Administer it subcutaneously (fat) in the abdomen, thigh, or upper arm once weekly.

The dose is increased every 4 weeks as tolerated to the maximum effective dose (not more than 2.5mg).

If dose escalation is not tolerated due to side effects (eg, nausea, vomiting, diarrhea, constipation), the increase in dose can be delayed by another four weeks. We will continue the maximum tolerated dose until your goal weight loss is achieved.

You may NOT take GLP-1 and GIP if you are pregnant, have a personal history of pancreatitis, are a type 1 diabetic, or have a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia 2A or 2B.

If you take GLP-1 and GIP with insulin or an insulin GLP-1 and GIP (eg, a sulfonylurea), blood glucose should be monitored very closely, multiple times a day. Furthermore, a dose reduction in insulin or the sulfonylurea may be necessary to avoid hypoglycemia. Please consult your primary care physician about starting semaglutide if you take insulin for the control of diabetes.

Very rare cases of angioedema and anaphylaxis have been reported with semaglutide. Please disclose ALL allergies to our nurse practitioner during your good faith exam, and to our registered nurses when asked.

Patients with diabetic retinopathy should be monitored for complications.

Just like almost every medication out there, some people may experience nausea, vomiting, diarrhea, or constipation while taking GLP-1 and GIP. These are generally mild symptoms, and usually resolve very quickly over a couple of hours.

Gastrointestinal symptoms could occur upon starting the medication and when increasing the dose each month. Please make it a goal to drink adequate amounts of water while taking this medication.

If you experience nausea upon starting the medication, contact us if you don’t feel better after a few days and we can prescribe a temporary medication for nausea (ondansetron/Zofran).

at nutritious food throughout the day to avoid hypoglycemia (low blood sugar), lightheadedness, or weakness. If you are diabetic and take insulin, check your blood sugar more often so you can prevent hypoglycemia. Be sure to include lean protein sources in your diet.

Move your body and engage in strength training to prevent muscle catabolism. Muscle growth with resistance training will increase your resting calorie burn, and cardiovascular exercise will improve your heart health. It’s a win win!

Avoid high calorie beverages like juice, soda, and alcohol. Drinking your calories is the best way to sabotage your success.

Water is your friend, and drinking plenty of water while taking this medication will help with weight loss, appetite control, and will help prevent constipation. DRINK YOUR WATER!     

Very good question! A better question is, what does having the extra weight cost? Your health, self-contentment, physical ability, and personal outlook are all improved when we move towards our goals. Weight loss is no different. If weight loss is your goal, we can help you reach it.                                                      

Treatment packages and pricing for the low-dose program:

Month to Month $349/month

3 months Paid In Full $897 ($299/month)

6 months Paid In Full $1500 ($250/month)

Our program is as low as $250 per month for the low-dose protocol. Most people do not require the high-dose protocol and remain on the low-dose protocol for the entirety of their weight loss journey. There is an increase in cost if you choose to move to the high-dose protocol. Lastly, the only additional cost to the program is a one-time $50 fee billed with your first month to pay for the good faith exam performed by the nurse practitioner.

On our website, you will find the “Client Intake Form”. The form is a brief medical questionnaire we forward to our medical director and nurse practitioner to review and for conducting your telehealth good faith exam. When filling out the form, indicate that you want to lose weight using our GLP-1 and GIP program. Once the form is submitted, we will contact you to schedule your telehealth good faith exam, and to schedule the delivery of your first month’s doses.

Our nurse practitioners perform these exams on Tuesdays and Thursdays between 8am and 9am EST. The exam takes place on the phone, and usually doesn’t last more than 10 minutes.

One of our experienced registered nurses will come to your home or office. They will perform an assessment and education session to ensure client safety . Our nurses will teach you how to safely self-inject at your first visit, as well as provide full education and answer all questions you may still have about GLP-1 and GIP weight loss therapy. The entire process takes approximately 20 minutes to complete.

No, we do not. You are expected to pay, in full, for all visits and charges incurred at each visit. These charges may or may not be covered by your insurance.  Southern Oasis IV, LLC does not provide or fill out claim forms for insurance purposes.  It is your responsibility to save receipts needed for any purpose (such as HSA and FSA plans).

The medication will be delivered in syringes, so there is no need for you to worry about if you’re giving yourself the right amount of medication. We take this step to prevent medication errors which are all too common when dealing with multiple types of units, such as milligrams, milliliters, and international units. It can become confusing, but don’t worry. Our expert staff takes care of this step for you.

This varies for each person, but most people don’t notice a change in appetite or weight during the first 2 to 4 weeks. This allows your body to adjust and acclimate to the new medication with minimal or no side effects. Then, as we increase the dose, you will notice changes in appetite, feelings of fullness, and eventually weight loss. Others experience weight loss the first week or month. The research says the real benefits are noted to start between month 3 and 5. Stay the full course for at least 4 months to evaluate if this medication is working for you or not.

Each month, our nurses will check in with you to determine if you’d like to continue the program and to assess efficacy and safety. If you are eligible to continue, the nurse will schedule your next appointment, your medication will be delivered, and you will be invoiced to your email.

We assure you, these needles are so tiny, you’ll barely feel a thing. Our nurses will teach you how to self-inject and show you exactly what to do.  We use the tiniest needle possible of 31 gauge (same as an insulin or Botox injection).  The injection is done in the subcutaneous level of the skin (not deep), so the needle is short. It’s barely felt when done on the abdomen. Once you have received the thorough education our nurses provide, we’re sure you’ll be very confident in your ability to self-inject. 

You are right, the internet is a scary place! A lot of false information is out there, as well as people looking to make the most profit by offering you inexpensive GLP-1 and GIP from China or Africa ($200 – $300 or less for 3 months’ supply in some instances), but what they’re really selling you is watered-down GLP-1 and GIP or worse, GLP-1 and GIP salts, which can be dangerous. We only use compounding pharmacies in the United States, and they all are highly regulated by the State Board of Pharmacy, overseen by the FDA. Your weight loss success and safety is our success. We want you to succeed, and we want you to be safe and healthy.

We are here for you Tuesdays through Saturdays 8am to 5pm. You are more than welcome to call or text anytime though, and even if it’s outside normal business hours, we will get back to you as soon as possible.