Medical Weight Loss Breakthrough

It’s provider-led weight care — not a diet program, and not something you do alone. I’m Kelli Rausch, APRN, FNP-BC, and I evaluate you personally: your history, your labs, your goals, and what’s actually been getting in your way. If prescription therapy is appropriate for you, I build the plan around your body and monitor you the whole way through.

I work with compounded semaglutide and compounded tirzepatide. Which one is right for you — and at what dose — is determined after your consultation and lab review, not before. That decision depends on your history, your labs, how you tolerate treatment, and your goals. I’ll walk you through exactly what you’re taking and why before you ever start.

A compounding pharmacy prepares a medication specifically for an individual patient, on a prescription from your provider. It’s a long-standing, regulated part of medicine — and you deserve to understand it clearly: compounded medications are not FDA-approved, and the FDA does not review them for safety or effectiveness the way it does commercially manufactured drugs. I’ll be straight with you about what that means, and you will never be pressured into anything you’re not comfortable with.

Both work with your body’s own metabolic signaling. Semaglutide acts on the GLP-1 pathway — the system that tells your brain you’re satisfied and slows how quickly your stomach empties. Tirzepatide acts on two pathways (GLP-1 and GIP), which for some patients means a broader metabolic effect. Neither is a shortcut or a magic fix: they quiet the constant food noise so the work you’re doing on nutrition, protein, and strength finally sticks.

Maybe — and the only way to know is an evaluation. I look at your BMI, your metabolic and hormone labs, your medical history, and anything you’re already taking. Some people are not appropriate candidates, and if that’s you, I’ll tell you plainly and we’ll talk about what would help. I’d rather lose the sale than put you on something that isn’t right for you.

Yes. I don’t guess. Baseline labs let me see what’s actually happening metabolically — and they often surface things people didn’t know about, like thyroid or hormone issues quietly making weight loss harder. Your plan gets built on real data.

Most people begin noticing changes within the first several weeks, with progress building over the following months. This isn’t a race. Weight that comes off gradually — while we’re watching your labs — is the weight that tends to stay off.

Yes, and I won’t pretend otherwise. The most common are digestive: nausea, fullness, constipation, or reflux, especially early on or after a dose increase. Most of it settles as your body adjusts, and much of it is manageable by adjusting how we titrate. Less common but more serious reactions exist — which is exactly why this is medically supervised and why I check in with you regularly. You’ll always have a direct line to me.

Your evaluation and labs, your individualized plan, your compounded prescription therapy if appropriate, dose adjustments over time, and ongoing check-ins with me. You’re not handed a vial and sent away — the monitoring is the treatment. We can layer in wellness injections and nutrition support where they help.

Honest answer: for many people, appetite returns and some weight can come back. That’s true of most metabolic therapies, and anyone who tells you otherwise is selling something. It’s why we spend the whole program building the habits, protein intake, and muscle that carry you afterward. We’ll plan your off-ramp together, deliberately — not abruptly.

Yes, and many patients do. Weight management pairs naturally with hormone optimization (BHRT), wellness and vitamin injections, and aesthetic treatments — because how you feel and how you look are rarely separate conversations. We build it as one plan.

Pricing depends on your evaluation and the plan we build together, so we confirm it at your consultation — no surprises, no hidden fees. Flexible payment plans are available through Cherry.