SLIM TLC® with Injectables

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A simple weekly subcutaneous injection could very well be the answer for which you've long been searching, taking most of the work out of weight loss.  

You've likely heard of them:  Semaglutide (the compounded version) and tirzepatide (Mounjaro®/Zepbound®, FDA-approved for diabetes and weight loss, respectively, but tirzepatide is now only available as the brand names since they are no longer on the FDA Drug Shortages List) are indeed game- (and life-) changers...

..IF you can tolerate and afford them. 

Dr. Cluff, the creator of SLIM TLC®, predicts that, because of this class of medicines, called "GLP-1 receptor agonists" (hopefully combined with SLIM TLC®), the 2020s will forever be looked back upon in history as the decade that the rise in the "diabesity" epidemic began to plummet (the far reaching effects of which can now only be imagined) – along with the rate of almost every other metabolic disease.   Together, diseases that are primarily metabolic (including heart disease, cancer, stroke, diabetes, and even Alzheimer's  disease) represent half of the top ten causes of death, and are responsible for >50% of all deaths.  We have the privilege of being grateful eyewitnesses to the unfolding of this phenomenon of disease prevention and/or reversal. 

Fortunately, these medicines are FDA-approved for long-term use, so as far as we now know, you never have to stop taking them – even if/after you reach your goal (at which time you should be able to decrease the dose and frequency, thus decreasing costs). 

This version of SLIM TLC® is only available in Texas.  It combines compounded semaglutide, a GLP-1 RA (glucagon-like peptide-1 receptor agonist), or tirzepatide (Mounjaro®/Zepbound®), a GLP-1/GIP (glucose-dependent insulinotropic peptide) RA, with livable Therapeutic Lifestyle Changes (TLCs).  NOTE:  Compounded semaglutide will only be available as long as the brand names (Ozempic® or Wegovy®) are on the FDA Drug Shortages List.

FAQs (Frequently-Asked Questions)

How much does SLIM TLC® (with a prescription) cost?

• There is a registration fee of $80 (only ages 15+ are eligible - NOTE:  Members of TLC Family Health do not pay an additional registration fee).
• Required purchase of "TLC University's" SLIM TLC® Online textbook ("O-book"):  $19.99
• Initial visits (one with the prescriber to initiate the medicine and one with our nutrition coach to help set up the SLIM TLC® Map):  Included in the registration fee.  Note:  Members of TLC Family Health pay their usual visit copay.
• Monthly cost:  $55; there are no contracts or commitments - stay with the program as long as you'd like, or change to the SLIM TLC® without Meds program whenever desired.  NOTE:  Members of TLC Family Health receive 35% off monthly costs (= $35.75/month).
• Cost of initial and (up to) quarterly labs:  $15-20 (total, add $18-20 if testosterone is checked).
• Cost and dosing of medicine: 

Are there any BMI (body mass index) requirements?

• We do not have any BMI requirements to prescribe medicines associated with SLIM TLC®.  However, the closer you are to an ideal BMI (i.e., the further below a BMI of 25, e.g., <22-23), the more we may encourage you to switch to the SLIM TLC® without Meds option.

What happens when I reach my goal weight?

• REMEMBER that every study has shown that any weight lost with the use of any medicine (or any weight loss program, for that matter) will return as soon as the medicine (or program) is stopped, UNLESS THE NECESSARY LIFESTYLE CHANGES ARE MADE - which is why we only prescribe medicine for weight loss as part of the SLIM TLC® lifestyle and weight management program (= instruction, support, accountability, guidance, troubleshooting), to give you the highest chance of maintaining the success you have achieved.  From the beginning we try hard to teach you to follow SLIM TLC® System, which consists of the "Free Food?  Whatever!" eating strategy and our goal-setting system, the SLIM TLC® Map - which are absolutely critical to being able to wean off the medicine without regaining the weight.  CLICK HERE to learn more.  Nonetheless, you do have the option of continuing the medicine (usually at a lower or less frequent dose) to help you maintain your goal weight.

Is semaglutide compounded with anything else?

• The compounding pharmacy also includes L-Carnitine in the compounded formula, which may help move more fatty acids into your cells to be burned for energy – possibly assisting the weight loss process.  The concentration of the compounded medicine is semaglutide 2.5 mg + L-Carnitine 100 mg/mL. 

