Semaglutide & Tirzepatide Folsom, CA /

Seven Medical Aesthetics’ medical weight loss program combines FDA-approved semaglutide and tirzepatide therapy with physician supervision by Dr. Kayla Milano and expert RN guidance from our founders, Anna Gardner RN and Michaela Fox RN. Our personalized, medical-grade approach delivers sustainable weight loss through weekly oversight, metabolic support, and honest clinical expertise. Because effective weight management requires more than prescriptions. It requires partnership.

Located at 605 Sutter Street in Folsom, we’ve built our medical weight loss program on the same principles that guide every service at Seven: clinical precision, conservative recommendations, and the kind of straightforward guidance you’d get from a skilled RN friend who happens to know metabolism inside and out.

What Is GLP-1 Therapy?

GLP-1 (glucagon-like peptide-1) medications work by mimicking a hormone your body naturally produces after eating. These medications (semaglutide and tirzepatide) help regulate appetite, slow gastric emptying, and improve blood sugar control, creating the metabolic conditions that support sustainable weight loss.

Here’s what actually happens: GLP-1 medications signal your brain that you’re satisfied with less food, reduce constant food thoughts, and help your body respond better to insulin. Clinical trials show average weight loss of 14.9%-17.4% of body weight with semaglutide over 68 weeks, and up to 22.5% with the highest dose of tirzepatide at 72 weeks.

Both medications are FDA-approved. Semaglutide under the brand name Wegovy for weight management, and tirzepatide as Zepbound. You’ve likely heard of Ozempic or Mounjaro, which are the same medications at different dosing for diabetes management. The science is solid, the safety profile is well-established, and when paired with physician oversight and RN support, these medications create real, measurable change.

Semaglutide vs. Tirzepatide: Which Medication Is Right for You?

This is where personalized medicine matters. Both medications are effective GLP-1 receptor agonists, but they work slightly differently, and choosing between them isn’t about “better.” It’s about what’s right for your body, your weight loss goals, and your medical history.

Semaglutide (Wegovy/Ozempic) is a pure GLP-1 agonist. It’s been available longer, has extensive clinical data, and many patients tolerate it beautifully. Average weight loss in clinical trials is 14.9%-17.4% of body weight over 68 weeks.

Tirzepatide (Zepbound/Mounjaro) is a dual GIP/GLP-1 agonist. It activates two hormone pathways instead of one. The additional GIP action enhances weight loss (studies show 16.0%-22.5% average depending on dose) and improves metabolic markers even more than semaglutide alone. Some patients also report better tolerability with nausea.

At Seven, we determine which medication fits you during your initial physician consultation with Dr. Milano. We consider your weight loss goals, medical history, current medications, side effect tolerance, and honestly, your budget (tirzepatide costs more). This isn’t a one-size-fits-all prescription. It’s a clinical decision made together, with your body’s specific needs guiding the choice.

And here’s something most clinics won’t tell you upfront: you can switch medications if your initial choice isn’t working optimally.

Seven Medical’s Physician-Supervised Program

Our medical weight loss program isn’t just medication delivery. It’s metabolic support under medical oversight.

Here’s what physician supervision actually means at Seven:

Initial Physician Consultation: Dr. Kayla Milano reviews your complete medical history, current medications, weight loss goals, and metabolic health markers to determine if GLP-1 therapy is appropriate and which medication is optimal for you.

Ongoing RN Support: Anna and Michaela provide weekly check-ins during your initial months to monitor weight loss progress, manage any side effects, adjust dosing protocols, and answer the dozens of small questions that come up when you’re changing how your body processes food and hunger.

Medication Management: We titrate your dose gradually (starting low, increasing slowly) to minimize side effects while maximizing effectiveness. This careful escalation is why our patients tend to tolerate these medications better than those who receive aggressive dosing elsewhere.

Metabolic Monitoring: We track more than just the number on the scale. We monitor how your body is responding metabolically, watching for signs that we need to adjust your protocol.

This is medical weight loss done right: physician-directed, RN-supported, and personalized to your response.

What to Expect: The Treatment Process

GLP-1 therapy is a weekly self-administered subcutaneous injection (a small needle, just under the skin, similar to insulin injections but less frequent). Most patients inject in their abdomen or thigh, rotating sites weekly.

Weeks 1-4: We start with the lowest therapeutic dose. You’ll notice reduced appetite and fewer food thoughts, but weight loss is modest early on. This intentional gradual start minimizes nausea and GI side effects.

Months 2-4: We gradually increase your dose every 4 weeks based on your tolerance and response. This is when weight loss accelerates. Most patients lose 1-2 lbs per week.

Months 4-12: You’ll reach your maintenance dose and continue steady weight loss toward your goal. Most patients achieve their target weight loss within 9-12 months, though timelines vary based on starting weight and metabolic factors.

Long-term: GLP-1 therapy is most effective as a long-term treatment. Many patients continue at maintenance doses to sustain weight loss, much like managing blood pressure or cholesterol.

Side effects are mild: nausea (most common, usually temporary), constipation, occasional fatigue. We manage these proactively through dose adjustment and timing modifications.

