Primo Health Partners

How the PRIMO Weight Management and Semaglutide Program Works

The PRIMO Semaglutide Weight Loss Program is a virtual program that can be undertaken completely from your own home. All appointments with the doctor are virtual.
Semaglutide requires a 4-week dose escalation schedule to minimize side effects and give the body time to respond to the changes.
This one of our PRIMO preferred options. However, we have many options for treatment based on your preference, tolerance of the medication and insurance coverage for the medication.

Two-month trial program is only $299. 

KEY COMPONENTS

Included:
1. General health evaluation
2. Establish goals for nutrition and weight loss
3. Monthly visit with the doctor
4. Semaglutide prescription

Highly recommended optional add-ons:
5. Health coaching
6. Nutrition counseling
7. Fitness trainer

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Semaglutide gets Results

In 2 months, you could lose up to twenty-five pounds.
In 4 months, you could lose up to fifty pounds or more!
You can repeat this program as many times as you wish!
No special diets.
No difficult work outs. Although exercise is the key to sustaining health long-term.

Just inject once a week and watch your weight drop.
We do not participate in any insurance programs. Although the cost may be covered by a health savings account, discount program or flexible spending account. Check with your coverage provider for more information.

Frequently Asked Questions

What is Semaglutide?

Semaglutide (Brand name Wegovy or Ozempic) is an injectable medication which, when used in combination with diet and exercise, helps with blood sugar control in type 2 diabetics. Semaglutide belongs to a class of medications called glucagon-like peptide-1 (GLP-1) agonists, which mimic the hormone GLP-1 in your body to lower blood sugar levels after you have eaten a meal.

Is Semaglutide a stimulant?

No, Semaglutide is not a stimulant. While other weight loss medications, like phentermine, have stimulating effects that help curb your appetite, Semaglutide works differently (see above).

How long does it take to lose weight on Semaglutide?

With Semaglutide, you will slowly work your way up to the target dose at which time you will see the most amount of weight loss. This was the case in the clinical trials, where participants had their dose adjusted until they reached 2.4 mg once weekly. In the phase 3 trial that measured outcomes at 20 weeks, most participants were able to reach the full dose and lost weight as their dose was increased. They saw additional weight loss over the remaining 48 weeks at the full dose. It is important to keep in mind that weight loss can take time, and you will see the best results when you are using your medication in combination with a healthy diet and exercise. Sometimes the medication may not work for you, or you may not be able to tolerate the full dose due to side effects.

What is the starting dose of Semaglutide for weight loss?

The starting dose is 0.25 mg. The maximal effective dose studied for weight loss is 2.4 mg once weekly, which is currently higher than the doses approved in diabetes. What is more, Semaglutide was studied in diverse population: people with a body mass index (BMI) greater than or equal to 30 kg/m² alone or 27 kg/m² with at least one weight-related comorbidity (diabetes excluded).

Where will I buy my Semaglutide?

Once enrolled in the program and evaluated by our board-certified physician, the medication will be prescribed and sent to your pharmacy. In some cases, we may be able to send the medication directly to your home.

Are there any foods or medications you should avoid while on Semaglutide?

Here are a few things to keep in mind if you are on Semaglutide.

First, you will want to limit how much alcohol you are drinking while taking Semaglutide, especially if you are diabetic. Alcohol can influence your blood sugar, and there is a risk that it may drop too low in combination with Semaglutide, especially if you are drinking on an empty stomach. Alcohol can irritate your stomach, too. This might make you feel worse in combination with some of the GI side effects from the medication.

You will also want to exercise caution if you are taking any oral medications. Since Semaglutide slows down gastric emptying, this can potentially impact the amount of oral medication your body is absorbing. And while trials have not shown this to be significant with Semaglutide, you will want to make sure your provider is aware of any other medications you are taking before starting Semaglutide.

What is the hormone GLP-1?

Glucagon-like peptide 1 (GLP-1) is a hormone that causes huge effects on the regulation of blood sugar by stimulating glucose-dependent insulin secretion. Insulin is a hormone that promotes sugar uptake by the cells, stores sugar as glycogen, promotes the building of fat, and signals the body to build skeletal muscle. In addition, GLP-1 inhibits glucagon release (which slows down the release of sugar into the blood so that you burn more fat), slows down gastric emptying (makes you feel full), and lowers the desire for food intake (because you feel full).

How does Semaglutide work for weight loss?

GLP-1 agonists like Semaglutide help to control your blood sugar, but people taking them also tend to lose weight. GLP-1, the key hormone involved, slows down how fast your stomach empties food (called gastric emptying). And in addition to causing your pancreas to release insulin, Semaglutide also blocks a hormone that causes your liver to release sugar (glucagon). Together, these functions can help you feel less hungry, causing you to eat less food and lose more weight.

