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Semaglutide & Tirzepatide

Semaglutide aka Glucagon Like Peptide-1 (GLP-1), is an FDA approved medication for weight loss. Semaglutide is a safe, effective and painless weekly injection that has been clinically proven to reduce cravings and improve glucose control. With the right dose, most people will have their appetite reduced by 50% making this weight loss option effortless. For many patients, this is the first medication to help them with hunger pangs.

Semaglutide helps insulin to work more efficiently and helps to control sugar levels. This medication was initially used to help diabetics but has also shown to even reverse prediabetes and improve hypertension in patients. It has been very popular to help non-diabetics to lose weight. Semaglutide has been a game changer for many patients when their metabolism slows down due to age or hormonal changes. Appetite is decreased with semaglutide because it slows down the digestion process by helping patients to feel full faster and stay fuller for a longer period of time so patients naturally eat less.

The greatest weight loss benefits were observed when semaglutide was used in conjunction with lifestyle changes, such as consistent exercise and better nutrition choices. The Mediterranean Diet or the low glycemic diet are great diet options to choose when using semaglutide. The most common side effects were nausea which subsided for most patients after few days. Vitamin B12 daily helped to reduce nausea symptoms. Rarely, the nausea can progress to vomiting and diarrhea (which was more common with higher doses and can usually be controlled by decreasing the dosage of semaglutide).

Semaglutide is a safe and affordable option for weight loss. Schedule with Dr. Melinda Silva or one of her associates to see if semaglutide is the right option for you.

Mediterranean Diet

What is a Mediterranean Diet?

So, what’s the secret of the Mediterranean diet? What do Italians and Greeks know that others don’t?

The Mediterranean diet incorporates more healthy foods like fruits, vegetables, fish, and whole grains, and fewer unhealthy fats. It also incorporates ingredients like olive oil and red wine that, when consumed in moderation, are good for lowering stress levels.

Other characteristics of the Mediterranean lifestyle include eating with family and friends, getting plenty of exercise, and eating your biggest meal of the day at lunch instead of dinner.

According to the Mayo Clinic, studies have shown that eating Mediterranean food reduces the risk of heart disease, cancer, Parkinson’s Disease, and Alzheimer’s Disease. Women who stick to a Mediterranean diet menu supplemented by extra virgin olive oil and mixed nuts are at reduced risk of breast cancer.

For these reasons, most major scientific organizations encourage people to follow a Mediterranean diet or incorporate Mediterranean foods into their diet. Learn more about the Mediterranean diet, and specific recipes here.

silva md detox

Low-glycemic, antioxidant-rich diet

Eliminating certain foods and focusing on a low-glycemic, antioxidant-rich diet supports well-being and good health. This detox plan goes beyond dietary modification and strives to achieve an optimal health outcome. The detox incorporates very high quality, clinically tested functional food shakes and supplements that contain ingredients that research suggests supports healthy body composition and the body’s natural detoxification mechanisms. Dr. Silva’s detox is a one month plan that helps to remove toxins from the liver, kidneys and intestines. There is also a 7 Day Detox option which consists of liquid superfoods. Removal of these toxins has proven to clear inflammation and fat. Whole food diets which consist of vegetables, fruits and lean meats are highly encouraged when doing our affordable detox programs.

VITAMIN b12 Injections

Lose weight by increasing metabolism

Vitamin B12 has numerous health benefits, including improving digestion, supporting heart and brain function, boosting your immune system, and helping you lose weight by increasing your metabolism. Dr. Silva offers pharmaceutical-grade methylated Vitamin B12 combinations to fit your specific needs. She will customize your B12 injections to help you with weight loss, energy, stamina, sleep, focus, and concentration.

enzyme nutrition

Packed with vitamins, minerals, and enzymes

Enzymes are a natural component in our food supply that are responsible for digestion, absorption, metabolism, and energy. Enzyme Nutrition is packed with vitamins and minerals, including a wide array of other nutrients that are necessary for the body, such as cofactors and phytonutrients. Enzyme Nutrition helps the body properly digest and absorb vitamins and minerals. We have affordable organic and vegetarian-based high-quality digestive enzymes to help with metabolism and digestion.

Frequently Asked Questions

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For weight loss, do you only offer medication?

At Silva MD, we understand that meaningful, lasting weight loss goes far beyond just taking a pill/injection. We take a truly holistic approach to weight management—blending nutrition counseling, personalized fitness guidance, sustainable lifestyle shifts, and, when appropriate, the thoughtful use of weight loss medications—while also addressing underlying factors like stress, sleep quality, hormonal balance, and emotional well-being. Every plan is tailored to you—your body, your goals, your life—because that’s what creates real, lasting change.

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What is the difference between GLP, Tirzepatide and AOD 964?

When we’re talking about medical weight management, it’s important to understand how these treatments work in your body. Let’s break it down:

GLP-1 (Glucagon-Like Peptide-1) is a hormone your body naturally produces to help regulate blood sugar and appetite. It works by stimulating insulin when your blood sugar is high, slowing down how quickly your stomach empties, and helping to reduce hunger. Medications like Semaglutide (you might know it by names like Ozempic or Wegovy) are designed to mimic this hormone, and they’ve become powerful tools for both weight loss and managing type 2 diabetes.
Tirzepatide is a newer option that takes things a step further. It targets not only GLP-1 but also another hormone called GIP (Gastric Inhibitory Peptide). By acting on both, it can be even more effective at supporting weight loss and blood sugar control. The results we’ve seen are truly exciting—it’s been a game changer for many of our patients.
Then there’s AOD 964, which is in a different category. This one isn’t about blood sugar—it’s a peptide often used to help promote fat loss and improve metabolism by mimicking certain functions of growth hormone. It’s not a treatment for diabetes, but it can be a helpful part of a fat-loss strategy, especially when combined with other supportive therapies.
In short: GLP-1 and Tirzepatide are focused on managing blood sugar and supporting weight loss—Tirzepatide just does it with a bit more power. AOD 964, on the other hand, is more about boosting fat metabolism and lean muscle support through growth hormone pathways.

As always, the right approach depends on your body, your health goals, and your lifestyle—and we’ll help you figure out what’s best for you.

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When would I be considered a new patient?

If this is your first time coming to see me—whether it’s for hormone replacement therapy, weight loss, or any of the other services we offer—you’ll be considered a new patient. And that’s a beautiful place to start.

We’ll begin with a thorough, one-on-one consultation where our medical providers will take the time to really listen. We’ll go over your health history, your goals, and any concerns you have. This gives us a strong foundation to create a personalized treatment plan that’s tailored just for you.

Our goal is to make sure you feel seen, supported, and empowered—because your journey to better health should feel like a partnership. And we'll be right here to guide you every step of the way.

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What is the process for getting started with a weight loss program?

We take a truly personalized approach to weight loss. Our programs combine nutrition counseling, fitness guidance, lifestyle modifications, and, when appropriate, weight loss medications, all tailored to your unique needs. We begin with a thorough consultation where we’ll dive into your health history, discuss your goals, and identify any challenges you may be facing. From there, we’ll create a customized plan designed to help you achieve lasting, sustainable results. You’re not alone in this journey—we’ll be with you every step of the way.

Meet Our Expert Team

At Silva M.D. Anti Aging and Wellness, our compassionate team of professionals is dedicated to helping you achieve your sexual wellness goals. We are here to support you through every step of your journey toward improved sexual health.