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GLP-1, GLP-2, GLP-3

Person pinching fat
At our Zormeier Cosmetic Surgery & Longevity Center locations in Nobleville, IN, Shelbyville, IN, Danville, IL, Healdsburg, CA, and Ukiah, CA, we offer a GPL-1, as well as dual and triple agonist weight loss injection treatment plans that can help patients achieve their weight loss goals. Also known as the skinny shot, this injectable can work alongside a weight management plan to help you lose weight and keep it off long-term.

What Is the Skinny Shot?

The skinny shot is another term for a GPL-1 injection. GPL-1 is a weight loss medication that was originally developed to treat Type 2 diabetes, and studies revealed that it also proved to be effective as an obesity treatment. The skinny shot is a weight loss injectable medication that can help patients lose significant weight through a customized treatment plan. It also promotes improved blood sugar control by regulating blood sugar levels and stimulating the body’s ability to produce insulin.

About Our Weight Loss Injections

GLP-1 Receptor Agonists

GLP-1 receptor agonists are medications that mimic the natural hormone glucagon-like peptide-1 (GLP-1), which helps regulate appetite and blood sugar balance. An “agonist” is a substance that binds to a specific receptor in the body and activates it to produce a biological response. These injections slow digestion, reduce hunger signals, and help you feel full longer after eating. They also support healthy glucose levels by enhancing insulin release and reducing the amount of sugar produced by the liver. When the use of this medication is part of a medically supervised weight management plan, GLP-1 treatments can help patients reduce calorie intake more comfortably and sustain meaningful weight loss. In addition to supporting weight control, these medications can also improve overall metabolic health, including blood pressure and cholesterol levels.

Dual Agonist Injections

Dual agonist injections target two hormone pathways involved in appetite control and metabolism. These treatments stimulate both the GLP-1 and glucose-dependent insulinotropic polypeptide (GIP) receptors and help the body to manage hunger signals and insulin response more efficiently. GLP-1 and GIP agonist injections improve how the body processes carbohydrates and fats while supporting a stronger feeling of fullness after meals. Because these medications influence multiple metabolic pathways, they may lead to greater reductions in body weight for certain patients.

How It Differs From GLP-1 Agonists

While GLP-1 agonists primarily target one receptor involved in appetite and glucose control, dual agonists engage two separate hormone systems simultaneously. Dual agonists provide a more comprehensive approach to regulating appetite and nutrient metabolism. Activating the GIP receptor enhances the body’s ability to use fat for energy while maintaining better stability in blood sugar levels.

What It Is Used For

Dual agonist injections are used as part of a structured medical program to support weight reduction and metabolic improvement. They can help individuals with obesity or weight-related health concerns improve blood sugar control, reduce fat accumulation, and increase overall energy utilization. These injections may also benefit those who have plateaued with other weight loss methods.

Triple Receptor Agonists

Triple receptor agonists are a newer class of metabolic medications that activate three hormone pathways simultaneously: GLP-1, GIP, and glucagon receptors. Each receptor contributes differently to appetite control, energy balance, and fat metabolism. When all three are stimulated together, the body can experience more coordinated effects on hunger regulation, calorie burning, and blood sugar stability.

How It Differs From GLP-1

Engaging the glucagon receptor helps increase energy expenditure, while stimulation of GIP and GLP-1 receptors supports appetite control and insulin regulation. The combination allows the body to use fat more effectively while stabilizing glucose levels so that it can provide more than just appetite suppression. Triple agonists may offer a more comprehensive treatment for the right patient seeking weight management and body composition improvements.

What It Is Used For

Triple receptor agonists are used to assist adults with obesity or metabolic challenges that have not responded well to diet, exercise, or single-pathway treatments. They regulate appetite, enhance calorie burning, and stabilize blood sugar levels within a medical weight management plan. These medications may also benefit those with conditions related to insulin resistance or impaired glucose tolerance.

Triple Agonist Treatment Clinical Trials

Triple agonist research is still in its early stages. Treatment clinical trials are currently underway, including a study of triple agonists in patients with obesity and cardiovascular disease that is set to conclude in May of 2026.

