How does a registered dietician help ?

Our platinum package offers monthly dietician consultation to help you choose high nutrient diet options to aid in weight loss journey. Our dietician can help you design a personalized diet plan. You can add on this service to a Signature and Deluxe package at an additional cost.

WHAT IS THE DIFFERENCE BETWEEN TIRZEPATIDE AND SEMAGLUTIDE?

At lenoy Medical Aesthetics and Wellness we offered both of these medications. Clients treated by our provider has shown very imppressive result. Both medications work by replacing GLP1 horpmone in our body and signals our brain of "feeling full" resulting in decreased caloric intake. According to clinical trials, tirzepatide appears to have a more significant effect on weight loss than semaglutide. However, each person's response to these medications may differ. Clients on tirzepatide has lower incidence of nausea compared to semaglutide. Our team team at Lenoy Medical aesthetics and wellness will help select most effective treatment regimen for you.

What is included in signature, Deluxe and Platinum Medical weight loss program?

Each package includes initial consultation and lab order, 12 weeks of weight loss medications, monthly tele-visits with our weight loss specialist provider and treatment guidelines. Deluxe package includes bi-weekly MIC skinny shots. Our most requested platinum package includes all services of deluxe package and monthly dietician consult to assist and maintain weight loss.

What is the average length of medical weight loss program?

Typically it’s a 12 weeks program however, The actual duration of your program will depend on the amount of weight you want to lose as well as how effective the drug and your individual lifestyle interventions are.

Do I have to change my diet significantly while on weight loss program?

We understand that losing weight and keeping it off is extremely difficult. Participants who incorporated healthy diet and exercise along with weight loss program loose weight faster and prevents rebound weight gain after the medication regimen is completed. Incorporating high fiber diet, fruits, vegetables and eating in small portion, avoid foods high in fat and drink at least 32-64 oz of water daily leads to satisfactory outcome. Top 5 LIFTESTYLE choices are - Balanced Nutrition, Daily Exercise, Optimal Hydration, Quality Sleep, and Stressors management are the keys to wellness.

Who is not a candidate for weight loss program?

✲ <18 years old

✲ TYPE-1 Diabetes Mellitus

✲ Pregnant/breastfeeding

✲ Hypersensitivity to Semaglutide or Vitamin B-12

✲ Personal family history of medullary thyroid carcinoma

✲ History of pancreatitis

✲ End stage renal disease

✲ BMI < 25

✲ Diabetic retinopathy

Disclaimer

Disclaimer: At Lenoy Medical Aesthetics & Wellness, we are NOT prescribing the Brand name Semaglutide with B12  BUT we are prescribing the generic compounded (Semaglutide) with B12 injection which 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.

What is Semaglutide?

This is a GLP-1 agonist - and is the active ingredient or drug in Wegovy and Ozempic. Semaglutide is not sold generically at a commercial pharmacy. Weight loss clinicians often work closely with a specialty pharmacy to utilize the generic form of this medication. The advantage of using this generic form from a compounding pharmacy is greater dosing adjustability as concentrations can be tailored. It is often less expensive for the patient and can be combined with B12 for weight loss support. Semaglutide does not come as a pen-injector - rather it is injected with an insulin needle.

How Semaglutide works?

Semaglutide is a GLP-1 agonist, meaning it mimics the peptide hormone GLP-1. The GLP-1 peptide is a naturally occurring hormone produced by the gut that sends signals to the brain affecting metabolism and appetite. . Research has shown that overweight patients who have more difficulty losing weight may have a functional deficit in GLP-1 signaling. GLP-1s may help you stop from feeling hungry and make you feel satisfied.

What are the benefits of semaglutide?

✓ Patients taking Semaglutide can expect to lose weight (on average ½ lb to 1 lb a week - some may lose more quickly while others more slowly).

✓ Food cravings will diminish making healthy food choices and portion control easier.

✓ It helps lose weight and enables patients to maintain weight loss long term by improving metabolic health.

✓ It also reduces inflammation and lowers cholesterol and trigylcerides in TYPE-2 Diabetics by modulating key enzymes of lipid metabolism in the liver.

✓ Studies have shown that semaglutide reduces cardiovascular events in TYPE-2 diabetics and reduces cardiovascular disease.

What are the side effects of semaglutide?

Common side effects include nausea, changes in bowel habits, fatigue, low blood sugar level, dizziness or lightheadedness, headaches, acid reflux, and more rarely abdominal pain or vomiting. If you are experiencing severe abdominal pain or vomiting, it is important to contact our clinic or, in severe cases, report to the Emergency Room. That said, very few patients have reported significant side effect. In rare cases, severe allergic reaction-such as swelling of your face, lips or throat, problem breathing, trouble swallowing or a rapid heart beat, we recommend seeking immediate emergency medical help.

How to minimize side effect of Semaglutide?