How do I know the compounded semaglutide is the real thing, and that it's safe?

• We have taken every measure possible to ensure the legitimacy of the medicine.  We use a compounding pharmacy that is ACHC (Accreditation Council for Health Care), NABP (National Association of Boards of Pharmacy), and PCAB (ACHC-associated Pharmacy Compounding Accreditation Board)-accredited, which obtains the API (active pharmaceutical ingredient) from an FDA-registered (but propietary) supplier.  Some illegitimate compounding pharmacies have been found to provide untested and unproven versions, and we have assured that this is not one of those.  That being said, it is important to know that although this medicine comes from an FDA-registered supplier, compounded drugs are not FDA-approved.  This means that the FDA does not, nor can we, verify the safety or effectiveness of compounded drugs.  Click HERE for more information

How is the compounded semaglutide and Mounjaro®/Zepbound® administered, and how can I obtain it?

• They are (self-) administered subcutaneously, once weekly, usually into the belly fat (after pinching it between your fingers).  Most patients learn to do it themselves, but you may have someone else administer it.  Once we send in the prescription, the pharmacy should reach out to you to discuss cost or payment, after which the compounding pharmacy will ship semaglutide to you, with all the necessary instructions, or you may pick up the Mounjaro®/Zepbound®.  Remember, we will only prescribe compounded semaglutide as long as Ozempic® and/or Wegovy® are on the FDA Drug Shortages list (one or the other is expected to stay there for quite a while, but no one can predict how long).

What will happen if/when Ozempic® and Wegovy® fall off the FDA Drug Shortages list, or if I don't tolerate the medicine?

• There are many options:  Switch to 1) SLIM TLC with Phentermine, 2) the name brand, 3) Mounjaro®/Zepbound®, 4) SLIM TLC® without Meds, or 5) continue the SLIM TLC® System (via SLIM TLC® Online) all by yourself (or with your "TLC Trio").

Might my insurance pay for the medicine?

• Insurance does not cover compounded medicine, and rarely covers name-brand medicines for weight loss; but yours may cover the latter or phentermine if your BMI (body mass index) is >30, or >27 if you have comorbid conditions like diabetes.

Are semaglutide and tirzepatide (Mounjaro®/Zepbound®) safe to take long-term?

Semaglutide and tirzepatide (Mounjaro®/Zepbound®) are FDA-approved for long-term use.  However, before you decide whether or not you’d like to start taking one or the other, CAREFULLY read the Important Safety Information found HERE.  The highlights:

• [They] may cause serious side effects, including pancreatitis (see below).  It is not known if [they] can cause thyroid tumors or a type of thyroid cancer called medullary thyroid carcinoma (MTC) in people.  Do not use [them] if you or any of your family have ever had MTC, or if you have an endocrine system condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). 
• Before using [them], tell us if you have any other medical conditions, including problems with your pancreas or kidneys, or if you are pregnant or breastfeeding or plan to become pregnant or breastfeed.
• Tell us about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements, and other medicines to treat diabetes, including [and especially] insulin or sulfonylureas. 
• Possible serious side effects include inflammation of your pancreas (pancreatitis).  Stop using the medicine and seek immediate care if you have severe pain in your stomach area (abdomen) that will not go away, with or without vomiting (you may feel the pain from your abdomen to your back).
• Stop using the medicine and get medical help right away if you have any symptoms of a serious allergic reaction, including swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; or very rapid heartbeat. 
• The most common side effects include nausea, vomiting, diarrhea, stomach (abdominal) pain, and constipation.  To help reduce nausea, try to avoid fried and greasy foods, and eat smaller and more frequent, blander meals (and only when hungry), and stop eating when you feel full.  Eating slowly and drinking clear, cool drinks can also help.  The grand majority of patients who experience nausea will find that it slowly improves over time.  Also increasing the dose of the medicine more slowly may help.  And we can always prescribe nausea medicine if needed.
• In addition, there have been reports of gastroparesis, where your digestive system freezes up, and even suicidal thoughts.  Please inform us and seek medical care immediately if you suspect or experience these.