Why Choose a Prescott Internist for Your Semaglutide Journey for Weight Loss?

Semaglutide is a powerful metabolic tool, but it is not a “one-size-fits-all” solution. A comprehensive medical history review is the cornerstone of patient safety. Dr. Manish Sahni, MD meticulously evaluates your past medical events, family history, and current medications to rule out contraindications, such as a history of medullary thyroid carcinoma or MEN 2 syndrome.

Furthermore, an internist looks for underlying causes of weight gain that Semaglutide alone might not solve, such as thyroid dysfunction or PCOS. We also assess your gastrointestinal health; since Semaglutide slows gastric emptying, understanding your baseline digestion helps us mitigate side effects like nausea or reflux. This proactive screening ensures that the medication acts as a catalyst for health rather than a complication.

Absolutely. One of the most significant advantages of using Semaglutide under the care of Centra Internal Medicine is the “collateral beauty” of systemic health improvement. Semaglutide was originally developed to treat Type 2 diabetes because of its ability to enhance insulin sensitivity and lower blood glucose levels. For many patients, this leads to a reduced reliance on other diabetic medications.

Regarding hypertension, weight loss achieved through GLP-1 therapy often results in a measurable decrease in systolic and diastolic blood pressure. As visceral fat—the dangerous fat surrounding your organs—diminishes, the strain on your heart decreases. This creates a virtuous cycle: as you lose weight, your mobility increases, your heart health improves, and your risk for major adverse cardiovascular events (MACE) significantly drops.

Unlike online platforms that often follow a rigid, escalating dosage schedule, an internist-led approach is dynamic. We utilize “precision dosing.” We start with a low, sub-therapeutic dose to allow your body to acclimate, then we adjust based on two factors: your rate of weight loss and your tolerance levels.

If you are seeing significant results on a lower dose with zero side effects, we may choose to maintain that level rather than increasing it unnecessarily. Conversely, if your weight loss plateaus, Dr. Manish Sahni, MD can analyze your metabolic labs to decide if a dosage increase or a lifestyle adjustment is required. This customization minimizes the risk of “Ozempic face” or muscle wasting by ensuring the weight loss is steady and healthy, not precipitous and taxing.

At Centra Internal Medicine, we view the “goal weight” as the beginning of a new phase, not the end of our relationship. Long-term success requires more than just a weekly injection; it requires a shift in the body’s metabolic “set-point.”

Our team provides ongoing support through:

• Regular Metabolic Monitoring: Periodic blood work to track improvements in cholesterol, A1c, and inflammatory markers.
• Nutritional Guidance: Helping you transition to a high-protein, nutrient-dense diet that supports muscle maintenance.
• Maintenance Protocols: We develop clear exit or maintenance strategies to ensure the “food noise” doesn’t return and the weight stays off.
• Direct Access: You have a local medical home in Prescott where you can discuss concerns in person, ensuring you never feel alone on your journey.

Dr. Manish Sahni, MD brings a specialized internal medicine perspective to weight management, focusing on the complex interplay between weight and chronic disease. At our clinic, we don’t just treat a number on the scale; we treat the patient behind the data. Dr. Sahni is expert at balancing the nuances of geriatric care and chronic disease management, ensuring that as you lose weight, you are also maintaining the muscle mass and bone density necessary for an active Prescott lifestyle. Our personalized approach ensures that your treatment plan is as unique as your genetic makeup.

Achieving your weight loss goals shouldn’t feel out of reach. For those living in the Prescott areas, professional weight management is closer than you think. Semaglutide therapy is available at Centra Internal Medicine. For more information, contact us or schedule an appointment online. We are located at 1003 Division Street Suite 4, Prescott, AZ 86301. We serve patients from Prescott AZ, Iron Springs AZ, Williamson AZ, Diamond Valley AZ, Prescott Valley AZ, and surrounding areas.