Medical Weight Loss · Syosset, Long Island

Semaglutide for Weight Loss on Long Island

Explore compounded Semaglutide with B12 for weight loss with a licensed provider in Syosset, NY. If it's appropriate for you after your consultation, labs and body scan, it's prescribed and prepared by a licensed U.S. 503A compounding pharmacy, with clinical guidance until you reach your goals.

Book a Semaglutide Consultation Call (516) 744-2778
LegitScript CertifiedLicensed 503A PharmacyStyku 3D Body Scans100% One-on-One
Medically reviewed by Alina Hasan, PA, Board-Certified Physician Assistant at Ascent Wellness · Last reviewed 11/6/26· Updated as FDA guidance changes.

On This Page

  1. What is Semaglutide?
  2. How Semaglutide works
  3. Compounded vs. brand-name
  4. Who shouldn't take it
  5. Who may be a candidate
  6. How Semaglutide works at Ascent
  7. Semaglutide vs. Tirzepatide
  8. Related treatments
  9. FAQs

The Basics

What Is Semaglutide?

Semaglutide is a once-weekly injectable medication that mimics GLP-1, a hormone your gut naturally releases after eating. It's the active ingredient in FDA-approved brand-name medications for type 2 diabetes and for chronic weight management.

At Ascent Wellness, semaglutide is part of our medical weight loss program, which pairs medication with labs, Styku 3D body scans and one-on-one guidance. Our semaglutide is compounded with vitamin B12 by a licensed 503A pharmacy.

Medication typeGLP-1 medication
How it's takenOnce-weekly injection
Our formulationCompounded Semaglutide with B12
FDA statusCompounded, not FDA-approved

The Science

How Does Semaglutide Work?

Semaglutide mimics GLP-1, a natural hormone that helps:

  • Regulate appetite, so you may feel full sooner and think about food less
  • Slow stomach emptying, so meals keep you satisfied longer
  • Support blood sugar control by influencing insulin release

Medication works best alongside nutrition, protein intake and strength training, which is why your plan includes all three.

Transparency

Compounded Semaglutide vs. Brand-Name Products

It's important to understand what you're getting:

  • Our Semaglutide is compounded by a licensed 503A pharmacy for you individually, with a patient-specific prescription. It includes vitamin B12.
  • Compounded Semaglutide is not FDA-approved and has not been evaluated by the FDA for safety, effectiveness or quality.
  • It is not the same as brand-name products. Clinical trial results for FDA-approved brand-name medications don't automatically apply to compounded versions.
  • Brand-name options exist, and your provider can discuss them with you, including whether insurance may cover them.
Avoid "research use only" semaglutide or tirzepatide sold online. The FDA has warned about unapproved and counterfeit GLP-1 products.

Safety

Who Should Not Take Semaglutide, and Side Effects

Semaglutide isn't right for everyone. Your provider will review your full history, but in general, these medications are not appropriate for people who:

  • Have a personal or family history of medullary thyroid carcinoma (MTC)
  • Have Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
  • Are pregnant, planning a pregnancy or breastfeeding
  • Have had a serious allergic reaction to a GLP-1 medication

Extra caution is needed if you have a history of pancreatitis, gallbladder disease, kidney problems, diabetic eye disease or take insulin or sulfonylureas.

Common side effects include nausea, diarrhea, constipation, vomiting and reduced appetite, most often when starting or increasing a dose. Seek medical care right away for severe stomach pain, signs of an allergic reaction or a lump in your neck.

Is It Right for You?

Who May Be a Candidate for Semaglutide

Only a licensed provider can decide whether a medication is appropriate, after reviewing your health history and lab work. In general:

People who often ask about itPeople who are generally not candidates
Adults with a BMI of 30 or higherAnyone with a personal or family history of MTC or MEN2
Adults with a BMI of 27 or higher with a weight-related condition, such as high blood pressureAnyone who is pregnant, planning a pregnancy or breastfeeding
People who've struggled to lose weight with diet and exercise aloneAnyone under 18
Anyone with a history of pancreatitis, pending provider review

This isn't a complete list. Your provider will review your full history, medications and labs before making any recommendation.

How It Works

Starting Semaglutide at Ascent Wellness

1

Book Your Consultation

Schedule a visit in Syosset or by telehealth and complete a secure intake form.

2

Labs and Styku 3D Body Scan

We review your lab work and your Styku 3D body scan, which tracks body fat and lean mass so your plan focuses on losing fat, not muscle.

3

One-on-One Provider Review

A licensed provider reviews your history, BMI and medications and talks through whether Semaglutide is appropriate for you, and what other options exist.

4

Your Prescription and Plan

If Semaglutide is a fit, it's prescribed and prepared by a licensed 503A pharmacy. We show you how to do your weekly injection before you leave and set your nutrition and protein goals.

