A once-weekly injection that slows gastric emptying and quiets appetite signalling. Our program is the wrapper around it: labs, gentle titration, side-effect management and a provider who answers.
Semaglutide — Weekly injection, provider sets your doseTitration schedule — Escalated every 4 weeks as toleratedBaseline labs — CMP, A1c, lipids, thyroidB12 support — Included where labs indicate
What It's Good For
✓Clinically significant, sustained weight loss
✓Reduced appetite and food preoccupation
✓Improved A1c and lipid markers for many patients
✓Unlimited messaging with your provider
How It Works
From Booking to Your Sofa
01
Labs and History
A full metabolic panel, thyroid, A1c and lipids, plus a real conversation about what you have already tried and what went wrong.
02
A Provider Prescribes
If the therapy suits you, your provider writes the starting dose and a titration schedule. If it does not, we say so and refund the consult.
03
Titrate and Check In
Monthly check-ins, unlimited messaging and dose adjustments as your body responds. Refills ship straight to you on your schedule.
The Science
How It Works in the Body
The mechanism, in plain terms — including where the evidence is strong and where it is not.
GLP-1 Receptor Agonism
Semaglutide mimics an incretin hormone your gut already makes, slowing gastric emptying and signalling satiety centrally in the hypothalamus.
Why Weekly Dosing Works
Structural modification extends the half-life to about a week, giving steady plasma levels rather than the peaks and troughs of native GLP-1.
Titration Is the Tolerability Lever
Gastrointestinal effects are dose-rate dependent. Escalating every four weeks rather than on the fastest label schedule is what keeps people on therapy.
What to Expect
Before, During and After
Before
Labs are drawn first and reviewed by your provider before anything is prescribed. Bring current medications, supplements and any prior weight or treatment history.
During
Your first injection is taught in person. The dose itself takes seconds; the teaching visit takes about twenty minutes, including what to do about side effects.
After
Message your provider at any point. Check-ins are monthly, doses escalate no faster than every four weeks, and labs repeat at week twelve.
Evidence & safety
What the Science Actually Supports
GLP-1 receptor agonists are among the best-evidenced weight therapies available, with large randomised trials behind them. They are not suitable for everyone: personal or family history of medullary thyroid carcinoma or MEN2 rules them out, and pancreatitis history requires careful review. Nausea and constipation are common early and usually dose-related.
Screened for contraindications at every visit. Not intended to diagnose, treat, cure or prevent any disease. Speak with your provider if you are pregnant, nursing, or managing kidney, liver or cardiac conditions.
Farima was both extremely professional as well as competent and caring. They spent a lot of time with us, catering exactly what we needed medically and whole body wellness wise as well. They got here on time and on a weekend - it really made us feel cared for in a way we wouldn't at an urgent care or after hours at the ER. Totally worth the money - which was extremely affordable compared to clinics, etc and we had the added benefit of not having to leave the house! We definitely recommend!!!
Samantha Hubbard
Local Guide · 21 reviews · 11 photos
★★★★★1 month ago
Truly a wonderful experience! They were professional, friendly and knowledgeable. I learned a lot and feel so much better. Will definitely use them again!
Kristyn Cardali
3 reviews
★★★★★2 months ago
Farima is truly the best. As someone with a chronic illness who needs IVs regularly, it can be really difficult to find nurses who are both skilled and genuinely caring. They always make me feel comfortable, listened to, and cared for the entire time. They are incredibly gentle, always get my veins easily, and make sure everything is done perfectly and professionally. You can tell they truly care about their patients and want the experience to be as stress-free as possible. I'm so grateful for their kindness, patience, and expertise!! I would recommend them to anybody who Is looking for a great IV experience 😊
Questions We Get
Do I need labs first?+
Yes — always, for any prescription therapy. We arrange a draw at your home or a lab near you, and results are usually back within three business days.
What are the side effects?+
Nausea, early fullness and constipation are the common ones with GLP-1s, and they are usually dose-related. Slow titration is the main defence, which is why we do not rush it.
What does the price include?+
The monthly program fee covers your provider, labs review, titration, unlimited messaging and check-ins. Medication is billed separately and varies by dose.
What happens if I stop?+
Weight regain is common after stopping GLP-1s without a maintenance plan. Your provider will build one with you before you taper — that conversation is part of the program.