What Weight Loss Shots Can Help With

Accelerated Weight Loss

Because of the way that GPL-1 interacts with natural bodily processes, it accelerates weight loss. Results vary among patients regarding the total weight lost, and once we design your treatment plan at one of our NorCal area locations, we can give you more details about how much weight you can expect to lose based on your starting point and ultimate goals.

Reduced Appetite

Another one of the benefits of the skinny shot is that once administered, it begins working to help you lose weight and reduce your appetite. As a result of the treatment, you will feel fuller for longer, reducing the chance of you giving into emotional eating or cravings, which is a significant benefit when following a weight management treatment plan.

Reduced Risk of Obesity and Related Diseases

With obesity comes an increased risk of obesity-related medical conditions, including Type 2 diabetes, stroke, cancer, and heart disease, among others. When you take steps to lose the necessary amount of weight to reach optimal health, you simultaneously reduce the risk of obesity and the other health conditions that accompany it.

What Are the Treatment Benefits?

Aside from accelerating weight loss, GPL-1 injection treatment plans and our other weight loss injections offer many benefits. These injectables are suitable for those who want to lose minimal and significant weight, and they also complement a weight management plan that includes regular exercise and a healthy diet.

A Safe Treatment

When you begin a treatment plan with a skinny shot, you can rest assured that not only is it safe and FDA-approved (FDA approval for weight loss applies to GLP-1 and dual receptor agonist injections only) to help you lose your desired amount of weight, but we will monitor your treatment progress throughout your medical weight loss journey with us. We will ensure that the treatment is helping you achieve your desired results and make adjustments if needed. Safety is our top priority, so you can have confidence knowing that not only will this injectable help you achieve your results, but we will take the necessary steps to ensure that it does so safely.

Non-Surgical, Medically Supervised Approach

Treatment with receptor agonist-based therapies is a non-surgical way to improve metabolic health and support weight management. Each plan is carefully monitored by a medical professional who can adjust dosing, evaluate your progress, and make sure the therapy is aligning with your health goals.

Several Different Options

Having several treatment options allows us to customize our services precisely to your health goals and metabolic needs. We will consider everything from your current health to the goals you have for the future to find a treatment plan that aligns with your body’s response and desired outcomes.

Long-Term Potential for Sustained Results

GLP-1 agonists influence underlying metabolic processes that contribute to energy balance, appetite regulation, and nutrient absorption. When you combine these treatments with our medical guidance and a healthy lifestyle, these treatments can support lasting improvements in weight stability and wellness.

Tirzepatide Vs Semaglutide: Similarities and Differences

Understandably, given how quickly tirzepatide and semaglutide have risen to prominence, these two distinct drugs are sometimes lumped together. And to be sure, there is much overlap between the two in terms of their potential benefits and applications, but they are not the same. Here’s a quick breakdown of how the two compare across several clinically relevant categories:

Mechanism

Both semaglutide and tirzepatide stimulate a kind of receptor in the body known as the GLP-1 receptor. In healthy people, this receptor is normally activated by hormones that the body already produces. When GLP-1 receptors are stimulated, they prompt insulin release to help curb blood sugar spikes. This receptor also manages appetite.

The difference between semaglutide and tirzepatide in this case is that tirzepatide also acts as an agonist, or stimulator, of GIP receptors. Among the many function of this class of receptors are, once again, blood sugar regulation and appetite. In other words, tirzepatide promotes the same benefits of semaglutide, but on two fronts, often rendering it more effective.

Benefits

Both semaglutide and tirzepatide have been proven effective for regulating a healthy body weight, but most research gives tirzepatide a slight (1-2%) edge. Similarly, both of these drugs can also reduce blood sugar in type 2 diabetics. Whether you intend to use either of these off label or for diabetes management, consulting with a licensed professional is highly recommended to ensure adequate dosage, safety, and more.