To reassure you, these side effects are only expected in 10% of the patients. We start with low doses of medication to allow you body to build up to tolerate higher doses if needed. Please do not take more than recommended dose as like any prescription drugs.

How to use semagludtide injections?

Semaglutide injections must be used in accordance with the dosage, usage and instructions provided to you by your prescriber.

As with all prescription medicines, it can be harmful if it isn't used according to the instructions given by your prescriber or if it is taken by someone who it wasn't prescribed for.

This can lead to serious side effects and risk of harm. It's important to always follow the dosage and timetable of injections given by your prescriber and to keep the medication safely stored away.

How much weight can I expect to loose with semaglutide?

Clinical trials have shown that study participants taking a weekly dose of semaglutide had an average reduction in body weight of 5-10 percent. This means that if you take semaglutide for a year or more, you may experience up to 15 percent total weight loss—which is great news for those looking for long-term results from their weight loss efforts! https://www.nejm.org/doi/full/10.1056/NEJMoa2032183

Semaglutide Dose titration

Like other GLP-1s, Semaglutide has to be titrated, or started at a lower dose and increased over time. This helps the body get used to the medication and minimize side effects. Semaglutide is injected once weekly. Typically, Provider may start with 0.5 mg subcutaneous injections weekly for 8 weeks and may increase it to 1 mg subcutaneous for remaining 4 weeks.

References

https://www.nejm.org/doi/full/10.1056/NEJMoa2032183https://pubmed.ncbi.nlm.nih.gov/9840447https://clinicaltrials.gov/ct2/show/NCT04263415 https://www.accessdata.fda.gov/drugsatfda_docs/label/2021/209637s008lbl.pdf https://www.ozempic.com/important-safety-information.html

What is LIPO+ skinny shots?

Our clients most favourite MIC metabolism boosting injections or Lipotropic injections are dietray supplements to reduce fat deposits from stubborn areas. A combination of (methionine, inositol ,choline ) MIC with vitamins B6 are metabolism boosting shots that leave you feeling energized and help give your metabolism a “kick start.” Increased metabolsim leads to increase fat burning resulting in weight loss. All vitamins in this injection are water-soluble making it very safe. Clients report increased energy, more restful sleep, and weight loss with weekly injections.

What are the ingridents in LIPO+ inejctions?

Methionine: It’s an amino acid that prevents fat build-up and removes it from the liver. It serves as an antioxidant as it eliminates heavy metals from the body. Similar to vitamin B12, it aids in relieving fatigue.

Inositol: It’s referred to as vitamin B8. Inositol is not a vitamin but a kind of sugar. It doesn’t dissolve fats; instead, it regulates your insulin and hormone levels. As a mild lipotropic agent, it breaks down fats and redistributes them in the body. At the same time, it reduces low-density lipoprotein or bad cholesterol.

Choline: Choline is referred to as vitamin B4. Like inositol, choline is not a vitamin but a nutrient. It speeds up metabolism and helps the body burn fat that keeps the liver healthy.

Pyridoxine: Pyrodoxine referred to as vitamin B6. Its required for utilization of energy in the foods you eat resulting in breakdown of fats, production of red blood cells and plays an important role in immune function as well.

Key benefits of Skinny shots

Some of the main benefits of skinny shots include:

✓ Provides increased energy

✓ Boosts metabolism

✓ Helps with weight loss

✓ Prevents accumulation of fats in the liver

✓ Metabolizes, transports, and gets rid of fat from the body

✓ Balances out irregular hormone levels

✓ Improves digestion, nerve and skin health, and overall well-being

Where do I administer skinny shots?

Skinny shots may be administered in the arm or other regions with excess subcutaneous fatty tissues like the buttocks, thigh, or abdomen. The shots are basically pain-free apart from a stinging sensation or a little prick observed when they are administered.

Side effects of Lipotropic Injections

✲ Allergic reaction

✲ Anxiety

✲ Constipation or Diarrhea

✲ Fatigue

✲ Increased Heart rate

✲ Nausea

✲ Headaches

✲ Dry mouth

Things to do while on Weight loss program

✲ Optimal hydration minimizes severity of medication side effects.

✲ Optimal 7-8 hours of sleep

✲ Stress management & exercises

✲ Avoid high fat, high calorie diet & processed food

How much weight can I lose?

As described above, lipotropic injections aren’t meant to be the only weight loss strategy you use; rather, they are typically used in conjunction with GLP-1 injections along with eating a healthy diet and getting plenty of exercise (at least 30 minutes a day) to be the most effective.

Weight loss with lipotropic Injections is gradual. As with all weight loss methods, results vary. When lipotropic injections are used in conjunction with healthy habits, people can typically expect to lose 1 to 2 pounds per week.

As you lose more weight, you’ll probably see those numbers decline and you won’t lose as much per week, as you have less to lose.