5

Monthly Monitoring

Regular check-ins and repeat body scans let your provider adjust your dose and plan as you progress.

Ready to find out if Semaglutide is right for you?

Book Your Consultation

Comparison

Semaglutide vs. Tirzepatide

Both are once-weekly medications your provider may consider. Here's how they differ:

SemaglutideTirzepatide
How it worksActs on one hormone pathway (GLP-1)Acts on two hormone pathways (GIP and GLP-1)
How it's takenOnce-weekly injectionOnce-weekly injection
Our formulationCompounded, with B12Compounded, with B12
Common side effectsNausea, GI upset, reduced appetiteNausea, GI upset, reduced appetite

Your provider will help you decide which, if either, fits your health history and goals. See all options on our medical weight loss page.

FAQ

Semaglutide FAQs

Can I get Semaglutide on Long Island?

Yes, through a licensed provider. At Ascent Wellness in Syosset, Semaglutide is one of the options your provider may consider after your consultation, lab review and body scan, if it's appropriate for you.

Is compounded Semaglutide the same as the brand-name version?

No. Compounded Semaglutide is prepared by a licensed 503A pharmacy for an individual patient. It is not FDA-approved and is not the same as FDA-approved brand-name products.

Do I need a prescription for Semaglutide?

Yes. Semaglutide requires an evaluation and prescription from a licensed provider. Not everyone qualifies.

How is Semaglutide taken?

It's a once-weekly injection under the skin. We show you how to do it before you leave your appointment.

Will I lose muscle on Semaglutide?

Rapid weight loss can include lean mass. That's why we track your body composition with Styku 3D body scans and set protein and strength goals as part of your plan.

What are the side effects of Semaglutide?

The most common are nausea, diarrhea, constipation, vomiting and reduced appetite, especially when starting or increasing a dose. Your provider will explain how to manage them.

How much does Semaglutide cost?

Pricing depends on your program and dose. You'll review all costs with your provider before you commit to anything.

Can I do my Semaglutide consultation by telehealth?

Yes. You can meet with your provider in person in Syosset or by telehealth.

Should I choose semaglutide or tirzepatide?

It depends on your history, goals and how you respond. Your provider will discuss both with you.

Why is B12 included?

B12 is an essential vitamin. Your compounded formulation includes it as part of your individual prescription. Your provider can explain why.

Service Area

Semaglutide for Patients Across Long Island

Our office is at 60 Queens St in Syosset, NY, centrally located for patients throughout Nassau and Suffolk County. Telehealth consultations are available across New York State. Get directions and contact details.

Nassau North Shore

  • Syosset
  • Woodbury
  • Jericho
  • Oyster Bay
  • Glen Cove
  • Locust Valley
  • Old Westbury
  • Roslyn
  • Manhasset
  • Great Neck

Central Nassau

  • Plainview
  • Hicksville
  • Bethpage
  • Farmingdale
  • Westbury
  • Carle Place
  • Garden City
  • Mineola
  • East Meadow
  • Levittown

Nassau South Shore

  • Massapequa
  • Seaford
  • Wantagh
  • Bellmore
  • Merrick
  • Freeport
  • Baldwin
  • Oceanside
  • Rockville Centre
  • Long Beach

Western Suffolk

  • Huntington
  • Cold Spring Harbor
  • Huntington Station
  • Melville
  • Dix Hills
  • Commack
  • Northport
  • Smithtown
  • Deer Park
  • Babylon

Get Started

Find Out If Semaglutide Is Right for You

Meet one-on-one with a licensed provider in Syosset or by telehealth. Clear answers, a real plan and guided care until you reach your goals.

Book Your Consultation Call (516) 744-2778

Explore Ascent Wellness

Sources

References

  1. U.S. Food and Drug Administration. FDA's concerns with unapproved GLP-1 drugs used for weight loss.
  2. U.S. Food and Drug Administration. Human drug compounding: information for consumers.
  3. LegitScript. Healthcare merchant certification standards.

Compounded Semaglutide requires an evaluation and prescription from a licensed healthcare provider. Not everyone qualifies. Compounded medications are not FDA-approved, have not been evaluated by the FDA for safety or effectiveness, and are not the same as FDA-approved brand-name products. Weight loss results vary and depend on many factors, including diet, activity and adherence. This page is for educational purposes only and is not a substitute for medical advice.

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Elevate Your Health

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Metabolism

Support Your Metabolic Function

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Clinical Recommendation

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Carol Smith, PA

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"Patients looking to improve their Metabolism benefit from finding what contributes to their symptoms, not just manage them."

Physician Consultation

We discuss your goals, symptoms, and health history.

Advanced Health Review

We analyze key biomarkers and diagnostics.

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Your Provider creates a customized plan for you.

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We monitor your progress and adjust as needed.

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Elevate Your Health