Wellness & Body
A complete medical weight loss program, not a prescription.
Our semaglutide clinic in Raleigh operates as a complete clinical program, not a medication-dispensing service. Directed by Dr. Susan Lovelle, MD, whose training includes functional and lifestyle medicine, our medical weight loss service combines GLP-1 therapy (semaglutide or tirzepatide) with body composition monitoring, protein-forward nutrition guidance, and a taper plan built in from day one.
- Physician-directed (Dr. Susan Lovelle, MD)
- Starts at $330
- Full medical screening
- Body composition tracking
- Nutrition protocol
- Taper plan
Clinically reviewed by Dr. Susan Lovelle, MD, Medical Director, La Miel Aesthetics. Adriana Sandoval Veliz, RN, MSN, contributed clinical input. Last reviewed: .
What this is
What's included in our program
Eight pieces, all built in. Skip any one of them and the program becomes the kind of GLP-1 service patients have been getting from telehealth subscriptions, and the outcomes show it.
For the patient-side view of our program (who it is for, what results look like, how the journey unfolds), see our Medical Weight Loss concern page. This page covers what you will experience clinically.
At La Miel
Program components
Initial medical consultation and screening
A complete intake with Dr. Lovelle including medical history, medication review, contraindication screening, and discussion of your goals and expectations. For certain patients, baseline labs.
Baseline body composition analysis
Establishes starting body fat, muscle mass, and water composition so we track what is actually changing during your program. Reassessed at month three and again at goal.
Personalized prescription protocol
Based on your screening, we prescribe semaglutide or tirzepatide at the appropriate starting dose. Medication is supplied through a vetted compounding pharmacy or branded prescription (your choice based on preference, cost, and insurance coverage).
Structured titration schedule
GLP-1 medications are titrated (gradually increased) over 4 to 5 months to reach therapeutic dose while managing side effects. We adjust your titration based on your response, not a generic calendar.
Monthly follow-up appointments
In-person or telehealth check-ins to monitor weight, body composition changes, side effects, and nutrition adherence. Included in program fee.
Protein and nutrition guidance
Customized protein targets based on body composition, practical nutrition coaching, micronutrient guidance, hydration strategy. This is the piece most programs skip.
Built-in taper plan
When you reach your goal (or when you are ready to stop), we reduce your dose systematically over 2 to 4 months while reinforcing nutrition and lifestyle maintenance. This is what prevents rebound weight gain.
Coordination with body contouring
If loose skin becomes a concern as weight loss progresses, we coordinate non-surgical body contouring into your overall plan.
Who this is for
Semaglutide vs. tirzepatide
Both are FDA-approved for weight management (tirzepatide for Type 2 diabetes and for obesity as Zepbound). Tirzepatide typically produces slightly greater weight loss (20 to 22 percent of body weight over 12 months versus around 15 percent on semaglutide in clinical trials) but costs slightly more. We discuss both during consultation and recommend based on your goals, medical history, and response.
Ready to start?
A consultation tells us what your skin needs. It takes under an hour.
What to expect
Side effects and management
Most patients experience some nausea, constipation, fatigue, or mild GI discomfort during titration. These symptoms typically improve as your body adjusts. Rare but serious complications (pancreatitis, gallbladder issues) are screened for during intake and monitored throughout.
Adjusted titration
We slow the titration pace for sensitive patients rather than push them through symptoms.
Nutrition and hydration strategies
We coach specific tactics that reduce GI symptoms (smaller meals, protein-forward intake, hydration timing).
Temporary supplements
When indicated, magnesium, B-complex, or electrolyte support shorten side-effect windows.
Pause or reduce
Ability to pause or reduce dose if symptoms are severe. We adjust the plan, not push through.
Pricing
Program fees
Our medical weight loss program starts at $330, which covers your initial consultation with Dr. Lovelle and your first month’s medication dosage. Subsequent months are quoted at consultation based on your medication choice (compounded vs. branded), dose tier, and titration schedule.
We are transparent about pricing because patients deserve to compare. Financing is available through Affirm, Cherry, and CareCredit for patients who prefer monthly payment plans on longer programs.
Common questions
Frequently asked questions
Our medical weight loss program starts at $330, covering the initial consultation with Dr. Lovelle and the first month of medication, with subsequent months quoted based on medication choice and dose tier. Our program starts at $330, which covers your initial consultation with Dr. Lovelle and the first month of medication. Subsequent months depend on whether you choose compounded semaglutide (more affordable) or branded pharmaceuticals like Wegovy (insurance-dependent), plus your dose tier as you titrate. We provide a specific quote during consultation, and financing is available through Affirm, Cherry, and CareCredit.
Keep exploring
Related on La Miel
Ready to book Medical Weight Loss?
Tell us what you would like to address. A consultation maps the right plan, the right product, and the right sequence for your skin.
Ready When You Are
Two ways to start: book the specific treatment you came for, or book a consultation and we will build your plan together.
Mon 10 to 8, Wed to Fri 10 to 5, Sat 9 to 2. Closed Tue and Sun.
7718 Six Forks Road, Suite 106, Raleigh, NC 27615