Common and Temporary
Nausea (eat smaller meals, avoid greasy food, ginger, and the provider can slow the dose steps). Constipation (water, fiber, magnesium, a stool softener). Fatigue in the first weeks (protein, electrolytes, slower titration). Burping and reflux (smaller portions, no late meals, famotidine if needed). Headache (usually dehydration).
Less Common
Vomiting, diarrhea, dizziness, injection-site redness, hair shedding from rapid weight loss, loose skin, and a flatter mood in some people. All manageable; all worth telling your provider.
Rare but Serious
Pancreatitis (severe belly pain that radiates to the back), gallbladder problems (pain under the right ribs after meals), and low blood sugar if combined with diabetes medications. Stop and call if these appear.
Who Should Not Take It
Personal or family history of medullary thyroid cancer or MEN2, pregnancy or planning pregnancy, a history of pancreatitis, or an eating disorder. We screen for all of these.
How We Keep It Smooth
Low starting dose, four weeks between steps, a nurse for the first injection if you want one, anti-nausea medication on hand, and a provider who answers messages. Compounded semaglutide is $199 a month and tirzepatide is $299, including supplies, provider check-ins, follow-up labs drawn at home, and overnight refrigerated shipping. The first consultation is free.
Common Questions
How long does nausea last?+
Usually a few days after each dose increase; it fades as the body adjusts.
Can I drink alcohol?+
A little. Most people lose interest, and alcohol plus a slow stomach can make nausea worse.
What about hair loss?+
Shedding from fast weight loss is temporary; slower loss and enough protein help.
All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.