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LH Lean Program

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If you’re like us, you’ve tried dozens of weight loss programs. You’ve tried starving yourself, carb-free, gluten-free, and all the trendy diets, but nothing worked. You may have even tried risky stimulant pills or unregulated concoctions that made you feel terrible. Your weight may have gone down only to bounce right back. The LH Lean Program is your solution!

The LH Lean program consists of weekly injections of a compounded form of semaglutide, monthly body composition analysis, and routine guidance from our medical team.

Once the inquiry form and required bloodwork is received, our LH Lean team will review and send you an email with information regarding next steps. Below is a glimpse of the program from start to finish.

**Please note: We do not ship to the following states: Alabama, Arkansas, California, Hawaii, Kansas, Michigan, and Minnesota.

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LH Lean - A Semaglutide Blend Q&A

What are the effects of Semaglutide?

Studies suggest that semaglutide helps with:

  • Delaying stomach emptying
  • Control of cravings 
  • Improves control of eating
  • Reduces appetite
  • Increasing insulin release
  • Improves glycemic control

It is most effective as part of a comprehensive weight loss program that may include exercise, behavioral changes, calorie restriction, and dietary adjustments.

Who can use Semaglutide?

If you are healthy and not pregnant or lactating, or do not have a known allergy to any of the ingredients, you should be able to use it safely. During your consultation, be sure to discuss any other medications you are taking, allergies, or chronic health conditions you have prior to using semaglutide. Tell your provider if you or anyone in your family has or has ever had MTC or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2; a condition that causes tumors in more than one gland in the body).

Who is not a candidate for treatment?

  • You are pregnant
  • You are planning on getting pregnant within the next 6 months
  • You are breastfeeding
  • You are a Type 1 Diabetic

How is Semaglutide taken?

Typically, it is a once-weekly injectable, but your particular dose and protocol will be determined by your provider.

How do I self-administer a subcutaneous (SQ) injection?

  1. Gather your equipment, including the syringe (containing medicine), and an alcohol swab.
  2. Wash your hands with soap and running water. Dry them well.
  3. Choose a location on your abdomen or inner thigh for the injection. An abdominal injection should be 5 centimeters away from your navel.
  4. Use alcohol to clean the skin. Let it dry.
  5. Remove the cap from the needle.
  6. Hold the syringe like a pencil close to the site, with your fingers off the plunger.
  7. Pinch a fold of skin between your thumb and fingers at the desired location with your non-dominant hand.
  8. Place the syringe perpendicular to the desired injection site. Rapidly insert the needle into the pinched area of skin until the needle is buried and no longer visible.
  9. Slowly press down on the plunger of the syringe with your index finger; advance until the syringe is empty. This allows the medicine to go into the fatty tissue. Be sure to hold the skin fold as you inject to ensure the medication is not injected into the muscle.
  10. Remove the needle at the same angle of insertion.
  11. Release the skin fold.

View Info Graphic for an Example

Does LH offer an alternative to semaglutide?

Yes! We also offer Tirzepatide at the discretion of our providers. 

How does Tirzepatide differ from Semaglutide?

Tirzepatide is a dual-agonist! Tirzepatide is the main ingredient within a once-weekly injection that may serve as an ALTERNATIVE to semaglutide. Like semaglutide, it is an GLP-1 agonist, but it also contains a glucose-dependent insulinotropic polypeptide (GIP) receptor. Tirzepatide activates the receptors of GLP-1 and GIP, both of which are incretin hormones. When GIP is combined with effects of a GLP-1 agonist, it can result in improved effects of metabolic dysfunction, including weight, blood sugar, and lipids. Simultaneously, it also affects glucagon secretion. The activation of GLP-1 receptors suppresses the release of glucagon while the GIP receptors activation causes the release of glucagon.

What is the cost?

Tirzepatide is $900 per month (4 injections administered weekly).

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LH Lean Program Journey

Screening Process:

In-State (NJ ONLY) Screening Process:

  1. Submit the Patient Inquiry Form

  2. Fax or email a copy of your driver’s license and insurance card (front & back) to lhlean@lhmedspa.com or (973) 735-2645.

