in case we ever add on Mounjaro:
Mounjaro is a similar medication, but in addition to the GLP-1, it has an additional hormone called GIP. GIP is a sister molecule to GLP-1 but it's even more effective and helping the body produce insulin and reducing insulin resistance which is why it has better overall results than single molecular drugs.

Nicole Gill
RN
Monica Unni
MS PA-C

Wellness starts with a body that is in balance