Weight Management Program

Semaglutide is a GLP-1 agonist, a physiological regulator of appetite and caloric intake. The GLP-1 receptor is present in several areas of the brain involved in appetite regulation, so patients who are on the medication tend to feel full with smaller portions and do not feel the constant nagging of “food chatter” that drives people to snack during the day.

Semaglutide is indicated in combination with a reduced calorie diet and physical activity to reduce excess body weight and maintain weight reduction long term in adults with obesity (BMI ≥30 kg/m2) or who are overweight (BMI ≥27 kg/m2) in the presence of at least 1 weight-related comorbid condition (high blood pressure, high cholesterol, pre-diabetes, etc).

When we decided to offer semaglutide at Two Roads Wellness Clinic, we knew we needed to do things just a little bit differently than some of the other facilities and on-line programs who were also offering the medication. 

1. We needed to keep to our integrative model and make sure we were using a personalized approach. So we decided we wanted patients to meet with the provider to complete or review labs, to have a lengthy conversation about their current eating habits and movement, to discuss some of the best supplement options to prepare their gut, and to set attainable goals (short and long term). 

2. Our patients, at least initially, are required to come to the clinic to receive their injections weekly so they have an opportunity to have consistent weights, waist measurements, and vitals assessed; to discuss any side effects; and to ask any questions or express any concerns. We hoped this would help ensure that patients could stay ahead of any of the common side effects so they could stay on track to meet their goals. 

3. Two Roads also offers nutritional genomics that can even further identify the diet type and movement that is best for each individual. 

4. We have a nutrition coach available as well that can help patients by meeting them at the grocery store to help them learn to shop or in their home to help revamp their pantry to better fit their new healthy habits.

Yes! Using SelfDecode we can assess your glucagon-like peptide-1 (GLP-1) activity and tell you the potential effectiveness of semaglutide in your weight management goals.

GLP-1 is a hormone that helps regulate blood sugar and appetite by increasing insulin and decreasing glucagon. 

Please note this is NOT required to do our weight management program. This is simply an optional step you can take to see how your body is likely to respond to semaglutide specifically. 

If you would like to pursue these GLP-1 results please see these next steps based on your status:

Please note this is not required to do our weight management program, but this is an excellent report to utilize as you are evaluating your options. 

• Scenario 1: If you have already completed SelfDecode and you are interested in Weight Management-

  -You can schedule your Weight Management evaluation appointment with Sasha Powell and together you can review the report at that time. 
  

• Scenario 2: If you are a new patient interested in Weight Management & have NOT completed a SelfDecode, Ancestry, 23andMe, or MyHeritage test- 

  -You can complete a SelfDecode kit at your appointment 

• Scenario 3: If you have previously completed Direct to Consumer test (Ancestry, 23andMe, MyHeritage)-

  -You can email your data file to Sasha Powell and we can review the GLP-1 reports as well as all of the other health and wellness information with your results. 

Our goal for our patients is to allow them to feel that they are learning how to better portion the foods they eat, to incorporate more fruits and vegetables daily, to learn the importance of healthy movement, and to reduce risks of chronic illness and inflammation. Long term, healthy, weight loss.