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frequently asked questions

Nurse Practitioner- Led Medical Weight Loss, Hormone replacement & Cellular/metabolic Optimization licensed in California, Arizona, Washington, Colorado, & Florida

What is medical weight loss?

Medical weight loss is a provider-guided approach to weight management that may include prescription medications, lifestyle guidance, and ongoing monitoring. At Top Tier Telehealth, medical weight loss programs may include GLP-1 medications such as semaglutide or tirzepatide when clinically appropriate.
What are GLP-1 medications?

GLP-1 medications are prescription treatments that help regulate appetite, slow gastric emptying, and support blood sugar control. These medications are commonly used in medically supervised weight loss programs and may help patients achieve sustainable weight loss when combined with healthy lifestyle changes.
How much weight can you lose on semaglutide?

Weight loss results vary from person to person. Clinical studies have shown that semaglutide may help patients lose a meaningful percentage of their body weight when combined with lifestyle modifications. Your provider will determine whether this treatment is appropriate based on your medical history and health goals.
How quickly do GLP-1 medications start working?

Many patients notice appetite changes within the first few weeks of treatment. Weight loss typically occurs gradually over several months as the medication works together with lifestyle changes to support sustainable results.
Are GLP-1 medications safe?

GLP-1 medications have been extensively studied and are FDA-approved for certain medical conditions. Like any medication, they may have potential side effects. Your provider will review your medical history to determine whether these medications are appropriate for you.
What is the difference between semaglutide and tirzepatide?

Both semaglutide and tirzepatide are medications used to support medical weight loss. Semaglutide works by activating GLP-1 receptors that regulate appetite and metabolism, while tirzepatide works through a dual mechanism by activating both GLP-1 and GIP receptors. Your provider will help determine which medication may be appropriate for you during your consultation.
Do I have to take GLP-1 medications long term?

Treatment duration varies depending on individual health goals and response to therapy. Some patients use these medications for longer-term weight management, while others may transition off treatment after reaching their target weight.
What happens if I stop taking semaglutide or tirzepatide?

If medication is discontinued, appetite and metabolic signals may gradually return to their previous state. Maintaining healthy lifestyle habits is important to support long-term weight management.
What is hormone replacement therapy?

Hormone replacement therapy (HRT) helps restore hormonal balance in individuals experiencing symptoms related to hormone changes or deficiencies. Treatment may include therapies for women or testosterone replacement therapy for men when clinically appropriate.
What is testosterone replacement therapy?

Testosterone replacement therapy (TRT) is used to treat men with clinically low testosterone levels and related symptoms such as fatigue, reduced muscle mass, decreased libido, or changes in mood. Treatment decisions are based on clinical evaluation and laboratory testing.
What is NAD+ therapy?

NAD+ therapy is designed to support cellular energy production and metabolic function. NAD plays an important role in many biological processes involved in cellular health and energy metabolism.
What is sermorelin therapy?

Sermorelin is a peptide therapy that stimulates the body’s natural production of growth hormone. It may support energy levels, sleep quality, recovery, and metabolic function when clinically appropriate.
Do I need laboratory testing before starting treatment?

Laboratory testing may be recommended depending on your medical history and the treatment being considered. Your provider will determine whether baseline laboratory testing is appropriate during your consultation.
How are medications delivered?

When applicable, medications may be shipped directly to your home through a licensed pharmacy. This allows patients to receive treatment conveniently without needing to visit a pharmacy in person.
Who conducts my medical consultation?

All consultations are conducted by a licensed healthcare provider. Philana Cunningham, MSN, FNP-BC personally conducts patient evaluations and oversees treatment plans to ensure each patient receives individualized, medically supervised care.
How do I schedule an appointment?

Appointments can be scheduled online through the website, or you may call or text our office to schedule your telehealth consultation. Our team will provide instructions for your secure virtual visit.