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Medical Weight Loss

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Semaglutide

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Tirzepatide

Benefits of Semaglutide & Tirzepatide:

  • 15-20% Weight loss (on average)

  • Helps to regulate appetite and cravings

  • Improves blood sugar levels

  • Decreases chance of heart attacks

Pricing

SEMAGLUTIDE PRICING:

$750 for a 12 week program

($250/month)

Fixed price for any dose

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BENEFITS OF

TWIN CITIES IV

HIPAA Compliant

503a Licensed Pharmacy

Ongoing Medical Support

No Hidden Fees

No Monthly Membership

No Insurance Needed

Shipping Included

TIRZEPATIDE PRICING:

$1425 for a 12 week program

($475/month)

Fixed price for any dose

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How to get your Semaglutide or Tirzepatide at home

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Step 1 - Medical History

Complete a medical history consent form so your medical team can develop the best treatment plan for you. 

Consent form: LINK

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Step 2 - Online Telehealth Appointment

Speak with our Physician or Nurse Practitioner to go over any contraindications and medical history.

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Step 3 - Receive Medication

Once approved by our provider, you will receive your medication. All medication comes from a 503a licensed pharmacy. Ongoing education and support will be provided by our medical team.

Patient Education

Frequently Asked Questions

Frequently Asked Questions

1

What is Semaglutide? Semaglutide is the active ingredient in several diabetes and weight loss drugs like Ozempic, Wegovy, and Rybelsus. This compound is a synthetic form of the naturally occurring hormone called glucagon-like peptide-1 (GLP-1). Semaglutide’s multiple benefits include; helping to lower blood sugar levels, reduce body weight, and lower the risk of cardiovascular events—like heart attack, stroke, or heart disease.

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What is Tirzepatide? Compounded Tirzepatide contains the same active ingredient as brand name medications like Zepbound and Mounjaro. Tirzepatide is a weekly injection that can help lower blood glucose (sugar) for people with Type 2 diabetes. It’s also FDA approved for chronic weight management in adults with or without diabetes. Along with diet and exercise, Tirzepatide can lead to significant weight loss — an average of 15% to 20% (34 lbs to 48 lbs). Tirzepatide works by directly activating both GIP and GLP-1 pathways to help regulate blood sugar, suppress appetite, and delay gastric emptying. GIP and GLP-1 are natural hormones responsible for regulating blood sugar levels in response to eating food. This potent dual action is an effective solution for improving health and losing weight.

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How can I become a patient? Start Losing Weight in 3 Steps: Medical Form- Complete a medical history consent form so your medical team can develop the best treatment plan for you. Online Telehealth Appointment- Speak with our Physician or Nurse Practitioner to go over any contraindications and medical history. Receive Medication- Once approved by our provider, you will receive your medication. All medication comes from an FDA approved pharmacy. Ongoing education and support will be provided by our medical team. Get started today: Text: 321-848-5699 Email: contact@ivnurses.org Who should take semaglutide for weight loss? Semaglutide is intended for adults with obesity (with a body mass index— BMI—of 30 kg/m2 or greater) or overweight adults (a BMI of 27 kg/m2 or greater) who also have weight-related health conditions such as hypertension (high blood pressure), high cholesterol, or obstructive sleep apnea. Semaglutide is commonly prescribed as a subcutaneous injection, applied just under the skin. Who should not take semaglutide for weight loss? Semaglutide is an anti-obesity medication, meaning that it is specifically designed and prescribed to help people manage and reduce their body weight as a treatment for obesity. These medications are intended to assist individuals struggling to lose weight through diet and exercise alone. It is not prescribed to individuals who are of normal weight but want to lose a few pounds. Before starting treatment with semaglutide, you should tell your provider about any medical conditions you have, any prescription drugs or supplements you are taking, and any allergies you may have. This information will help reduce the risk of any drug interactions or severe side effects. A history of pancreatitis Gallbladder problems Kidney disease Personal or family history of medullary thyroid carcinoma (MTC) (thyroid tumors) Multiple endocrine neoplasia syndrome type 2 (MEN2) Diabetic retinopath Additionally, pregnant women, women who are trying to conceive, or women who are breastfeeding may not be prescribed semaglutide. Patient must be 18 years of age or older.

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What if I'm not approved to be a patient? Payment is collected upfront to secure your appointment with the provider who will prescribe the medication. However, if the medication is not deemed appropriate, a 100% money-back guarantee is provided.

