Weight Loss with GLP-1
Medical weight loss with compounded semaglutide at Nashville Skin Company in Nashville, prescribed and monitored by our physician.
What a GLP-1 does
GLP-1 is a hormone the body produces after eating. It signals satiety to the brain, slows how quickly the stomach empties, and helps regulate blood sugar. Semaglutide is a medication that mimics that hormone, with an effect that holds steady across a week rather than for a short period after a meal.
Patients most commonly describe a reduced appetite and less preoccupation with food between meals.
The medication we use
We use compounded semaglutide, prescribed for each patient individually and dispensed through a licensed Tennessee compounding pharmacy.
Compounded medications are not FDA-approved. Compounded semaglutide is not a generic form of Wegovy or Ozempic, as no generic form exists. It is a preparation made for an individual patient under a physician’s prescription.
Who prescribes and monitors it
Dr. Silvernagel, the physician who owns the practice, conducts the initial assessment, writes the prescription, and manages dose adjustments throughout treatment.
Nashville Skin Company is physician owned and has been treating clients in the Nashville area since 2013.
Who it is appropriate for
Candidacy is assessed at your consultation and accounts for your weight relative to your height, any weight-related conditions, your medical history, and your current medications.
GLP-1 therapy is prescribed for clinically significant weight management rather than for small cosmetic changes.
How treatment works
- An initial assessment with the physician
- A once-weekly injection, self-administered at home after instruction
- A dose that begins low and increases gradually, which reduces side effects
- Ongoing review, with the dose adjusted to your response
Side effects
Nausea is the most common, typically in the days following a dose increase. Constipation, reflux, fatigue, and feeling full earlier than expected are also common. Most settle as the body adjusts, and gradual titration is intended to limit them.
Contact us if side effects become difficult to manage. Holding a dose or slowing the increase resolves most of them.
Muscle loss during weight loss
Rapid weight loss reduces lean muscle as well as fat. Adequate protein intake and resistance training are the primary ways to limit that, and both are discussed as part of treatment.
Some patients also add CoolTone, which is FDA-cleared to strengthen, tone, and firm the abdomen, buttocks, and thighs.
Results and maintenance
Individual results vary. Weight commonly returns after the medication is stopped, so the dietary and activity changes made during treatment determine the longer-term outcome. GLP-1 therapy supports those changes rather than replacing them.
Who should not take it
- Anyone with a personal or family history of medullary thyroid carcinoma, or with multiple endocrine neoplasia syndrome type 2
- Anyone pregnant, breastfeeding, or trying to conceive
- A history of pancreatitis
- Current gallbladder disease
- A known allergy to semaglutide or any component of the preparation
Bring your full medical history and a list of everything you take to your consultation.
Pricing and members
Cost depends on your dose, which changes over the course of treatment, so we review it in full at your consultation before anything is prescribed.
Members receive 10% off.
Booking
Treatment begins with a consultation with Dr. Silvernagel. Call or text (615) 997-3330.
Often paired with
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