# Physique26 > Beverly Hills medical weight loss clinic offering GLP-1 therapy, semaglutide, weight loss injections, and physician-supervised programs. Led by Dr. Sheila Nazarian. Book a consultation today. This document contains the full content of all pages on this website. --- ## Longevity & GLP Weight Loss Program In Beverly Hills **Link:** [Longevity & GLP Weight Loss Program In Beverly Hills](https://www.physique26.com/) ([md](https://www.physique26.com/index.html.md)) **Description:** Beverly Hills medical weight loss clinic offering GLP-1 therapy, semaglutide, weight loss injections, and physician-supervised programs. Led by Dr. Sheila Nazarian. Book a consultation today. Medical Weight Loss Clinic in Beverly Hills, CA ### Content #### A Medical Plan With Real Follow-Through *Glycine-Compounded • Microdosed • Nationwide* Physician-guided GLP-1 programs with labs, nutrition, and strength strategies that protect muscle and health. **Based in Beverly Hills and shipping to most states,** so your plan stays consistent wherever you live. Progress should feel organized, supported, and sustainable. At Physique26, GLP-1 weight loss injections are part of a physician-guided plan with labs, nutrition, and strength strategies that protect what matters—your health and your muscle. Available in Beverly Hills and nationwide. We ship to most states, so your plan stays consistent wherever you live. Here’s what sets our program apart: glycine-compounded medications to support lean mass and sleep, a microdosing protocol that respects your physiology, and scheduled three-week tune-ups with direct access to your team between visits. It’s medical weight management with structure and follow-through. #### Two Ways In—Same Medical Oversight *Not sure which fits? Both paths include medical review and ongoing check-ins. “Start Now” simply moves faster.* #### Medical Weight Loss At A Glance - Compounded with Glycine for lean mass + sleep support - Microdosing starts with measured increases - Every-3-Week Dose Checks + message access between visits - Beverly Hills care • Shipping to most states [CONTACT US](/contact/) #### Why Choose Weight Loss Injections? Weight loss injections can help you lose weight by controlling appetite, smoothing cravings, and improving blood sugar control. The star medications are semaglutide injections and tirzepatide (a GLP-1 plus glucose-dependent insulinotropic polypeptide, or GIP). In clinical trials, these tools showed significant weight loss when paired with a reduced-calorie diet and regular exercise. Still, medication alone does not build long-term success. Sustainable weight loss requires a personalized treatment plan that keeps insulin sensitivity trending up, sets protein targets to guard body weight quality, and fits your schedule. At Physique26, all dosing runs under medical supervision with medical expertise guiding every step. #### Programs & Products Physician-guided. Shipped to most states. #### The Physique26 Difference: Glycine + Microdosing + Expert Access #### The Physique26 Team *Our Team | Beverly Hills, CA* We are a team of top-tier aesthetic professionals led by internationally recognized **Dr. Sheila Nazarian**. What sets us apart? **We’ve lived the journey**. Dr. Nazarian and many team members have personally used Physique26 weight loss injections—including **semaglutide and tirzepatide**, administered via **strategic microdosing protocols**. Thousands of patients trust us to provide sustainable weight loss that respects your health, your goals, and your lifestyle. [LEARN MORE](/about-us/the-physique26-team/) #### How Weight Loss Injections Work GLP-1 medications echo a natural hormone your gut already makes after you eat. That signal tells your brain you’ve had enough, slows gastric emptying, and improves the way your body handles glucose. Some transmit both GLP-1 and GIP, which can further increase insulin sensitivity. The net effect: fewer peaks and crashes, fewer impulsive bites, steadier choices. A healthy diet stops feeling like a fight, and steady weight loss becomes possible. #### Patient Testimonials [READ MORE TESTIMONIALS](/testimonials/) #### Who Benefits From a Physician-Led Program - You’ve tried diet and exercise with short-term wins that fade - You want sustainable results without losing hard-earned muscle - Your labs suggest high