GLP-1, in plain language.

GLP-1 receptor agonists such as semaglutide and tirzepatide mimic gut hormones that regulate appetite, slow gastric emptying, and improve how the body handles blood sugar. The result is reduced hunger, earlier fullness, and steadier metabolic signaling. At the Atelier they’re prescribed as part of a physician-designed protocol — with muscle preservation and a planned off-ramp built in, not bolted on after.

Semaglutide acts on the GLP-1 pathway; tirzepatide acts on both the GLP-1 and GIP pathways. Both are effective for medical weight loss, and the right choice depends on your history, goals, tolerance, and how you respond. Selection and dosing are individualized by the physician rather than offered as a one-size menu.

Duration is individual. Our protocols include a deliberate off-ramp and maintenance strategy so results are more sustainable — rather than an abrupt stop that risks rapid regain. Weaning, maintenance dosing, and the long-term habits that hold results are mapped into your written protocol from day one.

Mild nausea is the most common GLP-1 side effect, usually strongest in the first few days after a dose increase, and it typically settles as your body adapts. We reduce it by starting low, titrating slowly, eating smaller and lower-fat meals, staying hydrated, and stopping at the first sign of fullness. Anti-nausea support can be prescribed when needed. Persistent vomiting, dehydration, or severe abdominal pain are not expected — contact the practice or seek urgent care.

Most are gastrointestinal: nausea, constipation or diarrhea, reflux, burping, and reduced appetite. The majority are mild and improve with slower titration and dietary adjustments. Less common but important considerations include gallbladder issues and pancreatitis, and GLP-1s are contraindicated in people with a personal or family history of medullary thyroid cancer or MEN2. Every patient is screened for these before starting, and side effects are reviewed at each check-in.

Any rapid weight loss can reduce lean muscle along with fat if it isn’t managed. Our protocols protect muscle through adequate protein, resistance-training guidance, an appropriate titration pace, and monitoring — so what you lose is primarily fat, not the muscle that keeps metabolism healthy.

Reach out any time something feels off — that’s what direct physician access is for. Call promptly for persistent vomiting or diarrhea, signs of dehydration, severe or ongoing abdominal pain (especially pain radiating to the back), or any symptom that concerns you. What-to-do-when guidance for missed doses, travel, and side effects is written into every protocol from the start.

Often, no. If you have complete, relevant bloodwork from within roughly the last six months, we can usually review and use it rather than repeating tests unnecessarily — just bring or forward your results before your consultation. Whether anything needs updating depends on which tests were done, your health history, and the specific protocol. The physician confirms this at your visit rather than ordering repeat labs by default.

Baseline evaluation commonly includes metabolic markers such as A1c and fasting glucose, a lipid panel, kidney and liver function, and thyroid screening — alongside a review of your history and current medications. Recent results from another provider can frequently be used if they’re complete and current. The physician determines the exact panel individually at consultation.

Begin with a two-minute intake from your phone, then reserve a private consultation. Bring any recent labs. If GLP-1 therapy is appropriate for you, the physician builds your protocol and, where suitable, medication ships directly to you — with monitoring and direct access from day one.

The Charleston Atelier offers physician-led GLP-1 medical weight loss at 83 Cannon Street in downtown Charleston, SC 29403 — serving Charleston and the surrounding Lowcountry, including Mount Pleasant, West Ashley, James Island, Daniel Island, and Sullivan’s Island. Telehealth follow-up is available where clinically appropriate. Call (843) 377-3713 or reserve a private consultation.

Yes. All medications are physician-prescribed and dispensed through licensed pharmacies — including 503A/503B compounding pharmacies where applicable, never gray-market sources. Every protocol begins with a medical evaluation. Compounded therapies may represent off-label use of physician-prescribed medication, which is reviewed with you at consultation.

Care begins with a consultation, and telehealth is available for protocol follow-up where clinically appropriate. Some steps benefit from being in person; the physician will advise what makes sense for your situation. Our home is 83 Cannon Street in Cannonborough–Elliotborough.