Medical Weight Loss
GLP-1 Weight Loss Medications
Semaglutide, tirzepatide, and the structured program that makes them work — a concierge, physician-led program with personalized care from Dr. Perryman.
Overview
Medically supervised semaglutide and tirzepatide programs — a concierge, physician-led experience.
GLP-1 receptor agonists have transformed medical weight loss. We offer both first-generation (semaglutide) and second-generation (tirzepatide) medications, matched to each patient. This is a concierge, physician-led program — personalized care directly with Dr. Perryman, not a one-size prescription mill. We combine the right medication with the nutrition and behavior coaching that make the results stick.
How it works
A clear, step-by-step picture.
Comprehensive evaluation
Medical history, labs, and a personalized plan — not a one-size script.
Medication titration
Weekly injection, slowly titrated to your effective dose to minimize side effects.
Built-in coaching
Nutrition, hydration, protein, and strength work — the parts that determine whether your weight loss holds.
Photographic food diary
An optional photo-based food log for real-time feedback and accountability between visits.
Compare your options
How the choices stack up.
GLP-1
- Average weight loss
- 15–22% body
- Reversibility
- Stop = regain
- Procedure time
- None
- Hospital stay
- None
- Return to work
- Immediate
- Annual cost (cash)
- $5,000–$15,000/yr ongoing
- Insurance coverage
- Varies
- Best for
- BMI 27–35, want non-surgical
Gastric Sleeve
- Average weight loss
- 60–70% excess
- Reversibility
- No
- Procedure time
- ~60 min
- Hospital stay
- 1–2 days
- Return to work
- 1–2 weeks
- Annual cost (cash)
- One-time $18–22K
- Insurance coverage
- Strong
- Best for
- BMI 35+, restriction approach
Gastric Bypass
- Average weight loss
- 70–80% excess
- Reversibility
- No
- Procedure time
- ~90 min
- Hospital stay
- 2–3 days
- Return to work
- 2–3 weeks
- Annual cost (cash)
- One-time $22–28K
- Insurance coverage
- Strong
- Best for
- BMI 40+ or severe reflux/diabetes
Gastric Balloon
- Average weight loss
- 10–15% body
- Reversibility
- Yes (6-month)
- Procedure time
- ~20 min
- Hospital stay
- Outpatient
- Return to work
- 3–5 days
- Annual cost (cash)
- One-time $8–10K
- Insurance coverage
- None
- Best for
- BMI 30–40, pre-surgery reset or non-surgical
There's no single right answer — Dr. Perryman will help you find yours.
- Non-surgical
- Significant weight loss for many patients
- Improvement in blood sugar, blood pressure, inflammation
- Direct access to medications through our in-house compound pharmacy
- Monthly visits directly with Dr. Perryman — not an assembly-line prescription service
Risks & honest considerations
We’d rather you know the real picture before deciding.
- GI side effects (nausea, constipation) are common during titration
- Pancreatitis is a rare but recognized risk
- Discontinuation usually leads to weight regain without lifestyle changes
- Gallstones can develop during rapid weight loss
- Ongoing monthly cost — this is a long-term commitment
Surgeon-led
Every step led by Dr. Perryman.
From your first consultation to long-term follow-up, you work directly with Dr. Scott Perryman — board-certified, fellowship-trained, with more than 1,500 bariatric procedures performed.
Recovery
What the timeline really looks like.
- OngoingMonthly visits with Dr. PerrymanPersonalized dose adjustment, side-effect management, and coaching.
Real results
Real patients. Documented outcomes.
Shared with patient permission. Individual results vary.
Individual results vary
See full resultsFAQs
Common questions, answered honestly.
Will I gain it back if I stop?
Many patients do regain weight after stopping. We focus on a long-term strategy — including the option to taper rather than stop abruptly.
Is it safe to combine with bariatric surgery?
We use GLP-1s pre-surgically in selected high-BMI patients and post-surgically for regain. Always under medical supervision.
How much does the GLP-1 program cost?
Insurance coverage varies wildly. Branded semaglutide (Wegovy) or tirzepatide (Zepbound) cash price is $1,000–$1,300/month — often partially covered with prior authorization. Our compounded program is $400–$600/month depending on dose. Insurance verification is the first step.
What happens if I stop the medication?
Most patients regain weight after stopping unless they've built sustainable nutrition and lifestyle habits during the program. We treat GLP-1 as a tool, not a long-term solution.
What are the most common side effects?
Nausea (almost universal in the first 4–6 weeks but manageable with slow titration), constipation, fatigue. Rare but serious: pancreatitis, gallstones during rapid weight loss.
Should I try GLP-1 before considering surgery?
For BMI 27–35 without major comorbidities, yes — GLP-1 is often the right first step. For BMI 40+, or BMI 35+ with diabetes/sleep apnea, surgery generally produces more durable results. We can help you decide.
Next step
Talk with Dr. Perryman — no obligation.
A confidential consultation answers your questions, reviews your candidacy, and outlines a plan that fits your life.
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