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Innovare TxRegenerative & Wellness
Compounded Semaglutide · GLP-1

Compounded semaglutide weight loss in Dallas

Looking for medically supervised compounded semaglutide weight loss in Dallas? We offer compounded semaglutide — a GLP-1 medication that can support weight loss as part of a medically supervised program — with in-person visits, plus telemedicine visits available when they fit your schedule. Medical care from a provider with 27 years of experience. We also offer compounded tirzepatide at $160/month in-clinic.

Book Your Visit (214) 233-3094
Medically supervised weight loss with compounded semaglutide at Innovare Tx in Addison, TX
In short
At Innovare Tx, compounded semaglutide is a medically supervised, in-person GLP-1 weight loss program. Compounded semaglutide is a once-weekly GLP-1 injection that may help reduce appetite and support weight loss, and it is not FDA approved. It is offered from $140/month in-clinic ($199/mo home delivery). The in-clinic price covers the medication at any dose; your consultation and scheduled follow-up visits are billed separately. Care is supervised by Charles Ortega, PA-C with 27 years of experience. We also offer compounded tirzepatide at $160/month in-clinic.

What is compounded semaglutide?

Compounded semaglutide is an injectable medication in the GLP-1 receptor agonist class. The compounded form we use is prepared by a state-licensed 503A compounding pharmacy and is not FDA approved — the FDA has approved only the brand-name products. Compounded medications are prescribed when a patient has a clinical need that a commercially available product does not meet, a determination Charles Ortega, PA-C makes based on your individual health profile.

GLP-1 receptor agonists work by mimicking a natural hormone your gut releases after eating.

When you activate the GLP-1 receptor, several things happen:

  • Appetite may go down — some people feel satisfied with less food and have fewer cravings between meals
  • Stomach emptying slows — food stays in your stomach longer, so you may feel full for longer after eating
  • Blood sugar regulation — this class of medication acts on how your body manages blood sugar after meals

You take compounded semaglutide as a once-weekly subcutaneous injection (a small needle just under the skin, similar to an insulin pen), and most patients administer it at home. For a deeper look, read our compounded semaglutide guide.

In-person care

A medically supervised, in-person program

Hands-on, in-person care in Addison, with telemedicine available when it fits your schedule.

You are seen in person

You come in for regular weekly visits with a medical assistant for vitals and weight tracking, plus a scheduled 20-minute appointment with Charles Ortega, PA-C every 6 weeks — or every 4 to 5 weeks if you need a dosage adjustment.

27 years of medical experience

Charles Ortega, PA-C, MPAS is NCCPA-certified, holds a Master of Physician Assistant Studies, and focuses on weight management, orthobiologic medicine, and family medicine. He is a physician assistant supervised by Dr. Nathan V. Nguyen. His whole-person approach considers your entire health picture, not just the scale.

Methodical dosage titration

Starting too high or escalating too fast can make GLP-1 side effects worse. We titrate gradually based on your response, tolerance, and progress.

Integrated care under one roof

Joint pain keeping you from exercising? Our physical therapy with Rowena Calleja, PT can help. Want recovery support? Ask about our wellness memberships. Weight loss doesn't happen in isolation — and neither does your care.

Want to see all your options side by side? Compare our full medically supervised weight management program, which includes compounded semaglutide, compounded tirzepatide, and a non-medication nutrition track.

Getting started

How our compounded semaglutide program works

Step 1

Initial consultation

Comprehensive evaluation of your medical history, weight loss history, current conditions, and goals.

Step 2

Lab work & screening

Lab work is recommended, such as CMP, lipid panel, A1C/fasting glucose, and thyroid function, to help your provider assess whether this may be appropriate for you.

Step 3

Begin treatment

Start at a low dose with injection training so you're confident administering it at home.

Step 4

Regular monitoring

Weekly vitals and weight with a medical assistant; a scheduled visit with Charles every 6 weeks (4 to 5 weeks if your dose needs adjusting).

Step 5

Maintenance planning

As you near your goal, we build a maintenance plan with you.

Who is a candidate?

Compounded semaglutide may be appropriate for you if:

  • Your BMI is 30 or higher (obese)
  • Your BMI is 27 or higher with at least one weight-related condition (type 2 diabetes, high blood pressure, high cholesterol, sleep apnea)
  • You’ve tried diet and exercise without lasting results
  • You’re committed to lifestyle changes alongside medication
  • You are at least 18 years old

Who should not take it

  • Personal or family history of medullary thyroid carcinoma (MTC) or MEN 2. The FDA labels for FDA-approved semaglutide products list these as contraindications and carry a boxed warning about thyroid C-cell tumors in rodents; relevance to humans is unknown.
  • History of severe pancreatitis
  • Pregnant, planning pregnancy, or breastfeeding
  • Known hypersensitivity to compounded semaglutide or any formulation ingredient
  • History of severe gastroparesis or other serious GI conditions

Managing side effects

Many side effects are temporary and can be managed with medical supervision. Common effects include nausea (which may improve as your body adjusts), diarrhea or constipation, decreased appetite, minor injection-site reactions, and fatigue during dose adjustment. Serious effects can include pancreatitis and gallbladder problems.