Dosage

Keeping in mind that it’s always the best practice to defer to your treatment provider’s individualized recommendations, a typical starting dose for semaglutide is 0.25 milligrams per week. Assuming you respond well to the treatment, the dosage may be gradually increased to as high as 2.4 milligrams per week, which is what the FDA has determined as the “standard maintenance dosage.” These weight loss injections are typically self-administered once a week.

Tirzepatide dosage typically starts at 2.5 milligrams per week, and can be increased over time to 15 milligrams per week. Regularly monitoring your response to treatment and reporting any issues to your care team is crucial for preventing unwanted side effects.

 

How Does the Weight Loss Injection Process Work?

Consultation

During your initial consultation, we will give you more details about how the injection process works based on your unique treatment plan. We will review your medical history, discuss your wellness goals, and determine whether peptide-based therapy is a suitable option. Your provider will explain what to expect during treatment, how results develop, and what lifestyle habits can help maximize your outcome.

Finding the Right Medication

Each person responds differently to these treatments, so selecting the right formulation is an important part of the process. Your provider will consider factors such as your medical history, current medications, and overall health goals before recommending a specific receptor agonist therapy. Some formulations may also be adjusted as treatment progresses to help maintain steady improvement and minimize unwanted side effects.

Administration

GPL-1 injections are administered weekly. The skinny shot is an injectable fitted with a fine, thin needle. During treatment, the needle is administered just below the skin’s surface into adipose tissue. The treatment itself takes seconds to complete. Dual and triple agonist injections are also administered weekly on a regular schedule. These medications are all designed for slow, sustained release. 

Monitoring

Ongoing medical monitoring is an important part of every treatment plan. Regular check-ins allow us to track your progress, review any changes in appetite or energy, and adjust your dosage if needed. We may also discuss related therapies or strategies if your treatment goals extend beyond blood sugar regulation to include digestive or nutrient absorption support, or if you need help through a weight loss plateau. 

Aftercare and Ongoing Instructions

We will give you clear instructions about how to manage your injections and maintain results between appointments. Staying consistent with your treatment schedule, maintaining healthy eating habits, and keeping regular follow-up visits all help promote long-term success. You will also receive guidance on recognizing normal treatment responses and when to contact the office for adjustments or questions.

Expected Results and Timeline

You can expect to notice the best results within three to six months of treatment. Some people begin to experience subtle changes earlier, such as steadier appetite control and increased energy. As treatment continues, improvements in blood sugar regulation and weight management can become more noticeable, particularly when paired with consistent lifestyle habits and medical guidance.

Am I a Candidate?

If you have been trying to lose weight through traditional methods, like calorie restriction and exercise, but aren’t seeing results or aren’t achieving results as quickly as you’d like, you may be a good candidate for a GPL-1 injection treatment plan. Since this injectable can accelerate weight loss and do so safely, it can help you achieve your healthy goal weight and maintain it long-term.

Tips to Maximize Your Results

As effective as the skinny shot is, mankind’s endless search for that “magic button” has not met an end quite yet. Especially if you’re aiming for a more toned physique, there is much more to a successful and sustainable weight loss effort than receiving the skinny shot alone. As always, the “standard prescription” (balanced diet, exercise, hydration, sleep, etc.) still very much applies. The one major tweak in the case of supplementing your skinny shot results is an increased focus on keeping blood glucose levels stable throughout the day—more on that below.

