A lot of noise around one weekly injection

Few treatments have drawn as much attention lately as GLP-1 injections, and the talk around them has picked up ideas that do not hold up. Montville MedSpa & Pain Center prescribes two of these medicines after a medical consultation: semaglutide, which copies the gut hormone GLP-1, and tirzepatide, which acts on GLP-1 and a second receptor, GIP. Here are six beliefs we hear, and the facts.

Six beliefs, and the facts

“The injection does the work, so what I eat stops mattering.” The medicine makes eating less far easier to keep up, but it was studied alongside a reduced-calorie diet and more physical activity. That is why every plan here pairs the prescription with dietary recommendations and exercise guidance.

“Everything I lose will be fat.” Some of the weight lost by any method is lean tissue. Protein at meals and regular strength or resistance work help hold on to muscle, and both feature in the guidance you are given.

“If the scale barely moves in month one, it is failing.” Both medicines start at a deliberately low dose that is raised in stages, so the body can adjust and side effects stay manageable. Modest progress in those first weeks is expected, not a warning sign.

“Nausea means I should stop.” Side effects are mostly digestive and mostly mild to moderate, and they tend to flare in the days after a dose increase. Tell your provider instead of skipping or quitting, because the pace of increases can be slowed. The exceptions are severe stomach pain that will not ease, signs of dehydration, a lump in the neck, or swelling of the face or throat: call about those promptly.

“Once I reach my goal, I can simply stop.” These are generally treated as long-term medicines. Published follow-up studies found that many people put back a substantial part of their loss within a year of coming off semaglutide, so any change is planned with your provider, and the habits you build while on treatment are what carry you afterwards.

“Anyone who wants to lose weight can take it.” The injections generally suit adults whose BMI indicates overweight or obesity and who have struggled to lose weight with diet and exercise alone. A personal or family history of medullary thyroid carcinoma or MEN2 rules both medicines out, as does pregnancy, and other conditions and medicines are reviewed too.

How a plan is run

Our medical professionals review your health, goals and history, decide which medication suits you, if either, and set out the dose with eating advice and exercise guidance. Regular check-ins then tune the plan to how you are getting on.

Roseland to Towaco

Check-ins are part of every plan. From the middle of Roseland the office is about 11 miles away, roughly 20 minutes without traffic: I-280 west to the Edwards Road and New Road exit, then New Road and a short run on Bloomfield Avenue to Changebridge Road. Head north to Main Road, where a right turn leaves about a mile to number 624.

Roseland patients ask

Is semaglutide the same thing as Ozempic? Semaglutide is the active ingredient in Ozempic®, which is approved for type 2 diabetes, and in Wegovy®, which is approved for chronic weight management. Tirzepatide is the ingredient in Mounjaro® and Zepbound®.

When can I come in? Six days a week; Tuesday appointments run until 7 pm and Saturday ones from 9 am to 1 pm.

Compare semaglutide and tirzepatide, read about semaglutide side effects, or see the weight-loss injections page and our Roseland page.

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