Why supervision matters
GLP-1 medications like semaglutide and tirzepatide are powerful. They work. They also have real side effects, real contraindications, and real interactions with conditions like pancreatitis, thyroid disease, and gastroparesis. Telehealth pill mills hand them out after a five-minute video call with no labs and no follow-up. That is not medicine.
At Gem MD we treat weight management like any other medical condition. We do bloodwork. We review your full history. We watch for side effects. We adjust doses. We stay with you for the long haul.
How the program works
Step one is the consultation. We sit down for an hour and review your goals, your weight history, your medical history, and any other meds you take. We pull baseline labs that day or order them at our discounted cash prices.
Step two is the plan. Together we decide whether semaglutide or tirzepatide is right for you. Semaglutide starts at $105 per month. Tirzepatide starts at $150 per month. The medication price is what you pay. There are no markups, no add-on fees, no surprise charges.
Step three is the ongoing supervision. We see you regularly to titrate the dose, manage side effects, and check progress. You can text us between visits with any concerns.
Who is a candidate
GLP-1 medications are approved for people with a BMI of 30 or higher, or 27+ with weight-related comorbidities like diabetes, high blood pressure, or sleep apnea. We will assess fit during your consultation.
What stops happening when you stop
This is the most important question to ask before starting. GLP-1s work by changing how your body handles hunger and blood sugar. When you stop, the medication's effects fade over weeks. Some weight regain is common without lifestyle changes that stuck.
At Gem MD we plan for this from day one. The medication is a tool, not a finish line. We work on the eating patterns, sleep, movement, and stress habits that hold the changes in place.
Pricing
Monthly medication: semaglutide from $105, tirzepatide from $150. Membership is required. Adult membership starts at $69.55 per month (ages 21-44) or $101.65 (ages 45+). Initial labs are at our discounted cash prices.
Ready to talk about whether this fits your life? Schedule a weight management consultation.
