THERE'S A REASON EVERYONE IS TALKING ABOUT SEMAGLUTIDE.
IT WORKS!

LIVING A HEALTHY LIFESTYLE, EATING HEALTHY, WITH DAILY EXERCISE, ON AVERAGE, PEOPLE ON SEMAGLUTIDE LOSE 15% OF THEIR WEIGHT IN A YEAR

Eating Low Carb, Low fat, With Fresh Fruits, Vegetables, and Lean Proteins. A refined grains, trans fats, processed meats, added sugar, and other highly processed foods

Dally exercise should consist of 30 minutes or more of continuous daily activity to help you maintain and achieve your weight management goals.

Patients without diabetes but with a BMI of >30, or >27 with comorbidities, lost an average of 15% of the body weight in 1 year in a 68-week clinical trial evaluating 2.4 mg Semaglutide, when combined with a reduced calorie diet and increased physical activity. Semaglutide is FDA-approved for weight loss. Semaglutide is FDA-approved for type 2 diabetes treatment but may be prescribed for weight loss.

Semaglutide is a prescription medication. Semaglutide is FDA-approved and clinically proven to help with weight loss. How? it acts like a natural hormone your body uses to regulate blood sugar and appetite-key steps in resetting your biological set point to help you maintain a new lower weight. In fact, in the pivotal clinical trial people who combined Semaglutide with lifestyle changes lost an average of 9% of their body weight after 20 weeks, and 14.9% after 68 weeks

HOW DOES IT WORK?

Semaglutide works by mimicking the hormone GLP-1, which slows digestion and helps your brain regulate appetite by reducing hunger sensations. As your digestion slows, you may feel full longer and therefore eat less, which can lead to weight loss

Semaglutide dosing starts out low, then gradually increases over the first few months until a steady dose is reached. If prescribed, Dr. Eberle's team will work with you to find the schedule and dosing that's right for you. As an example, Dr Eberle may start you out on the lowest dose, 0.25 mg injected once weekly for the first month and slowly ramp you up to the maximum dose of 2.4 mg once weekly over the course of several months. This will depend upon your specific situation and your tolerance of any known side effects.

Dosing-Semaglutide and 8-12 Injections (Cyanocobalamin) Smg: Dosing 0.2ml, once a week, for the first 4-5 weeks; then Dosing 0.4ml, once a week, for the remaining weeks.

HOW DO YOU TAKE SEMIGLUITIDE INJECTIONS?

skin of your stomach, thigh, or arm once a week. While a routine injection may sound intimidating, the

Semaglutde uses a tiny needle designed to minimize discomfort. You’ll also have your weight and
measurements taken, in addition to photos during your first week of the program, and more photos once you’ve
completed your program.

IMPORTANT SAFETY INFORMATION

It is not known if Semaglutde can be used in people who have had pancreatitis.
Semaglutde is not for use in people with type 1 diabetes.
It is not known if Semaglutde is safe and effective for use in children under 18 years of age.
THE MOST COMMON SIDE EFFECTS OF SEMAGLUTIDE MAY INCLUDE:

• Nausea
• Diarrhea
• Stomach (abdominal) pain
• Vomiting
• Constipation

IF YOU EXPERIENCE NAUSEA, HERE ARE SOME GENERAL NAUSEA TIPS THAT YOU MIGHT FIND HELPFUL:

• Eat bland, low-fat foods, like crackers, toast, and rice
• Eat foods that contain water, like soups and gelatin
• Avoid fried, greasy, or sweet foods
• Avoid lying down after you eat
• Go outdoors for fresh air
• Eat more slowly
• Drink clear or ice-cold drinks

DO NOT USE SEMAGLUTIDE IF:

• You or any of your family have ever had MTC or if you have MEN 2.
• You are allergic to Semaglutide or any of the ingredients in Semaglutide.
• Before using Semaglutide, tell your healthcare provider if you have any other medical conditions,

including if you:

• have or have had problems with your pancreas or kidneys.
• have a history of diabetic retinopathy.
• are pregnant or breastfeeding or plan to become pregnant or breastfeed. It is not known if Semaglutide will harm your unborn baby or pass into your breast milk. You should stop using Semaglutide 3-4 months before you plan to become pregnant.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter
medicines, vitamins, herbal supplements, and other medicines to treat diabetes, including insulin or
sulfonylureas.

Please complete the attached lab requisition at any Quest, Labcorp, or through your PCP. Once we receive your labs and the doctor has approved, we can then start your weight loss plan.

WHAT ARE THE POSSIBLE SIDE EFFECTS OF SEMAGLUTIDE?

• Inflammation of your pancreas (pancreatitis). Stop using Semaglutide and call your health care provider right away if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting. You may feel the pain from your abdomen to your back.
• Changes in vision. Tell your health care provider if you have changes in vision during treatment with
  Semaglutide.
• Low blood sugar (hypoglycemia). Your risk for getting low blood sugar may be higher if you use
• Semaglutide with another medicine that can cause low blood sugar, such as sulfonylurea or insulin. Signs and symptoms of low blood sugar may include: dizziness or Light headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, and feeling jittery.
• Kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration), which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration.
• Serious allergic reactions. Stop using Semaglutide and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat.
• Gallbladder problems. Gallbladder problems have happened in some people who take Semaglutide. Tell your healthcare provider right away if you get symptoms which may include pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stools.
• The most common side effects of Semaglutide may include nausea, vomiting, diarrhea, stomach (abdominal) pain, and constipation.

​​​​​​​Dr. Eberle's 8 WEEK WEIGHT MANAGEMENT PROGRAM

• 1st injection administered at Weston Center for Plastic Surgery. One of our registered nurses will properly show you how to administer the injection and will provide you with supplies to continue your weekly injection on your own.

Pictures, measurements, weight, and height will be monitored monthly.

• You will be administering your injection in the comfort of your home/work.

• Schedule your check in appointment, so we can take pictures, measurements, weight, and answer any questions or concerns you may have.

At this appointment, we will also adjust your Semaglutide dosage

• Schedule your check-in appointment, so we can take pictures, measurements, weight, and answer any questions or concerns you may have.

*At this appointment, we will discuss if you are happy with your results or would like to continue the program for another 8 weeks. Please keep in mind results vary per patient and depend on if the patient has transitioned into a healthier lifestyle with healthy eating habits and daily exercising.

Resources For Healthy Eating and Healthy Living:

• https://www.ucsfhealth.org/education/behavior-modification-ideas-for-weight-management

• https://www.ucsfhealth.org/education/healthy-lifestyles-healthy-outlook#:%7E:text=Healthy%20movement%20may%20include%20walking,sugar%2C%20salt%20and%20total%20fat

• https://www.nhlbi.nih.gov/health/educational/lose_wt/eat/calories.htm

• https://www.nhlbi.nih.gov/health/educational/lose_wt/eat/calories.htm

• https://www.ucsfhealth.org/education/healthy-snack-ideas