Introduction: Semaglutide, commonly known as Ozempic, is a widely used and often discussed medication. Like insulin, Semaglutide is a powerful medication for many patients—but it must be used with precision and caution. Many patients achieve significant weight loss
Semaglutide is to be respected. The dosing of semaglutide must be individualized. The dose of semaglutide may need to be reduced as well as increased. This drug is best used by a physician who is meticulous in their attention to dose and skilled in administering it.
In my concierge medicine practice, I, Dr. William Conway, find semaglutide to be most effective when paired with close patient monitoring and individualized care. Concierge medicine allows for this level of precision.
Five Major Advantages of Ozempic (Semaglutide) in Nashville
- Supports Weight Loss by suppressing appetite
- Improves Diabetes Control
- Protects the Heart, Kidneys, and Liver
- Possible Brain Benefits – Early research suggests Ozempic may help slow memory loss in people with early Alzheimer’s disease.
Five Major Disadvantages of Ozempic
- Can Cause Malnutrition – In individuals who don’t need to lose weight, it can lead to excessive weight loss or inadequate nutrient intake.
- Gastrointestinal Side Effects – Common side effects include nausea, vomiting, diarrhea, and stomach pain—some people stop the drug because of this.
- Expensive and Often Not Covered by Insurance – Costs over $1,000/month without insurance. Even with discounts, it’s still pricey.
- Limited Availability – Demand is so high that drugmakers have struggled to make enough; shortages have occurred.
- Not Safe for Everyone – People with a history of certain thyroid cancers or pancreatitis should avoid it. It’s also not meant for cosmetic weight loss in healthy people.
Bottom Line: Semaglutide is currently marketed in fashions that may confuse or mislead patients. Please obtain it from the physician of your choice in Nashville
Semaglutide is a remarkable medication for treating obesity. As a treatment for obesity, it is a lifelong treatment, unless it stops working, produces adverse effects, or is replaced by a different obesity drug.
Semaglutide requires close medical supervision. Side effects can be serious.
Semaglutide in concierge medicine requires expert dosing, with both dose increases and decreases over a patient’s lifetime. The flexibility and attention available through concierge medicine make it the ideal setting for managing a powerful medication like semaglutide, In my Nashville Concierge Medicine practice, I, Dr. William Conway, prescribe semaglutide and monitor patients carefully for both benefits and risks
Ready to explore semaglutide with expert guidance? Call 615-708-0390 today to schedule a personalized appointment with Dr. Conway through concierge medicine.
References
- Garvey WT, et al. Coadministered Cagrilintide and Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2025;393(7):635-647.
- Davies MJ, et al. Cagrilintide–Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes. N Engl J Med. 2025;393(7):648-659.
- Sanyal AJ, et al. Phase 3 Trial of Semaglutide in Metabolic Dysfunction–Associated Steatohepatitis. N Engl J Med. 2025;392(21):2089-2099.
- McGuire DK, et al. Oral Semaglutide and Cardiovascular Outcomes in High-Risk Type 2 Diabetes. N Engl J Med. 2025;392(20):2001-2012.
- Aronne LJ, et al. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity. N Engl J Med. 2025;393(1):26-36.
This content is for informational purposes only and does not constitute medical advice. Always consult a licensed physician before starting any prescription medication, including semaglutide.


