Compounded semaglutide weight loss in Dallas
Looking for physician-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 real, in-person medical supervision and monthly monitoring, plus telemedicine visits available when they fit your schedule. Real medical care from a provider with 27 years of experience, alongside a $160/month compounded tirzepatide option if that's a better fit for you.
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 goes down — you feel satisfied with less food and experience fewer cravings between meals
- Stomach emptying slows — food stays in your stomach longer, so you feel full for longer after eating
- Blood sugar regulates — semaglutide helps your body manage blood sugar after meals, which supports metabolic health
The practical effect is that most patients eat less without the constant willpower battle that makes dieting so hard to sustain. You take compounded semaglutide as a once-weekly subcutaneous injection (a small needle just under the skin, similar to an insulin pen) — most patients administer it at home in under 60 seconds. For a deeper look, read our compounded semaglutide guide.
A medically supervised, in-person program
The market is flooded with online providers who mail you medication with little oversight. Our model is the opposite — hands-on, in-person care from a provider who knows your name.
You are seen in person, not through a chat box
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. Face-to-face care catches what a screen can't.
27 years of medical experience
Charles Ortega, PA-C, MPAS is board-certified, holds a Master of Physician Assistant Studies, and specializes in weight management, orthobiologic medicine, and family medicine. His whole-person approach considers your entire health picture, not just the scale.
Methodical dosage titration
Starting too high or escalating too fast is the leading cause of severe GLP-1 side effects. We titrate slowly based on your response, tolerance, and progress — so you stay comfortable and consistent.
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.
How our compounded semaglutide program works
Initial consultation
Comprehensive evaluation of your medical history, weight loss history, current conditions, and goals.
Lab work & screening
Baseline labs — CMP, lipid panel, A1C/fasting glucose, thyroid function — to confirm you're a safe candidate.
Begin treatment
Start at a low dose with injection training so you're confident administering it at home.
Monthly monitoring
Weight and vitals, progress review, side-effect management, and lifestyle counseling.
Maintenance planning
As you near your goal, we build a maintenance plan to help you sustain your results long-term.
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
- 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
What to expect & managing side effects
Most patients notice reduced appetite within the first 1–2 weeks and measurable weight loss within 4–6 weeks. Side effects are usually temporary and manageable, especially with proper supervision. Common effects include nausea (usually improving after 2–4 weeks), diarrhea or constipation, decreased appetite (the intended effect), minor injection-site reactions, and mild fatigue during dose adjustment. Rare but serious effects include pancreatitis and gallbladder issues.
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
- Monthly monitoring to catch and address issues early
- Provider access between visits if you have concerns
Need practical tips? Read managing GLP-1 side effects
Compounded semaglutide vs. compounded tirzepatide
Both are effective, medically supervised GLP-1 options at Innovare Tx. The main difference is mechanism: semaglutide pulls one lever, tirzepatide pulls two. Here's how they stack up so you can choose with your provider.
| Feature | Compounded semaglutide | Compounded tirzepatide |
|---|---|---|
| Mechanism | GLP-1 receptor agonist (single) | Dual GIP + GLP-1 receptor agonist |
| Avg. total body weight loss | ~15% in clinical studies | Up to ~22.5% in clinical studies |
| Dosing | Once-weekly injection | Once-weekly injection |
| In-clinic price | $140/month ($199/mo home delivery) | $160/month ($249/mo home delivery) |
| Supervision at Innovare Tx | In-person monthly monitoring | In-person monthly monitoring |
| Best for | Effective, well-tolerated GLP-1 weight loss | Patients seeking the strongest available results |
Clinical data consistently shows compounded tirzepatide produces greater weight loss, but tolerance, history, and goals all matter — and compounded semaglutide remains an effective, well-tolerated choice. Learn more in tirzepatide vs. semaglutide, or see our $160/month compounded tirzepatide program. Charles Ortega, PA-C will help you choose the right medication for your situation.
Flexible ways to pay
Most insurance plans do not cover GLP-1 medications specifically 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 Affirm and CareCredit financing and accept HSA/FSA, so you can spread the cost in a way that works for you.
Compounded semaglutide FAQs
Start your GLP-1 weight loss with real supervision.
Medically supervised compounded semaglutide care, paired with hands-on, in-person monitoring — plus telemedicine flexibility and a $160/month compounded tirzepatide option. Book your consultation or call (214) 233-3094.