Modern Medical Weight Management

A prescription for a GLP-1 receptor agonist is the cornerstone of modern weight management. While this might seem a bold statement coming from someone who has been societally steeped in the belief that weight managment necessarily entails diet, exercise and self-denial, it is a true one. A modern, medical approach to weight management utilizes GLP-1 medications as they are highly effective, quite safe, and bring with them a host of additional benefits. Gone are the days when I would recommend medical therapy only after a person has failed diet and exercise regimens. The truth is now clear - the most effective way to lose weight and to gain a multitude of corollary benefits is to start with GLP-1 medications and bring in gradual changes in diet and activity that morph into healthy habits to maintain the benefits gained initially.

GLP-1 medications affect certain receptors that control hunger and satiety and help you to lose weight through their effects on appetite regulation, delayed gastric emptying and reduced fat accumulation. You will be less hungry, you will eat less and you will benefit from the reduced fat accumulation. The net result of this is weight loss. 

GLP-1 Medications and Metabolic Reset

The class of medications collectively referred to as GLP-1s are revolutionary. It is not simply that they are quite safe and effective. The way that they work - by imitating the body's naturally occuring incretin hormones - enables them to facilitate a multiplicity of beneficial metabolic changes including the following.

 

  • A reduction in inflammation as evidenced by inflammatory markers such as CRP (C-reactive protein)
  • Regulated digestion slowing food transit, reducing the rate of sugar absorption, and contributing to a sensation of satiety making you full earlier
  • An improvement in metabolic function thus regulating fat cell development, increasing insulin sensitivity, and decreasing glucagon levels
  • Shifting set points so that your body is not fighting to maintain an unhealthy excessive weight
  • Curbing food craving and increasing energy expenditure

Start Your Metabolic Reset Today

Similar to the old saying that the best time to plant a tree is ten years ago - the best time to lose weight is...Now! Gaining and retaining excessive weight leads to a host of problems including:

 

  • Heart disease and strokes: Obesity makes you more likely to develop high blood pressure and unhealthy cholesterol levels - both of which are risk factors for heart disease and strokes.
  • Type 2 diabetes: Obesity can affect the way the body uses insulin to control blood sugar levels. This raises the risk of insulin resistance and diabetes.
  • Sleep apnea: People with obesity are more likely to have sleep apnea, a potentially serious disorder in which breathing repeatedly stops and starts during sleep.
  • Osteoarthritis: Obesity increases the stress placed on weight-bearing joints. It also promotes inflammation, which includes swelling, pain and a feeling of heat within the body. These factors may lead to complications such as osteoarthritis.
  • Fatty liver disease: Obesity increases the risk of fatty liver disease, a condition that happens due to excessive fat deposits in the liver. In some cases, this can lead to serious liver damage, known as liver cirrhosis.

Eligibility for a GLP-1 Program

To qualify for a GLP-1 prescription, you must meet either one of the following criteria.

Have a body mass index (BMI) of 30 or higher
Have a BMI of 27 or higher and at least one weight-related health condition

In addition you cannot have a personal or family history of medullary thyroid carcinoma (MTC) or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Known serious hypersensitivity to tirzepatide or any of the excipients. Also, not indicated in patients with Type 1 DM.

GLP-1 Therapy Options

 

Oral Options

Tirzepatide Oral Rapid-Dissolving Tablets

Tirzepatide is the most effective of the GLP-1 class medications and it is now available in an oral form that is taken daily. This is ideal for those individuals who wish to avoid weekly injections. The oral formulation uses the same active ingredients as the injections and are just as effective as the injections.

Semaglutide Oral Solution

Semaglutide is also a highly effective GLP-1 medication that is now available in oral form which is taken daily and eliminates the need for weekly injections. It has the same active ingredient as the injected formulation and is just as effective.

 

Injected Options

Tirzepatide

In the formulation that we supply, Tirzepatide, the most effective of the GLP-1 class medications, is compounded with either niacinamide or pyridoxine. These B-vitamin additions markedly reduce the incidence of nausea and it is for this reason that such formulations are preferred and sought after by many patients. It is injected once weekly. To help you with the injections, we provide a live demonstration regarding all aspects of self-administration and storage. We also provide the correct syringes and alcohol wipes. With all the support and materials that we provide, you will be both confident and competent in self-injrction. And if you have any questions, we have additional written resources you can consult or even reach out to us for some help. 

Semaglutide

In the formulation that we supply, Semaglutide, which is both highly effective and also less expensive than the Tirzepitide, is compounded with either methylcobalamin or cyanocobalamin. These B-vitamin additions markedly reduce the incidence of nausea and it is for this reason that such  formulations are preferred and sought after by many patients. It is injected once weekly. To help you with the injections, we provide a live demonstration regarding all aspects of self-administration and storage. We also provide the correct syringes and alcohol wipes. With all the support and materials that we provide, you will be both confident and competent. And if you have any questions, we have additional written resources you can consult or even reach out to us for some help. 

Ready to Begin Your Journey?

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Book an appointment anytime using the Booking Link below. For addditional details, reach out directly via the Contact Link below.

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Dr. Thomas Burns III, MD ABOG

Dr. Thomas Burns III, MD ABOG

Fast Start for Weight Loss Management, Metabolic Reset for Weight Loss Management

I am a medical doctor with 29 years of active clinical practice. I hold medical licenses in two states - Montana and Virginia - and I am able to care for patients in both locales - both in person and via telemedicine. I have a passion for life and I believe that preserving or regaining good health is essential to living life fully. I am excited to be able to offer novel medical approaches to weight loss to help patients meet their health goals.