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Semaglutide, started low and stepped up slowly.

A once-weekly GLP-1 injection, prescribed by a licensed provider who checks in before every dose step.

Weekly injectionVial + syringesRx only
From $149/moincludes provider care
BellaHealth. Semaglutide injection
At a glance

Semaglutide injection, in plain words.

What it is

Compounded semaglutide, a GLP-1 medication that works with your body’s own fullness signals.

How you take it

One small injection under the skin, the same day each week. Your care team shows you how.

Who it’s for

Providers most often consider it from a BMI of 30, or 27 with a weight-related condition.

What to expect

Appetite usually settles first. Weight change is gradual and is reviewed every month.

What to expect
Before you start

A provider reads your history

You answer a private medical intake. A provider licensed in your state reviews it, may ask for labs, and decides whether semaglutide is right for you.

Weeks 1 to 4

The starting dose

You begin at the lowest dose so your body can adjust. Nausea is most common here, and smaller meals help. Message your care team any time.

Months 2 to 4

Stepping up, only if you’re ready

Your provider checks in before each step. If side effects linger you stay where you are. There is no prize for going faster.

Month 5 onward

Holding steady

Once you reach the dose that suits you, you stay on it with monthly refills and regular reviews. Stopping is always your choice, with a plan.

Safety, said plainly

What it can do, and who it isn’t for.

A licensed provider reviews your full history before prescribing anything. This is a summary, not the full prescribing information.

Common side effects

  • Nausea, most often in the first weeks and after a dose step
  • Diarrhea or constipation
  • Vomiting, stomach pain or reflux
  • Tiredness or headache
  • Less appetite than you expect: eat enough protein and drink water

Tell your provider, or it may not be for you, if

  • You or a close relative have had medullary thyroid cancer or MEN 2
  • You are pregnant, breastfeeding or planning a pregnancy in the next two months
  • You have had pancreatitis
  • You have severe stomach or bowel disease such as gastroparesis
  • You have type 1 diabetes or a history of an eating disorder: tell your provider first

Boxed warning on this class of medication. In rodent studies GLP-1 medications caused thyroid C-cell tumors. It is not known whether this happens in people. Tell your provider about any lump in your neck, hoarseness or trouble swallowing.

The honest evidence position.

In the STEP 1 trial, adults taking FDA-approved semaglutide 2.4 mg with lifestyle support lost an average of 14.9% of body weight over 68 weeks, compared with 2.4% on placebo. That trial studied the branded product. Compounded medications are prepared by state-licensed pharmacies and are not FDA-approved. They have not been studied in those trials, and individual results vary.

Typical dose steps

Low first. Up only when you’re ready.

  • 0.25 mgWk 1–4
  • 0.5 mgWk 5–8
  • 1 mgWk 9–12
  • 1.7 mgWk 13–16
  • 2.4 mgWk 17+

The usual schedule from the approved product label. Your provider sets yours and may hold or lower a dose at any point.

Your plan

One price. Care included.

Your membership covers the provider visit, ongoing messaging and the medication where it is prescribed. No insurance needed, and you can cancel any time.

Semaglutide injection$149/mo
  • Provider visit and review
  • Unlimited messaging with your care team
  • Medication shipped if prescribed
  • Cancel any time
See if it could suit me

Expected launch pricing. It can vary by state and pharmacy, and your final price is confirmed before you pay. Medication is included only where a provider prescribes it.

Questions

Is this the same as the branded injections?

No. Your provider would prescribe compounded semaglutide from a licensed 503A or 503B pharmacy. It contains the same active ingredient, but compounded medications are not FDA-approved.

Does the injection hurt?

The needle is very fine and goes just under the skin of the stomach, thigh or upper arm. Most women describe a brief pinch.

What if I feel sick?

Tell your care team. Eating smaller meals, slowing down and avoiding rich food helps most women. Your provider can hold or lower your dose.

What happens if I stop?

Appetite usually returns over the following weeks, and some weight regain is common. Your provider can help you plan what comes next.

Keep exploring

Other treatments.

Shown for illustration. Prescription only. A licensed provider decides whether treatment is right for you. Compounded medications are not FDA-approved. This page is general information, not medical advice, and reading it does not create a provider-patient relationship. If you are having a medical emergency, call 911.

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