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How does semaglutide cause weight loss? Semaglutide is most effective as a chronic weight management aid when combined with lifestyle changes like a reduced-calorie diet and regular exercise. When taken correctly, semaglutide can affect weight loss through two primary actions: blood sugar management and appetite regulation. Blood Sugar Management Semaglutide stimulates the pancreas to release insulin. This hormone is crucial in transporting glucose (sugar) from the bloodstream into cells, where it can be utilized for energy. By facilitating this process, semaglutide helps maintain stable blood sugar levels, reducing the likelihood of sudden energy fluctuations that can trigger cravings for high-calorie foods. Furthermore, semaglutide effectively inhibits the production of glucagon, another hormone responsible for elevating blood sugar levels. Glucagon prompts the liver to release stored glucose into the bloodstream, but semaglutide intervenes in this process. By controlling glucagon, semaglutide helps keep blood sugar levels steady, mitigating the hunger pangs often caused by low blood sugar. Appetite Regulation Semaglutide also influences appetite by interacting with GLP-1 receptors in the brain, particularly in the hypothalamus. When semaglutide binds to these receptors, it signals the brain to reduce appetite and curb cravings. This means that individuals taking semaglutide tend to experience reduced hunger and greater satisfaction from smaller meals. Additionally, semaglutide slows down the rate at which the stomach empties its contents into the small intestine. This delay in stomach emptying leads to prolonged feelings of fullness after eating, ultimately reducing the inclination to consume more food. It's important to note that semaglutide is typically prescribed with lifestyle modifications such as calorie reduction and increased physical activity. It is not intended to be the sole treatment for obesity but rather a supportive component of a comprehensive approach to weight management. Is semaglutide effective for weight loss? The STEP trials are a series of trials to study semaglutide's efficacy in weight management. STEP 1 was a double-blind, randomized controlled trial comparing semaglutide 2.4 milligrams once weekly given subcutaneously. It enrolled just under 2,000 patients without type 2 diabetes with a BMI of at least 30 or at least 27 with at least one weight-related coexisting condition. Both groups received lifestyle intervention. After 68 weeks, patients in the semaglutide group lost a mean of 14.9% of their body weight. Semaglutide also positively affected waist circumference, blood pressure, blood sugar levels, and other health markers. For example, it improved both systolic and diastolic blood pressure. It also positively affects glycated hemoglobin, fasting plasma glucose, and lipid profiles. These effects can reduce the risk of cardiovascular disease or events like heart attack or stroke. In summary, the study found that semaglutide was effective in helping participants lose weight and improving various health parameters, making it a promising treatment for obesity and related health conditions.

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How does semaglutide work? Semaglutide is a synthetic compound that imitates the effect of the natural hormone GLP-1 in the body. Semaglutide is officially classified as a glucagon-like peptide-1 receptor agonist, and it impacts blood sugar metabolism and calorie intake. After eating a meal, your intestines release a hormone called GLP-1, which signals your pancreas to release more insulin. Insulin is a hormone that plays a crucial role in reducing blood sugar levels by facilitating the entry of glucose (sugar) into cells, where it can be used for energy or stored for later use. GLP-1 is especially important in ensuring that insulin is released at the right times, particularly after meals when blood sugar levels typically rise. GLP-1 also has an impact on the rate at which your stomach empties. When the pancreas releases GLP-1, it helps control the pace at which food moves from the stomach to the small intestine. This action can slow down the absorption of nutrients, including glucose (sugar), from the digestive tract into the bloodstream. Consequently, this prevents rapid spikes in blood sugar levels after meals. Additionally, slower stomach emptying can create a feeling of fullness, reducing overall food intake and contributing to weight management.

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Does semaglutide cause side effects? Semaglutide has undergone numerous clinical trials to determine its safety and efficacy in treating type 2 diabetes and obesity. The FDA has approved three versions of semaglutide, indicating that it is safe for many patients requiring treatment for one or both conditions. The most common side effects of semaglutide use are gastrointestinal issues. These include nausea, vomiting, diarrhea, constipation, gas, and heartburn. These side effects are usually mild. While instances are rare, semaglutide may cause more serious side effects in some patients. These include: Pancreatitis Increased heart rate An increased risk of gallbladder disease Low blood sugar (hypoglycemia) Kidney problems Increased risk of thyroid cancer or tumors Allergic reactions like skin rash, swelling, breathing difficulties

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How fast does semaglutide work for weight loss? Before starting to take semaglutide treatment, it is important to keep in mind that its results are not immediate, but do work quickly over the course of several months. It is not uncommon to see weight loss as early as one week into treatment, but speeds will vary from person to person. One study has indicated that after 16 weeks of treatment, on average, people lose 5.7% of their body weight and a separate study has shown that after a period of 68 weeks, there is an average of 15% of body weight lost. Factors such as diet, exercise, and overall health will all play a part in how fast desired results from semaglutide treatment take. While attempting to lose weight with semaglutide, it is encouraged to decrease the consumption of foods with copious amounts of sugar and increase the consumption of nutrient-dense foods and foods with protein for the quickest results.

