FAQ — Dominia Health

Question 1

What is Semaglutide and how does it work?

Accepted Answer

Semaglutide is a GLP-1 receptor agonist — a class of medication that mimics a natural hormone your body produces after eating. It works by slowing digestion, reducing appetite, and helping regulate blood sugar levels. The result is that you feel fuller for longer and experience fewer cravings, making it easier to maintain a calorie deficit and lose weight sustainably.

Question 2

What is Tirzepatide and how is it different from Semaglutide?

Accepted Answer

Tirzepatide is a dual GIP/GLP-1 receptor agonist — it activates two metabolic pathways simultaneously, compared to Semaglutide's one. Clinical trials have shown Tirzepatide produces greater average weight loss (15–22% of body weight) than Semaglutide. It may be recommended for patients who want more aggressive results or who have not responded as well to GLP-1 therapy alone.

Question 3

Are these compounded medications safe?

Accepted Answer

Yes. Our compounded Semaglutide and Tirzepatide are prepared by a licensed 503A/503B compounding pharmacy. All prescriptions are issued by licensed medical providers who review your health history before prescribing. Compounded formulations allow us to customize dosing and delivery methods to your individual needs.

Question 4

What delivery methods are available?

Accepted Answer

Semaglutide is available as a weekly subcutaneous injection, an oral dissolving tablet (ODT), or a daily oral capsule. Tirzepatide is available as a weekly subcutaneous injection or an oral dissolving tablet. Your provider will recommend the best delivery method based on your preferences and health profile.

Question 5

How much weight can I expect to lose?

Accepted Answer

Results vary by individual, but clinical studies show average weight loss of 10–15% of body weight with Semaglutide and 15–22% with Tirzepatide over 12–18 months of treatment. Outcomes are best when medication is combined with healthy nutrition habits and regular movement — our team provides guidance on both throughout your treatment.

Question 6

What are the common side effects?

Accepted Answer

The most common side effects are gastrointestinal — nausea, mild stomach discomfort, or changes in appetite — especially during the dose escalation phase. These typically subside within a few weeks as your body adjusts. Our providers monitor your progress closely and can adjust your dose or delivery method to minimize discomfort.

Question 7

Who is eligible for treatment?

Accepted Answer

Our weight loss programs are designed for adult women with a BMI of 27 or higher, or a BMI of 25 or higher with a weight-related health condition such as high blood pressure, type 2 diabetes, or elevated cholesterol. Eligibility is determined during your consultation after a review of your health history and current medications.

Question 8

Which states do you serve?

Accepted Answer

Dominia Health serves patients in all 50 US states through telehealth. Consultations happen online, and no in-person visit is required.

Question 9

How does the telehealth process work?

Accepted Answer

Everything happens virtually. After submitting your consultation request, our care team will contact you within 24 hours to schedule your video visit. During the visit, a licensed provider reviews your health history, answers your questions, and — if appropriate — issues your prescription. Your medication is then shipped directly to your door from a licensed pharmacy.

Question 10

Do I need to come in person at any point?

Accepted Answer

No. Dominia Health is a fully virtual practice. All consultations, follow-ups, and prescription renewals are conducted via secure video visits. Lab work, if required, can be ordered to a location near you.

Question 11

Is my information kept confidential?

Accepted Answer

Absolutely. All patient information is protected under HIPAA and handled with the highest standards of medical privacy. Your health history, treatment details, and personal information are never shared without your explicit consent.

Question 12

Do I need lab work before starting treatment?

Accepted Answer

Some treatments require recent lab work before a prescription can be issued. Your provider will review your health history during your consultation and let you know exactly which labs are needed. For most GLP-1 weight loss programs, labs are not required upfront but may be ordered as part of ongoing monitoring.

Question 13

How do I get my labs done?

Accepted Answer

We can order labs to a location near you — typically a national lab network like Quest or LabCorp. You'll receive an order electronically and can walk in at your convenience. Results are reviewed by your provider and factored into your treatment plan. No separate doctor's visit is required.

Question 14

What is the difference between standard-dose and microdose GLP-1 treatments?

Accepted Answer

Standard-dose GLP-1 treatments (Semaglutide and Tirzepatide) are prescribed for meaningful weight loss — typically for patients with a BMI of 27 or higher. Microdose formulations use a lower concentration and are often used for metabolic support, inflammation management, insulin sensitivity, and appetite regulation in patients who may not need or want full-dose weight loss therapy. Your provider will recommend the right approach based on your goals and health profile.

Question 15

What is Sermorelin and who is it for?

Accepted Answer

Sermorelin is a peptide that stimulates the pituitary gland to produce growth hormone naturally. It is used to support energy, sleep quality, recovery, and lean body composition. It is typically prescribed as a nightly injection and is a popular option for patients focused on performance, recovery, and healthy aging rather than weight loss alone.

Question 16

What hormonal treatments do you offer for women?

Accepted Answer

We offer a full range of women's hormonal health treatments including Estradiol (topical cream), Vaginal Estradiol, Progesterone (oral), and low-dose Testosterone therapy in both topical gel and injection form. These are commonly used to address menopausal symptoms, hormonal imbalances, low libido, fatigue, and mood changes. All hormonal prescriptions require a provider consultation and, in most cases, recent lab work.

Question 17

What is PT-141 and how does it work?

Accepted Answer

PT-141 (Bremelanotide) is a peptide that works through melanocortin receptors in the brain — rather than the vascular system — to support sexual desire and arousal in women. It is taken on-demand as a subcutaneous injection. Unlike other treatments, it addresses the neurological component of sexual health and is prescribed as part of our sexual health program.

Question 18

What is Low-Dose Naltrexone (LDN) used for?

Accepted Answer

Low-Dose Naltrexone is a daily oral tablet used at a fraction of its standard dose to support immune modulation, inflammation balance, pain management, and sleep. It is used in our Longevity & Immunity and Performance & Recovery programs. LDN is well-tolerated by most patients and does not carry the dependency concerns associated with higher-dose naltrexone.

Question 19

What is GHK-Cu and what does it do?

Accepted Answer

GHK-Cu is a naturally occurring copper peptide that has been studied for its role in skin repair, collagen production, and anti-aging. Our compounded GHK-Cu 0.5% topical cream is applied daily to support skin texture, firmness, and overall skin health. It is part of our Skin & Hair Health and Longevity programs.

Question 20

How long does it take to receive my medication?

Accepted Answer

Once your prescription is issued, your medication is typically shipped within 2–5 business days from our licensed compounding pharmacy. Delivery times vary by location, but most patients receive their medication within 5–10 business days of their consultation.

Question 21

Does insurance cover these treatments?

Accepted Answer

Compounded GLP-1 medications are generally not covered by insurance. We offer transparent, competitive pricing and can provide documentation for potential FSA or HSA reimbursement. Our team will discuss all costs with you during your consultation so there are no surprises.

Question 22

How often do I need follow-up visits?

Accepted Answer

We recommend monthly check-ins during the first three months of treatment to monitor your progress, adjust dosing, and address any questions. After that, follow-up frequency is tailored to your individual needs and treatment response. All follow-ups are conducted virtually.

Question 23

Can I pause or stop treatment?

Accepted Answer

Yes. You can pause or discontinue treatment at any time. We recommend discussing any changes with your provider so they can guide you through a safe transition and help you maintain your progress. There are no long-term commitments required.

Frequently asked questions

Semaglutide & Tirzepatide

Telehealth & Eligibility

Labs & Treatments

Prescriptions & Delivery

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