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Medically Supervised Weight Loss Program with Semaglutide and Vitamin B-12

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Semaglutide | Weight Management Program 

Our medical weight management program is designed to give you the tools you need to maximize your wellness journey. We’ll create a personalized plan based on your goals and individual needs.


When paired with a balanced diet, taking Semaglutide can be effective for reaching your goal weight. This weight loss treatment helps your body burn fat while decreasing feelings of hunger, cravings and the urge to snack as frequently.

Many adults find semaglutide a valuable tool for shedding pounds without always feeling hungry. 


Semaglutide Weight Loss Treatment Benefits

Semaglutide, a medication in the GLP-1 receptor agonist class offers plenty of benefits for weight loss.


What Are The Benefits?

  • Real Weight Loss results of up to 2-4 pounds per week

  • Powerful appetite suppressant

  • Improves Insulin resistance, Burns Fat and Boosts Energy

  • Safe & Effective Once Weekly Injection

  • Used in combination with Ithaca Medical Aesthetics Weight Management Program for a High Success Rate

  • Reduced risk of health problems like high cholesterol and high blood pressure

  • FDA Approved for Weight Loss

Semaglutide can be powerful tools for long-term weight management. But it shouldn’t be the only approach to weight loss. Patients must incorporate a nutritious diet and regular exercise into their routines for optimal results.

How it works


Obtain your lab work

Schedule a Consult with our medical provider to determine if you are a candidate.



 Initial Consultation
and Evaluation

Order Medication with a personalized plan
Set the stage for success 



Lose weight!

Meet weekly with your clinician for 
Support*Dosing*Styku Scan 

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Semaglutide Before and After*

Many prospect patients ask us how they can achieve optimal weight loss without feeling hungry all the time while boosting their energy levels. 


We have seen incredible transformations in patients who get Semaglutide injections or peptides for weight management. As demonstrated in the before and after photos.


Each person’s experience and results with this medical treatment may vary.*

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Medical Weight Management 
4 Week Program:


  • 4 injections of Compounded Semaglutide; 1x/week for 4 weeks.

  • Weekly visits with a clinician to support your lifestyle goals and actions related to weight loss.

    1. Support From Our Healthcare Professionals: provide the support and guidance necessary to help you manage the challenges associated with weight loss.

    2. Personalized Treatment: Semaglutide treatment plans are tailored to the individual’s needs and lifestyle. Our professionals will work one-on-one with you to develop a plan that works best for you and to address any underlying medical conditions that could be contributing to your weight gain.

    3. Long-Term Success: Medically supervised weight loss programs that incorporate Semaglutide focus on sustainable lifestyle changes, including healthy eating habits and regular exercise, which often lead to long-term success and better weight management.

  • Weekly Styku body composition scale measurements to obtain a comprehensive view into your body composition analysis to evaluate that you are losing fat and not muscle and that you are staying well hydrated.

Program Fees : 

Only $499/4 weeks

* This program is not eligible for insurance.

**The initial consultation is FREE you decide to start the program. (First Month Program Fee: $499)

Your Commitment:

  • A willingness to identify goals and work towards them that support your weight loss and overall health

  • Acceptance of the program agreement terms and completion of a credit card on file form before your first injection

Who’s a candidate?

Wegovy (semaglutide) is specifically approved for weight loss as long as you fit the criteria for obesity, which is to have a BMI of greater than 30 or greater than 27 if you have one or more treated or untreated weight-related coexisting conditions (i.e., hypertension, dyslipidemia, obstructive sleep apnea, or cardiovascular disease). Calculate your BMI here.

At Ithaca Medical Aesthetics, we do not treat clients with a medical history of diabetes, a glycated hemoglobin level of 6.5% or greater, a history acute pancreatitis before enrollment, previous surgical obesity treatment, and use of anti-obesity medication within 90 days before enrollment, or plan on becoming  pregnant with in the next 180 days.

Is there anyone that cannot take Semaglutide? 

There are rare situations where semaglutide is contraindicated. Patients with a personal or family history of medullary thyroid carcinoma or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) should not take Semaglutide.

Is it Safe? Does It Work?