Combining Weight Loss Injections With Lifestyle Habits

Carb-Conscious (Not Carb-Phobic!) Dieting

Trends and gadgets aside, standard weight loss diets are both reliable and versatile enough to accommodate different palates (home cooking skills help). Following a nutritionally dense and well-rounded diet rich in lean proteins, probiotics, healthy carbs and fats, and lots of fruits and vegetables that keeps your glucose levels steady throughout the day is an excellent way to complement the effects of the skinny shot. There’s a whole lot to go over in this department, so here it is in condensed format:
  • Complex, nutritious carbs: Yams, quinoa, legumes, and some seeds
  • Fiber-rich foods: Nuts and seeds, whole grains, vegetables, fruit
  • Lean proteins: Poultry (no skin), white fish, low-fat dairy, legumes, tofu
  • Probiotic-rich foods: Sauerkraut, tempeh, yogurt, kefir, kimchi
  • Plenty of fruits and vegetables: Dark and leafy veggies, berries, etc.
  • Healthy fats: Avocado/olive oil, salmon, nuts, seeds, eggs
There’s no need to fear carbs, so long as you control your portions, avoid simple carbs, and balance your consumption throughout the day with 3-5 small meals and/or snacks. Consuming nutrient-dense sources of fiber alongside your starches is an excellent way to facilitate the glucose-curbing effects of the skinny shot, as fiber helps to slow down sugar absorption. The operative principle here is not to completely starve yourself of carbs, but to keep that glucose line as level as possible, which is an optimal state for weight loss. Most importantly, avoiding junk food as much as possible is key. Starchy, nutritionally vapid, and preservative-laden snacks like chips, packaged pastries, highly processed meats, fast food burgers, and so on can and will offset the effects of the skinny shot.

Consistent and Goal-Oriented Exercise

There is no need to buy proprietary equipment or dive deep into a trendy niche when it comes to exercise; simply keeping your body in motion with low-impact cardio and moderate-intensity strength training for half an hour or more at least 2-3 times a week (ideally 4-5) is all you need to enhance your results. Walking, jogging, swimming, cycling, boxing, lifting weights, plyometrics, recreational sports, you name it—it will all help your weight loss and sculpting efforts. If you’re less experienced with exercise, or if it’s been a while, start slow and easy, building up over time. For those looking to lose weight without shedding muscle, keeping protein intake high and regularly incorporating strength training should be enough to maintain a muscular physique as your weight drops.

Sleep, Stress, and Hydration

Finally, these are three of the most commonly overlooked elements when it comes to weight loss. All three of these factors can cause your body’s hormones to essentially switch to survival mode, which means packing on fat when they are not optimized. Understandably, the chaos of daily life leads all of us to skimp out on hydration or sleep once in a while, but keeping reminders on your phone and practicing stress reduction techniques (meditation, screen-free time, etc.) can help immensely in both weight management and overall well-being.

Our Other Medical Weight Loss Solutions

Aside from this effective injectable treatment, we also offer other weight management options at our Northern California area locations to help patients reach their goals and live healthier lifestyles. Depending on your goals, you may qualify for one or more of our other weight management solutions to achieve your desired weight as quickly and safely as possible.

Lipotropic Injections

We offer lipotropic injections that contain a combination of methionine, inositol, and choline, all of which support liver function and, in doing so, accelerate fat metabolism. Injections can help the body better process fat by helping it utilize or excrete it from the system rather than storing it, which would ultimately work against your goals.

Nutritional Supplements

We also offer different pharmaceutical-grade nutritional supplements that we can administer after completing nutritional, genetic, and GI testing. Our supplements are designed to work in conjunction with your weight management plan as they will increase energy levels, help further suppress the appetite, and repair GI and cellular function while promoting optimal health.

Coaching

Our coaching services provide the resources you need along your weight management journey. We will be with you every step of the process to provide support and encouragement and answer any questions you may have regarding your treatment plan, the Skinny Shot, and any other aspect of your medical weight loss program.

FAQs About GLP-1, GIP, and Glucagon Receptor Agonists

What Are the Most Common Side Effects?

The most common side effects of GLP-1, dual, and triple agonist injections include mild nausea, digestive discomfort, and occasional fatigue as the body adjusts to treatment. Some individuals may also experience reduced appetite, constipation, or mild bloating during the first few weeks. Negative effects may improve as your system becomes accustomed to the medication. With our ongoing medical supervision, we make sure that any side effects are monitored and managed appropriately.

How Long Should I Stay On This Treatment?

The length of treatment depends on your individual goals, medical history, and how your body responds to the medication. Some patients may use GLP-1 or dual agonist injections for several months, while others benefit from longer-term use. During your follow-up appointments, we will discuss when it is appropriate to continue, adjust, or pause your therapy.

What Happens If I Stop the Medication?

