Medically Supervised Weight Loss Programs

All weight loss programs require moderate exercise and a healthy diet.

Semaglutide or Tirzepatide With Vitamin B12 Weekly Injections.

 A medical consultation with our nurse practitioners is required to find out if you are a good candidate for one of these medications. We will draw an extensive lab panel to ensure that you will be safe to start on these medications. After a review of your labs and medical history, we can decide what medication is best for you. It is important to note, we will closely monitor your side effects, if any, weight, and heart rate. We will not allow anyone to go lower than their normal BMI. We are a medical clinic and are available for you 24/7 if you are suffering any side effects.

 Who Is Not Eligible To Take Semaglutide or Tirzepatide?

  • Medullary thyroid carcinoma (MTC), multiple endocrine neoplasia syndrome type 2 (MEN 2), thyroid cancer, thyroid C-cell tumors.
  • Type 1 diabetes mellitus.
  • Hypoglycemia
  • Pancreatitis – if history, may use, just monitor closely
  • Cholelithiasis, gallbladder disease – may use, just monitor closely
  • Diabetic retinopathy.
  • Renal failure, renal impairment.
  • Pregnancy or breastfeeding

How Does Semaglutide With Vitamin B12 Work?

Semaglutide is peptide that works by mimicking a hormone called glucagon-like peptide 1 (GLP-1), which targets an area of ​​the brain that regulates appetite and food intake. By controlling blood sugar spikes and lowering blood sugar, as well as reducing appetite and cravings energy levels are more consistent. Vitamin B12 may help with nausea and reduction of fatigue.

How Does Tirzepatide Work for Weight Loss?

Tirzepatide works on 2 hormones that are released after eating. Tirzepatide works by mimicking their effects. This includes telling the pancreas to release insulin after eating and signaling the liver to lower the amount of glucose it’s making. These effects help you feel full, slow down digestion, and lower blood sugar. It signals to the brain that you are full, so you eat less. By slowing the movement of food through your stomach, you will feel full longer.

Clinic Owner

Stefanie Gatica, DNP

Allergan Top 10 Clinics in IowaAllergan Top Growth in Iowa

As board-certified family nurse practitioner, Dr. Gatica works alongside our experienced staff, several of whom are bilingual in Spanish, to offer personalized care in a supportive and luxurious environment.

Allergan Top 10 Clinics in IowaAllergan Top Growth in Iowa
Photo of Stefanie Gatica

Dr. Stefanie Gatica

Board-Certified Family Nurse Practitioner

What Are Common Side Effects?

  • Nausea
  • Vomiting
  • Diarrhea
  • Loss of appetite
  • Stomach pain
  • Constipation
  • Upset stomach

How Long Do I Need To Be On This Medication?

For patients that are morbidly obese, or obese, you may need to stay on these medications for years. For those that need to lose smaller amounts of weight, it is still recommended to reduce your dosing and stay on a maintenance dose for several months, so that you don’t go back to old habits and gain your weight back.


Our Patients Say It Best

Don’t take our word for it! As you search for the best dermatology practice and med spa in the Des Moines, Iowa area trust what real people have shared about their experiences at Revive.

5 Over 154 Reviews
Sydney is awesome. She did my Botox forehead and crows feet. Lookin good!!!
Stef Gatica is kind, caring and professional. She went out of her way to help me after being rejected by 2 other clinics. I received filler and botox and the results are amazing. Her staff is also kind and made me feel comfortable. I would refer Revive to anyone and will continue to see Stef for more procedures, she is the BEST!
Excellent service!! Dr. Gatica is very friendly and patient with me! I got the Moxi and the results are fantastic!
I’m excelente servicio!!!
This is THE place to go for all of your skincare needs. My skin has never looked better. Everyone I’ve worked with has been so friendly and knowledgeable. They really care about their clients and will give you exceptional results.

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