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Welcome to the Nazarian Plastic Surgery & Spa26 Weight Loss Management Program!
Stop struggling to lose weight on your own. Board-certified plastic surgeon Dr. Sheila Nazarian and her team are passionate about helping patients live their best lives. We develop your weight loss program around your needs to create a roadmap for lasting success. Patients benefit from Dr. Nazarian’s insightful approaches to full-body rejuvenation, which have distinguished her as a thought leader in the world of aesthetics and wellness. Learn how our comprehensive medical weight loss program can help you transform your mind, body, and spirit.
In recent years, the pursuit of weight loss has become an increasingly prevalent goal among individuals striving for improved health and well-being. With rising rates of obesity and related health concerns worldwide, the demand for effective weight management solutions has surged. Many patients ask about GLP-1 medications like semaglutide, but we currently prescribe tirzepatide with glycine, which we’ve found to be more effective for long-term weight management in most patients.
These medications, originally developed to help manage blood sugar levels in individuals with type 2 diabetes, have demonstrated remarkable efficacy in facilitating weight loss as well. Their dual mechanisms of action, targeting appetite regulation and metabolic function, have made them promising options for those seeking not only glycemic control but also meaningful and sustainable weight reduction. As the understanding of the interplay between diabetes, obesity, and metabolic health evolves, tirzepatide and semaglutide stand out as innovative pharmaceutical interventions offering hope and promise in the quest for healthier lifestyles.
Achieving your weight loss goals is about so much more than shedding pounds. It’s about building strategies that transform your quality of life. Our blended approach generates forward momentum on your journey. As you experience the benefits of medication-assisted weight loss, we help you develop healthier habits that translate into lasting success.
Your personalized weight loss program may include any of the following components:
Medication-assisted weight loss. We prescribe tirzepatide with glycine, a dual-action injectable that targets hunger and metabolism. It helps regulate appetite, reduce cravings, and enhance feelings of fullness.
Personalized nutrition planning. A customized nutrition plan that aligns with your preferences, lifestyle, and weight loss goals.
Lifestyle coaching. Ongoing support and guidance to help you develop healthy habits and overcome challenges.
Surgical post-weight loss options. For patients with significant weight loss goals or those struggling with excess fat and skin after weight loss, we offer a range of surgical procedures performed by Dr. Nazarian, a board-certified plastic surgeon.
During your initial consultation, Dr. Nazarian will assess your medical history and weight loss goals to determine if our program is right for you. We then create a personalized plan incorporating medication support with nutrition and lifestyle coaching.
Dosage optimization. For patients prescribed tirzepatide with glycine, we start with a low dose and gradually adjust to maximize benefits and minimize side effects.
Ongoing monitoring. Your progress will be closely monitored throughout the program. We will track your weight loss, overall health, and any potential side effects to ensure medication-assisted weight loss remains a safe and beneficial aspect of your journey.
Focus on sustainable habits. Medication is a powerful tool, but it's not a magic bullet. We'll work with you to develop healthy eating habits and lifestyle changes that will contribute to your long-term weight loss success, even after completing the medication phase.
Although semaglutide has become widely known, our practice exclusively offers tirzepatide with glycine, which has shown even greater results for many patients in clinical trials and in real life.
Tirzepatide is a newer medication that combines two different classes of drugs: GLP-1 receptor agonists and GIP receptor agonists. It works by helping the body produce more insulin and decreasing the amount of sugar produced by the liver. This dual action helps to lower blood sugar levels in people with type 2 diabetes.
Many patients come in asking about semaglutide because of its visibility in the media. While it can be effective, we’ve chosen to offer tirzepatide with glycine instead, based on its dual-hormone action, better weight loss outcomes, and improved appetite control. If you’re researching semaglutide in Beverly Hills, we’re happy to explain how tirzepatide may give you even better results.
Mechanism of action. Tirzepatide combines both GLP-1 and GIP receptor agonists, whereas Semaglutide is solely a GLP-1 receptor agonist.
Dosage frequency. Tirzepatide is typically administered once weekly, while Semaglutide is usually taken once daily or once weekly, depending on the formulation.
