Weight-loss Program in Murrieta & Escondido, CA

• Long-term safe weight loss
• FDA approved with diet and exercise
• Average weight loss: 15% to 20% of body mass
• Helps regulate blood sugar
• Aids in the function of digestion which helps you feel full longer
• It acts on appetite centers in the brain to decrease hunger
• Helps to speed up your metabolism and increase fat burning
• Reduces insulin resistance and glycogen
• Helps avoid the urges for a quick sugar fix by promoting normal glucose levels

Fatigue:

• Adequate sleep is needed for a healthy lifestyle
• Sleep an average of eight (8) hours per night

Heartburn:

• Avoid smoking/tobacco use
• Avoid fatty/fried food and alcohol

Constipation:

• Please ensure adequate intake of fiber and water in your diet
• If constipation symptoms persist try adding an over the counter fiber supplement
• Increase water intake

We recommend 64-100oz of water daily

• Keep out of the reach of children and pets.
• Keep medication at room temperature in safe location
• Keep this medication in the original container until you are ready to take it. Get rid of any unused medication after the expiration date.

It is important to get rid of the medication as soon as you no longer need it, or it expires. You can do this in two ways:

• Take the medication to a medication take-back program.
• Check with your pharmacy or law enforcement to find a location.

Your care team will need to know if you have any of these conditions:

• Endocrine tumors or if someone in your family had these tumors
• Eye disease, vision problems
• Gallbladder disease
• History of depression or mental health diagnosis
• History of pancreatitis
• Kidney disease
• Stomach or intestine problems
• Suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
• Thyroid cancer or if someone in your family had thyroid cancer
• An unusual or allergic reaction to Semaglutide, other medications, foods, dyes, or preservatives
• Pregnant or trying to get pregnant
• Breastfeeding

Insulin and other medication for diabetes

If you miss a dose and remember the same day, take the daily dose.

Do not double up the next day.

Visit our care team for regular checks on your progress.

It may be some time before you see the benefit from this medication.

**2-11 weeks

Drink plenty of fluids while taking this medication.

Contact us If you have severe diarrhea, nausea, and vomiting, or if you sweat a lot. The loss of too much body fluid may make it dangerous for you to take this medication.

This medication may affect blood sugar levels.

If you have diabetes, ask our team if changes in diet or medications are needed.

If you or your family notice any changes in your behavior:

• New or worsening depression
• Thoughts of harming yourself
• Increased anxiety or other unusual or disturbing thoughts
• Memory loss

**Call your care team right away.

Women should inform their care team if you’re considering pregnancy or think you might be pregnant.

Losing weight while pregnant is not advised and may cause harm to the unborn child.

Talk to our team for more information.

Recognize the need to lose weight:

• Set goals - our team will help coach you during this process.
• Goals will keep you committed and focused throughout your journey.

Avoiding muscle loss:

• The goal is to maximize fat loss and preserve muscle while preventing muscle loss.
• Protein intake, we will discuss recommendations with you.

Dietary Recommendations:

• To avoid rebound weight gain and ensure longterm success, a balanced healthy diet is required.
• It is important to consume adequate water, fiber, and protein daily.

Food recommendations, meal planning and journaling will be discussed with your care team during your initial consultation.

For further information on healthy dietary choices, see our online guide for meal recommendations and snacks.

Exercise Recommendations:

• Regular exercise is important to help preserve muscle mass and improve your overall health.
• Exercise ability varies by age, experience, and pre-existing medical conditions.