cholesterol, pre-diabetes, or heart disease risk, and you’re ready to shift the trend - You want a personalized care model with lab-based coaching and a reachable healthcare provider In our Beverly Hills practice, most patients have busy lives and tight calendars. The plan respects that. We schedule weekly injections at predictable times, map food that works for meetings and travel, and set an activity plan that fits a real week. Prefer to start from home? Our national program mirrors the in-office experience, and we ship to most states after your intake and labs. #### Your First Few Weeks: What to Expect #### Nutrition That Protects Lean Mass We care about the weight you lose—fat over muscle. Your plan sets a protein target, simple macros, and a grocery list that fits your life. Meals are easy to assemble at home; they also work at Eataly in Century City or a quick stop on Santa Monica Boulevard. We coach around hunger signals on GLP-1s, bone health, and skin quality, so you keep a healthy weight without trade-offs. #### Expert Insight from Dr. Nazarian #### Movement That Matches Your Phase No extreme plans. We layer regular exercise in a way that supports the healing process and your schedule. Short strength blocks protect lean mass; steps improve overall well-being; low-impact intervals help shift excess weight. If you already train, we keep that identity intact. If you don’t, we'll build a starter routine that sticks. We pair this with a simple supplement plan and peptide support when appropriate, so muscle and sleep don’t pay the price for weight loss. #### Safety, Labs, and Medical Oversight Medical weight loss deserves medical supervision. Before you start, we run baseline labs to check blood sugar, lipids, and other markers tied to overall health. We repeat testing at set points to confirm that your body is moving in the right direction—achieving better blood sugar control, improved insulin sensitivity, and weight that comes off at a safe pace. You’ll always know what we’re tracking and why. #### Semaglutide vs. Tirzepatide Semaglutide injections work through GLP-1. Tirzepatide targets GLP-1 and GIP, which may boost appetite control for some. We’ll choose based on your history, labs, and weight loss goals, not hype. If the first pick doesn’t match your response after a fair trial, we pivot without drama. The goal is effective weight loss with long-term success. #### GLP-1 Squared In select cases, we may sequence or combine GLP-1/GIP agonists under close supervision. This is provider-directed, lab-informed, and not appropriate for everyone. If you’re a candidate, we’ll explain timing, dosing, and safety guardrails. #### What About Side Effects? Some patients feel early nausea or bathroom changes. We handle this with dose timing, hydration, fiber, and simple add-ons. Because we check in every three weeks, discomfort doesn’t snowball. Talk to us early, and we’ll course-correct so you can keep your weight management plan on track. #### Weekly Injections - Where it goes: abdomen, flanks, thigh, or upper arm - How often: weekly injections, same day each week - Technique: syringe, quick pinch, inject - Skin care: rotate injection sites to keep skin quiet - Storage: follow the kit; we’ll review in person or over telehealth We’ll train you until the steps feel effortless. If you prefer in-office support at our Beverly Hills location, we’ll schedule it. #### The Check-In That Keeps You Moving Every three weeks, we meet and ask the questions that matter: - Are meals satisfying? - Are you sleeping better with glycine on board? - Any dips in mood, focus, or drive? - How are your clothes fitting? - Do we hold, bump, or shift timing? We aim for a glide path, not spikes. That steady line is what delivers sustainable weight loss. #### When You Hit Target Weight Once you approach your target weight, we plan a taper. Many shift to a maintenance dose with spaced-out injections and continued lifestyle support. We keep an eye on long-term weight management, so weight stays stable while your day gets simpler. #### How Much Weight—and How Fast? How much weight you lose depends on your start point, adherence, and routine. In clinical studies, patients who paired medication with a balanced diet and activity reached significant weight loss over months, not days. You’ll likely notice early changes in the first few