We accept credit cards, Health Saving Accounts & cash. We do not bill insurance.
Achieve Optimal Health with GJ Skin Clinic
Initial Visit & Evaluation - Our comprehensive weight loss program begins with a detailed initial office visit ($65) to evaluate the underlying causes of your obesity. This includes:
- Comprehensive medical history and physical examination
- Assessment of contributing factors (hormonal, metabolic, lifestyle)
- Personalized treatment planning
Lab work is typically ordered and usually covered by medical insurance. If no insurance base panel cost around - ($75)
Prescription & Medication
If no contraindications are found, we will send a prescription to the pharmacy for either oral or injectable medications.
- Oral medications like Naltrexone or Bupropion
- Injectable GLP-1 like Tirzepatide or Liraglutide (weight loss medication) with either Vitamin B6 (helps decrease nausea and GI discomfort) or Vitamin B12 (helps boost energy)
Rx cost for Tirzepatide starts at $140 per month (dose-dependent).
Ongoing Care
Monthly follow-up visits ($45) include:
- Physical examination
- Progress assessment
- Medication refill and dose adjustment
Monthly Rx cost for Tirzepatide: Most patients pay $140–$160 per month (dose-dependent).
Our Philosophy: Microdosing GLP-1
Our goal is to keep you on the minimally effective dose.
Benefits of microdosing:
- Reduces common GI side effects (nausea, vomiting, diarrhea)
- May lower overall medication costs by extending supply
- Allows for personalized, gentle metabolic reset
- Supports long-term sustainability rather than rapid dose escalation
Diet While on GLP-1 Medications Like Tirzepatide
Medication is only a small part of weight loss—diet and exercise are the most essential components of your journey. Tirzepatide works best when paired with consistent, healthy lifestyle changes
Hydration: Critical for Kidney Health
Drink at least 8 (8 oz) glasses of water daily (64 ounces total).
Important: Tea, soda, lemonade, and other beverages are liquids—but they are not water. Only plain water counts toward your hydration goal.
Why it matters: Insufficient water intake while on Tirzepatide can cause kidney damage that may be permanent. GLP-1 medications can reduce thirst cues, making it essential to consciously track and maintain hydration .
Calorie Targets
Women: Stay under 1,500 calories per day
- Recommended: 5 small meals at 300 calories each
- Smaller, frequent meals are more beneficial than one large meal per day
Men: Stay under 1,800 calories per day
- Recommended: 5 small meals at 360 calories each
Key Strategies
- Count and record your calorie intake daily using a food diary or app
- Eat 5 small meals throughout the day rather than 2–3 large meals to reduce nausea and improve tolerance
- Prioritize protein (60–100g/day) and fiber (25–38g/day) at every meal
- Avoid high-fat, fried, and sugary foods that worsen GI side effects
Remember: sustainable weight loss comes from consistent healthy habits—not just medication
https://www.youtube.com/watch?v=idW8vKcaOLE
Exercise Recommendations While on GLP-1 Medications (Like Tirzepatide)
Exercise is essential when taking GLP-1 medications to preserve muscle mass, boost metabolism, and maximize fat loss. Studies show that combining Tirzepatide with regular physical activity can double your weight loss results compared to medication alone.
Get in the Habit of Exercising at Least 30 Minutes Every Day - No gym is needed!
The following free YouTube workouts can be done at home with no or minimal equipment.
Our Long-Term Goal: Sustainable Weight Loss Without Medication
At Gj Skin Clinic, our goal is to help you achieve an optimal BMI and sustain your weight loss without gaining weight back—so you can eventually come off GLP-1 medications.
https://www.sanfordhealth.org/-/media/org/files/patient-education/resistance-training-guide.pdf
https://youtu.be/pe1u6UktZCU?si=raA0qYNGAm0VQsay