
Weight can change even when your routine has not. You may be eating thoughtfully, staying active, and wondering why your weight is still rising. At Nuance Aesthetics + Wellness, we start with a closer look at your health, your history, and what you want to change.
Our Salt Lake City team offers medical weight loss support through our hormone and wellness services. Depending on your needs, your plan may include prescription semaglutide or tirzepatide, nutrition and activity guidance, and regular follow-up. We will explain the options and help you decide whether medication makes sense for you.

Best for adults with obesity or overweight with a related health condition. Care begins with a medical evaluation and an individualized plan.

Consultation length varies; confirm when booking. If medication is prescribed, its form and schedule depend on the exact product. Many plans use a once-weekly injection.

No planned downtime, though medication side effects may affect your routine. Appetite changes may come first; weight change is assessed over months.

Maintenance includes ongoing habits and periodic follow-up. Cost depends on the evaluation, any indicated testing, medication, and monitoring.
Medical weight loss is an individualized approach to managing excess weight with clinical assessment, lifestyle support, and, when appropriate, prescription medication and follow-up.
Your provider considers your medical history, medications, daily habits, and symptoms that warrant further evaluation. A prescription may be one part of your plan. Hormone therapy and weight-loss medication address different needs, even when discussed during the same wellness visit.

Some patients want help after repeated weight regain. Others are concerned about blood pressure, cholesterol, blood sugar, or sleep apnea. You may want to move more comfortably or understand weight changes during menopause or another life transition.
Sleep, stress, medications, medical conditions, and hormonal changes can affect weight or treatment choices. If symptoms suggest another issue, your provider may recommend testing or coordination with your primary care clinician. Your goals should reflect your health, not someone else’s preferred number.
If appropriate, semaglutide or tirzepatide may be considered alongside nutrition, movement, and follow-up. Semaglutide acts on the GLP-1 receptor; tirzepatide acts on both GLP-1 and GIP receptors. Both affect appetite and fullness and slow stomach emptying. Response varies, and adequate nutrition still matters.
Before prescribing, your provider reviews the product, route, dose schedule, and safety information. Doses are generally increased gradually. Your plan also considers protein, hydration, and activity that supports muscle. The highest dose is not automatically the right dose.
Medical guidance gives you a way to make decisions with better information and adjust when your needs change. Depending on your health and response, your plan may offer:
The benefits of medication vary. Your provider will weigh them against the risks, cost, and effort of ongoing treatment.


You are an adult with obesity, or overweight and a related health condition, and would benefit from structured support. FDA-approved weight-management medications generally use these eligibility categories, but prescribing depends on the product and your health assessment. Follow-up is part of care.

You are pregnant, planning pregnancy, or have a personal or family history of medullary thyroid cancer or multiple endocrine neoplasia syndrome type 2 (MEN2). Careful review is also needed if you are breastfeeding, have severe stomach-emptying problems, pancreatitis or gallbladder disease, kidney concerns, an eating disorder, or take diabetes medication. A serious allergy to the medication or its ingredients rules it out. We will tell you when another approach is safer.

There is no recovery period after a consultation, and many people continue usual activities after a routine injection. Exercise is generally fine as tolerated; pause if you feel lightheaded or unwell. The first weeks reveal how you respond. Smaller meals and steady hydration may help with nausea as your dose changes.
Nausea, constipation, diarrhea, vomiting, abdominal discomfort, and reflux can occur, especially when starting or increasing a dose. If symptoms make it hard to eat or drink, contact Nuance. Tell every clinician involved in your care about your medication, especially before surgery or a procedure involving anesthesia or deep sedation. Your prescriber will explain any product-specific precautions, including those affecting oral birth control with tirzepatide.
Some patients notice changes in hunger or portion size within weeks. Weight trends are assessed over months, particularly while doses are adjusted. The pace varies with the medication, dose, tolerance, health, and daily habits. A slower response calls for a plan review, not a self-directed dose increase.
Progress is broader than a weigh-in. Depending on your goals, your provider may also discuss blood pressure, blood sugar, sleep, strength, and whether the plan feels manageable.

Weight management is often long-term care. If medication helps and is well tolerated, you may continue it with periodic reassessment. Stopping can bring appetite back and lead to weight regain; that possibility belongs in the first conversation.
Maintenance includes satisfying meals, adequate protein, activity, sleep, and care for related conditions. There is no universal finish date. Follow-up should reflect your response and health needs.

