PRESCRIPTION WEIGHT LOSS MEDICATIONS: COMPOUNDED SEMAGLUTIDE AND TIRZEPATIDE

Cheeky offers two options for prescription weight loss, available at all 3 locations. Both Semaglutide and Tirzepatide are once-weekly injectable medications that can be used along with lifestyle changes to significantly reduce weight. Our program offers medically supervised, supportive medication administration.

Both Semaglutide and Tirzepatide are indicated for long-term weight management for adults with BMI greater than 30, or 27 with at least one comorbidity. They’re in a class of drugs called GLP-1 agonists, which mimic a hormone that helps reduce food intake and appetite. Both medications also work by slowing gastric emptying, which helps you to feel fuller for longer. Semaglutide and Tirzepatide also stabilize blood glucose levels, which can also help cravings and reduce health risks associated with elevated blood glucose and insulin resistance.

Other than lowering blood sugar levels and reducing weight, studies show that GLP-1 agonists may have other potential benefits, like:

  • Lowering blood pressure
  • Improving lipid disorders
  • Improving fatty liver disease
  • Reducing your risk of heart disease and kidney disease

Both weekly weight loss injections come with a complimentary Lipo Mino vitamin injection (a $50 value) that may help to accelerate weight loss and support energy levels. Lipo Mino is a combination of lipotropic compounds, which are substances that help the body break down and remove fat from the liver.

Lipo Mino injections contain:

Pyridoxine (B6): Promotes red blood cell production and converts food to energy.
Methionine: Helps break down sugars & carbohydrates and convert them to energy.
Inositol: Converts food to energy.
Choline: Healthy nerve cells, cuts muscle recovery time, helps convert fat to energy. Hydroxocobalamin (B12): Energy, healthy nerve cells.
Thiamine (B1): Improves the immune system, and helps convert fat and carbohydrates into energy.
Riboflavin (B2): Increases metabolism, and supports the immune system.
Carnitine: Improves fat metabolism and energy, reduces recovery times, and promotes muscle-building potential.

Which medication is right for you? Come in for a consult to see if you are a candidate and we can determine which medication is best for you. We are excited to be part of your weight loss journey to better health and a more confident you!

SEMAGLUTIDE+ LEVOCARNITINE COMPOUNDED WEIGHT LOSS PRESCRIPTION DRUG

  • Offered at all Cheeky locations
  • Semaglutide and complimentary Lipo Mino injections cost $170/week – we do not accept insurance, but do accept HSA cards!
  • Price does not change throughout the program
  • Plan to be on this for a minimum of 14 weeks, the average length of the program is 35 weeks.
  • Medication is given the same day/once weekly in the office by our medical professionals
  • Telehealth options available after the initial consultation

Semaglutide offers adults a beneficial, FDA-approved treatment option for chronic weight management. This once-per-week injection is specifically designed for adults who experience weight-related conditions, such as high blood pressure, type 2 diabetes, or high cholesterol. The injection often benefits patients who struggle to control their food intake. Studies show up to 15-20% body weight reduction by week 68! We see an average of 1.5-2 pounds lost per week with our clientele.

Semaglutide program dosing taper:

Week 1:   10 units  (0.27mg)
Week 2:   10 units  (0.27mg)
Week 3:   20 units  (0.54mg)
Week 4:   20 units  (0.54mg)
Week 5:   20 units  (0.54mg)
Week 6:   40 units  (1.08mg)
Week 7:   40 units  (1.08mg)
Week 8:   40 units  (1.08mg)
Week 9:   40 units  (1.08mg)
Week 10: 40 units  (1.08mg)
Week 11:  40 units  (1.08mg)
Week 12: 40 units  (1.08mg)
Week 13: 40 units  (1.08mg)
Week 14+: 90 units  (2.43mg)

FAQ

Who would be a good candidate for Semaglutide?

