~Weigh-in/ Review of your current progress

~ Discuss successes and barriers to your tailored program

~ Manage side effects to medication

Nausea: Gastrointestinal side effects, such as nausea, are relatively common when starting semaglutide. Vomiting: Some people may experience vomiting, particularly during the initial weeks of treatment. Diarrhea: Diarrhea is another gastrointestinal side effect that can occur with semaglutide. Constipation: In some cases, individuals may experience constipation. Abdominal Pain: Pain or discomfort in the abdominal area can occur. Decreased Appetite: Semaglutide can affect appetite, leading to decreased food intake in some individuals. Injection Site Reactions: Redness, itching, or swelling at the injection site may occur. Hypoglycemia (Low Blood Sugar): While semaglutide is less likely to cause hypoglycemia compared to some other diabetes medications, it can still occur, especially if used in combination with insulin or other medications that lower blood sugar. Pancreatitis: Although rare, there is a risk of pancreatitis (inflammation of the pancreas) with semaglutide. Seek medical attention if you experience severe abdominal pain. Thyroid Tumors: In animal studies, semaglutide has been associated with an increased risk of thyroid tumors. It is not recommended for individuals with a personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2). Some people experience an increased heart rate when taking Tirzepatide

Insomnia: Phentermine is a stimulant and can cause difficulty in falling asleep or staying asleep. Increased Heart Rate: Phentermine can lead to an increase in heart rate (tachycardia) and may be associated with palpitations. Elevated Blood Pressure: Phentermine can raise blood pressure, and monitoring blood pressure during treatment is essential. Dry Mouth: Many people experience a dry or an unpleasant taste in the mouth. Nervousness or Restlessness: Phentermine's stimulant effects can lead to feelings of nervousness or restlessness. Dizziness: Some individuals may experience dizziness or lightheadedness. Gastrointestinal Distress: This may include constipation or diarrhea. Headache: Headaches can be a side effect of phentermine. Irritability: Some individuals may experience increased irritability. Changes in Libido: Phentermine may affect sexual desire. Tremors: Fine tremors or jitteriness can occur in some individuals. It's crucial to note that Adipex is not suitable for everyone, and its use may be contraindicated in individuals with certain medical conditions, such as heart disease, uncontrolled high blood pressure, hyperthyroidism, and a history of substance abuse. If you experience any side effects while taking Adipex, it's important to contact your healthcare provider. They can assess your individual situation, discuss any concerns, and determine whether adjustments to the treatment plan are necessary.

Tablets pass through the digestive system before being absorbed (First Pass Metabolism) which eliminates up to 1/3 of the active drug before it enters the blood stream and delays absorption. Troches offer all the benefits of tablets plus the benefits the sublingual route of administration offers like much faster absorption, increased bioavailability (higher concentration in blood stream), and flexibility of dosing due to no influence on effectiveness by stomach content. Compounded troches also offer unique benefits like adjustable dosage portions and specially formulated combinations. Troches can be quartered or halved to fit each patients needs and can be compounded with multiple ingredients to enhance effectiveness and reduce potential side effects.

~Seizure Disorders: Bupropion, one of the active ingredients in Contrave, lowers the seizure threshold. Individuals with a history of seizures or epilepsy should use Contrave cautiously or avoid it. ~Eating Disorders: Contrave may not be suitable for individuals with a history of bulimia or anorexia nervosa due to the potential for increased seizure risk and changes in eating patterns. ~History of Head Trauma: Individuals with a history of significant head trauma or a brain injury should use Contrave with caution due to the potential for increased seizure risk. ~Uncontrolled Hypertension: Contrave can increase blood pressure. Individuals with uncontrolled high blood pressure should avoid Contrave or use it with caution under close monitoring. ~History of Cardiovascular Disease: Individuals with a history of cardiovascular disease, such as heart attack or heart failure, should use Contrave with caution and under the supervision of a healthcare provider. ~Bipolar Disorder: Bupropion may trigger manic episodes in individuals with bipolar disorder. Contrave should be used with caution in these individuals, and mood should be closely monitored. ~Chronic Opioid Use: Naltrexone, another active ingredient in Contrave, is an opioid receptor antagonist. Chronic opioid users should stop using opioids before starting Contrave, as naltrexone can precipitate withdrawal symptoms. ~Anyone that is pregnant, thinking about becoming pregnant or currently breastfeeding. ~Liver or Kidney Impairment: Individuals with significant liver or kidney impairment may need dosage adjustments or alternative treatments.