Medical Weight Loss
Semaglutide
The foundational GLP-1 program — physician-directed dosing, concierge support, and discreet delivery, all at one transparent rate with nothing hidden.
By private consultation
Clinical Overview
How Semaglutide works
A weekly injection that mirrors a hormone your body already makes — recalibrating appetite, satiety, and metabolic signaling.
Mimics natural GLP-1
A long-acting analog of glucagon-like peptide-1 — the satiety hormone your gut releases after a meal.
Slows gastric emptying
Food stays in the stomach longer. Satiety arrives sooner and lasts longer between meals.
Quiets appetite signaling
Acts on the brain's hunger pathways, reducing the constant food noise that drives unconscious overeating.
Candidacy Profiling
A considered fit, not a funnel.
Adults who want a foundational, physician-directed approach to weight — and the concierge attention that makes the results last.
- Adults 18+ with a BMI of 27 or higher, or 25+ with weight-related conditions
- Patients who want a directed program, not a vending-machine prescription
- Those optimizing for steady, monitored progress over months — not a quick fix
- Personal or family history of medullary thyroid carcinoma or MEN 2
- Pregnancy, breastfeeding, or planning pregnancy
- Active pancreatitis or untreated severe gastrointestinal disease
Expected Timeline
What to Expect
Realistic timelines drawn from published clinical trials and the patients we care for. Individual response varies — the curve is consistent.
- 01
Month 1
Titration
Initial dose introduction. Appetite begins to shift; the body adjusts to the medication.
- 02
Month 3
Established
Therapeutic dose reached. Cravings reduced; metabolic momentum visible.
- 03
Month 6
~15%
Average body weight reduction reported in published trials.
- 04
Year 1+
Maintained
Most patients sustain results with continued physician-directed treatment.
Outcomes referenced from STEP 1 and SUSTAIN clinical trial data. Your physician sets realistic expectations for your specific case.
Your Concierge Support
A licensed clinician, matched to you.
Sterling is built on access. Your care is directed by a licensed physician and supported by a concierge team that knows your name and your history — reachable through secure messaging on your schedule, around the clock. You are looked after by people, not routed through a call center.
- 01Compounded medication
- Prepared by partner compounding pharmacies in the USA and shipped on a structured cadence.
- 02Your own physician
- Care is directed by a licensed physician who knows your history — not a rotating call center.
- 03Physician-directed dosing
- Titration and adjustments at every transition under careful clinical supervision.
- 04Around-the-clock messaging
- Reach your care team between check-ins through your secure, private patient portal.
- 05Structured check-ins
- Cadenced reviews that keep your protocol and wider plan calibrated to your response.
- 06Discreet direct delivery
- Temperature-controlled, unmarked packaging delivered straight to your door.
Clinical Safety
No medication is right for everyone.
Common side effects
Most common during titration: mild nausea, fatigue, or digestive changes that typically resolve as the body adjusts to each dose increase. Your physician supports you through every transition.
Clinical Contraindications
Not appropriate for patients with a personal or family history of medullary thyroid carcinoma or MEN 2, or for patients who are pregnant or breastfeeding. Full medical history is reviewed before any prescription is authorized.
Clinical Experience
From members of the Semaglutide program.
- “
After years of trying everything, the food noise just stopped. The difference with Sterling was the attention — someone actually watching, actually adjusting. I never felt like a number.
- “
What I did not expect was how calm it felt. I eat when hungry, stop when full, and my physician checks in like a real partner. That is the whole story.
- “
My dose was adjusted three times to find what worked for me. That kind of care is what I never got anywhere else. The supervision is what makes it feel safe.
Frequently Asked
Questions worth asking before you begin.
Every program begins with a private online consultation. If your physician authorizes treatment, your protocol is prepared by a partner compounding pharmacy and delivered discreetly to your door, with structured check-ins and around-the-clock messaging access to your care team throughout.
Concierge does not mean opaque. Our programs feature flat, transparent pricing with no hidden fees, no consultation charges, and no dose-change surcharges. The price we quote is the price you pay.
Sterling is a concierge practice spanning medical weight loss, hormone and vitality care, and healthy-aging protocols for both men and women. Our flagship online programs are physician-directed GLP-1 weight management; broader concierge services are arranged through your physician.
Your consultation is reviewed and authorized by a licensed physician. Every patient receives consistent, physician-directed clinical care with private messaging access.
Memberships may be canceled with 30 days' notice prior to the next billing cycle. Consultations, medical visits, and fulfilled prescriptions are non-refundable once services begin or medication is processed.
Yes. Sterling Private Medical is HIPAA compliant and discretion is built into everything we do. Your medical information is shared only with your physician and the dispensing pharmacy. We never sell or share your data.
Comparison Protocol
Tirzepatide
Newer dual-agonist (GLP-1 + GIP). Higher average weight loss in published trials.
Begin Consultation
The Semaglutide program begins with a conversation.
Your consultation is reviewed by your dedicated provider. If authorized, your protocol is prepared by a partner compounding pharmacy and delivered direct to your door.