Semaglutide offers adults experiencing obesity a beneficial FDA-approved treatment option for chronic weight management. This once-per-week injection is specifically designed for adults who experience weight-related conditions, such as high blood pressure, type 2 diabetes, or high cholesterol. The injection often benefits patients who struggle to control their food intake. You can lose 0.5-2 pounds a week! (varies per individual) Studies showing up to 15-20% body weight reduction by week 68!
Semaglutide is a long-term weight management medication for adults with a BMI greater than 30 or 27 with at least one comorbidity. You will not qualify for this medication if your BMI is below 27.

How does it work?

Semaglutide imitates a human hormone produced naturally by the gut, pancreas, and nervous system (GLP-1). The hormone targets areas of the brain that manage appetite, create a feeling of fullness, and enhance insulin production.

It helps by:

  • Slowing down stomach emptying so that after eating, helps you to feel full for longer
  • Suppresses appetite and food cravings (on average patients eat ~30% less)
  • Lowers and stabilizes blood glucose levels (without making glucose levels too low like insulin)

Who cannot take Semaglutide?

You cannot take Semaglutide If you have any of the following conditions:
  • Personal or family history of Medullary Thyroid Carcinoma (MTC)
  • Personal or family history of Multiple Endocrine Neoplasia, type 2 (MEN 2)
  • Prior allergic reaction to Semaglutide or to any of its ingredients* (serious allergic reactions, including anaphylaxis and angioedema, have been reported with Semaglutide)
  • Diabetic retinopathy (diabetic eye disease)
  • Pregnant or trying to get pregnant (the estimated background risk of major birth defects is ~3% and the estimated background risk of miscarriage is ~18% – these percentages are increased with the use of Semaglutide during pregnancy)
  • Breast-feeding (Semaglutide is present in breast milk)
  • Less than 18 years old
  • Depression with a history of suicidal thoughts
  • Type 1 diabetes
  • History of pancreatitis

What are the most common side effects of Semaglutide?

Nausea, vomiting, diarrhea, abdominal pain, constipation, heartburn, burping, and fatigue. Most subside without intervention and dissipate with continued use.

 

What are the risks associated with Semaglutide?

Severe — but very rare — side effects can include:

  • Pancreatitis
  • Medullary thyroid cancer
  • Acute (sudden) kidney injury
  • Worsening diabetes-related retinopathy

We offer weekly support and check-in to avoid/provide intervention on these very rare side effects

TIRZEPATIDE+ LEVOCARNITINE COMPOUNDED WEIGHT LOSS PRESCRIPTION DRUG

Offered at all Cheeky locations

  • Tirzepatide and complimentary Lipo Mino injections cost $250/week – we do not accept insurance, but do accept HSA cards!
  • Price does not change throughout the program
  • Plan to be on this for a minimum of 24 weeks. No breaks
  • Medication is given the same day/once weekly in the office by our medical professionals
  • Telehealth options available after the initial consultation

Cheeky is thrilled to now offer Tirzepatide for prescription weight loss, providing options to our weight loss clients. Tirzepatide is a GLP-1 agonist that also imitates a second hormone, called GIP, which along with reducing appetite, may also improve how the body breaks down sugar and fat. This may be a great option for people who did not tolerate/respond to semaglutide or have plateaued on their current weight loss program.

A phase 3 clinical trial found a high dose of tripeptide helped patients lose an average of 22.5% of their body weight, or about 52 pounds, which is better than any medication currently on the market. One of the drawbacks to Tirzepatide is the price as it is a very expensive medication. However, we believe that investing in your health and wellness is well worth it!

Tirzepatide program dosing taper:

Taper to 5mg (30units) for 4 weeks.
7.5mg (45 units) for at least 4 weeks
10mg (60 units) for at least 4 weeks
12.5mg (70 units) for at least 4 weeks
15mg (90 units) max dose*
*Many people respond very well to Tirzepatide at lower doses and may not need to increase to maximum units

FAQ

Who would be a good candidate for Tirzepatide?

