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Most weight loss occurs in the 0.5-1.0 mg weekly range (injection) or equivalent oral doses, though some patients benefit from higher titration

HSA/FSA payments accepted

Lupus patients on hydration-dependent medications or with a history of gastrointestinal symptoms should report any unusual thirst, urination changes, or persistent nausea to their rheumatologist immediately

As of January 1, 2026, Direct Primary Care memberships are federally recognized as HSA-qualified medical expenses under the One Big Beautiful Bill Act up to $150/month for individuals and $300/month for families

Semaglutide is kept in clinic and injections are managed by nurse practitioner

Advances in understanding the hormonal regulation of appetite and glucose metabolism have driven the development of incretin-based therapies, which now play a central role in both diabetes and obesity management