Weight Loss Services

 Semaglutide is injected subcutaneously once a week. The medication works as an appetite suppressant by replicating hormones that naturally interact with your digestive system, thereby lessening sensations of hunger.

Semaglutide lowers caloric intake by slowing digestion and delayed gastric emptying mimicking a 'chemical gastric bypass'. Food passes through your stomach more slowly when you take the drug, so you feel fuller longer and have less of an appetite.

Semaglutide also affects the brain region responsible for hunger and cravings. This enables you to further reduce the size and frequency of your meals.

MONTH ONE

During the adjustment period, you may experience side effects like nausea while noticing a reduced appetite and modest weight loss (around 2-4 pounds).

MONTH TWO

Weight loss becomes more noticeable (1-2 pounds per week), side effects diminish, and portion control improves as appetite suppression continues.

MONTH THREE

Steady weight loss (cumulative 8-12 pounds), improved energy levels, and enhanced metabolic benefits like better blood sugar regulation become apparent.

MONTH FOUR

Weight loss may slow or plateau, but healthier eating habits and increased physical activity are more ingrained by this stage.

MONTH FIVE

Weight loss continues (potentially 15-20 pounds or more), along with noticeable health improvements like better blood pressure and cholesterol, and fewer food cravings.

MONTH SIX

By this time, sustained weight loss (10-20% of starting weight) is achieved, with long-term lifestyle changes solidified and improved confidence due to progress.

First, call your insurance to see if they cover either Wegovy or Zepbound for weight loss only. Some insurances say they cover 'Ozempic' or Mounjaro but what they don't always make clear, those medications are only for those who are diagnosed with TYPE 2 DIABETES. Many ask if Prediabetes or Borderline Diabetes can get coverage, The answer as of now is no. Unfortunately, more insurance companies that once were covering weight loss medications such as Wegovy and/or Zepbound are no longer.

Once it has been determined that the insurance does not include weight loss medications Wegovy/Zepbound are not in formulary but want to pursue semaglutide from Dedea, MD Family Medicine, an appointment needs to be made for the discussion to see if one qualifies. 

Established Patients. This program is designed to provide a comprehensive and supportive approach to achieving your weight-loss and health goals.

Program Highlights:

• Compounded-Semaglutide Injections:
  In office administrated weekly injections with weight check .
• Always make sure you have your injection appointment scheduled the same day of the week you received your first injection. For instance, if you received medication on Monday, you must return the following Monday to receive your subsequent dose.
• Mandatory Initial Evaluation of Obesity and Discussion of Risk-Benefit of semaglutide with Primary Care Provider: This is entirely at the cost of the patient in accordance with their health insurance policy (dependent upon copay and deductible). Self-pay rate for our primary care office visits are $145 at the time of writing this contract.  
• Mandatory Monthly Weight Management Appointments with Primary Care Provider: This is entirely at the cost of the patient in accordance with their health insurance policy (dependent upon copay and deductible). These visits are meant to monitor progress, weight changes using the SCALE MD PRO to track body changes, medication side effects, and adjust dosages as needed. Self-pay rate for our primary care office visits are $145 at the time of writing this contract.  
• Only patients of Dedea, M.D. Family Medicine primary care practice are eligible to make this purchase. 

**Cost Breakdown: ** 

• Semaglutide **subject to change in price if pharmacies increase rates** 
• Each price is for four (4) injections of the noted dose 

0.25mg x 4 injections – $200 

0.5mg x 4 injections – $250 

1mg x 4 injections – $300 

1.7mg x 4 injections – $350 

2.4mg x 4 injections – $400 

Payments are monthly, non-refundable, and subject to sales tax (6.5% Hernando County), and processing fee of 2.5% if using a credit card but there are no long-term contract obligations. 

• If a week is missed, there are no 'make ups' or 'pro-rating'. The price listed above pays for the four-week period regardless of missed injections.  

Program Requirements:

• BMI over 30 to qualify.
• We can go ahead and schedule if you are ready to start. 
• Appointments will go over medication side effects, BMI Measurements, Weight-In, Updates on your dietary changes, etc. 

Please note: Monthly Weight Management Therapy Visits are considered a Doctors Visit and only Weight Management parameters and updates will be discussed during those visits. Any chief health complaints outside of Weight Management will have to be scheduled as a separate visit. Also note,  While medication is an effective tool, weight-loss is a lifelong journey.It is ENCOURAGED to pair this program with additional support, such as working with a dietitian (weight watchers) and engaging in fitness programs, but it is not "mandatory". We are currently partnering with a local gym to offer more resources for your health journey. More information will be provided on this partnership soon. If you're ready to take the first step, please email us at info@tntmedicine.com or call our office to schedule your consultation.