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? Have you noticed what previously worked to drop your holiday or vacation weight is no longer effective? Whether you have a stubborn 10 pounds or a significant amount to lose, we have an option for you.

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

Our Program:

Initial Consultation with RN  (complimentary):

We will discuss your goals and medical history; explain our weight loss plan, including the medication options; screen for exclusions; comprehensive labs ordered; initial weight, measurements, and vitals taken.

Onboarding Consultation with Provider  (associated fee):

Medical history review, laboratory review, and physical exam conducted; detailed explanation of medication options, function, and role in weight loss; an individualized program will be constructed based on history, genetics, body type, and lifestyle.

Weekly Check-ins:

Once enrolled in our weight loss program, it will include weekly visits to check weight stats along with vitals, monitor progress, track diet log, and maintain accountability.  Based on the program chosen, you may receive complimentary B12 and Lipotropic injections to help support your weight loss efforts. 

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

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What is a GLP-1 Agonist?

GLP-1 stands for, Glucagon-like Peptide, which is a naturally-occurring protein hormone, known as an “incretin.” Incretins are made by the gut when food is consumed, regulating the amount of insulin secreted, helping metabolize glucose, and in turn signals your brain when you are full.

Over time, our pancreas stops working as efficiently, contributing to less insulin production/insulin resistance. As insulin production slows down, excess glucose circulates in our blood stream. Insulin will aid in transporting glucose to appropriate cells within the body, and excess glucose is eventually stored in fat cells, contributing to weight gain.

Function of a GLP-1 Medication

GLP-1 medications work by mimicking the incretin hormone that your body naturally produces when you eat food.

It will stimulate the pancreas to secrete more insulin and develop new insulin producing cells. By producing more insulin, your pancreas will work more efficiently to remove glucose from your bloodstream and deposit it within your tissues and muscles, leaving less for your fat cells.

It will improve insulin resistance, reducing cellular damage from circulating sugar, resulting in weight reduction.

Dramatically reduces the speed at which the stomach empties and food is digested – improving satiety (feeling full), thus improving portion control, curbing appetite, and improving energy.

When weight loss is achieved by significant calorie restrictions, you initiate a cascade of hunger and an influx of stress hormones (cortisol and ghrelin). When weight loss is achieved in this manner, your basal metabolic rate and energy expenditure decreases. This makes weight loss fast, but rebound weight gain even faster when the calorie restrictive diet is over.

When using GLP-1 medications, hunger signals are suppressed, so even if your caloric intake is much lower, you are not activating stress hormones or decreasing your BMR or energy expenditure, so the body is better able to remain at a new, baseline weight.

Types of GLP-1 Medications

Examples of injectable GLP-1 agonists are Ozempic (semaglutide), Wegovy (semaglutide), and Saxenda (liraglutide)..

The variances between the different GLP-1 medications are based on dosing and medication concentration.  Nordisk is the drug manufacturer of brand Ozempic, Wegovy, and Saxenda.

The Food and Drug Administration (FDA)  approved Ozempic® (semaglutide)  for type 2 diabetics to stabilize blood glucose in 2017.   In 2021, the FDA approved use of the medication for weight loss, under the brand name Wegovy (semaglutide).

We do not prescribe Semaglutide under the brand names associated with treating type 2 diabetes or weight loss listed above. We obtain a compounding version utilizing the semaglutide base.

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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:

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
Monica Unni

Wellness starts with a body that is in balance