
Semaglutide
(active ingredient in Wegovy®, Ozempic®)
Offering compounded Semaglutide telehealth delivery right to your home.
Medication Order Disclaimer:
The Nudge LLC does not directly sell or dispense prescription medications. We coordinate medication orders through our trusted, FDA-registered 503A compounding pharmacy partners. All prescriptions are issued by a licensed healthcare provider following a medical evaluation and ongoing patient monitoring. Medications are prepared and dispensed by the compounding pharmacy in compliance with state and federal laws.
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The Nudge may prescripbe compounded products that have not been approved by the FDA. The FDA does not verify the safety or effectiveness of compounded drugs. The Nudge prescribes this medication off label from its intended use. As an alternative, our provider can prescribe the name-brand version, which can be sent to a traditional pharmacy.
How does low dose Semaglutide work?
​Semaglutide (Wegovy, Ozempic) works by activating GLP-1 receptors only. GLP-1 helps regulate appetite by making you feel full longer and reduces hunger by slowing down how quickly food leaves your stomach. This helps you eat less and lose weight over time. Most patients lose on average 12 - 15% body weight combined with dietary and daily physical activity.
TREATMENT and BENEFITS
How successful is weight loss with Semaglutide?
Studies show reduction of 12-15% of body weight in most patients on Semaglutide when combined with dietary changes and daily physical activity.
The STEP UP Trial: Semaglutide Treatment Effect in People with Obesity
The trial was a randomized, double-blind phase 3b study of 1,400 adults without type 2 diabetes that investigated a higher dose of Semaglutide (7.2 mg weekly) for weight management in adults with obesity.
This trial was conducted in conjunction with lifestyle interventions and compared the higher dose to the currently approved 2.4 mg dose of Semaglutide (Wegovy) and a placebo. All participants received the same recommendation for diet and physical activity.
The Results
Participants receiving 7.2 mg semaglutide achieved a mean weight loss of 20.7% at 72 weeks, compared to 17.5% in the 2.4 mg group, and 2.4% in the placebo group.​
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Over 30% of participants on the 7.2 mg dose lost 25% or more of their body weight.

Semaglutide benefits
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Improves heart health
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Lowers blood pressure
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Lowers total cholesterol
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Improve obstructive sleep apnea symptoms
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Strengthens muscles
and bones
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Improved kidney function
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Reduces inflammation
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Polycystic ovary syndrome weight management​
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Improves lung function
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Improves arthritis
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Enhances metabolic function
Semaglutide Dose Titration Plan

The graph shows the standard dosing schedule for Semaglutide.
A "titration schedule" helps manage potential side effects by allowing your body to gradually adjust to the medication. This means adjusting the dosage to achieve the best therapeutic effect by gradually increasing the dose weekly over the course of 5 months.
Exercise recommendations
Gradual progression
Incorporate lean protein sources such as poultry, fish, tofu, beans, lentils, and Greek yogurt into your meals. These proteins help you feel full, regulate blood sugar levels, and support muscle health. Lean protein shakes count toward your overall recommended daily calories from protein at about 10 - 35%.
Strength training
Incorporate muscle-strengthening exercises at least twice a week. These activities are crucial in countering the loss of lean mass often observed with anti-obesity medications and in enhancing muscle strength for daily activities. Functional strength training is beneficial across the lifespan and reduces the risk of muscle mass loss and maintaining physical function.
Balance training
Engage in balance exercises, particularly beneficial for older adults, to improve stability and prevent falls. Even younger individuals will benefit from enhanced kinesthetic awareness and safer mobility during weight loss.
Important considerations
We advise against exercising to the point of exhaustion and highlight the importance of staying hydrated. Our provider will provide personalized guidance on improving your physical activity, while also offering guidance for those with multiple chronic conditions or other specific health concerns.
Including these elements in your routine will not only support your weight loss efforts but also enhance your overall physical health and quality of life. Our team is here to support you every step of the way.
Diet and nutrition recommendations
At Nudge Fit, we believe in a holistic approach to health, backed by evidence-based nutrition strategies to support your weight loss journey.
Lean proteins
Incorporate lean protein sources such as poultry, fish, tofu, beans, lentils, and Greek yogurt into your meals. These proteins help you feel full, regulate blood sugar levels, and support muscle health. Lean protein shakes count toward your overall recommended daily calories from protein at about 10 - 35%.
Whole foods
Prioritize whole, unprocessed foods like vegetables, whole grains, fruits, and healthy fats. These nutrient-dense options provide essential vitamins, minerals, fiber, and antioxidants. Aim to eat smaller, more frequent meals and never skip breakfast, which is vital for jumpstarting your metabolism.
Daily fiber
Consuming 25-35 grams of fiber daily is crucial, especially for those on GLP-1/GIP medications, which can cause constipation. Foods rich in fiber, such as fruits, vegetables, whole grains, and legumes, can help alleviate gastrointestinal discomfort and promote regularity.
Hydration
Staying hydrated is essential, particularly when taking GLP-1/GIP medications.
Drink at least 60 - 80 ounces of water daily to help manage constipation and support overall health.
Who should not take Semaglutide?
If you have or previously had any of these health conditions, you should immediately consult your provider to see if Semaglutide is right for you.
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Endocrine tumors (MEN 2) or if someone in your family had these tumors
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Eye disease, vision problems
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Gallbladder disease
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History of pancreatitis
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Kidney disease
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Stomach or intestine problems
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Thyroid cancer or if someone in your family had thyroid cancer
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An unusual or allergic reaction to Semaglutide, other medications, foods, dyes, or preservatives
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If you're pregnant or trying to become pregnant
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If you're Breast-feeding