  3. A required TSH/thyroid panel and CMP/Comprehensive Metabolic Panel will be ordered by one of our Nurse Practitioners.

    1. These panels can be ordered to Labcorp, Quest OR you can schedule a convenient appointment at our Madison office to have your blood drawn. ($50 draw fee applies)

  4. No insurance?

    1. You may purchase a panel out-of-pocket without an e-script through Labcorp Link

CMP https://www.ondemand.labcorp.com/lab-tests/comprehensive-metabolic-panel

TSH https://www.ondemand.labcorp.com/lab-tests/thyroid-stimulating-hormone-tsh-test

  1. The inquiry form and  labs are reviewed by our APN within 3-5 business days

  2. You will receive an email from LH Lean admin with your candidacy for the LH Lean Program.

Out Of State Screening Process:

  1. Submit the Patient Inquiry Form

  2. Fax or email the required labs (below) and a copy of your driver’s license to lhlean@lhmedspa.com or (973)735-2645.

    1. Required labs: A TSH/thyroid panel and CMP/Comprehensive Metabolic Panel that has been drawn in the last 6 months.

  3. Don’t have recent lab work? Contact your primary provider to request labs.

    1. You may also purchase a panel out-of-pocket without an e-script through Labcorp Link

CMP https://www.ondemand.labcorp.com/lab-tests/comprehensive-metabolic-panel

TSH https://www.ondemand.labcorp.com/lab-tests/thyroid-stimulating-hormone-tsh-test

  1. The inquiry form and labs are reviewed by our APN within 3-5 business days

  2. You will receive an email from LH Lean admin with your candidacy for the LH Lean Program.

Consultation Process:
  • Candidates are scheduled for a 30-minute consultation with an APN to begin a trial period of 4 weeks.
    • Consultation: $125
    • 4 week trial period: $600
  • Consultations consist of a history & physical, body composition analysis, description of the program, and administration of your first injection.
  • Payment for the 4 week trial period will be reconciled at the conclusion of your consultation.
Program Continuation:
  • After the 4-week trial period, you will receive a 12-week supply throughout your journey to mitigate shipping costs and gaps in care.
    • There is a 7-10 day turnaround time from Rx submission to arrival of medication.
    • A Fed-Ex shipping notification will arrive via email 24 hours prior to delivery
  • Medication cannot be returned to the pharmacy; therefore, it is non-refundable.
  • The flexibility of LH Lean allows for the following options:
    • Visit us weekly to discuss symptoms, progress, dosing, and receive your injection from an APN or RN
    • Self-administer your medication weekly at home using dosage guidance from our medical staff
    • Visit us monthly at LH to allow medical staff to draw up your medication for storage at your personal home to allow for self-administration
  • You will meet with an APN in-person or via telehealth on a monthly basis to discuss dosing, symptoms, progress, and treatment recommendations.
    • It is recommended that you visit LH to use our complimentary InBody analysis device during your monthly follow-ups.
  • A comprehensive metabolic panel (CMP) is required every 6 months while participating in the LH Lean Program to evaluate blood sugar, kidney function, electrolytes, and liver function.

**PLEASE COMMUNICATE ANY ELECTIVE OR PLANNED PROCEDURES/SURGERIES TO THE MEDICAL STAFF DURING YOUR VISIT. PER THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS, IT IS RECOMMENDED THAT YOU PAUSE SEMAGLUTIDE INJECTIONS 2 WEEKS PRIOR TO RECEIVING ANESTHESIA.**

Ending Treatment:
  • Many patients remain on a maintenance dose for weeks to months prior to ending treatment.
  • Each dosing plan is customized to each patient’s goals and tolerance
  • It is NOT recommended that you cease treatment without medical guidance, which will include a recommended “weaning off” schedule.
  • Treatment conclusion may occur over a 4, 8, or 12-week period. Allow our medical staff to make recommendations based on your current dosing, timeline, and tolerance.
  • An End-of-Program check-in with an APN will provide guidance for weaning off, maintenance while off the medication, and potential for restarting the program in the future, if desired.

Have concerns throughout the program?

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