weeks, then see a clear trend as habits settle. The goal is a curve you can maintain. #### Why Beverly Hills Patients Choose Physique26 We’re clinicians who’ve been on GLP-1s ourselves and built this program based on our lived experience. That means we know the levers that matter—microdosed medication, targeted vitamins, peptide support when appropriate, and protein-forward nutrition—to protect lean mass, energy, and skin quality while you lose weight. Yes, we’re aesthetic professionals who can advise on tightening skin or restoring volume if it’s wanted. More importantly, we understand these medications inside and out: how to start, when to hold, what to tweak, and how to maintain. - GLP-1 weight loss injections compounded with glycine to support muscle and sleep - Every 3-week check-ins for dose control and side-effect management - Plans shaped for every life - Direct access to your healthcare provider between visits - A build that respects work, travel, and family, not just for a month, but for the long haul #### Common Questions #### What Your Next Month Looks Like - Telehealth intake with history, goals, and labs - Start at low dose with clear food and movement guardrails - First few weeks: appetite smooths, fewer cravings, lifted energy - Three-week check-in: dose review, side-effect plan, habit coaching - Weeks 4–8: steady weight loss with support; clothing fit changes first From there, we repeat what works and shift what doesn’t. You’ll always know the why behind each step. #### The Quiet Wins That Add Up The scale matters. So do mornings that feel easier, work days that don’t hinge on caffeine, and a closet that fits without tricks. As lifestyle habits stack—better sleep, fewer sugar swings, quicker recovery after a workout—you’ll see overall health move with your weight. That’s the difference between a sprint and a plan. #### Stay supported anywhere. Schedule a consultation, and we’ll tailor your plan—from lab tests to medication selection—using GLP-1s compounded with glycine and a microdosing approach. You’ll have a clear weekly cadence and three-week touchpoints for adjustments. Prefer to begin from home? Our national program applies the same protocol, and we ship to most states. [.title-sm]Start Now — Get Medically Reviewed Fast[] Beverly Hills care with **shipping to most states**. Complete SmartConsult; our team reviews and, when appropriate, ships your prescription. Follow-up included. *Prescription subject to medical review. Not available in all states.* [Start Now — SmartConsult](https://forms.drwell.com/ac/xsb9xk) --- ## Page Not Found **Link:** [Page Not Found](https://www.physique26.com/404/) ([md](https://www.physique26.com/404/index.html.md)) **Description:** 404 | Page Not Found ### Content *The Page You're Looking For Doesn't Exist* [Return to Home Page](/) --- ## About Us **Link:** [About Us](https://www.physique26.com/about-us/) ([md](https://www.physique26.com/about-us/index.html.md)) **Description:** Physique26 is a physician-led medical weight loss and aesthetics practice in Beverly Hills, founded by board-certified plastic surgeon Dr. Sheila Nazarian. ### Content --- ## Meet The Physique26 Team **Link:** [Meet The Physique26 Team](https://www.physique26.com/about-us/physique26-team/) ([md](https://www.physique26.com/about-us/physique26-team/index.html.md)) **Description:** Meet Dr. Sheila Nazarian and the Physique26 team in Beverly Hills for physician-led weight loss, wellness, skincare, recovery, and aesthetic treatments. ### Content #### Integrity, Compassion, and Expertise *Meet Our Team* At Physique26, we believe wellness is a journey, and having the right team by your side makes all the difference. Our experienced professionals are passionate about providing personalized, results-driven care with integrity, compassion, and expertise. From holistic wellness treatments to aesthetic enhancements, our team is dedicated to helping you feel confident and radiant every step of the way. *Dr. Sheila Nazarian | Founder & Medical Director* Dr. Sheila Nazarian is a board-certified plastic surgeon and the visionary behind Physique26. With over a decade of experience in world-class aesthetic medicine, Dr. Nazarian combines artistry with advanced medical expertise to deliver natural, transformative results. Her holistic approach emphasizes both inner health and outer