Formulation. Tirzepatide may come in different formulations, including injectable and oral, whereas Semaglutide is primarily available as an injectable.
| Feature | Semaglutide | Tirzepatide with Glycine |
|---|---|---|
| Hormone Targets | GLP-1 only | Dual: GLP-1 + GIP |
| Appetite Suppression | Strong | Stronger due to dual pathway |
| Average Weight Loss | Up to 15% of body weight | Up to 20%+ in clinical studies |
| Gut Tolerability | Moderate (may cause nausea, GI upset) | Glycine may improve tolerability |
| FDA Approval for Weight Loss | Yes (under branded versions) | Not yet for weight loss, but widely prescribed off-label under physician supervision |
| Injection Frequency | Weekly | Weekly |
| Available at This Practice | Not currently offered | Yes ✅ |
| Best For | Patients who are GLP-1 responsive | Patients needing more robust hunger control or those not responding to GLP-1 alone |
We offer tirzepatide with glycine to adults who meet specific clinical criteria. Candidacy typically includes:
Body Mass Index (BMI). Candidates usually have a BMI of 30 or higher (classified as obese) or a BMI of 27 or higher (classified as overweight) with at least one weight-related medical condition.
Weight-related medical conditions. Individuals with a BMI between 27 and 29 must also have a weight-related medical condition to qualify for semaglutide or tirzepatide. These can include type 2 diabetes, hypertension, dyslipidemia (abnormal cholesterol levels), or obstructive sleep apnea.
Overall health. Ideal candidates should be in generally good health, with no severe gastrointestinal issues, a history of pancreatitis, or other contraindications that could increase risks or complicate treatment.
Previous weight loss attempts. Candidates should have tried other weight loss methods, such as diet and exercise, without achieving significant or sustainable results.
Commitment to lifestyle changes. Patients should be willing to commit to long-term lifestyle changes, including a healthy diet and regular physical activity, to support and maintain weight loss.
Our team will take a detailed medical history and learn about previous attempts to lose weight to evaluate your candidacy for medication-assisted weight loss.
At Nazarian Plastic Surgery, we understand that weight loss is a journey, not a destination. Our program provides the tools and ongoing support you need to maintain your weight loss results for the long term. You'll learn healthy habits, portion control techniques, and strategies for managing stress and emotional eating. We'll monitor your progress and adjust your weight loss program as needed to ensure your continued success.
Following significant weight loss, areas like the abdomen, underarms, breasts, buttocks, and thighs may be left with sagging skin and stubborn fat pockets. Post-weight loss surgery helps you fine-tune your slimmed-down physique to fully enjoy your weight loss success. At Nazarian Plastic Surgery, you have the option to pursue post weight loss surgery with leading plastic surgeon Dr. Sheila Nazarian once you’ve achieved your goal weight.
Every body contouring procedure is unique and customized to your specific needs and goals. Here are some common concerns addressed by surgery:
By combining advanced surgical techniques with a personalized approach, Dr. Nazarian can help you achieve a sculpted, post-weight loss body you'll love.
Post Weight Loss Surgery
Semaglutide and tirzepatide are FDA-approved medications for weight management. They have been studied extensively and proven to be safe and effective for most patients. During your consultation, Dr. Nazarian will discuss the potential risks and benefits of these medications to determine if they're right for you.
Post-weight loss surgery procedures can address excess skin and tissue laxity in various areas, including the abdomen, arms, thighs, breasts, and face. These procedures can help you achieve a smoother, more toned appearance after significant weight loss.
Recovery time varies depending on the specific procedure performed. Dr. Nazarian will provide detailed instructions on post-surgical care to ensure a smooth and comfortable recovery. Our team will also be available to answer any questions you may have throughout the healing process.
Our medical weight loss program offers a multitude of benefits designed to help you achieve lasting success:
Enhanced results. By combining advanced medical therapies like medication-assisted weight loss with personalized nutrition and lifestyle coaching, we create a powerful synergy to accelerate your weight loss journey.
Long-term support system. Our program goes beyond initial weight loss. We provide ongoing guidance and support from a team of medical professionals, helping you develop healthy habits and overcome challenges in order to achieve long-term success.
Improved health and well-being. Losing weight can significantly improve your overall health. Our program can help you manage weight-related conditions like diabetes, high blood pressure, and sleep apnea, leading to a healthier and more vibrant life.
Increased confidence. Reaching your weight loss goals can boost your confidence and self-esteem. Our program empowers you to feel comfortable and confident in your skin.
Surgical expertise (if applicable): Dr. Nazarian's surgical skills can help address excess skin and tissue laxity after significant weight loss for patients seeking a more dramatic transformation.
Safe and effective: Our program is overseen by Dr. Nazarian, a board-certified plastic surgeon. We prioritize safety and utilize evidence-based strategies to ensure your well-being throughout the entire process.
We’ve found tirzepatide (especially when combined with glycine) to deliver more consistent appetite suppression, greater weight loss, and better tolerance in most of our patients. While semaglutide works well for some, our clinical experience supports tirzepatide as the better long-term tool.