How to manage Nausea?

Some simple lifestyle changes should help to ease your nausea. We recommend you:

✓ Get plenty of fresh air

✓ Take regular sips of a cold drink

✓ Drink ginger or peppermint tea

✓ Eat foods containing ginger — such as ginger biscuits

✓ Eat smaller, more frequent meals

✓ Avoid drinking fruit juice as the high acidity can aggravate your stomach

Who Are Candidates for MIC Injections?

Like other infusion therapies and medications, MIC injections are not for everyone. It’s best to consult us to see if you can take the shot. Contraindications are anyone with following condition:

✲ Heart-related disorder

✲ Taking any medications for anxiety or depression

✲ Taking a cough suppressant

✲ Taking St. John’s wort supplement

✲ Pregnant or planning a pregnancy

✲ Lactating

MIC injections are contraindicated for people with cardiovascular problems. At the same time, it aggravates the manic symptoms of people with bipolar disorder. be sure notify your provider if any of this conditions applies to you.

What is Tirzepatide?

Tirzepatide is a generic compound of (Mounjaro) used in patients with diabetes for blood sugar control, while officially is not approved by FDA for weight loss, Tirzepatide has demonstrated promising results in weight loss. Clinical trial showed 15-20% of the starting weight loss. It works by targeting GLP-1 and GIP receptors to reduce appetite and and regulate blood sugar.

How Tirzepatide works?

This new and innovative medication is in a class of medication called Glucagon-like peptide-1 (GLP-1) agonists and has an element that mimics a hormone called glucose-dependent insulinotropic polypeptide (GIP) receptors which can reduce appetite and improve how well your body breaks down sugar and fat.

What are the benefits of Tirzepatide?

✓ Patients taking tirzepatide can expect to lose weight (on average ½ lb to 1 lb a week - some may lose more quickly while others more slowly).

✓ Food cravings will diminish making healthy food choices and portion control easier. It helps lose weight and enables patients to maintain weight loss long term by improving metabolic health.

✓ It also reduces inflammation and lowers cholesterol and trigylcerides in TYPE-2 Diabetics by modulating key enzymes of lipid metabolism in the liver.

✓ Studies have shown that Tirzepatide reduces cardiovascular events in TYPE-2 diabetics and reduces cardiovascular disease.

Side effects of Tirzepatide

The most common side effects are mild fatigue, intermittent nausea, constipation, and diarrhea. This is not a full list of possible side effects, but the most common ones that were found in research studies. Some can be prevented based on water intake and nutrition choices.

How to minimize side effect of Tirzepatide?

To reassure you, these side effects are only expected in 15% of the patients. We start with low doses of medication to allow you body to build up to tolerate higher doses if needed. Please do take more than recommended dose as like any prescription drugs.

How to use Tirzepatide Injections?

" Tirzepatide injections must be used in accordance with the dosage, usage and instructions provided to you by your prescriber.

As with all prescription medicines, it can be harmful if it isn't used according to the instructions given by your prescriber or if it is taken by someone who it wasn't prescribed for.

This can lead to serious side effects and risk of harm. It's important to always follow the dosage and timetable of injections given by your prescriber and to keep the medication safely stored away."

How much weight can I expect to lose with Tirzepatide?

In trials, people treated with tirzepatide lost an average of 15-20% of their starting weight over the course of 72 weeks. This was in combination with eating a reduced-calorie diet and increasing physical activity.

Tirzepatide Dose titration

Like other GLP-1s, Tirzepatide has to be titrated, or started at a lower dose and increased over time. This helps the body get used to the medication and minimize side effects. Tirzepatide is injected once weekly. Typically, Provider may start with 2.5 mg subcutaneous injections weekly for 4 weeks and may increase it to 5 mg subcutaneous weekly and increases to 10 mg for remaining 4 weeks.

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9268041/

https://www.nejm.org/doi/full/10.1056/NEJMoa2206038

Vitamin B-12 shots?

B-12 injections consist of a substance called Cyanocobalamin, which is a synthetic version of Vitamin B-12. Vitamin B-12 injections are only available by prescription and are administered under the skin and into the muscle. When you come in for B-12 injections, we will calculate the required B-12 dosage based on your medical conditions, as the number of treatments needed primarily depends on this. For instance, clients suffering from anemia may need to receive B-12 injections every month.

Benefits of Vitamin B-12?

✓ Increase energy level

✓ Improved Mood & Memory

✓ Formation of red blood cells

✓ Supports bone health

✓ Better sleep

Symptoms of Vitamin B-12 deficiency?

✲ Fatigue

✲ Brain fog

✲ Memory loss

✲ Neurological problems

✲ Pale skin

✲ Muscle weakness

✲ Mood changes

✲ Appetite loss

✲ Constipation

✲ Infertility