beauty, making her a sought-after expert in weight loss treatments and non-surgical enhancements. Beyond her practice, Dr. Nazarian is known for empowering patients with education, transparency, and exceptional care. *Kiana Golfeiz, PA-C | Physician Associat* Kiana is a dedicated and passionate Physician Assistant at Nazarian Plastic Surgery, where she provides exceptional care and outstanding aesthetic results. She also plays an active role in supporting patients on their weight loss journeys, offering guidance and treatment with GLP-1 medications to help them achieve lasting, healthy results. Kiana is committed to helping patients look and feel their absolute best, while paying meticulous attention to detail. With a strong foundation in medical knowledge and a deep understanding of aesthetic treatments, Kiana takes the time to listen to each patient’s goals and customizes every treatment to enhance natural beauty and restore confidence. --- ## Accessibility **Link:** [Accessibility](https://www.physique26.com/accessibility/) ([md](https://www.physique26.com/accessibility/index.html.md)) **Description:** Physique26 in Beverly Hills is committed to web accessibility for all users. Learn about our WCAG 2.1 compliance efforts and how to contact us for assistance. ### Content --- ## Blogs **Link:** [Blogs](https://www.physique26.com/blog/) ([md](https://www.physique26.com/blog/index.html.md)) **Description:** Physician-written articles on GLP-1 medications, semaglutide, tirzepatide, weight loss, skin health, and body transformation from Physique26 in Beverly Hills. ### Content --- ## GLP-1 Weight Loss Program: How to Lose Fat Without Losing Muscle **Link:** [GLP-1 Weight Loss Program: How to Lose Fat Without Losing Muscle](https://www.physique26.com/blog/glp-1-weight-loss-program-how-to-lose-fat-without-losing-muscle/) ([md](https://www.physique26.com/blog/glp-1-weight-loss-program-how-to-lose-fat-without-losing-muscle/index.html.md)) **Description:** Learn how GLP-1 weight loss programs help you lose fat without muscle loss. Physician-backed protocol using semaglutide & tirzepatide for long-term results. ### Content ## **How GLP-1 Medications Work (Physiology, Not Hype)** GLP-1 receptor agonists act directly on metabolic control systems—most notably within the **hypothalamus**, where energy balance and appetite are regulated. Activation of these receptors enhances **satiety signaling**, reducing caloric intake without relying on willpower-driven restriction. At the same time, these medications slow **gastric emptying**, prolonging fullness after meals and stabilizing postprandial glucose levels. At the pancreatic level, GLP-1 improves **glucose-dependent insulin secretion** while suppressing **glucagon release**, reducing unnecessary hepatic glucose output. The result is tighter glycemic control with less fluctuation. There’s another layer most people miss: **energy expenditure adaptation**. During weight loss, the body naturally lowers resting metabolic rate—a process known as **adaptive thermogenesis**. GLP-1–based interventions, when paired with resistance training and adequate protein intake, help blunt this decline, preserving metabolic function. This is why physician-supervised GLP-1 programs outperform diet-only approaches in both fat loss and long-term maintenance. ## **Muscle Preservation Requirements (Non-Negotiable)** Without intervention, up to **25–35% of weight loss can come from lean mass**. To prevent that: - Protein intake: 1.6–2.2 g per kg body weight daily - Resistance training: minimum 3–4 sessions per week - Progressive overload: essential to maintain muscle signaling Patients who skip this step don’t just lose weight—they lose metabolic capacity. ## **What Results Can You Expect?