How we manage them

  • Start at the lowest dose and titrate slowly — no rushing
  • Dietary guidance to minimize GI discomfort
  • Adjust dosage based on tolerance — slow titration, hold, or modify schedule
  • Regular visits to help catch and address issues early
  • A way to reach the clinic between visits if you have concerns

Need practical tips? Read managing GLP-1 side effects

Compare your options

Compounded semaglutide vs. compounded tirzepatide

Both are compounded, medically supervised options at Innovare Tx. The main difference is mechanism: compounded semaglutide targets one receptor, compounded tirzepatide targets two. Neither compounded version was studied in the trials of FDA-approved products, so we do not rank one over the other.

FeatureCompounded semaglutideCompounded tirzepatide
MechanismGLP-1 receptor agonist (single)Dual GIP + GLP-1 receptor agonist
DosingOnce-weekly injectionOnce-weekly injection
In-clinic price$140/month ($199/mo home delivery)$160/month ($249/mo home delivery)
Supervision at Innovare TxWeekly medical assistant visits; scheduled visits with CharlesWeekly medical assistant visits; scheduled visits with Charles

Tolerance, history, and goals all matter, and individual results vary. Learn more in tirzepatide vs. semaglutide, or see our $160/month compounded tirzepatide program. Charles Ortega, PA-C can talk through which option, if either, may fit your situation.

Payment & financing

Flexible ways to pay

Most insurance plans do not cover compounded GLP-1 medications for weight loss, but your office visits, lab work, and medical consultations may be billable to insurance — we accept BCBS, Medicare, UHC, and Cigna. We also offer Cherry, Affirm, and CareCredit financing and accept HSA/FSA, so you can spread the cost in a way that works for you.

Insurance & billing details
Cash / credit / debit
Cherry
Affirm
CareCredit
HSA / FSA
Questions, answered

Compounded semaglutide FAQs

Compounded semaglutide is a GLP-1 receptor agonist. It is designed to mimic a natural gut hormone that reduces appetite, slows stomach emptying so you feel full longer, and helps regulate blood sugar after meals. Some patients find they eat less, and results vary. It's taken as a once-weekly subcutaneous injection.
Semaglutide is a well-established GLP-1 receptor agonist. The compounded semaglutide we use is prepared by a state-licensed 503A compounding pharmacy and is NOT FDA approved. Compounded medications are prescribed when a patient has a clinical need that a commercially available product does not meet — a determination Charles Ortega, PA-C makes based on your individual health profile. Every prescription comes with real, in-person medical supervision.
Compounded semaglutide targets only the GLP-1 receptor, while compounded tirzepatide is a dual GIP and GLP-1 receptor agonist. Neither compounded version was studied in the trials of FDA-approved products, so we do not claim one works better than the other. Both are medically supervised at Innovare Tx; compounded tirzepatide is $160/month in-clinic. Charles Ortega, PA-C can talk through which option, if either, may fit your goals and tolerance.
At Innovare Tx you come into a real clinic. You are seen in person for regular weekly visits with a medical assistant for vitals and weight tracking, plus a scheduled 20-minute appointment with Charles Ortega, PA-C every 6 weeks, or every 4 to 5 weeks if you need a dosage adjustment. Telemedicine visits are available when they fit your schedule, and we can talk through which approach may suit you.
The most common side effects are nausea, diarrhea, constipation, and decreased appetite. These are often mild to moderate and may improve as your body adjusts. We aim to reduce side effects through gradual dose titration, dietary guidance, and regular visits. Serious side effects can include pancreatitis and gallbladder problems.
You may be a candidate if your BMI is 30 or higher, or 27 or higher with a weight-related condition such as type 2 diabetes, high blood pressure, or high cholesterol. You must be at least 18 years old. Compounded semaglutide is not appropriate for individuals with a personal or family history of medullary thyroid carcinoma (MTC) or MEN 2 syndrome (contraindications on the FDA label for FDA-approved semaglutide), a history of severe pancreatitis, or those who are pregnant or breastfeeding.
Weight change varies from person to person, and we can't promise an amount or a timeline. Studies of FDA-approved semaglutide products reported meaningful average weight loss; compounded versions were not studied in those trials, so those results cannot be assumed to apply. Results depend on adherence to medication, diet, physical activity, and metabolic health, and are not guaranteed.
Weight regain can happen after stopping GLP-1 medications, especially without a maintenance plan. At Innovare Tx we plan for this. As you approach your goal weight, we build a long-term maintenance strategy that may include a lower maintenance dose, nutrition counseling, lifestyle changes, and ongoing monitoring.

Talk with us about compounded semaglutide.

Medically supervised compounded semaglutide care with in-person monitoring, plus telemedicine flexibility and a $160/month compounded tirzepatide option. Book your consultation or call (214) 233-3094.

Book Your Visit (214) 233-3094
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