Lose the weight. Keep the muscle.

Many patients notice changes in appetite within the first few weeks — less hunger, satisfaction with smaller portions. Visible weight loss usually begins within the first one to two months, depending on dose adjustments, metabolism and habits. Gradual reduction is recommended because it is easier to maintain, and plateaus are normal; with monthly review the plan is adjusted to keep progress steady.

Both are usually a weekly injection and both reduce appetite, increase fullness and slow digestion. Semaglutide activates the GLP-1 receptor. Tirzepatide activates the GLP-1 receptor and the GIP receptor, which also influences how the body processes and stores nutrients; for some patients that second pathway means greater average weight loss. The right choice depends on your medical history, goals, availability, cost and tolerance, and the medical director makes a personalised recommendation.

Semaglutide and tirzepatide are the active molecules in the brand-name products. What is prescribed here, and where it is sourced from, is explained to you in writing at the consult — we do not make equivalence claims on a web page.

The most common are digestive: nausea, mild stomach discomfort, constipation, bloating or occasional diarrhoea, especially when first starting or when the dose changes. They are often temporary and ease as the dose is increased gradually. Smaller meals, avoiding greasy or very heavy food, eating slowly, stopping when full and drinking water through the day all help.

Severe abdominal pain, repeated vomiting or signs of dehydration should be reported to the office straight away.

It can, and it is one of the most common questions we hear. The skin depends on how much you lose, how fast, and your age and genetics. Our preferred approach is to start EvolveX during weight loss, not after it: Tite mode works on skin firmness and collagen, and Tone mode keeps muscle active. Results vary and EvolveX does not remove excess skin. The consult and 3D scan set your starting point.

It is written down for you: every GLP-1 patient gets a Custom Nutrition & Training Plan free, a full 90-day plan built from your scan and labs. The medication works best alongside healthy habits, and there is no strict universal diet. Most people find these help: balanced meals with lean protein, vegetables, whole grains and healthy fats; smaller portions eaten slowly; fewer highly processed foods, less sugar and no very large meals. Protein and strength training matter for keeping muscle as the weight comes off — which the scan will show.

For many patients the medication is part of a longer-term plan. The medical director evaluates your history, current medications and goals before prescribing, and regular follow-ups monitor progress and address concerns. Used as directed in a supervised programme, it can play a valuable role in sustained results — and once you reach your goal, BodyWorks provides continued guidance to maintain them.

Not every patient does, and that is decided by the medical director at an in-person evaluation, never by this page. Pregnancy, breastfeeding, certain personal or family medical histories and certain medications rule it out. The Private Consultation is the first step — $50, credited toward the programme when you begin within 30 days.

Tirzepatide is $299 a month for 2.5mg to 7.5mg and $399 a month for 10mg to 15mg. Before you start there is a one-time $179 clinical service fee that gets you your medical clearance and your baseline labs. Labs at month 3 and month 6 are required to continue your prescription: $129 each, or $229 prepaid for both. Your Custom Nutrition & Training Plan is included free.