** Clinical outcomes vary, but realistic ranges include: - **Total weight loss:** 10–20% of body weight - **Timeline:** - Weeks 1–4: appetite reduction, initial weight drop - Weeks 4–8: steady fat loss begins - Months 3–6: visible body recomposition ### **Safe Rate of Weight Loss** - **0.5–1% of body weight per week** Exceeding this increases the likelihood of: - Muscle loss - Hormonal disruption - Metabolic slowdown ### ### **Fat vs Muscle Loss Breakdown** With proper protocol: - Majority = fat mass reduction - Minimal lean tissue loss Without structure: - Significant muscle depletion ## **Mid-Article CTA (High Intent Capture)** If you’re already seeing signs of muscle loss, fatigue, or stalled progress, this is where most programs fail. A **medically supervised GLP-1 **[**weight loss program**](/medical-weight-loss/weight-loss-program/) corrects that early, before metabolic damage compounds. ## **Semaglutide vs Tirzepatide: Clinical Comparison** ### **Weight Loss Outcomes** - **Semaglutide:** ~10–15% body weight reduction - **Tirzepatide:** ~15–22% in many patients ### **Mechanism Difference** - Semaglutide → GLP-1 receptor only - Tirzepatide → GLP-1 + GIP dual agonist ### **Side Effects** - Both: nausea, GI discomfort - Tirzepatide: slightly higher initial intensity, often better long-term tolerance ### **Real-World Adherence** - Some patients discontinue due to unmanaged side effects - Structured titration improves retention significantly ### **Clinical Preference** - Semaglutide: strong baseline option, predictable response - Tirzepatide: preferred for higher BMI or metabolic resistance cases ## **Clinical Insight: Where Most Patients Go Wrong** In practice, the biggest mistake isn’t diet—it’s **undereating protein while relying entirely on the medication**. Weight drops quickly, but strength declines just as fast. By the time patients notice, they’ve already lost meaningful lean mass. Rebuilding it later is far harder than preserving it upfront. ## **Final CTA (Conversion-Focused)** If your goal is not just weight loss—but **fat reduction with muscle preservation and metabolic stability**—you need more than medication alone. Start a **personalized **[**weight loss treatment**](/medical-weight-loss/)** plan** designed and monitored by clinicians who understand body composition, not just the scale. ## **About the Physique26 Medical Team** The Physique26 Medical Team includes physicians specializing in obesity medicine and metabolic health, with extensive experience prescribing and managing GLP-1–based therapies. Their clinical work focuses on optimizing fat loss while preserving lean muscle through structured protocols that integrate pharmacology, nutrition, and resistance training. Collectively, the team has guided hundreds of patients through medically supervised weight loss programs, with a strong emphasis on long-term metabolic outcomes rather than short-term scale changes. ## **Clinical References** - STEP Trials (Semaglutide Treatment Effect in People with Obesity), 2021, *New England Journal of Medicine* - SURMOUNT Trials (Tirzepatide for Obesity Management), 2022, *New England Journal of Medicine* --- ## Recommended Treatments During Weight Loss **Link:** [Recommended Treatments During Weight Loss](https://www.physique26.com/blog/recommended-procedures-devices-during-weight-loss/) ([md](https://www.physique26.com/blog/recommended-procedures-devices-during-weight-loss/index.html.md)) **Description:** FaceTite, BodyTite, Morpheus8, and fat transfer recommended during GLP-1 weight loss to tighten skin and preserve contours. Physician-guided at Physique26 Beverly Hills. ### Content #### Enhance Your Journey *Recommended Procedures & Devices | During Weight Loss* Embarking on a weight loss journey can enhance your well-being and boost your self-esteem. However, shedding a significant amount of weight may result in loose skin and changes in facial and body volume. Complementing your weight loss regimen with non-surgical and minimally invasive [treatments](https://www.physique26.com/videos/) can help you achieve a more contoured and youthful appearance. Discover the recommended procedures and devices that can synergize with your [weight loss injections](https://www.physique26.com/medical-weight-loss/weight-loss-injections/) to support your transformation. #### Sculpt & Tighten Without Surgery *FaceTite: Enhance Your Face & Neck Contour* One of the most effective treatments to maintain a youthful appearance during weight loss is FaceTite, a radiofrequency-based skin tightening procedure designed to improve face and neck contours. It works by stimulating collagen production, which helps the skin stay firm and smooth as you shed pounds. The procedure requires only three tiny needle pokes placed in discreet areas. For enhanced results, liposuction can be incorporated to remove excess fat and further define your features. **Why FaceTite is Ideal During Weight Loss:** - **Fights “Ozempic Face”:** Rapid weight loss can lead to volume loss and skin laxity, often referred to as “Ozempic Face.” FaceTite addresses both concerns by tightening skin and stimulating collagen for natural volume retention. - **Progressive Tightening:** Results continue improving over time, aligning perfectly with your ongoing [weight loss progress](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/). #### Reshape and Tone *BodyTite: Targeted Skin Tightening for the Body* Similar to FaceTite, BodyTite uses radiofrequency energy to tighten skin and improve body contours. It stimulates collagen while minimizing sagging, giving the skin a firmer, smoother appearance. The treatment can be combined with targeted liposuction for fat removal and additional contouring. As a minimally invasive procedure, BodyTite requires no incisions and, in some cases, can be performed in-office with local numbing medication alone. **Best Areas for BodyTite:** - Abdomen - Arms - Thighs - Back **Why It Works** BodyTite complements your weight loss injections by targeting stubborn areas of skin laxity, ensuring a more sculpted and toned look as you slim down. #### Restore Natural Volume *Fat Transfer: Restore Volume for a Youthful Look* If you're experiencing volume loss in the face or body during weight loss, fat transfer can be a game-changer. This technique involves removing fat from areas like the lower belly, back, or inner thighs, purifying it, and reinjecting it into areas needing more fullness. **Common areas for fat transfer include:** - Temples and cheeks - Lips - Breasts - Buttocks **The Added Benefit** Stem cells within the transferred fat stimulate collagen production, [improving skin quality](https://www.physique26.com/enhancements/cashmere-anti-aging-cream/) and reducing fine lines for a refreshed, youthful glow. #### Cutting-Edge Fat Melting and Contouring *RF microneedling with Morpheus8 and Vivace* For those seeking a next-level fat reduction and body contouring solution, RF microneedling with Morpheus8 and Vivace is one of the latest innovations. This radiofrequency-based technology melts fat and tightens skin with minimal downtime. **Why RF microneedling with Morpheus8 and Vivace Stand Out:** **Morpheus8:** - **Technology**: Combines microneedling with radiofrequency energy. - **Depth**: Penetrates deeper layers of skin for more dramatic results. - **Benefits**: Tightens skin, reduces wrinkles, improves skin texture, and treats acne scars. - **Treatment Areas**: Face, neck, and body. - **Ideal For**: Skin laxity, fine lines, wrinkles, acne scars. - **Results**: Noticeable skin tightening and smoother texture with continued improvement over time. - **Downtime**: Mild redness and swelling, typically lasts 24-48 hours. **Vivace:** - **Technology**: Integrates microneedling with radiofrequency energy. - **Depth**: Targets more superficial layers, making it suitable for delicate areas. - **Benefits**: Improves skin texture, tightens skin, reduces wrinkles, and enhances overall radiance. - **Treatment Areas**: Face, including delicate areas around the eyes and mouth. - **Ideal For**: Fine lines, wrinkles, skin texture, and minor skin laxity. - **Results**: Smoother, firmer, and more youthful skin. - **Downtime**: Minimal, with mild redness that usually fades within hours. **Key Differences:** - **Morpheus8** is typically used for deeper skin issues, such as more significant laxity and acne scars. - **Vivace** is often preferred for more subtle treatments, focusing on fine lines and areas requiring delicate care. Morpheus8 and **Vivace** are effective tools for skin rejuvenation, offering non-surgical options for individuals looking to improve their skin without invasive procedures. The choice between the two often depends on personal preference, desired results, and the specific treatment area. #### Smooth and Tighten Loose Skin *Morpheus8: Microneedling for Skin Tightening* As you lose weight, skin laxity can appear in areas like the inner arms, thighs, and abdomen. Morpheus8 offers a non-surgical solution using advanced microneedling combined with radiofrequency energy to tighten skin and stimulate collagen production. **Why Morpheus8 Is Perfect During Weight Loss:** - Stimulates natural collagen for continued skin improvement. - Treats multiple layers of the skin for optimal tightening. - Ideal for areas prone to sagging after weight loss. #### The Benefits of Combined Treatments *Why Combining These Treatments with Weight Loss Injections Works* Weight loss injections like semaglutide and tirzepitide help you achieve significant fat reduction, but they don’t address the skin's natural response to fat loss. By combining treatments like FaceTite, BodyTite, and Morpheus8, you can achieve: **Comprehensive results:** - Smoother, Tighter Skin - Natural Facial Volume Retention - Enhanced Body Contours - A More Youthful, Balanced Appearance #### Take the Next Step in Your Transformation *Ready to Maximize Your Weight Loss Results?