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Medical weight loss at Primal Mountain Medical uses GLP-1 receptor agonists — semaglutide and tirzepatide — to achieve clinically significant fat loss under direct physician supervision. Clinical trials demonstrate an average body weight reduction of 15-17% with semaglutide and 20-22% with tirzepatide when combined with lifestyle modification.
GLP-1 receptor agonists mimic a natural hormone (glucagon-like peptide-1) that your gut releases after eating. These medications reduce appetite by signaling satiety to the brain, slow gastric emptying so you feel full longer, and improve insulin sensitivity for better metabolic function.
At Primal Mountain Medical, Dr. Egbert's protocols start with comprehensive bloodwork to evaluate your metabolic health — glucose, HbA1c, insulin, thyroid, lipids, and liver function. Based on your labs, symptoms, and goals, he designs the appropriate medication protocol with a gradual dose titration schedule to minimize side effects, delivered by our experienced nurse practitioners.
GLP-1 Receptor Agonist
Dual GLP-1 + GIP Receptor Agonist
GLP-1 medical weight loss uses injectable medications called GLP-1 receptor agonists (semaglutide or tirzepatide) to reduce appetite, slow gastric emptying, and improve insulin sensitivity. These medications were originally developed for type 2 diabetes and have shown dramatic weight loss results in clinical trials — an average of 15-17% body weight reduction with semaglutide and 20-22% with tirzepatide.
Semaglutide (the active ingredient in Ozempic and Wegovy) targets the GLP-1 receptor. Tirzepatide (the active ingredient in Mounjaro and Zepbound) targets both GLP-1 and GIP receptors, which may produce greater weight loss. In clinical trials, tirzepatide showed an average weight loss of 20-22% versus 15-17% for semaglutide. Dr. Egbert selects the appropriate medication based on each patient's metabolic profile, goals, and tolerance.
A $49 lab panel is required to evaluate metabolic health before starting. Monthly GLP-1 weight loss programs include physician oversight, medication, and monitoring. Pricing varies based on medication and dosing. HSA and FSA eligible.
GLP-1 medications are appropriate for adults with a BMI of 30 or greater (obesity), or BMI of 27 or greater with at least one weight-related condition such as type 2 diabetes, high blood pressure, or high cholesterol. A physician evaluation including lab work is required before prescribing.
The most common side effects are gastrointestinal: nausea, decreased appetite, diarrhea, and constipation. These are typically mild and diminish as the body adjusts over the first few weeks. Gradual dose titration helps minimize side effects. Serious side effects are rare but include pancreatitis. GLP-1 medications are contraindicated in patients with personal or family history of medullary thyroid carcinoma.
Yes. Many men at Primal Mountain Medical combine GLP-1 weight loss with TRT. Testosterone optimization helps preserve muscle mass during weight loss, while GLP-1 medications target fat reduction. This combination can produce significant improvements in body composition, metabolic health, and energy levels.
Order your $49 lab panel. Dr. Egbert will evaluate your metabolic health and recommend the right approach.
Order Labs — $49