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Weight Loss & Body · Semaglutide / Tirzepatide
Compound RxWeight Loss.
Medically supervised Semaglutide and Tirzepatide programs — prescribed individually, lab-screened, dose-titrated. Compounded at a U.S.-licensed pharmacy when commercially appropriate. Real medical management, not a sign-up form.
Lab-required · Compounded · Physician-supervised
What it is.
Compounded Semaglutide and Tirzepatide are GLP-1 receptor agonists — molecules that signal satiety in the brain and slow stomach emptying, leading to reduced appetite and meaningful, sustainable weight loss in patients who are appropriate candidates. Both are administered as a once-weekly subcutaneous self-injection at home.
This is medical care, not a transaction. Our weight-loss program requires comprehensive lab work, monthly check-ins, dose titration based on tolerance and progress, and integrated nutrition and hydration counseling. We don't write prescriptions for clients we haven't evaluated; we don't continue programs without lab follow-up; and we walk patients through the GI side effect curve carefully because the wrong titration ruins the experience for many people.
The program.
- Semaglutide — the GLP-1 most patients have heard of. Compounded weekly subcutaneous injection. From $350/month.
- Tirzepatide — dual GLP-1/GIP receptor agonist; tends to produce greater appetite suppression and weight loss. From $500/month.
- Compounded at a U.S. licensed pharmacy — never grey-market or research-grade product. Pharmacy provenance and lot tracking documented.
- Initial labs included — fasting metabolic panel, HbA1c, lipid panel, thyroid panel, inflammatory markers. Cost is included in your first month.
- Monthly check-in — weight, side effects, dose titration discussion. We do this in person or virtually based on your preference.
- Nutrition counseling — protein intake, hydration, electrolyte support, and how to eat in a way that protects muscle mass while losing fat.
- Lab re-check at 3 and 6 months — to track progress and adjust.
- Off-ramp planning — when you reach goal, we plan a structured taper rather than an abrupt stop.
What to expect.
First appointment: 60-minute consultation, lab order, candidacy review. Second appointment 1–2 weeks later: lab review and first prescription. Then weekly self-injection at home, with dose titrated upward over 3–4 months as tolerated. Common early side effects (nausea, mild GI changes) are usually managed with proper titration pace and nutritional adjustment.
Most clients see meaningful weight loss starting at 4–6 weeks, with the steepest curve around month 3–6. Body composition changes — muscle mass preservation depends on protein intake and resistance training, both of which we counsel on.
- Consult
- 60 min
- Frequency
- Weekly self-inject
- Onset
- 4–6 weeks
- Pricing
- $350+/month
Considerations.
GLP-1 agonists are contraindicated with personal or family history of medullary thyroid carcinoma or MEN-2, active pancreatitis, severe gastroparesis, type 1 diabetes, pregnancy, and breastfeeding. We screen for these at consult. Common transient side effects include nausea, constipation, and decreased appetite (which is the mechanism). Most resolve with titration adjustment.
On compounded medication: we prescribe compounded Semaglutide or Tirzepatide on a patient-specific basis, when clinical judgment supports its use and consistent with current FDA guidance. We work only with state-licensed 503A and 503B compounding pharmacies, lot-track every vial, and review individual eligibility at consult.
Who supervises it.
The program is medically supervised by a clinician who reviews labs, titrates doses, and is available for questions throughout. Privé carries malpractice coverage, lot-tracks every compounded vial, and works only with U.S. licensed compounding pharmacies.
iii.
Everyone’s on it. Few are doing it right.
— With Love, Privé
iv.
Compounded GLP-1 prescribed by a physician, dosed by your initial bloodwork, titrated every three weeks. Adjustments to your hunger, sleep, and metabolic markers when they call for it. Most clinics mail you a vial and wish you luck — we stay through the year.
Frequently asked
The medical program, explained.
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An initial sixty-minute medical consult, baseline labs, your prescribed compounded medication from a U.S. licensed pharmacy, ongoing dosing adjustments, and follow-up check-ins.
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Clinically meaningful change typically takes twelve to sixteen weeks of consistent dosing. We measure objectively, not by the scale alone.
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Per medical plan. Most begin with a titration phase and continue based on response and tolerance.
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Nausea is the most common, especially during titration; usually mild and transient. We adjust dosing if it isn’t.
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Elizabeth Hurley, CANS, is your supervising provider; Joseph Ysbrand, MD, provides medical oversight. Compounding is fulfilled by a U.S. licensed pharmacy under physician prescription.
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Three hundred fifty to five hundred dollars a month depending on medication and dose. The first-month consult and labs are included in the program fee.
Post-care
Living with the program, at home.
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Subcutaneously, weekly, in abdomen or thigh. We do an in-person teach visit for your first dose and you’ll have a written reference. Rotate sites.
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Refrigerate the vial. Keep it in the insulated travel case we provide if you’re traveling — never frozen, never above 86°F.
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Mild nausea during titration is expected and usually fades. Persistent vomiting, severe abdominal pain, or signs of dehydration — call us. We adjust the dose if you’re struggling.
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Smaller, protein-forward meals. Hydrate aggressively — three liters of water a day is the floor. Limit alcohol; appetite suppression makes it stronger.
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Yes — non-negotiable. We require resistance training while on the program to preserve lean mass. We can refer trainers who understand the medication.
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If you’re within 72 hours of your scheduled dose, take it as soon as you remember. Beyond that, skip and resume on your usual day. Never double-dose.
Privé · Hillcrest