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Are the medications pharmacy grade and licensed? Yes, all medications are made in a 503a licensed compounding pharmacy that is based in the United States.

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How to get the best results with semaglutide. We have seen some fantastic results from patients on our Semaglutide weight loss program. We’re excited to help as many people as possible to achieve a healthier weight as the first step to optimal health and wellness. We also know you may have a lot of questions about this program, including what to do to get the best possible results. We’ve compiled these eight tips to help you maximize your results when using Semaglutide for weight loss. 1. Eat Smaller Portions More Often Semaglutide will make you feel full on far less food, so plan to eat small meals throughout the day. If you eat too much in one sitting, you can end up with nausea, heartburn, or other unpleasant GI issues. And always keep some over-the-counter medicines at hand in case you need them. 2. Concentrate on Eating More Slowly Did you know it takes your brain 15 minutes or more to register that you’ve eaten? That’s why it’s so important to take your time, even with Semaglutide. Concentrate on slowing down and taking a moment between each bite. 3. Avoid Foods That May Cause Side Effects While no food is off-limits when taking Semaglutide, certain foods can also cause side effects. These include fatty foods, processed foods, and foods with added sugar. These can be the toughest for your body to digest — and the most likely to cause nausea while taking Semaglutide. 4. Drink a LOT of Water You know the importance of drinking enough water — it’s vital for all your bodily processes. But it becomes even more important with Semaglutide, as staying hydrated can stave off nausea that some people experience on this medication. Try to get in a minimum of 80 ounces of water a day. 5. Keep Alcohol to a Minimum — or Not at All Alcohol can irritate your stomach while you’re taking Semaglutide. It can also influence your blood sugar levels — which may drop too low when alcohol combines with Semaglutide. Also, when you drink alcohol while taking Semaglutide, you risk developing pancreatitis (although this is rare). 6. Aim to Lose One to Two Pounds MAX Each Week This program isn’t a quick-fix diet — it provides healthy weight loss at a rate of one to two pounds per week. If you lose over three pounds per week (considered rapid weight loss), you may be at risk for developing gallstones. We recommend eating 1200-1500 calories a day. To start, you may want to track your calories on an app to ensure you’re eating enough. 7. Move as Much as You Can Regular exercise is vital for good health, with or without Semaglutide. But getting in more movement while on Semaglutide can help you achieve better results — and keep those results after you’ve lost the weight. The best way to get more movement in is to start walking more. You can even use a step counter on your phone or watch to keep track of how you’re doing. 8. Rotate Where You Inject the Semaglutide Each Week You can inject Semaglutide in three different locations on your body: your thighs, abdomen, and upper arm. These areas ensure you inject the medicine under the skin but far from a vein. It’s important to rotate where you inject each week so you give your skin a chance to heal.

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How to self administer semaglutide. Follow these simple instructions: A subcutaneous (say "sub-kyoo-TAY-nee-us") shot is an injection of medicine under the skin, but not in a muscle. Gather your equipment. This includes your syringe (containing medicine) and an alcohol wipe. Wash your hands with soap and water. Choose a spot on your belly, thigh or back of your arm for the shot. A shot in the belly should be 2 inches away from your belly button. Use alcohol to clean the skin. Let it dry. Remove the cap from the needle. Hold the syringe like a pencil close to the site. Slightly pinch a fold of skin at the spot you chose. Pinch it between the fingers and thumb of one hand. Place the syringe at a 90-degree angle to the shot site. The needle should stand straight up from the skin. Quickly push the needle all the way into the pinched-up fold of skin. Push the plunger of the syringe all the way in. This allows the medicine to go into the fatty tissue. Be sure to hold the skin fold as you give the shot. This will help make sure that you don't inject the medicine into muscle. Take the needle out at the same angle that you inserted it. Let go of the skin fold. If you bleed a little, apply pressure over the shot area with gauze. Dispose of the needle safely. Don't use the same needle more than one time and rotate sites each time.

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Do I need to complete a telehealth visit? Yes, all clients must speak to a licensed provider through our HIPAA compliant telehealth service.

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