* At Physique26, we specialize in holistic, personalized care to help you achieve your aesthetic goals. Our expert team, led by Dr. Sheila Nazarian, offers cutting-edge treatments designed to work alongside your weight loss journey. Call us today at [**310-659-0500**](tel:310-659-0500) to schedule your consultation and explore how we can support your transformation. ***Empower your wellness journey with Physique26 – Where Health Meets Beauty.*** --- ## Skin Tightening & Body Contouring After Weight Loss **Link:** [Skin Tightening & Body Contouring After Weight Loss](https://www.physique26.com/blog/recommended-procedures-devices-post-weight-loss/) ([md](https://www.physique26.com/blog/recommended-procedures-devices-post-weight-loss/index.html.md)) **Description:** Post weight loss procedures in Beverly Hills including tummy tuck, VASER lipo, BodyTite, arm lift, BBL, and facelift. Physician-led care at Physique26 by Dr. Sheila Nazarian. Beverly Hills ### Content #### The Perfect Finish *Recommended Procedures & Devices | Post-Weight Loss* Reaching your goal weight is remarkable, but your transformation doesn’t end there. [Significant weight loss](https://www.physique26.com/medical-weight-loss/weight-loss-injections/) can lead to skin laxity and volume loss in various areas of the body. To help you achieve your ideal figure, we specialize in a range of surgical and non-surgical procedures to enhance your contours, restore volume, and ensure you feel confident in your skin. Here are the most effective post-weight loss procedures we recommend for a beautifully sculpted look. #### Tighten & Tone *Abdominoplasty (V-TUCK): Sculpt a Tighter, Toned Midsection* An **abdominoplasty,** commonly known as a tummy tuck, is ideal once you’ve reached your goal weight. It removes excess skin and stubborn fat while tightening your abdominal area for a more defined, toned look. Skin laxity is a common concern after significant weight loss, especially later in life. The V-TUCK is our gold-standard approach for addressing this, often paired with BodyTite to further tighten skin and improve [muscle definition](https://www.physique26.com/enhancements/levocarnitine-injections/). **Key Benefits:** - Removes excess skin and fat - Tightens and contours the abdomen - Concealed incisions for minimal scarring #### Precision Fat Removal *VASER Liposuction: Precision Body Sculpting* **VASER liposuction **uses ultrasound technology to liquefy fat, making it easier to remove with minimal trauma to surrounding tissues. This technique results in less bruising and swelling than traditional liposuction, making recovery smoother. It’s especially effective when combined with a tummy tuck or body lifting procedures to maximize your body contouring results. **Key Benefits:** - Refines your silhouette - Removes stubborn fat pockets - Enhances skin tightening treatments #### Advanced Skin Tightening & Fat Reduction *BodyTite: Radiofrequency Skin Tightening & Fat Removal* **BodyTite** is a minimally invasive treatment that uses radiofrequency energy to tighten skin while melting stubborn fat. Common target areas include the love handles, upper abdomen, bra fat, and thighs. BodyTite can be paired with a tummy tuck or liposuction for even more dramatic results. **Key Benefits:** - Tightens skin and [improves elasticity](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) - Stimulates collagen production for long-term results - Can be combined with fat transfer for natural volume restoration #### Say Goodbye to Loose Arm Skin *Brachioplasty (Arm Lift): Say Goodbye to Sagging Arms* Excess skin under the arms is a common concern after weight loss. **Brachioplasty** removes this loose skin for a smoother, more