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Frequently Asked Questions

General Info

Our office has chosen not to accept insurance for several reasons. Firstly, it allows us to focus on providing the highest quality of care without the restrictions and limitations that can come with insurance requirements. We can spend more time with our patients, and tailor treatments to their individual needs, rather than being constrained by insurance company protocols. Additionally, by not dealing with insurance companies, we can keep our overhead costs lower, allowing us to offer more affordable prices to our patients. This means that patients are more likely to be able to access the care they need, even if they don’t have insurance or their insurance doesn’t cover certain treatments. Finally, not accepting insurance helps us maintain patient privacy, as we are not required to disclose any medical information to insurance companies. Overall, our decision to not accept insurance helps us provide personalized, affordable, and confidential care to our patients.

To cancel or reschedule any service appointment, we require a 24-hour notice. If you fail to do so, you will be charged for the full appointment price. To secure your appointment, we will require a valid credit card at the time of booking, which will be securely stored on file.

Please ensure that you comply with our policy to avoid any charges. If you arrive 15 minutes late or more, your appointment will be forfeited, and you will be charged the full amount of the service time. We recommend that you ensure a stable internet connection at the time of your appointment. If you need to cancel or reschedule, you may do so with greater than 48 hours notice, and please keep in mind that all services are non-transferable.

Medical Weight Loss is a medically supervised weight loss program in which a Provider prescribes medications to help reduce appetite and improve metabolism. Clients will be evaluated and a treatment plan will be tailored with the best and safest options for their specific needs.

Our Lipo B MIC injections are perfect for anyone to maximize their health and vitality. The Lipo B MIC injections contain Vitamin B12 and Essential Amino Acids. These injections do not require a specific BMI for a client to be cleared to take them. A consultation will be still be conducted , to make sure your health is optimal to take the Lipo B MIC injections.

It can take 2-3 weeks for the medication to ship. The medication will be delivered by UPS Ground. When tracking information is received on the medication, the client will be notified immediately.

We will order the medication from a Compounding Pharmacy and the Pharmacy will deliver the medication to your home address.

After being provided with proper instructions from us, you will self administer an injection underneath the skin (subcutaneous ) of your abdomen, thigh, or upper arm. This will be a weekly injection.

WATCH A HOW-TO VIDEO: https://www.youtube.com/watch?v=wXjQHAxopzk

When you schedule an appointment for an initial consultation, we will promptly send you consents, intake forms, and an invoice via email. We kindly request that you complete and submit these documents at least 24 hours before your consultation. Additionally, we ask for the invoice to be paid before the consultation.

Please note that we are unable to accommodate same-day appointments. We require adequate time to thoughtfully review your medical history and create a personalized plan that addresses your unique circumstances and requirements. We need at least 24 hours for your paperwork to be completed prior to your consultation.

Program fees vary for each individual. Schedule a virtual consult for more details

Labs will be ordered and will be reviewed with you before deciding on the best option for you. If you have had labs done in the last 3 months with another provider, we will accept those

Yes, you are welcome to use the laboratory of your choice, however, insurance may or may not cover the costs

Medication Info

Semaglutide is a prescription medication prescribed by a provider that you inject once a week. Titrated by the provider depending on your response to the medication, weight loss progress and lack of side effects. It is compounded by a pharmacy and will be mailed to you. Compound semaglutide is not FDA approved

It belongs to a drug class GLP-1: Glucagon like peptide-1 receptor agonists. It mimics the action of the hormone GLP. It acts on the area in the brain that controls appetite and food intake-leading to reduced food cravings and a sense of fullness, aiding in weight loss. It slows food digestion (delays stomach emptying and intestinal motility) so you feel full longer. GLP agonists also stimulate insulin secretions from the pancreas and reduces glucagon release, lowering glucose in the blood. Insulin is the key that helps glucose from the blood into the cells.

Semaglutide Benefits

  • Decreased waist circumference
  • Lowers blood pressure
  • Lowers Hemoglobin A1c
  • Lowers blood sugar
  • Sustained weight loss

Individual results vary from person to person, seeing results around 4wks. This can be affected by diet, exercise, and individual metabolism

It’s a once a week is subcutaneous (SQ) injection that you will be doing at home. Typically injected into the abdomen or outer thigh. Weight loss is about 1-4 lbs a week.

Indications: Adults with a BMI (body mass index) greater than 30 or greater than 27 with high blood pressure, type 2 diabetes, high cholesterol. CALCULATE YOUR BMI: https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

Contraindications: Personal/family history of medullary thyroid cancer (MTC), personal/family history of multiple endocrine neoplasia syndrome type 2 (MEN 2), severe constipation, pancreatitis, acute kidney injury, hypoglycemia, diabetic retinopathy, suicidal behavior/ideation, pregnant/breast feeding

Side Effects: typically more GI related

  • Nausea/vomiting
  • Constipation
  • Abdomen pain
  • Indigestion
  • Burping
  • Hypoglycemia (in those with Type 2 diabetes)

Semaglutide Price

$1000 12 week supply of Semaglutide injections and supplies shipped directly to your door from the compounding pharmacy! This can be paid upfront or monthly payments, with the initial payment on the day medication is ordered.
-communication with provider for support
-Televideo monthly follow up appointment

$800 8 week supply of Semaglutide injections and supplies shipped directly to your door from the compounding pharmacy! Must be paid in full with the initial payment on the day medication is ordered. Includes all the above with the 12 week supply.