Digestive symptoms are the most common concern. Less common but important risks include pancreatitis, gallbladder problems, dehydration-related kidney injury, serious allergic reactions, and low blood sugar when certain diabetes medicines are used together. FDA-approved semaglutide and tirzepatide weight-loss products carry a boxed warning about thyroid C-cell tumors observed in rodents; whether this occurs in humans is unknown. They must not be used by patients with a personal or family history of medullary thyroid cancer or MEN2.
Call Nuance at (801) 557-5200 for persistent vomiting, significant abdominal pain, or symptoms that prevent you from staying hydrated. Seek urgent medical care for severe abdominal pain, trouble breathing, swelling of the face or throat, or other signs of a serious reaction. Never change your dose or combine weight-loss medications without prescriber guidance.
The cost depends on the consultation, any indicated labs, the exact medication and dose, pharmacy pricing, and the number of follow-up visits. Insurance coverage varies by plan and product. Nuance can review the proposed care and current pricing with you before treatment begins; do not assume the medication is included in a consultation fee.
Ask what the quote covers and whether costs change with dose or monitoring. Budget for the starting phase and possible long-term treatment.
Lifestyle changes alone: Food, activity, sleep, and behavior support remain important with or without medication. Prescription treatment may help eligible patients who need additional support, but it works best as part of a broader plan.
Hormone therapy: BHRT may be appropriate for specific hormone-related symptoms after evaluation. It is not a substitute for obesity treatment, and semaglutide and tirzepatide are not hormone replacement therapy. Your provider can discuss both concerns without treating them as the same problem.
Body contouring: CoolSculpting targets localized fat and is not a weight-loss treatment. If your concern is overall weight or a related health condition, start with a medical evaluation. If your weight is stable and your concern is a specific area, body contouring may be a separate conversation.
For some patients, another prescription approach or a referral for bariatric surgery may be more appropriate. The right choice depends on health history, preferences, risks, and the amount of support needed.
Nuance’s wellness care is built around careful assessment and an ongoing relationship. We take time to understand the symptoms and medical details behind your question, explain what a medication can and cannot do, and revisit the plan as your body responds. Our Salt Lake City practice has an on-site medical director and an established hormone and wellness service; weight-loss prescribing is considered within that clinical context, with eligibility and follow-up guiding each decision.
You deserve to know exactly what you are taking. Before starting, ask your provider to identify the product and dispensing pharmacy, whether it is FDA-approved or compounded, and why that choice is appropriate for you. Compounded medications are not FDA-approved; the FDA has not reviewed them for safety, effectiveness, or quality. Nuance will review the actual treatment option with you rather than treating all versions of semaglutide or tirzepatide as identical.

Nuance can evaluate patients for semaglutide or tirzepatide through its hormone and wellness services. A prescription is not automatic; it depends on your health history, eligibility, and the provider’s assessment. Ask which exact product is available when you book.
These medications are generally intended for obesity or for overweight with a related medical condition, not cosmetic weight loss. Your provider will review product-specific criteria and your health before recommending treatment.
Appetite may change within weeks, but weight loss is usually evaluated over months. Doses are often increased gradually, and individual responses vary. No responsible provider can promise a specific number of pounds by a particular date.
Not everyone needs the same tests. Your clinician may recommend labs to assess related conditions, review medications, or establish a useful baseline. Bring any recent results to your consultation.
Weight regain can happen after stopping, especially if appetite returns. Before you begin, discuss maintenance, the likely duration of treatment, costs, and what support you would want if you stop.
Tirzepatide can make oral contraceptives less effective when treatment starts and after dose increases. The product label advises switching to a non-oral method or adding a barrier method for four weeks after each of those changes. Discuss your contraception plan with your prescriber.
No. BHRT addresses certain hormone-related symptoms when appropriate. Medical weight loss focuses on weight-related health and may include semaglutide or tirzepatide. You can discuss both concerns in a wellness consultation, but each requires its own clinical rationale.
If you are considering medical weight loss in Salt Lake City, book a consult at Nuance Aesthetics + Wellness. We will review your goals, discuss whether medication is appropriate, and outline a plan you can understand and sustain.