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SEMAGLUTIDE

In most studies, tirzepatide was superior to semaglutide for weight loss. However, semaglutide is an excellent alternative for patients who need a medication with a lower cost, or who cannot tolerate tirzepatide. Please review the information found at www.drugs.com/semaglutide.html. 

For patients who have NOT previously been on any weight-loss medications, you will likely qualify for one of the medications in my program if you are a generally healthy person between the ages of 18-64 with a BMI of 30+. Patients with risk factors such as high blood pressure, high cholesterol, Type 2 Diabetes, or sleep apnea may qualify with a BMI of 27+. Patients aged 65-69, please ask for an exception. If you are 70+, you are best served by your primary care physician for weigh loss options. 

Once you are approaching your goal weight and have a BMI under 25, please contact us for information on maintenance dosing.

*DO NOT use any of the injectable medications if you or any of your family members have ever had a type of thyroid cancer called MTC or if you have an endocrine system condition called MEN 2, or if you have had a serious allergic reaction to tirzepatide or semaglutide. 

*For ladies on oral birth control pills, these meds can change the way your body absorbs certain medications, and the pills may not work as well. It is recommended that you use a back-up birth control method to prevent pregnancy when first starting a new dose. See the website for more info.

These injections can cause serious side effects in certain people including nausea, vomiting, diarrhea, and constipation. 

PRICING AND DOSING FOR SEMAGLUTIDE

Prices include my fees, the medication, supplies, and shipping to your home. Each dose comes in a multi-use vial. Each vial from my national pharmacy has 4 doses to last 4 weeks . The starting dose is 0.25 mg for patients that have not been on one of the injectable medications. You may increase the dose every 4 weeks if desired. If you are doing well on a dose, you may remain on that dose and not move up.  The doses are 0.25mg, 0.5mg, 1mg, 1.7, and 2.5mg. The standard dose is usually 50 units a week no matter the dose.  The medication is more concentrated as you move up in dosage.

If you are currently switching from another injectable medication, we can start you on a higher dose:

1) Patients currently on 2.5 or 5mg tirzepatide may start at the 1mg dose.  Patients on 7.5mg may start at the 1.7mg dose, and patients on the 10mg dose or higher of tirzepatide may start at the max dose of 2.4/2.5mg semaglutide.

2) Patients currently on semaglutide with another provider may start at the same dose of semaglutide or one dose higher.  You may also, of course, go down a dose.  

3) It is VERY important that you follow these guidelines to avoid side effects.  Your body needs to adjust to a smaller dose before you are ready for the higher doses.

PUSH HEALTH

You MUST create an account on PUSH HEALTH for me to prescribe this medication for you. You can click the purple GET STARTED HERE button on the first page of this website to do this. 

If you already have an account with another physician, you will need to switch to my service by emailing help@pushhealth.com.  

DO NOT go to the Push Health website and randomly sign up because you may be assigned to someone else.  Use the link on the first page or use my code LKEELING when signing up.

Push Health is my HIPAA-compliant electronic medical record (EMR) platform for keeping medical records, communicating with my patients, submitting certain medications, and documenting any outside prescriptions that may be sent in. 

Please see the HOW TO ORDER section for directions.

Patients that are NEW TO MY SERVICE will pay a $99.99 new patient fee for chart review and getting you set up in my pharmacy profiles for shipping. When you sign up for Push, please select a LOCAL PHARMACY that you would want any nausea or other medications sent to.  Do NOT try and choose one of the compounding pharmacies, because those are not sent through your Push account. See complete directions in HOW TO ORDER section..