Tirzepatide offers adults experiencing obesity a treatment option for chronic weight management. This once-per-week injection is specifically designed for adults who experience weight-related conditions, such as high blood pressure, type 2 diabetes, or high cholesterol. The injection often benefits patients who struggle to control their food intake. Tirzepatide can be a great option for people who did not respond to or tolerate side-effects from previous weight-loss medications or who have plateaued on their current weight-loss routine.

Tirzepatide is a long-term weight management for adults with a BMI greater than 30 or 27 with at least one comorbidity. You will not qualify for this medication if your BMI is below 27.

How does it work?

Tirzepatide imitates a human hormone produced naturally by the gut, pancreas, and nervous system (GLP-1). The hormone targets areas of the brain that manage appetite, create a feeling of fullness, and enhance insulin production. It also imitates a second hormone, called GIP, which along with reducing appetite, may also improve how the body breaks down sugar and fat. Tirzepatide also works by stabilizing blood sugars immediately after eating.

It helps by:
  • Slowing down stomach emptying so that after eating, you feel full longer
  • Suppresses appetite and food cravings (on average patients eat ~30% less)
  • Lowers and stabilizes blood glucose levels (without making glucose levels too low like insulin)

Who cannot take Tirzepatide?

You cannot take Tirzepatide If you have any of the following conditions:
  • Personal or family history of Medullary Thyroid Carcinoma (MTC)
  • Personal or family history of Multiple Endocrine Neoplasia, type 2 (MEN 2)
  • Prior allergic reaction to Semaglutide or to any of its ingredients* (serious allergic reactions, including anaphylaxis and angioedema, have been reported with Semaglutide)
  • Diabetic retinopathy (diabetic eye disease)
  • Pregnant or trying to get pregnant (the estimated background risk of major birth defects is ~3% and the estimated background risk of miscarriage is ~18% – these percentages are increased with the use of Semaglutide during pregnancy)
  • Breast-feeding (Semaglutide is present in breast milk)
  • Less than 18 years old
  • Depression with a history of suicidal thoughts
  • Type 1 diabetes
  • History of pancreatitis

What are the most common side effects of Tirzepatide?

Nausea, vomiting, diarrhea, abdominal pain, constipation, heartburn, burping, and fatigue. Most subside without intervention and dissipates with continued use.

What are the risks associated with Tirzepatide?

Severe – but very rare – side effects can include:
  • Pancreatitis
  • Medullary thyroid cancer
  • Acute (sudden) kidney injury
We offer weekly support and check-in to avoid/provide intervention on these very rare side effects

TELEHEALTH OPTIONS AVAILABLE!

Can’t come into the office? No problem– we offer remote Telehealth appts for those who live in rural Alaska! We are unable to ship to addresses outside the state of Alaska.

Telehealth requirements:

  • Book your virtual consultation (Zoom)
  • Discuss treatment options with the provider and complete your medical evaluation.
  • Qualify and get your meds shipped right to you!
  • Must have Alaska shipping address
  • Get up to 10 weeks sent to you at a time. Prepayment of medication is required.

Semaglutide $170 a week
Tirzepatide $250 a week

What to expect:

Weekly Telehealth appts on the shot day, where you must respond with the following information:

  • Weight (mandatory)
  • Injection location
  • Side effects/concerns

We will offer any support you may need and provide interventions as needed

Please only book a consultation if you qualify….

How do I qualify:

BMI greater than 27
  • No history of thyroid tumors in you or your family members
  • No type 1 diabetes
  • Not pregnant or breastfeeding
  • No history of kidney or liver disease
  • No history of pancreatitis
  • Must commit to weekly text Telehealth appts with weight given. Failure to respond will result in dismissal from the program with no future refills dispensed.

Get In Touch

Soldotna (Kenai)

Fairbanks

Homer