Step 1 Of 3

Teaching of subcutaneous injection, 
Semaglutide 0.25mg subQ weekly x 4 weeks
1mL vial
includes dosing card, 6 insulin syringes and alcohol prep pads for the month.
Instructions on safe disposal of sharps. 

optional: B12 injection
Semaglutide, 0.5mg weekly dose x 4 weeks (1mL vial)
3mL vial 
5mL vial
maintenance dose
Initial appointment
review: diet history
Full PMH, PSH, ROS, medication reconciliation and allergy review. 
Discuss food logging and water consumption
Annual physical
chronic conditions
labs with review 
refill medications

annual exam
pelvic exam
labs
chronic conditions
med refill
Primary care consultation and physical exam

1 Liter Normal Saline infusion
Rapid Covid
Rapid Flu
Rapid Strep testing
1mL, starting dose 2.5mg (25 units) weekly
review aseptic technique and safe injection practices
review safe disposal of sharps. 
starting dose 2.5mg (25units) weekly
review aseptic technique and safe injection practices
review safe disposal of sharps. 
(1) 3mL vial
starting dose 2.5mg (25units) weekly
review aseptic technique and safe injection practices
review safe disposal of sharps. 
(1) 5mL syringe 
starting dose 2.5mg (25 units) weekly
review aseptic technique and safe injection practices
review safe disposal of sharps. 
Under 10 min 
sick visit

Service provided for patients who require extra help with injections and reinforces active compliance with diet plan. Also contributes to accountability. Fee is waived for membership members. 
annual
pelvic
labs
chronic conditions
med refill
est pt
annual exam
labs
chronic conditions
est pt
annual exam
no gyn

Follow up, less than 10 min
Refills if needed
No new diagnosis

Follow up for weight loss clients. 
Body composition, diet review, calorie calculations and review/order labs if needed. 
75 day supply semaglutide 
(2) B12 injections
Gluthionine injection
Body composition analysis at beginning and at end of treatment
GLP1 
Full consultation of menopause and peri-menopausal symptoms
Review of current medications and laboratory testing done 
Brief physical exam
Minor sick visit
UA without c and s