What can I do to lose weight when diet and exercise have failed?

When diet and exercise haven't helped you lose weight or maintain weight loss, new medications such as semaglutide have been shown to be highly effective weight loss tool to help you reach your goals.

How does semaglutide work?

Semaglutide (also known as Ozempic and Wegovy) is a weight loss medication that was approved for weight management in adults with obesity or overweight with at least one weight-related condition. This once-a-week under-the-skin injection acts like human glucagon-like peptide-1 and suppresses appetite and increases satiety which allows people to lose weight without the constant hunger that comes with traditional dieting.

What does semaglutide cost?

Starting doses and maintenance doses will vary person to person which will affect the monthly cost. Patients at Dr. Silva's clinic get Semaglutide for about one third of the cost of brand name version like Wegovy and Ozempic.

What are the benefits of weight loss with semaglutide?

Semaglutide acts like human glucagon-like peptide-1 and suppresses appetite and increases satiety which allows people to lose weight without the constant hunger that comes with traditional dieting. This medication has been shown to help people lose 15-20% of their body weight over 68 weeks.

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Many adults struggle with weight gain that doesn’t respond to diet and exercise alone. Hormonal imbalance, metabolic resistance, inflammation, and chronic stress often play a bigger role than willpower. At Interventional Orthopedics of Washington, providers take a medical approach to weight loss, focusing on why weight gain is happening in the first place. For some patients, this may include medically supervised options such as weight loss injections using evidence-based therapies like semaglutide, combined with nutrition and lifestyle guidance.

For patients who have tried traditional programs without lasting success, medical weight loss starts with understanding the body’s signals. Care is guided by health assessments that look at metabolism, hormones, and other contributing factors. From there, a personalized plan is built to support appetite regulation, energy balance, and sustainable progress. The focus is not rapid or extreme weight loss, but steady improvement that supports long-term health and reduces the risk of related conditions.

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Medical Weight Loss Q&A

What options are available when diet and exercise haven’t worked?

Many people struggle to lose weight despite consistent efforts with diet and exercise. This is often due to factors like hormone imbalance, metabolic resistance, or changes in how the body regulates appetite. In these cases, medically supervised weight loss can help by addressing the biological drivers of weight gain rather than relying on willpower alone. Providers at IOW evaluate each patient to determine whether medical therapies are appropriate as part of a broader lifestyle plan.

How does Semaglutide support weight loss?

Semaglutide is a medication that mimics a naturally occurring hormone involved in appetite regulation and blood sugar control. It helps people feel full sooner, reduces hunger between meals, and supports more consistent calorie intake over time. Originally developed for type 2 diabetes, semaglutide has been studied extensively and is FDA-approved for weight management in adults who meet specific criteria, when used alongside nutrition and activity changes.

Who may be a good candidate for medical weight loss with Semaglutide?

Medical weight loss may be considered for adults with obesity, or those who are overweight with related health concerns such as metabolic issues, joint pain, or insulin resistance. Candidacy is determined after a medical evaluation that may include BMI, health history, and lab testing. Not every patient needs medication, and recommendations are individualized.

What benefits are associated with Semaglutide-based weight loss?

In addition to weight reduction, patients may experience improvements in appetite control, blood sugar regulation, and metabolic health. Research has also shown potential benefits related to cardiovascular risk reduction in appropriate populations. Results vary, and medications work best when combined with nutrition guidance and sustainable lifestyle changes.

How much does medical weight loss treatment cost?

Costs vary depending on dosing, duration, and the treatment plan recommended. Pricing and options are reviewed clearly before treatment begins so patients can make informed decisions without surprises. Insurance coverage varies, and financing options may be available.