Results & Realistic Expectations

Let’s be honest about what GLP-1 therapy can and can’t do. Clinical trials show average weight loss of 14.9%-17.4% with semaglutide and 16.0%-22.5% with tirzepatide. For a 200-lb patient, that’s 30-45 lbs. Genuinely life-changing results.

But “average” means some patients lose more, some lose less. Your results depend on adherence, starting metabolic health, lifestyle modifications, and individual biological response. These medications are powerful tools, but they’re not magic. They require partnership and consistency.

You’ll also notice metabolic benefits beyond the scale: improved blood sugar control, reduced cardiovascular risk markers, better sleep, and decreased inflammation.

Realistic timeline: noticeable appetite reduction within 1-2 weeks, visible weight loss by month 2, sustained loss through months 4-12, plateauing around 12-16 months.

Investment & Financing

Pricing transparency matters to us, so here’s what medical weight loss actually costs at Seven Medical Aesthetics in Folsom:

Semaglutide: Pricing varies based on dosing protocol and program components. During your consultation, we’ll provide a personalized quote that starts around $300/month, including physician consultation, RN support, and medication.

Tirzepatide: Due to higher medication costs, tirzepatide programs start around $500/month, including physician consultation, RN support, and medication.

These prices reflect medical-grade, physician-supervised care. Not just prescription delivery.

We offer flexible payment options through CareCredit and Cherry financing. Some patients see insurance coverage for GLP-1 medications (particularly if you have diabetes or documented metabolic conditions), though coverage for weight loss specifically varies by plan.

Most weight loss clinics in Folsom hide their pricing. We publish ours upfront because you deserve to make informed decisions.

Are You a Candidate for GLP-1 Therapy?

GLP-1 medications are FDA-approved for adults with a BMI of 30+ (obesity) or BMI of 27+ with at least one weight-related health condition (like high blood pressure, type 2 diabetes, or high cholesterol).

You might be a good candidate if you’ve struggled with traditional diet and exercise approaches, have metabolic factors making weight loss difficult, or need medical support to achieve sustainable results.

You’re likely not a candidate if you’re pregnant or planning pregnancy soon, have a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN2), or have specific contraindications Dr. Milano would identify during consultation.

The best way to know? Schedule a consultation.

Dr. Milano will review your medical history, discuss your goals, and determine if GLP-1 therapy is appropriate and safe for you.

Why Choose Seven Medical Aesthetics for Medical Weight Loss

Physician Supervision That’s Actually Present: Dr. Kayla Milano oversees your entire protocol. Not a remote telehealth physician you’ll never meet, but a local medical director in Folsom who knows your case and guides your care.

RN Expertise You Can Trust: Anna Gardner RN and Michaela Fox RN bring years of metabolic and aesthetic medicine experience. They’ve guided hundreds of patients through GLP-1 therapy and know how to troubleshoot side effects, optimize dosing, and provide the honest guidance that makes this journey sustainable.

Pricing Transparency: We publish our costs because you deserve to make informed financial decisions about your health.

Boutique, Personalized Care: We’re not a high-volume weight loss clinic churning through patients. We limit our medical weight loss patient capacity so Anna, Michaela, and Dr. Milano can provide genuine oversight and support throughout your journey.

Local, Accessible: We’re here in Folsom at 605 Sutter Street. Not a telehealth-only service, but a medical spa where you can walk in for questions, concerns, or just reassurance when you need it.

Frequently Asked Questions

How long do I need to stay on GLP-1 therapy?
Most patients benefit from long-term treatment to maintain weight loss. Think of it like managing blood pressure or cholesterol. GLP-1 therapy addresses underlying metabolic regulation, and discontinuing often leads to weight regain. Plan for at least 12-18 months of active treatment, with many patients choosing to continue long-term at maintenance doses.

What happens if I stop taking the medication?
Clinical studies show significant weight regain occurs after stopping GLP-1 therapy. Research indicates patients regain two-thirds of lost weight within one year, with over 40% regained within 28 weeks. The medication doesn’t “cure” the metabolic factors that made weight loss difficult initially. It manages them.

Can I take GLP-1 medications if I’m on other prescriptions?
Usually, yes. GLP-1 medications interact with very few drugs. The main concern is if you’re on insulin or sulfonylureas (diabetes medications), which may need dose adjustment to prevent low blood sugar. Dr. Milano reviews all your current medications during consultation.

Will insurance cover my treatment?
It depends on your specific plan. Some insurance covers GLP-1 medications for weight loss, particularly if you have documented obesity and related health conditions. Coverage is more common for diabetes indications. We recommend calling your insurance to verify coverage before your consultation.

Ready to Start Your Medical Weight Loss Program?

If you’re tired of weight loss approaches that don’t address the metabolic factors making sustainable change difficult, GLP-1 therapy under physician supervision might be the missing piece.

Schedule a consultation with Dr. Milano at Seven Medical Aesthetics to discuss your goals, review your medical history, and determine if semaglutide or tirzepatide is right for you. We’re located at 605 Sutter Street in Folsom, and you can reach us at (916) 767-4699 or book online.

No pressure. No hard sells. Just honest clinical guidance from medical professionals who believe weight loss should be safe, sustainable, and supported every step of the way.