Semaglutide — Ozempic® & Wegovy®
The most-studied GLP-1 agonist. FDA-approved for type 2 diabetes (Ozempic®) and chronic weight management (Wegovy®). Once-weekly injection. Typical weight loss around 15% of body weight over 68 weeks in trials.
Weight Loss · Peptides · Recovery · Longevity
Semaglutide, tirzepatide & medical peptides — done the right way.
Physician-guided weight loss with muscle-preserving nutrition, FDA-approved GLP-1s (Ozempic®, Wegovy®, Mounjaro®, Zepbound®), medical peptide therapy, exosome recovery protocols, and hormone optimization — in Kennewick, WA. Real medicine, no shortcuts.
You might be here because…
The reason most people find this page.
You want to lose weight — safely
You've heard about semaglutide and tirzepatide and want to know if they're right for you. You want a real medical program, not a website that just ships you injections.
You're not recovering the way you used to
Training hits harder. Sleep doesn't restore you. Tendons stay sore. You're looking for something more targeted than another supplement stack.
You want to age well
You're serious about how you'll feel a decade from now — energy, cognition, body composition, sexual health — and you want physician-level guidance, not spa-level advice.
Weight Loss — the highest-demand program
GLP-1 medications, prescribed inside a real medical program.
Semaglutide and tirzepatide are FDA-approved for weight management and can produce 15–22% total body weight loss in clinical trials. But the medication is only half the story. Long-term success requires baseline labs, muscle preservation, nutrition coaching, and a tapering plan. That is what we do — not shortcuts.
Tirzepatide — Mounjaro® & Zepbound®
A dual GLP-1 / GIP receptor agonist. FDA-approved for type 2 diabetes (Mounjaro®) and chronic weight management (Zepbound®). Once-weekly injection. Superior weight loss vs. semaglutide in head-to-head trials — up to 22% total body weight loss.
Liraglutide — Saxenda® & Victoza®
Daily injection GLP-1. FDA-approved for weight management (Saxenda®) and type 2 diabetes (Victoza®). An option for patients who don't tolerate weekly dosing or who need finer titration.
What our program includes
- Baseline labs (metabolic, thyroid, hormones, inflammation)
- DEXA-informed body composition targets when available
- Muscle-preserving protein & strength training coaching
- Dose titration & side effect management
- Structured tapering & maintenance plan
- Ongoing physician follow-up — not just refills
Medical Peptide Therapy
Signaling molecules that tell your body to repair, rebuild, and regulate.
Peptides are short chains of amino acids that act as biological signals — telling the body to release growth hormone, repair tissue, calm inflammation, or modulate immune activity. Every peptide we prescribe is FDA-approved or dispensed through a state-licensed compounding pharmacy with clear clinical justification. Your protocol is built around your labs, symptoms, and goals — not a menu.
Growth hormone axis — sermorelin & tesamorelin
Sermorelin and tesamorelin (Egrifta®) are FDA-approved GHRH analogs. They stimulate the body's own pulsatile growth hormone release — a safer, physiologic approach used in carefully screened adults for age-related decline and specific metabolic indications.
- Sermorelin — FDA-approved
- Tesamorelin (Egrifta®) — FDA-approved
- Cycled protocols with follow-up labs
Immune modulation — thymosin alpha-1
A well-studied immune peptide, approved and used clinically in many countries and available in the U.S. through licensed compounding. Applied selectively for chronic viral reactivation (EBV, CMV), immune resilience during high-training phases, and complex chronic illness.
- Chronic viral reactivation (EBV, CMV)
- Immune resilience during intense training
- Adjunct in complex chronic illness
How we build your peptide protocol
Every peptide protocol starts with your labs, your symptoms, and your goals — not a package. We review the current evidence for each candidate peptide, match it to what you actually need, and only prescribe when the risk-benefit balance is right for you.
- Baseline labs and symptom review first
- FDA-approved options prioritized
- Compounded peptides only with clear clinical justification
- Follow-up labs and dose adjustments built in
Metabolic peptides — the GLP-1 class
The GLP-1 family (semaglutide, tirzepatide, liraglutide) is technically a peptide class as well. FDA-approved and covered in detail in the Weight Loss section above.
- Semaglutide, tirzepatide, liraglutide
- All FDA-approved
- See Weight Loss section above
A note on compounded peptides
Peptides not FDA-approved for a specific indication may be dispensed only through licensed compounding pharmacies with appropriate clinical justification. FDA guidance in this area is evolving. We follow current regulations closely and will decline to prescribe therapies that fall outside them.
Exosomes for Recovery & Performance
Cell-signaling therapy — reframed for optimization.
Exosomes are tiny extracellular vesicles that carry growth factors, microRNA, and repair signals between cells. Used in a fitness & wellness context, they support faster training recovery, tendon and soft-tissue healing, and systemic anti-inflammatory tone. Same therapy as on our Stem Cell & Exosome Therapy page — different clinical intent.
