Month 1 (weeks 1-4)
- Weekly weight loss visits to include vitals, weigh in, discuss food log, discuss difficulties and ways to overcome them, meet with NP to get injections
- Semaglutide subQ injection .25mg
- B12 IM injection .5mg
- LIpolight treatment 15 minutes
- Begin mild exercise such as walking for 20 min 3-5 days/week (HR about 120)
Month 2 (weeks 5-8)
- Weekly visit same as above
- Semaglutide subQ injection .5mg
- B12 IM injection .5 mg
- Lipolight treatment 20 min
- Continue mild exercise and increase to 30 min at least 5 days/week (HR about 120)
Month 3 (weeks 9-12)
- Weekly visit same as above include vitals, weigh in, meet with NP
- Semaglutide subQ injection 1mg
- B12 IM injection .5 mg
- Lipolight treatment 25 min
- Begin moderate exercise 30 min 3-5 days/week (HR about 135)
Month 4 (weeks 13-16)
- Weekly visit same as above include vitals, weigh in, meet with NP
- Semaglutide subQ injection 1.7mg
- B12 IM injection 1mg
- Lipolight treatment 25 min
- Continue moderate exercise 30 min each day (HR about 135)
Month 5 (weeks 17-20)
- Everything the same as above
- Semaglutide subQ injection 2.4mg
Month 6+ (weeks 21 onward)
- Prescription for Semaglutide 2.4mg weekly injection sent to pharmacy if needed
- Schedule 3 month follow up weigh in to ensure maintaining weight loss