Real answers from a real provider -- not a Google rabbit hole.
Most providers hand you a prescription and a pamphlet and call it a day. We do things differently. Below you will find clear, honest answers about what your body is going through on semaglutide or tirzepatide -- what is normal, what actually helps, and when you should reach out to us. Click any symptom to learn more.
Click any card to expand the full breakdown -- causes, solutions, and when to call us.
Semaglutide and tirzepatide slow gastric emptying, meaning food stays in your stomach longer. Your body is not used to this yet.
Eat smaller meals. Avoid fatty, greasy, or spicy foods. Stay upright after eating. Ginger tea, peppermint, and cold foods tend to be better tolerated. IV hydration can help significantly if nausea is affecting your ability to eat or drink.
If you cannot keep fluids down for more than 24 hours, are losing weight faster than 2 lbs per week, or nausea is affecting your daily life.
Rapid weight loss -- not the medication itself -- triggers a condition called telogen effluvium. Hair follicles go into a resting phase when your body is under caloric stress.
Make sure you are hitting your protein goals (minimum 80-100g per day). Biotin, zinc, and iron support hair regrowth. Our Beauty Boost IV drip is specifically formulated for this. Hair typically starts returning within 3-6 months.
If hair loss is severe, patchy, or does not improve after 6 months.
Eating less means fewer calories coming in. If you are not getting enough protein and micronutrients, your body will feel it. This is very common in the first 4-8 weeks.
Prioritize protein and stay hydrated. IV vitamin therapy can replenish B vitamins, magnesium, and other nutrients that dip during caloric restriction. Our Myers Cocktail is a great weekly option while your body adjusts.
If fatigue is severe, you are struggling to function day to day, or you notice heart palpitations.
Slowed gut motility is a direct effect of the medication. When food moves through your system more slowly, everything slows down.
Increase water intake significantly. Add fiber gradually. Magnesium glycinate at night can help. Light movement after meals. Prune juice is not glamorous but it works.
If you have not had a bowel movement in more than 4-5 days, experience severe abdominal pain, bloating, or vomiting.
Your immune system recognizes the injection site and responds with mild inflammation. This is expected.
Rotate injection sites every week. Let the medication warm to room temperature before injecting. Apply a cold pack for a few minutes before the injection.
If you have significant swelling, warmth, spreading redness, pus, or a lump that does not go away within a week.
When you lose weight rapidly, your body does not always differentiate between fat and muscle. Without enough protein and resistance training, muscle loss happens alongside fat loss.
Protein is non-negotiable -- aim for 0.7-1g per pound of body weight daily. Resistance training at least 2-3 times per week. Our Performance Boost IV drip supports muscle recovery and amino acid replenishment.
If you notice significant weakness, difficulty with normal tasks, or your strength is declining noticeably.
GLP-1 receptors exist in the brain, not just the gut. The medication affects dopamine pathways, which can influence mood, motivation, and even anxiety in some people. Caloric restriction also affects serotonin.
Keep protein and B vitamins up. Get outside and move -- even short walks help. Be honest with your provider about how you are feeling. These effects are real and worth discussing.
If you are experiencing persistent low mood, anxiety, irritability, or any thoughts of self-harm. Always tell us.
Metabolic adaptation is real. As you lose weight, your body becomes more efficient and requires fewer calories. Dose adjustments, activity changes, and strategic breaks can all help.
Track protein and calories honestly. Consider a movement routine if you have not started one. Talk to Brittany about whether a dose adjustment makes sense. IV vitamin therapy can support metabolism during a stall.
Anytime you feel stuck -- we would rather hear from you than have you give up.
Brittany walks every patient through what to expect before the first injection -- and she is available when questions come up. No ghost providers, no pamphlets, no guesswork.