How long should you take Semaglutide for weight loss?

Currently, Semaglutide is FDA-approved for weight loss (Wegovy) and  to help with blood sugar control in type 2 diabetes Ozempic) and to lower the risk of major cardiovascular events (like heart attack and stroke) in people with both type 2 diabetes and heart disease.

If you are taking Semaglutide for either of these reasons, you will take it as directed by your healthcare provider since you are using it to manage a chronic condition. But if you do not have type 2 diabetes and are looking to try Semaglutide to help you lose weight, we will have a better idea of long-term safety once the FDA reviews data for this new indication. What we do know is that study participants received treatment for a period of 68 weeks (about 1.5 years) during each of the four trials conducted by the company.

Is Semaglutide covered by my insurance?

Yes and No. Semaglutide is covered by some insurance for people who are not diabetic type 2. However, if you may get this medication as part of our PRIMO Semaglutide Weight Loss Program.

What is the dose of Semaglutide?

All patients start on the lowest dose of Semaglutide at 0.25mg injected subcutaneously into belly fat every week. All patients increase by 0.5-1 mgs weekly as tolerated (slower if nauseous), up to a total weekly dose of 2.4 mgs.

What are the known side effects of Semaglutide?

The common side effects of Semaglutide are:

  • Nausea
  • Vomiting
  • Diarrhea
  • Stomach pain
  • Constipation

Since the higher dose has not been FDA-approved, we do not have a list of known side effects yet. However, trial results suggest that they will be like those above, with effects like nausea and diarrhea being the most common.

Is Semaglutide a type of insulin?

No, Semaglutide is not a type of insulin or a substitute for insulin. Semaglutide does stimulate your pancreas to release insulin when glucose (sugar) is present. Because Semaglutide relies upon your body’s own insulin to have this effect, Semaglutide is not used when your pancreas cannot make insulin, such as in patients in type 1 diabetes.

Does Semaglutide curb your appetite?

Yes, it is believed that Semaglutide can help curb your appetite. In addition to slowing gastric emptying to make you feel full for longer, GLP-1 also plays a direct role in how your appetite is regulated.

Is Semaglutide safe?

Yes. Semaglutide is safe and effective when used as indicated. But safe does not mean that there are not risks. Semaglutide also carries a boxed warning about thyroid C-cell tumors occurring in rodents (with unknown risk in humans), and Semaglutide should not be used if you or your family have a history of certain thyroid cancers. Semaglutide should not be used in people with type-1 diabetes or a history of pancreatitis. Semaglutide should be used cautiously for people on other blood sugar lowering medications.

How much does the PRIMO Semaglutide Weight Loss Program cost?

We have a two-month trial program for just $299

Is Semaglutide approved by the FDA for weight loss?

Yes. Wegovy (semaglutide) was approved by the FDA for weight loss in June of 2022. Ozempic an similar drug for Type-2 diabetes is also used for weight loss although not approved by the FDA for this specific indication.

Are there any significant health risks associated with using Semaglutide?

Yes. Semaglutide may cause serious side effects, including:

  • Prolonged vomiting. Patients on Semaglutide can develop gastroparesis where the stomach stops moving, and patients vomit considerably. This can lead to dehydration and electrolyte imbalances. Stop using Semaglutide and call your health care provider right away if you have vomiting that persists more than a day.
  • Inflammation of your pancreas (pancreatitis). Stop using Semaglutide and call your health care provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.
  • Changes in vision. Tell your health care provider if you have changes in vision during treatment with Semaglutide
  • Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use Semaglutide with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin. Signs and symptoms of low blood sugar may include dizziness or lightheadedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery.
  • Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration.
  • Serious allergic reactions. Stop using Semaglutide and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.
  • Do not take semaglutide if you have a history of thyroid cancer. Be sure to discuss this with your doctor.

The bottom line…

While no magic weight loss pill currently exists, available medications can help. But they should be used in combination with diet and exercise to get the most benefit and set you up for long-term results.

Keep in mind that these medications may not be covered by insurance, and some tend to be expensive. So, if you are interested in a prescription to help you lose weight, you will want to talk to your provider to see which one would be the best fit for you.

Key takeaways:

Semaglutide is a medication used to help control blood sugar levels in type 2 diabetes, but studies show it helps people without diabetes lose weight. Semaglutide may be used in adults with a BMI greater than or equal to 30 mg/kg² alone or 27 mg/kg² with at least one weight-related comorbidity such as insulin resistance, hypertension, high cholesterol, heart disease, and gout.

Let us get you on track with your weight loss, fitness, and health goals.

How to Get Semaglutide for Weight Loss

Call Today! 404-293-0039

In most cases, we can ship prescription products directly to our patients through the mail.

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