Will I regain the weight if I stop?+
Most people regain some. That is why we taper rather than stop, and why the Maintenance Program exists.
Can I drink alcohol?+
In moderation. Alcohol hits harder with less food in you, and it can worsen nausea early on.
Do I need to diet?+
No strict diet. Protein first, vegetables, water. We ask for 0.7 g of protein per pound of goal weight to protect muscle.
How is this different from an online telehealth brand?+
Same molecule. The difference is a nurse draws your labs at home, can give your first dose, and the same medical director covers your drips and labs.
One monthly credit toward any drip, member pricing on every add-on and program, and priority same-day booking anywhere we serve. Pause any month; cancel any time.
Step 2Weeks 5–12: dose steps; steady loss of 1–2 lbs a week
Step 3Months 4–6: full dose; cravings quiet; labs rechecked
Step 4Month 6+: maintenance or taper plan with the provider
Typical course; individual results vary and the provider adjusts at each check-in.
Lab-Tested Medication
Compounded for your prescription by an state-licensed 503A pharmacy in the United States, with each batch tested by an independent lab for potency and sterility, shipped overnight in refrigerated packaging, labeled with your dose. Semaglutide is FDA-approved medication (brand); compounded version by prescription; we say so plainly.
Everything You Need to Start Safely
—free video consultation with a licensed provider, one-time
—Baseline labs drawn at your home by a nurse, reviewed on video
—Medication, needles, alcohol swabs, sharps container and written dosing instructions in every shipment
—A nurse at your door for the first injection if you want one
—Provider check-ins and follow-up labs included; month to month, no contract
We accept HSA and FSA cards. We do not bill insurance; an itemized receipt (superbill) is provided for reimbursement.
Semaglutide is a prescription medication dispensed only after evaluation by a licensed provider. Common side effects: nausea early, constipation, reduced appetite. Do not use if pregnant or breastfeeding, with an active cancer, or without disclosing all medications and conditions. Stop and contact your provider for any severe or unexpected reaction; for an emergency call 911. This page is general information, not medical advice, and not a promise of results.
How Semaglutide Program Works
Semaglutide copies GLP-1, a gut hormone released after meals. It slows how fast your stomach empties, tells the brain you are full sooner, and smooths blood sugar. The result is that normal portions feel like enough and snacking between meals mostly stops.
Strong. In the STEP trials people on semaglutide lost about 15% of body weight over 68 weeks versus 2–3% on placebo. The compounded form we prescribe is the same molecule as Wegovy and Ozempic but is not an FDA-approved product.
Here is how the visit usually feels, from the chair to the next morning.
Week 1–4Low starting dose. Appetite drops within days; some nausea. Expect 2–4 lb.
Month 2–3Dose rises in steps. Steady loss of 1–2 lb a week; side effects fade.
Month 4–6Full dose. Most people are 10–15% down by month six.
AfterTaper or move to the Maintenance Program so the weight stays off.
Safety, in plain words
Do not use with a personal or family history of medullary thyroid cancer or MEN2, a history of pancreatitis, during pregnancy or breastfeeding, or with type 1 diabetes unless your endocrinologist agrees. Common: nausea, constipation, fatigue and reflux in the first weeks, usually easing as the dose settles. Rare but serious: pancreatitis, gallbladder problems, severe dehydration. Stop and call us for severe stomach pain.
How we keep an eye on you
A nurse draws a metabolic panel, A1c, lipids and thyroid at your home before the first prescription and every twelve weeks. Your provider reviews weight, appetite and side effects by message every month and adjusts the dose; you are only charged for a refill after they approve it.
The Zen IV Difference
✓
Licensed US pharmaciesCompounded in state-licensed 503A pharmacies in the United States, to a prescription written for you.
✓
Every batch testedPurity and potency tested by a third-party lab. Ask for the certificate on any vial and we send it.
✓
Overnight, cold, to your doorRefrigerated shipping anywhere in New York or New Jersey, with needles, swabs and a sharps container in the box.
✓
A nurse if you want oneFor injectables, a licensed RN can come for your first dose and show you how. The app-based clinics cannot do that.
Get the free guide: The complete guide to IV Therapy
What is in the bag, what a drip actually does, when you do not need one, and what to ask any mobile IV company. 6 pages, plain English, from the Zen IV Spa Medical Team.
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