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Weight Loss

Weight Loss Consultation

Free

Take your weight loss serious and talk with one of our providers about medical weight loss today!
Aseptic Technique for Drawing up Medications

Step by step instructions + Video Demonstration
Semaglutide Medication Information

Semaglutide 2.65 mg/ml + L-carnitine 100 mg/ml is a Glucagon-like peptide receptor agonist and is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off. Semaglutide should be used with a reduced calorie meal plan and increased physical activity. It should not be used with other GLP-1 receptor agonist medicines.
Subcutaneous Injection Instructions + Needle Disposal

Step by step instructions + Video Demonstration
Tirzepatide Medication Guide

Tirzepatide 10mg/ml + Cyanocobalamin 500 mcg/ml is a Glucagon-like peptide receptor agonists and is an injectable prescription medicine used for adults with obesity (BMI ≥30) or overweight (excess weight) (BMI ≥27) who also have weight-related medical problems to help them lose weight and keep the weight off. Tirzepatide should be used with a reduced calorie meal plan and increased physical activity. It should not be used with other GLP-1 receptor agonist medicines.
Comprehensive Weight Loss Symptom Management Protocols

GLP-1 RA medications such as Semaglutide (Ozempic/Wegovy), Tirzepatide (Mounjaro), etc.  have some common side effects (>10%) including but not limited to; Nausea, constipation, or diarrhea, loss of appetite/feeling of fullness and acid reflux. Over time this, like other side effects associated with GLP-1 RA medications will improve in time (usually 2-4 weeks after a dose increase). If some of these side effects are left untreated and become severe, serious health consequences can occur, including renal failure and even death. We have compiled some specific recommendations that we hope you find helpful in managing some of these side effects should you suffer from any of them.

Approximately 70% of American adults are overweight.  Obesity is a serious health condition and associated with heart disease, stroke, diabetes, and an increased risk for certain types of cancer.  Unfortunately, while traditional weight loss methods such as diet and exercise are effective, they are difficult to maintain and often lead to frustration or failure.


Medically supervised weight loss helps you achieve your goals quicker and more reliably than standard methods.  Our program prescribes medications from the GLP1-RA class, such as Semaglutide, which are widely used, safe, and effective treatments.


The medications we prescribe work by mimicking a hormone called glucagon-like peptide-1 (GLP1-RA) that targets areas of the brain that regulate appetite and food intake while also improving healthy blood sugar levels and insulin function.  This combination results in reduced hunger and increased energy levels, which lead to weight loss. It is common for our patients to lose 15% of their body weight or more!


To get started give us a call and we will schedule you for a free consultation with one of our licensed medical providers that specialize in weight loss.  The consultation includes a thorough review of your health history as well as details about the medication and our program.


Each week for the first four weeks and then each month thereafter your provider will review the progress and symptoms you have experienced and adjust your dose to help you achieve optimal results.  The medication you will take has the potential for undesirable side effects and active care from your medical team is necessary to ensure proper use and response to your symptoms.  Prescriptions needed to support your weight loss or side effects are called in free of charge and we also offer discounted IVs as needed to help manage your side effects.


Our program includes the benefits above as well as the medication needed to achieve optimal results and a complimentary IM shot (i.e.B12)  twice per month for patients that come into our clinic.  You will also receive a nutrition assessment completed by a registered dietician nutritionist at the start of the program as well as weekly nutrition or physical activity seminars that will be available via in clinic and zoom.


Although we do not accept insurance, you may pay for the program with your FSA or HSA.  If you need your medication shipped we will overnight it in an insulated package for an additional fee.


Our mission at Nervana Medical is to help you live your best life.  Through a combination of traditional and holistic medicine we will help you optimize your overall wellness, both mentally and physically.  Weight loss is an important part of that journey and often a catalyst for an overall healthier life.  Call us today to schedule an appointment or learn more about our services!



We have several locations for medication pick ups throughout the state and we also offer overnight shipping; so if you are not close to our clinic address, that is ok because we have tele health capabilities!




Pricing:

$600/month (up to 100 units/2.65 mg per week of Semaglutide, and 100 units/10 mg per week for Tirzepatide).


Starting Jan 31st:

Tirzepatide will be an additional $50/month premium; $650 a month for up to 10 mg/wk (typical concentration= 100 units/wk).


"Maintenance" pricing available per provider discretion of maintenance eligible patients.


*** Pricing does not include Nervana membership pricing!

Nervana Membership pricing= 15% off!!!


Interesting Reads:

Semaglutide Linked With Lower Risk of Suicidal Thoughts

https://jamanetwork.com/journals/jama/fullarticle/2814393?guestAccessKey=68710828-7428-43e5-8b07-a66e562fba3c&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=olf&utm_term=012424&adv=000004954409

Harris E. Semaglutide Linked With Lower Risk of Suicidal Thoughts. JAMA. 2024;331(6):466. doi:10.1001/jama.2023.27968


Semaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity:

Conclusion: In patients with heart failure with preserved ejection fraction and obesity, treatment with semaglutide (2.4 mg) led to larger reductions in symptoms and physical limitations, greater improvements in exercise function, and greater weight loss than placebo.

https://www.nejm.org/doi/full/10.1056/NEJMoa2306963


GLP-1 Agonists: What They Are, How They Work & Side Effects


Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity

The SURMOUNT-4 Randomized Clinical Trial

Louis J. Aronne, MD1; Naveed Sattar, MD2; Deborah B. Horn, DO, MPH3; et al

Harold E. Bays, MD4; Sean Wharton, MD5; Wen-Yuan Lin, MD, PhD6; Nadia N. Ahmad, MD, MPH7; Shuyu Zhang, MSc7; Ran Liao, PhD7; Mathijs C. Bunck, MD, PhD7; Irina Jouravskaya, MD, PhD8; Madhumita A. Murphy, MD7; for the SURMOUNT-4 Investigators

Author Affiliations Article Information

JAMA. 2024;331(1):38-48. doi:10.1001/jama.2023.24945


The anti-inflammatory and immunological properties of GLP-1 Receptor Agonists

https://www.sciencedirect.com/science/article/abs/pii/S1043661822002651

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9772276/


Anti-Inflammatory Effects of GLP-1-Based Therapies beyond Glucose Control

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4823510/


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