• gastroparesis (stomach paralysis).Call your healthcare provider if you have symptoms, including upset stomach or nausea, vomiting, feeling full too soon when eating, belly or abdominal pain or bloating, and heartburn.
• inflammation of your pancreas (pancreatitis). Stop using semaglutide or tirzepatide and call your healthcare provider right away 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.
• gallbladder problems. Semaglutide and tirzepatide may cause gallbladder problems, including gallstones. Some gallstones may need surgery. Call your healthcare provider if you have symptoms, such as pain in your upper stomach (abdomen), fever, yellowing of the skin or eyes (jaundice), or clay-colored stools.
• increased risk of low blood sugar (hypoglycemia) in patients with type 2 diabetes, especially those who also take medicines for type 2 diabetes such as sulfonylureas or insulin. This can be both a serious and common side effect. Talk to your healthcare provider about how to recognize and treat low blood sugar and check your blood sugar before you start and while you take semaglutide or tirzepatide. Signs and symptoms of low blood sugar may include dizziness or light-headedness, blurred vision, anxiety, irritability or mood changes, sweating, slurred speech, hunger, confusion or drowsiness, shakiness, weakness, headache, fast heartbeat, or feeling jittery.
• kidney problems (kidney failure). In people who have kidney problems, diarrhea, nausea, and vomiting may cause a loss of fluids (dehydration) which may cause kidney problems to get worse. It is important for you to drink fluids to help reduce your chance of dehydration.
• serious allergic reactions. Stop using semaglutide and tirzepatide 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.
• change in vision in patients with type 2 diabetes. Tell your healthcare provider if you have changes in vision during treatment with semaglutide or tirzepatide.
• increased heart rate. Semaglutide and tirzepatide can increase your heart rate while you are at rest. Tell your healthcare provider if you feel your heart racing or pounding in your chest and it lasts for several minutes.
• depression or thoughts of suicide. You should pay attention to any mental changes, especially sudden changes in your mood, behaviors, thoughts, or feelings. Call your healthcare provider right away if you have any mental changes that are new, worse or worry you.

TMS (Transcranial Magnetic Stimulation) should be administered by certified practitioners. While you can receive TMS treatments in other states, it's important to ensure the facility is licensed and has experienced professionals. We currently offer TMS in our Atlanta, GA, medical clinic.

Yes, we offer a pay-per-session option for TMS. However, we also have package deals that offer better value for multiple sessions.

GLP-1 agonist medications can slow stomach emptying, which contributes to feelings of fullness and reduces food intake. In rare instances the medications can cause stomach paralysis. This usually resolves in a few days if it occurs.

If you have a history of hypoglycemia or any other medical conditions, it's essential to discuss this with the physician. While GLP-1 medications can be safe for many individuals with hypoglycemia, individual medical evaluation is necessary.

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Yes, monthly check-ins with our healthcare providers are part of the subscription service plan at MrsMD®.