When weight loss injections are discontinued, appetite and metabolism may return to their pre-treatment state, which may cause gradual weight regain if lifestyle habits are not maintained. Blood sugar levels can also shift back toward pre-treatment levels in those managing insulin resistance. Every case is different, and it is important to talk to your healthcare provider to discuss any changes in medication.

Schedule Your Consultation Today

Don’t wait any longer before taking the step to invest in your health, appearance, and confidence. We can design a treatment plan for you at one of our locations. The skinny shot may be what you need to accelerate your results to enjoy the benefits of living a healthy lifestyle at your goal weight and all the confidence-boosting benefits that it can bring. At Zormeier Cosmetic Surgery and Longevity Center, we offer skinny shots at our locations in Noblesville, IN, Shelbyville, Danville, Healdsburg, CA, and Ukiah, CA. Contact us at (317) 699-8848 or through the contact form on our website.

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Amanda Roemer
Amanda Roemer
2023-03-27
I had lip filler done over the weekend and had a great experience. Dr. Zormeier and her assistant were wonderful.
Brooke Mullen
Brooke Mullen
2023-03-23
Dr Zormeier and her team are amazing! They listened to my concerns and developed a plan of treatment to fit my desired results. I’m addition, Dr Zormeier personally encouraged me in my journey to better overall health for myself! I am extremely satisfied with my results and will trust my ongoing care to this team. But the best part are the compliments I get from friends and family, telling me that I look amazing!
Melissa Rivera
Melissa Rivera
2022-12-18
The ending result made it all worthwhile. Dr Zormeier I’d highly skilled and does amazing work. She is very caring and wants pics every day the first couple weeks to ensure you are doing well. Very impressed with her work!! Eyes were done perfectly!!!
Jennifer Tobian
Jennifer Tobian
2022-11-26
Dr. Michele gave me a lower blepharoplasty and laser resurfacing in April 2022. My undereye bags were very large, and genetic and I always looked tired before. This weekend I met up with all my long distance family and friends for Thanksgiving, and everyone wants to know my secret. They ask if I’ve lost weight or have a new sleep schedule. Nope! My results are natural, beautiful and permanent. I highly recommend Dr. Michele’s skill and her nurses warm bedside manner made me feel super comfortable the whole time.
Blaise Shuman
Blaise Shuman
2022-11-21
Great results. Great staff. Highly recommended.
vildana R
vildana R
2022-11-18
I have had Botox, fillers, and IPL laser. I’m 38 and was noticing that I often look tired, with under eye bags, a bit of smile lines, and slightly droopy eye brows. I noticed right away that the Botox did great with lifting up my brows. The fillers gave me some cheeks and disguised the under eye bags.. my laugh lines are much less noticeable. I still have 2 more sessions of the IPL laser but so far I’ve noticed much less redness and discoloration and look forward to the final result. I did feel like Dr. Zormier cared about making sure I was comfortable. I noticed that some of the reviews mentioned that she wasn’t sensitive to pain- that was not my experience at all. If I had any criticisms- I feel like there might be a bit more fillers than I would have liked in my cheeks.. this was my first experience getting work done so perhaps I didn’t communicate with DR. zormier as thoroughly as I should have. I didn’t know what to communicate so I pretty much let her do what she thought was best. Next time I have fillers, I will ask for about 25% less than what was injected. Also, for the fillers , Botox , and IPL laser, I spent $6000 . Very expensive . I’m hopeful that maintaining is much less than this .
Melissa Rivera
Melissa Rivera
2022-10-23
I had a blepharoplasty done to excess skin that was bothersome and also co2 fractional laser done to face and neck. There is an amazing difference and at 4 weeks I’m feeling in awe at the difference. Dr. Zormeier did a beautiful job!
James Graham
James Graham
2022-10-21
Great Dr and Team, laser treatment worked like a charm and I would highly recommend!
Dianne Wylie
Dianne Wylie
2022-08-23
I am very impressed with Dr. Zormeier. She gives you her full attention and makes you feel at ease and does amazing work. I am so happy with my results. Her staff is very friendly and welcoming as well. Her work is second to none. I would highly recommend her.

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