What medications are used in the Adult Medical Weight Loss Program?

The program uses FDA-approved GLP-1 receptor agonist medications, specifically semaglutide and tirzepatide. Semaglutide mimics the GLP-1 hormone to reduce appetite, slow gastric emptying, and improve blood sugar regulation. Tirzepatide adds GIP receptor agonist activity for enhanced appetite control and metabolic effects. Both are administered as weekly subcutaneous injections. The clinical team evaluates your health profile, goals, and any existing medications during your initial consultation to determine which medication is the better fit for you.

How much weight can I lose with the medical weight loss program?

Clinical trials for semaglutide and tirzepatide show average weight loss of 15 to 22 percent of total body weight over the course of treatment. Individual results vary based on starting weight, adherence to the program, diet, and activity level. The program's combination of medication with body composition monitoring, nutritional guidance, and fitness support is designed to maximize fat loss while preserving muscle mass, which is critical for long-term metabolic health and sustained results.

How long does medical weight loss treatment take?

The dose escalation phase typically lasts several months as medication is gradually increased to the target dose. Most patients begin to notice meaningful weight loss within the first few weeks. Once goal weight is achieved, the program transitions to a maintenance phase with quarterly visits and semi-annual body composition scans. The length of active treatment varies by individual and is determined collaboratively with Dr. Bruce based on your progress and overall health goals.

Are there any side effects from GLP-1 weight loss medications?

The most common side effects of semaglutide and tirzepatide are gastrointestinal, including nausea, mild vomiting, or loose stools, particularly when starting or increasing the dose. These effects typically subside as your body adjusts. The clinical team adjusts dosing gradually to minimize discomfort. Less common side effects include constipation and fatigue. The medications are not recommended for individuals with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2, and candidacy is carefully evaluated during consultation.

Do I need surgery if I choose the medical weight loss program?

No surgery is required for the medical weight loss program. It is designed as a non-surgical alternative for adults who want significant, physician-supervised weight loss without a bariatric procedure. It is a good option for patients who do not meet surgical candidacy criteria, prefer to avoid surgery, or want to try medical management first. If your goals or health needs change, Dr. Bruce can discuss whether surgical options would be appropriate based on your progress and overall health.

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Adult Medical Weight Loss Program IN CARY, NC

Our Program

At Bruce Wellness and Aesthetics, we offer a personalized, comprehensive medical weight loss program designed to help you reach and maintain your ideal weight safely and sustainably. Our team provides guidance, support, and medical expertise to empower you every step of the way, creating a program tailored to meet your unique needs. Our weight loss program combines advanced medical knowledge, personalized nutrition plans, and continuous support to ensure you reach your health goals. We work closely with you to identify any unique challenges, design an effective weight loss plan, and provide ongoing care. Whether you’re pursuing surgical or non-surgical weight loss, our holistic approach ensures a thorough, health-centered journey with each visit.

Body Composition Analysis by SECA

At Bruce Wellness & Aesthetics, we understand that accurate body composition analysis is crucial for any successful weight loss program, whether medical or surgical. Our advanced SECA scan technology, second only to MRI in accuracy, is an essential part of our approach. Regularly monitoring your muscle mass, water weight, fat mass, and more, allows us to tailor your treatment plan effectively. The goal is not merely "weight loss," but rather the reduction of total body fat and visceral fat, while preserving and potentially increasing lean body mass like muscle, ligaments, tendons, and bone. This focus is vital for maintaining strength and vitality throughout your journey.

Dr. Bruce or Carlos will review these insights with you, helping you understand your body’s unique composition and its impact on your goals. This detailed analysis aids in setting realistic targets and adjusting your nutritional and supplement regimen to prevent muscle loss and ensure optimal outcomes. Choosing Bruce Wellness and Aesthetics means partnering with a team that prioritizes your health and long-term success in your weight loss journey.

Semaglutide

As part of our medical weight loss program, we offer Semaglutide as an option for eligible patients. This FDA-approved medication supports weight loss by regulating appetite and blood sugar levels. Semaglutide, combined with our personalized support and dietary guidance, can help you achieve effective and sustainable results under the careful supervision of our experienced team.

Tirzepatide

Tirzepatide is one of the advanced options available in our medical weight loss program. This innovative, GLP/GIP medication works by helping regulate appetite and blood sugar levels, making it an effective tool for weight management when paired with personalized nutrition plans and expert guidance. While Tirzepatide is currently part of our offerings, its availability may be subject to change based on supply and long-term considerations. Our team, led by Dr. Bruce, will work closely with you to determine whether Tirzepatide is the right choice for your weight loss journey, ensuring a safe and effective approach tailored to your needs.

Body by Bruce: Building Community Through Fitness

At Bruce Wellness and Aesthetics, we believe in supporting your health journey at every step. Our Body by Bruce program offers a free, weekly group workout led by Corey Johnson, Dr. Bruce’s dedicated personal trainer, designed for clients committed to medical or surgical weight loss, aesthetics, or general fitness. This program brings together community and fitness in a structured, welcoming environment to help you reach your wellness goals.

Program Details:

When: Every Saturday, 8:30-9:30 AM
Where: SportsHQ, 107 Edinburgh S. Drive, Suite 100A, Cary, NC 27511 (located in the far back corner of the plaza)

Whether you’re building strength, maintaining weight loss, or enhancing your fitness, Body by Bruce provides expert guidance and a supportive community every step of the way. Come enjoy a workout designed to inspire, energize, and connect you with others on your wellness journey.

Follow-Up Schedule

Our commitment to your progress doesn’t end after your first appointment. There are two basic periods of follow up in our program; dose escalation, and maintenance. During dose escalation, you will be seen monthly to adjust the dose as needed and to ensure no unwanted side effects are present or left untreated. You will receive a free body composition analysis at your first visit. We recommend repeat BCAs every other visit until we reach your goal weight. Once we have reached your weight loss goal, or highest dose, we will switch to maintenance. By the time you reach maintenance, you will be placed on a regimen of therapy to maintain your goal. You will be seen every three months and receive a BCA every six months in office. Additionally, we offer flexibility, you're welcome to schedule extra appointments if you have any concerns or would like additional guidance.

Adult Medical Weight Loss Program IN CARY, NC

Our Program

Body Composition Analysis by SECA

Semaglutide

Tirzepatide

Body by Bruce: Building Community Through Fitness

Follow-Up Schedule

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Adult Medical Weight Loss Program IN CARY, NC

Our Program

Body Composition Analysis by SECA

Semaglutide

Tirzepatide

Body by Bruce: Building Community Through Fitness

Follow-Up Schedule

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