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Semaglutide / Cyanocobalamin Injection

What is Semaglutide?

Semaglutide (Wegovy, Ozempic, Rybelsus) is a medicine used for weight loss in specific patients, and to lower blood sugar levels and reduce the risk of major cardiovascular events such as heart attack or stroke in type two diabetes patients. Semaglutide is a GLP-1 agonist and works by increasing insulin release, lowering the amount of glucagon released, delaying gastric emptying and reducing appetite.

Before taking this medicine

You should not use semaglutide if you are allergic to it, or if you have:

  • multiple endocrine neoplasia type 2 (tumors in your glands);

  • a personal or family history of medullary thyroid carcinoma (a type of thyroid cancer); or

  • diabetic ketoacidosis (call your doctor for treatment).

Tell your doctor if you have ever had:

  • a stomach or intestinal disorder;

  • pancreatitis;

  • kidney disease; or

  • eye problems caused by diabetes (retinopathy).

In animal studies, semaglutide caused thyroid tumors or thyroid cancer. It is not known whether these effects would occur in people. Ask your doctor about your risk.

Men and women should stop using semaglutide at least 2 months before you plan to get pregnant. Ask your doctor for a safer medicine to use during this time. Controlling diabetes is very important during pregnancy, as is gaining the right amount of weight. Even if you are overweight, losing weight during pregnancy could harm the unborn baby.

Ask a doctor if it is safe to breastfeed while using Semaglutide.

Semaglutide is not approved for use by anyone younger than 18 years old.

How does semaglutide work?

Semaglutide works to lower high blood sugar by increasing the amount of insulin that is released, lowering the amount of glucagon released and by delaying gastric emptying. Semaglutide also controls appetite and so helps you reduce the amount of food that you want to eat.  Semaglutide is a glucagon-like peptide-1 (GLP-1) agonist

Semaglutide side effects

Get emergency medical help if you have signs of an allergic reaction: hives, itching; dizziness, fast heartbeats; difficult breathing; swelling of your face, lips, tongue, or throat.

Serious side effects of semaglutide may include:

call your doctor at once if you have:

  • vision changes;

  • unusual mood changes, thoughts about hurting yourself;

  • pounding heartbeats or fluttering in your chest;

  • a light-headed feeling, like you might pass out;

  • signs of a thyroid tumor--swelling or a lump in your neck, trouble swallowing, a hoarse voice, feeling short of breath;

  • symptoms of pancreatitis--severe pain in your upper stomach spreading to your back, nausea with or without vomiting, fast heart rate;

  • gallbladder problems--upper stomach pain, fever, clay-colored stools, jaundice (yellowing of the skin or eyes);

  • low blood sugar--headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate, or feeling jittery;

  • kidney problems--swelling, urinating less, feeling tired or short of breath; or

  • stomach flu symptoms--stomach cramps, vomiting, loss of appetite, diarrhea (may be watery or bloody).

Common side effects of semaglutide may include:

Store this medication in a refrigerator at 36° F to 46° F (2° C to 8° C) and away from heat, moisture and light. Keep all medicine out of the reach of children. Throw away any unused medicine after the beyond-use date. Do not flush unused medications or pour down a sink or drain.

Administration of the Medication

  • Administer Semaglutide once weekly, on the same day each week, at any time of the day, with or without meals.

  • The day of weekly administration can be changed if necessary, as long as the time between two doses is at least 2 days (>48 hours).

  • If a dose is missed, administer Semaglutide as soon as possible within 5 days after the missed dose. If more than 5 days have passed, skip the missed dose and administer the next dose on the regularly scheduled day. In each case, patients can then resume their regular once weekly dosing schedule

Your healthcare provider will show you where to inject semaglutide. Do not inject into the same place two times in a row

Do not use different brands of semaglutide at the same time


  • Start Semaglutide at a dose of 0.25 mg once a week for your first month

  • For your second month, you can increase your weekly dose to 0.5 mg

  • For your third month, you can increase your weekly dose to 1 mg

  • For your fourth month, you can increase your weekly dose to 2.0 mg once a week. 

Tips for Taking Semaglutide

  • You can take Semaglutide with or without food

  • If you need to change the day of the week, you may do so as long as your last dose of Semaglutide was given 2 or more days before

  • If you take too much Semaglutide, you may have severe nausea, severe vomiting, and severe low blood sugar. Contact your health care provider right away

During your Consultation at Unity Lab:


            The nurse will review your medical history with you

            BMI will be calculated

            Initial weight and measurements will be taken

            Medication will be discussed

            Information on how to administer the medication will be given



After the consultation the nurse will order your medication from the pharmacy, and it will be delivered to your home or the clinic. You will be given the option to self-administer or come weekly into the clinic for your injection. (Syringes will be provided for home administration)

Each month the cost will be $260, a face-to-face appointment is required in order to check progress and refill medication. (We do advertise specials on our FB Page)


You now have the option to pay a weekly fee of $60 to receive the injection in office.

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