Physician‑Led Guidelines for All Treatments at Botox Oahu
To get the maximum benefit from and to minimize any complications from this treatment please follow the following guidelines recommended by Dr Schaefer
Compounded Semaglutide and Tirzepatide
🌺Before & Aftercare Instructions

⭐ GLP‑1 Medications — Treatment Description
GLP‑1 medications are used to support healthy weight management and metabolic balance. These treatments help regulate appetite, slow digestion, and promote a steadier response to food intake. Patients often feel full sooner, eat less overall, and experience fewer cravings. The program is physician-led and includes regular check-ins, progress tracking, and supportive wellness options. Treatment is tailored to each patient’s goals and may include lifestyle guidance, nutritional support, and optional enhancements such as B12 or NAD⁺ for energy and recovery. Most patients begin with a low dose and adjust gradually under medical supervision.
💉 GLP1 Medication Preparation
We encourage you to take a few simple steps before starting your GLP‑1 program so you feel prepared, supported, and set up for success.
1. Take Your Baseline Measurements
You may find it helpful to record a few starting points so you can clearly see your progress over time. Many patients choose to note:
Waist measurement
Weight
How clothing fits
A few relaxed “before” photos (front, side, natural posture)
These small steps make it easier to appreciate changes that happen gradually.
2. Prepare Your Home Environment
Setting up your space ahead of time can make the first week feel smoother. You can consider:
Stocking simple, gentle foods you enjoy
Having hydration options ready (water, electrolytes, herbal teas)
Reducing or removing foods that tend to trigger overeating
Planning a few easy meals for the week
A supportive environment helps you stay consistent without feeling restricted.
3. Plan for a Gentle First Week
Your body may need time to adjust. You may find it helpful to:
Eat slowly
Choose lighter meals
Pay attention to fullness cues
Give yourself space to settle into a new rhythm
These habits can make the transition more comfortable.
4. Set Realistic Expectations
We encourage you to approach this as a gradual, steady journey. Small changes add up, and tracking your progress helps you stay motivated.
5. Reach Out Anytime
If you have questions about your program or want support along the way, we’re here to help you feel confident and informed.
💉 GLP1 Medication After Starting
As you begin your GLP‑1 journey, your body may need a little time to adjust. We encourage you to check in with yourself regularly and use the simple tips below to help you feel supported and comfortable.
1. Eating and Digestion
You may notice changes in appetite, fullness, or digestion. These are common early experiences. You can support yourself by:
Eating slowly and stopping when you feel comfortably full
Choosing lighter, gentle meals
Avoiding heavy or greasy foods if they don’t feel good
Staying hydrated throughout the day
Listening to your body makes the transition smoother.
2. Nausea or Digestive Upset
Some people experience mild nausea, loose stools, or changes in digestion as they adjust.
You may find it helpful to:
Eat smaller meals
Sip fluids throughout the day
Choose simple foods that feel easy on your stomach
Give yourself time to settle into the new routine
These general habits can make early adjustments more comfortable.
3. Fatigue
It’s normal to feel a little more tired as your body adapts to new eating patterns.
You can support your energy by:
Prioritizing rest
Staying hydrated
Keeping meals balanced and consistent
If you’re interested in general wellness support, options like B12 or NAD⁺ may be available to help you feel more balanced as part of your overall routine.
4. Hydration
We encourage you to stay ahead on fluids. Many patients find that:
Water
Electrolytes
Herbal teas
help them feel more comfortable throughout the day.
5. Tracking Your Progress
You may find it motivating to continue tracking:
Waist measurement
Weight
Clothing fit
Monthly progress photos
Notes on energy, sleep, and mood
Small changes add up, and tracking helps you see the full picture.
6. When to Reach Out
If you have questions about your program or want support along the way, we’re here to help you feel confident and informed.