**Note-Once you complete the 12 week program, the dose of medication will be tailored to each patient individually based on weight loss goals. We will then transition to a maintenance plan- it’s crucial to understand that maintaining weight loss goals often requires ongoing medical support and continued adherence to healthy habits. Payment will be per vial plus a monthly recurring $125, which includes all the above.

Tirzepatide is a prescription medication prescribed by a provider that you inject once a week. Titrated by the provider depending on your response to the medication, weight loss progress and lack of side effects. It is compounded by a pharmacy and will be mailed to you. Compounded tirzepatide is not FDA approved

It acts as a dual agonist-activates two receptors in the body : GLP-1 receptor (glucagon-like peptide-1) and GIP receptor (glucose-dependent insulinotropic polypeptide)

Benefits: same as semaglutide (increased insulin production from pancreas to help regulate blood sugar, delayed gastric emptying, promotes a feeling of fullness), but also contributes to insulin release from the pancreas, enhancing the body’s response to rising blood sugar levels

Individual results vary from person to person, seeing results around 4wks, but could sooner. This can be affected by diet, exercise, and individual metabolism

It’s a once a week is subcutaneous (SQ) injection that you will be doing at home. Typically inject into the abdomen or outer thigh. Easy to do and painless. Weight loss is about 1-4 lbs a week.

Indications: Adults with a BMI (body mass index) greater than 30 or greater than 27 with high blood pressure, type 2 diabetes, high cholesterol. CALCULATE YOUR BMI: https://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm

Contraindications: Personal/family history of medullary thyroid cancer (MTC), personal/family history of multiple endocrine neoplasia syndrome type 2 (MEN 2), severe constipation, pancreatitis, acute kidney injury, hypoglycemia, diabetic retinopathy, suicidal behavior/ideation, pregnant/breast feeding

Tirzepatide Side Effects:

typically more GI related (but seem to be less than Semaglutide)

  • Nausea/vomiting
  • Constipation
  • Abdomen pain
  • Indigestion
  • Burping
  • Hypoglycemia (in those with Type 2 diabetes)

Tirzepatide Price:

$1200 12 week supply of Tirzepatide injections and supplies shipped directly to your door from the compounding pharmacy! This can be paid upfront or monthly payments, with the initial payment on the day medication is ordered
-communication with provider for support
-Televideo monthly follow up appointment

$1000 8 week supply of Tirzepatide injections and supplies shipped directly to your door from the compounding pharmacy. This must be paid upfront with the initial payment on the day medication is ordered.

**Note-Once you complete the 12 week program, the dose of medication will be tailored to each patient individually based on weight loss goals. We will then transition to a maintenance plan- it’s crucial to understand that maintaining weight loss goals often requires ongoing medical support and continued adherence to healthy habits. Payment will be per vial plus a monthly recurring $125, which includes all the above.

Nicotinamide Adenine Dinucleotide is a coenzyme that is found in all living cells. It plays a key role in various process, including energy metabolism, DNA repair, gene expression. NAD+ assist in cellular functions (supporting mitochondrial function-energy is produced) and overall health. Higher NAD+ levels have been linked to improved metabolism, increased resilience to stress, and replenish levels which tend to decline with age for general well-being and longevity.

NAD+ Benefits:

  • Clear brain fog and improve mental clarity
  • Rejuvenate metabolic function
  • Support health energy levels
  • Sharpen memory and improve concentration 
  • Boost agility and athletic performance
  • Promote healthy blood pressure and cholesterol 
  • Enable production of neurotransmitters -serotonin, dopamine, norepinephrine

Price:

$250 10 week supply of medication with supplies that is shipped directly to your house from the compounding pharmacy. This is given subcutaneously twice a week

Lipotropic nutrients play an important role in the body’s use of fat: breakdown, metabolism and removal of fats from the liver and other tissues in the body. They aid in mobilizations and utilization of fats, preventing their accumulation. Lipotropic compounds are used to support liver health, aid in weight loss and promote overall fat metabolism within the body:

  • Methionine 25mg
  • Inositol (b8) 50mg
  • Choline 50mg
  • Pyridoxine (b6) 25mg
  • Dexpentanol (b5) 25mg
  • L-Arginine 15mg
  • L-Carnitine 15mg
  • Cyanocobalamin 0.51mg
  • Lidocaine 

BioBoost Price:

$180 5 week supply of medication with supplies that is shipped directly to your house from the compounding pharmacy. This is given subcutaneously twice a week

Oral compounded combination medication that includes Bupropion, oxytocin, topiramate, naltrexone and methylcobalamin (B12). Aids in reducing appetite and cravings. 

  • Bupropion (Wellburtrin) is a norepinephrine reuptake inhibitor-acts on the neurotransmitters dopamine and norepinephrine that can lead to appetite suppression, off label use for weight loss
  • Naltrexone is an opioid receptor antagonist-approved for weight loss to help with appetite suppression
  • Topiramate (Topamax) is an antiseizure medication for epilepsy/migraines found to have weight loss effects-can help with reduced appetite and food intake
  • Oxytocin is a nine amino acid peptide hormone that helps reduce food intake, increase energy and inducing fat breakdown
  • B12 helps to increase mood, decrease appetite cravings, increase energy. It is an essential vitamin obtained entirely through diet. Helps to improve memory, mood energy, and decrease weakness / fatigue. 

Bella Capsule Price:

$225 for a month supply which includes access to Trainerize app for meals and exercise and monthly televideo follow up

Get your best body now.

Do you live in Rapid City or the surrounding Black Hills and want your dream body? Schedule a weightloss consultation today!

Get your best body now.

Do you live in Rapid City or the surrounding Black Hills and want your dream body? Schedule a weightloss consultation today!