Training recovery
Speeding recovery from hard training blocks. Supporting connective tissue as loading intensity increases. Best used in athletes and active adults with structured programs.
Tendon & soft-tissue healing
Chronic tendinopathy that hasn't fully responded to PT — paired with structured rehab and inflammatory support to give tissue the best chance to remodel.
Longevity & vitality
Systemic anti-inflammatory tone as part of a longevity plan alongside biological age testing, hormone optimization, and metabolic care.
Regulatory note: Exosome products are not FDA-approved and their use is considered investigational. See our Stem Cell & Exosome Therapy page for full regulatory context and evidence library.
Inside a full optimization plan
What lives alongside peptides and exosomes.
Hormone optimization & HRT
Bioidentical hormone replacement (HRT) when indicated — perimenopause, menopause, andropause, thyroid, and adrenal function. Dosed to your labs and symptoms, not to a template.
IV nutrient therapy
NAD+, glutathione, methylated B-vitamins, magnesium, high-dose vitamin C, and Myers cocktail — timed around training, recovery, or metabolic goals.
Body composition & metabolic
Muscle-preserving protein and training targets, DEXA-informed goals when available, and structured tapers for GLP-1s so results last beyond the medication.
Biological age & longevity testing
TruDiagnostic biological age testing, methylation panels, cardiometabolic labs, and inflammation markers — used to guide the plan and to measure whether it's working.
Infrared sauna & heat therapy
Structured sauna sessions as a metabolic and cardiovascular adjunct — especially useful alongside a GLP-1 program. Regular heat exposure supports insulin sensitivity, mimics moderate cardiovascular training, and helps protect lean mass and cardiorespiratory fitness during a weight-loss phase.
The evidence library
Selected studies behind the protocols.
GLP-1 receptor agonists — semaglutide & tirzepatide
- Tirzepatide vs. semaglutide for weight loss — comparative analysis — JAMA Internal Medicine, 2024.
- GLP-1 receptor agonists for weight loss — systematic review — Annals of Internal Medicine.
- Long-term outcomes with GLP-1 receptor agonists — Cureus, 2025.
Thymosin alpha-1 — immune modulation
- Thymosin alpha-1: comprehensive review of clinical uses — World Journal of Virology.
- Thymosin alpha-1 — safety and efficacy update — 2024.
Exosomes for tissue repair & recovery
- MSC-derived exosomes in osteoarthritis — meta-analysis of 28 studies — Frontiers in Pharmacology, 2025.
- Cell-free MSC-exosome therapy in knee OA — Frontiers in Bioengineering, 2024.
- Regenerative medicine translational review — Bioengineering & Translational Medicine, 2024.
MSC-EVs and biological aging
- MSC-EVs and biological aging — Biogerontology, 2025.
- MSC-EVs reduce senescence & extend lifespan — Aging Cell.
- ADSC-EVs decrease epigenetic age markers — Science Advances.
Studies are provided for transparency. They inform our thinking; they don't guarantee any individual result.
Common questions
What people usually ask.
Do you prescribe semaglutide, tirzepatide, or Ozempic® for weight loss?
Yes — when clinically appropriate. Semaglutide, tirzepatide, and liraglutide are FDA-approved and effective. We prescribe them inside a real medical program that includes labs, muscle-preserving nutrition and strength training, and a plan for tapering. We won't hand out a prescription in isolation.
Are your peptides FDA-approved?
The peptides named publicly on this page are either FDA-approved (semaglutide, tirzepatide, liraglutide, sermorelin, tesamorelin) or long-standing clinical peptides available through licensed compounding (thymosin alpha-1). Additional peptides discussed privately in consultation are reviewed case-by-case and prescribed only when clinically justified within current regulatory guidance.
Is any of this covered by insurance?
Some GLP-1 prescriptions are covered by commercial insurance for FDA-approved indications; we can help you navigate coverage. Most other peptides, exosome therapies, and IV nutrient protocols are cash-pay. See our Billing page for details.
Can I combine peptides with exosomes or ozone therapy?
Often yes — and thoughtfully done, the combinations can be synergistic. We design a plan that sequences therapies to reinforce each other rather than layer them randomly.
How is this different from an online "med spa" or GLP-1 telehealth clinic?
We're a primary care and integrative medicine practice, not a one-service pill mill. Peptides and GLP-1s are tools inside a larger plan that includes your labs, sleep, hormones, and lifestyle. If a therapy isn't right for you, we'll tell you.
Can I speak Spanish with the provider?
Yes. Rosita is bilingual in English and Spanish, and the full program can be delivered in either language.
Ready to feel — and look — like yourself again?
A 20-minute discovery call is the easiest way to see if the program is the right fit for you.
Book a Discovery Call