The safety and effectiveness of Semaglutide have been studied in four 68-week trials. Three were randomized, double-blind, placebo-controlled (including 16-week dose escalation) and one was a randomized, double-blind, placebo-controlled withdrawal study in which patients receiving Semaglutide continued treatment or switched to placebo. In the four studies, more than 2,600 patients received Semaglutide for up to 68 weeks and more than 1,500 patients received a placebo. Semaglutide trial results showed overweight or obese adults receiving weekly semaglutide had a medium weight loss of 14.9% at 68 weeks. In this same study, nearly 70% of participants were able to achieve a 10% weight loss threshold by taking semaglutide. And 32% of participants lost at least 20% of their initial weight.

In other terms, 1 of 3 patients lose 20% of their body weight with the program. Another 1 in 2 lose 15% of their Body Weight! On average, Semaglutide alone can assist in losing 2-4 pounds a week.

How is Semaglutide administered?

It is a once-weekly subcutaneous injection. While some of you may be afraid of injections, these are actually quite straightforward injections with a VERY SMALL needle into the abdominal area (like insulin injections). There are big advantages to the once-weekly dosing - you don’t have to remember your medications and the semaglutide is working 24/7 suppressing your appetite without the stimulant effects of typical weight loss medication.

Can the office just send the medication to me?

Because of the nature of the drug and the potential for side effects, we do require all new clients be monitored weekly and receive the injections in office for the first 4 weeks. 

For that reason, all patients that are deemed candidates, must join our 4- week weight management program. The Weight Management Program includes a baseline health assessment, including review of bloodwork, vitals, measurements, followed by weekly in coaching sessions, vitals and medication.


In order to qualify as a candidate for the medication, a patient must have laboratory tests taken with you Primary Doctor within the last 3-6 months which include: Thyroid panel, Complete Blood Count (CBC), Comprehensive Metabolic Profile (CMP), Lipid Panel, and Hemoglobin A1C.  A copy of the lab report must be brought to your initial Weight Management Program consultation.  

The initial semaglutide dosage for new patients is relatively low. We’ll slowly increase it over 16-20 weeks to help you get to your desired weight. 

It typically takes about two weeks for semaglutide to start working in the body. While taking semaglutide, some people begin to see results within the first eight weeks, but most begin to see results within 12 weeks.


Our patients who commit to a minimum of three months to see significant changes.
Ithaca Medical Aesthetics patients make regular visits so that we
can administer weekly injections.


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Why most people quit any weight loss plan, fitness program or lifestyle change shortly after starting it? It’s simple, most people quit because losing weight or improving health is like falling in love; nobody can tell the exact day they fell in love. Why? Because it’s a process. ~


When you change your lifestyle, start a diet or a fitness plan and struggle with food, diet supplements and workout for a week, you quit, because nothing happens … or so you think. STYKU 3D Visual Body Composition Scanner will not only show you every little improvement in detail to help you stick with the plan, but it will predict when you’ll reach your weight, health or fitness goals.

Getting Started is Easy as 1-2-3

STEP 1: Obtain Your Lab Work

Understanding the overall health of a patient is crucial before initiating a medical weight loss program. A comprehensive and recent lab work is an indispensable tool that provides us with detailed insights into a patient’s current health status. Here are the main reasons why it is required:

  • Identification of Underlying Medical Conditions: Lab work can help identify potential health issues that may not be apparent during a physical examination. These could include hormonal imbalances, metabolic disorders, liver or kidney conditions, or diabetes. These underlying conditions can significantly affect a patient’s ability to lose weight and may need to be managed concurrently with the weight loss plan.

  • Safety: Weight loss programs can have significant effects on the body’s metabolism and organ function. Lab work allows medical professionals to ensure that the proposed weight loss program is safe for the individual patient. For instance, certain weight loss medications may not be safe for those with liver or kidney disease.

  • Personalized Approach: Lab work helps to create a personalized weight loss plan. By understanding a patient’s body chemistry, healthcare providers can tailor the approach to weight loss that will be most effective and safe, considering the patient’s unique health profile.

  • Baseline Data: Lab work provides a baseline against which progress can be measured. It allows us to track changes in the patient’s health status over time, adjusting the weight loss program as necessary to ensure optimal results and minimize potential health risks.


  • Monitoring Drug Interaction: If a patient is already on certain medications, lab work can help to understand how these medications might interact with the proposed weight loss treatment, helping to prevent adverse effects.

