The action of semaglutide involves reducing your appetite. In order to achieve this, it binds to the same receptors in your brain that GLP-1 does, a hormone that is released when you eat. As a result, this hormone tells your brain that you are full and reduces your appetite which leads to eating less and supporting weight loss.

You’ll receive the injection once a week, on the same day each week in our office. It can be given at any time of day, and you can take it with or without food. Semaglutide is injected just under the skin (subcutaneously) in your abdomen, arm, or thigh. Since semaglutide slows down how quickly food leaves your stomach, you may experience side effects like nausea and vomiting.

The goal is to have limited unfavorable side effects, while losing 1-2 lbs/week (and feel the benefits of the medication-less appetite, cravings, portion sizes).  We will do this at the least effective dosing. We may need to adjust your dose as needed

Gastrointestinal (GI) side effects tend to happen most frequently when using this medication — the most common being nausea, constipation, and vomiting. You may experience these effects more strongly when your provider raises your dose. Additional common side effects can include: stomach pain, indigestion, and bloating

**if you experience severe nausea/vomiting or abdominal pain, please stop the medication and contact us or go to the ER

• Small, frequent meals
• Lower the amount of alcohol you consume
• Low fat meals
• Bland diet-bananas, rice, toast
• Ginger, Unisom, Vitamin B6 for nausea
• Stay hydrated
• Continue with exercise
• High fiber diet
• Over the counter stool softeners like
• Miralax, Colace, Senna

We will start you at 0.25 mg once weekly and adjust as needed. The goal is to lose 1-2 lbs/week at the least effective dosing.