Therefore, recent lab work is essential to assess a patient’s suitability for a medical weight loss program accurately. It ensures the program is not only effective but also safe, taking into account the patient’s overall health and specific medical conditions.  


In order to qualify as a candidate for the medication, a patient must have laboratory tests taken with you Primary Doctor within the last 3-6 months which include: Thyroid panel, Complete Blood Count (CBC), Comprehensive Metabolic Profile (CMP), Lipid Panel, and Hemoglobin A1C.  A copy of the lab report must be brought to your initial Weight Management Program consultation.  


STEP 2: Schedule Your Initial Consultation

The initial consultation and evaluation is a comprehensive and critical step in your weight loss journey. We lay the foundation for your personalized plan and sets the stage for your success. Here’s what you can expect during this process:

  • Medical History Review: We start by gathering detailed information about your past and current medical conditions, medications, surgeries, and any known allergies. This includes a family history of diseases, as genetics can influence weight management and the risk of related conditions.repared for your weight loss journey.


  • Lifestyle Assessment: This involves a discussion about your dietary habits, physical activity levels, sleep patterns, stress levels, and any other lifestyle factors that might affect your weight. We may also ask about your previous attempts at weight loss and what challenges you faced entally prepared for your weight loss journey.


  • Physical Examination: A thorough physical examination is carried out to assess your overall health. This includes measurements of your height, weight, and body mass index (BMI). We may also measure your waist circumference, as central obesity can sometimes be a more significant risk factor for certain diseases than overall obesity journey.


  • Lab Work: We review your lab work to check for conditions such as diabetes, high cholesterol, thyroid disorders, liver and kidney function, or nutritional deficiencies that could affect your weight loss journey.


  • Psychological Evaluation: Weight loss is not just a physical journey, but a psychological one as well. We may assess your mental and emotional health, understanding your motivations, readiness for change, and any potential mental health conditions like depression or eating disorders that could influence your weight.your weight loss journey.


  • Goal Setting: Together, we will set realistic and achievable weight loss goals. This will consider your health needs and personal aspirations.

  • Initial Plan Discussion: Based on all the gathered information, we will discuss the initial outline of your personalized weight loss plan. This will include dietary modifications, physical activity suggestions, behavioral changes, and  Semaglutide dosing.


  • Questions and Concerns: The initial consultation is an excellent opportunity for you to ask any questions or express any concerns you may have about the proposed weight loss program. We encourage open communication to ensure you fully understand and feel comfortable with the plan.

Remember, the goal of this initial consultation and evaluation is to create a safe, effective, and tailored weight loss plan that suits your specific needs and lifestyle. This comprehensive approach ensures that you are physically and mentally prepared for your weight loss journey.

STEP 3: Begin Your Weight Loss Journey

When you begin our medically supervised weight loss program you will receive a weekly dosage of  Semaglutide for weight loss. You will be starting a meticulously planned journey towards improved health and weight management. Here’s what generally happens:

  • Initial Dosing: The treatment typically begins with a lower dose of Semaglutide to allow your body to adjust to the medication. Over time, the dosage may be gradually increased under the supervision of your medical provider.

  • Weekly Injections: The Semaglutide is usually administered once a week. This is typically done at the office during your weekly follow-up appointment.  Depending on your comfort level and your healthcare provider’s recommendations, future injections may be self administered at home.


  • Monitoring Side Effects: As with any medication, there may be potential side effects. These can include nausea, diarrhea, constipation, and decreased appetite. While these symptoms often lessen over time, it’s crucial to communicate any side effects to us so we can adjust the dosage or make other necessary changes to your plan.

  • Enhanced Energy Levels: The Vitamin B-12 in the formulation is intended to boost your energy levels, which can potentially help increase your activity levels and aid in weight loss.​

  • Regular Follow-ups: Regular check-ins are important. These appointments allow us to monitor your progress, make necessary adjustments to your treatment plan, and provide ongoing support and education.

  • Lifestyle Changes: The Semaglutide is not a stand a lone solution. It should be part of a comprehensive program that includes dietary modifications, regular physical activity, and behavioral changes. These elements are vital for achieving and maintaining weight loss.

  • Lab Work: Periodic lab work may be necessary to monitor your health status, especially if you have underlying medical conditions or are taking other medications. It also helps assess the effectiveness of the treatment.

Remember, everyone’s body responds differently to weight loss treatments, and progress can vary. Patience, perseverance, and maintaining open communication with our team are key to a successful weight loss journey. It’s not just about shedding pounds but also about improving your overall health and quality of life.

Frequently Asked Questions: 

Semaglutide – What is it?

In simple terms, Semaglutide, Wegovy or Ozempic improve insulin resistance. This allows calories and fat to be burned, while improving energy. Semaglutide is peptide that works by mimicking a hormone called glucagon-like peptide 1 (GLP-1), which targets an area of ​​the brain that regulates appetite and food intake. By controlling blood sugar spikes and lowering blood sugar, as well as reducing appetite and cravings energy levels are more consistent. The drug also slows down emptying of the stomach so people feel less hungry and eat less.

Semaglutide -Wegovy/Ozempic: Are they the same drug? What are they?

It’s correct that Wegovy and Ozempic are two names for the same drug: semaglutide.

The FDA approved Ozempic for people with diabetes in 2017 and approved Wegovy for people who have obesity or are overweight and have additional health problems in 2021. Wegovy is to be used for people who obese or overweight. have a body mass index (or BMI) of 30 or greater are eligible along with those who have a BMI of 27 or greater who also have other health problems such as high blood pressure

We’re ordering our semaglutide from a compounding pharmacy.

Compounding pharmacists provide custom medications when commercially available drugs do not meet patient needs, are unavailable or the drug is in shortage or discontinued.

Semaglutide on the FDA’s shortage list, and as such, the FDA allows a compounding pharmacy to duplicate a commercially sold drug that’s currently unavailable or in short supply. Therefore we’re able to get semaglutide through a compounnding pharmacy.


All pharmacists are trained in compounding, but most practitioners who specialize in this practice have undergone advanced training. About 7,500 pharmacies specialize in compounding services, of the approximately 56,000 community-based pharmacies in the United States. Compounding is regulated at the state level..

So what if semaglutide is removed from the shortage list? There are two schools of thought on this point.


If brand name medications are taken off the FDA shortage list, it’s possible compounding pharmacies will no longer be allowed to manufacture semaglutide. The other school of thought is that because most compounding pharmacies are combining B-12 or L-carnitine with their sterile compounded semaglutide, they are making a materially different compound than the patented version of semaglutide manufactured by NovoNordisk. And as such, compounding pharmacies can continue producing a novel version of semaglutide with this additive.

How Quickly Does Semaglutide Work?

If the patient has already been going through an extensive weight loss program, they may see small results once they begin their semaglutide treatment. These will only increase with time as the dosages increase after one month’s worth of semaglutide medication. This may change depending on what your doctor prescribed or your current medical conditions but the dosages range from 0.25 mg, 0.5 mg, 1.0 mg, 1.7 mg, then 2.4 mg for its full effects.

Semaglutide medication has a titration period of 8 weeks which is enough time for the body to adjust to the actual amount required for weight management and subsequent weight loss which is 2.4 mg. So even if a patient may not see weight loss results with a sufficient weight management regimen within the first 4 weeks, it’s well expected as most studies show sufficient weight loss results after a period of 2.4mg semaglutide injections.

The most important point for a patient taking semaglutide is if they’re tolerating the drug at a manageable level. Depending on the severity of the side effects and how it impacts their blood sugar level, a doctor may change the dosage increase for a certain patient. If there has been no sufficient weight loss that has been earned when the patient has reached 2.4 mg of semaglutide medication, a more compatible weight management regimen like another diet may be needed.

Semaglutide Dosing and Dose titration

To minimize gastrointestinal side effects, patients need to start with the lowest level dose and stay on that dose for about four weeks before moving to a higher dose.

Dose titration means that a person starts with a less powerful dose, then builds up to the goal dose, which is a higher dose.

What are the most common side effects of Wegovy (Semaglutide)?

Gastrointestinal problems are the most common side effects since Wegovy (semaglutide)can slow down people’s digestive systems. During clinical trials, some participants experienced nausea, diarrhea, vomiting, constipation, abdominal pain, headache, fatigue, indigestion, dizziness, bloating and gas.

Semaglutide medication is given in low doses first to avoid the severity and frequency of common side effects like nausea, diarrhea, and vomiting. However, even with 0.25 mg, some patients report to begin feeling its effects as it can lower blood sugar level immediately, which can be impactful for those with type 2 diabetes that have yet to find a consistent diabetes medication.

Do Semaglutide Side Effects Disappear?
The side effects of Semaglutide may be temporary. As mentioned, the most common side effects include feeling tired, itchy skin, and diarrhea. However, these should stop after a few weeks of continuously taking the medications.

If you have these symptoms and they don’t go away after six months, talk to your doctor about stopping the treatment. To reduce the risk of these side effects, take Semaglutide in the evening with food and drink plenty of water each day. Do not take Semaglutide at bed time.


Are there any other rare side effects or contraindications with Semaglutide - Wegovy or Ozempic?

People may be at increased risk for pancreatitis, which is inflammation of the pancreas often caused by gall stones, alcohol use or high triglycerides.

We do not prescribe this class of medicines if someone has a history of pancreatitis.

Possible thyroid tumors, including cancer. Tell your healthcare provider if you get a lump or swelling in your neck, hoarseness, trouble swallowing, or shortness of breath. These may be symptoms of thyroid cancer. In studies with rodents, Semaglutide and medicines that work like Semaglutide caused thyroid tumors, including thyroid cancer. It is not known if Semaglutide will cause thyroid tumors, or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.


Do not use Semaglutide if you or any of your family have ever had a type of thyroid cancer called medullary thyroid carcinoma (MTC) or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).

If you have a history of MEN2 (multiple endocrine neoplasia 2) or medullary thyroid cancer, you should not take Ozempic or Wegovy.

Do some people quit taking the medications because they feel lousy?

About 1 in 5 patients for patients to stop taking the medications because they don’t like the adverse effects.

However, we encourage some patients to stay at the lower dose level for a longer period of time to see if they can tolerate it better and still get some benefit from the medication.

Do you have to take it forever? What happens when you stop?

Based on current recommendations, you can continue to take the medication as long as it’s beneficial.


Many asked if you will gain the weight back if you stop the medication. A better way to look at it is, if you stop the medication but continue with other behavioral changes like a healthy diet and exercise, you would not gain the weight back.


But even more important, if you lose weight with the medication in combination with diet and exercise, then stop the medication and conscientiously continue the diet and exercise, you will keep the weight off and reap the rewards of better health.


Consider using the medication to jump start your weight loss journey but don’t stop there. Use this opportunity to start life anew with a healthy lifestyle.

What are the Benefits of Vitamin B-12

Vitamin B-12, also known as cobalamin, is a water-soluble vitamin that plays a crucial role in various bodily functions. It is primarily involved in the formation of red blood cells, the maintenance of a healthy nervous system, and the metabolism of proteins and fats. As an injectable, it bypasses the digestive system and delivers the vitamin directly into the bloodstream. Regular doses of Vitamin B-12 injections offer several potential benefits:

  • Correcting deficiency: Individuals with a Vitamin B-12 deficiency, often caused by poor dietary intake, certain medical conditions, or malabsorption issues, can benefit from injections. By replenishing the body’s stores of Vitamin B-12, the injections can help address symptoms associated with deficiency, such as fatigue, weakness, and neurological problems.

  • Boosting energy levels: Vitamin B-12 plays a key role in energy production by assisting in the conversion of food into glucose, which is the body’s primary source of energy. Regular doses of Vitamin B-12 injections can help combat fatigue and increase energy levels, especially in individuals with a deficiency.

  • Supporting nervous system health: Adequate Vitamin B-12 levels are essential for maintaining a healthy nervous system. The vitamin is involved in the production of myelin, a protective sheath around nerve fibers, and helps in the transmission of nerve signals. By receiving regular Vitamin B-12 injections, individuals can support their nervous system and potentially alleviate symptoms such as numbness, tingling, and balance problems.

  • Enhancing cognitive function: Some research suggests that Vitamin B-12 may play a role in cognitive function and memory. Although the exact mechanisms are not fully understood, receiving regular doses of Vitamin B-12 injections may help support brain health and potentially reduce the risk of age-related cognitive decline.

  • Supporting red blood cell production: Vitamin B-12 is involved in the synthesis of DNA and the formation of red blood cells. Regular injections can help ensure an adequate supply of Vitamin B-12 for red blood cell production, which is important for preventing anemia and maintaining overall blood health.





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