toned arm appearance. The incision is discreetly placed along the underside of the arm for minimal visibility. This 1-2 hour procedure delivers lasting results, especially when combined with BodyTite for extra skin tightening. This procedure should be performed after reaching a stable weight to ensure optimal skin removal. **Key Benefits:** - Improved arm contours for a smooth, toned appearance - Enhanced comfort and mobility - Long-lasting results #### Reshape and Tighten Your Thighs *Inner Thigh Lift: Sculpt and Tone Your Thighs* An **inner thigh lift** targets excess skin and fat in the inner thigh area, commonly experienced after significant weight loss. While BodyTite works for mild to moderate laxity, a thigh lift provides more dramatic results for severe skin sagging. The procedure takes about 1-2 hours and involves a discreet incision, hidden along the inner thigh for minimal visibility. **Key Benefits** - Sculpted thigh contours - Reduces loose skin - Enhances physical comfort and mobility #### Restore Lost Volume *Breast Augmentation: Restore Volume & Shape* Weight loss can lead to changes in breast volume and shape due to fat reduction in the breast tissue. A **breast augmentation **can restore lost volume and achieve a natural, balanced appearance. We offer both fat transfer and implants to help you achieve your desired results. Whether using silicone or saline implants or your body’s own fat, we customize each treatment to suit your body’s proportions and goals. **Key Benefits:** - Enhances volume and contours - Fully customizable, natural-looking results - Long-lasting results #### Lift & Shape for a Youthful Silhouette *Breast Lift: Elevate and Reshape Your Breasts* A **breast lift **is ideal for addressing breast ptosis (sagging) that often occurs after significant weight loss. This procedure tightens the skin, lifts the breast tissue, and restores a youthful breast contour. It’s often combined with breast augmentation or BodyTite for enhanced results. **Key Benefits:** - Elevates contours for a perkier silhouette. - Improves breast firmness - Enhances overall silhouette #### Refresh & Rejuvenate Your Facial Features *Facelift (V-Lyft): Restore a Youthful Facial Appearance* Significant weight loss can lead to loose skin and volume depletion in the face. Our signature V-Lyft facelift combines skin tightening with fat grafting to restore volume and define your natural features. **Key Benefits** - Addresses moderate to advanced skin laxity and sagging around the face and neck - Rebuilds lost volume in cheeks, temples, and jawline for more sculpted contours - Smooths out lines, creases, and hollowing #### Enhance Your Curves *Brazilian Butt Lift (BBL): Natural Curves with Fat Transfer* A **Brazilian Butt Lift (BBL)** enhances your natural curves by transferring fat from areas like the abdomen, back, or thighs to the buttocks. This procedure not only adds volume but also lifts and sculpts the entire lower body for a balanced, natural appearance. **Non-Surgical Buttock Augmentation:** For a non-invasive option, we also offer Sculptra, Renuva, and Radiesse injections to volumize and stimulate collagen in the buttocks. **Key Benefits:** - Enhanced buttock volume and contours - Balanced body silhouette - Long-lasting results #### Take the Final Step in Your Transformation *Achieve the Results You Deserve with Physique26* Completing your [weight loss journey](https://www.physique26.com/medical-weight-loss/weight-loss-program/) is just the beginning. Our expert team at Physique26 offers personalized, holistic care to help you feel confident and radiant in your results. **Call Us Today: **[310-659-0500](tel:310-659-0500) **Email:** [info@physique26.com](mailto:info@physique26.com) **Visit:** [120 South Spalding Drive, Suite 315, Beverly Hills, CA](https://www.google.com/search?sca_esv=5e3c3cb851b57956&q=Nazarian+Plastic+Surgery&ludocid=17786415879028537222&lsig=AB86z5Wj1rEMPf1MEfEJSGmxMIwa&sa=X&ved=2ahUKEwj73OLakcGLAxWkrYkEHZEXFdAQoAJ6BAgfECQ&biw=1228&bih=839&dpr=1) ***Take the next step in your transformation—Schedule your consultation today.*** --- ## Top Pre-Weight Loss Treatments **Link:** [Top Pre-Weight Loss Treatments](https://www.physique26.com/blog/recommended-procedures-devices-pre-weight-loss/) ([md](https://www.physique26.com/blog/recommended-procedures-devices-pre-weight-loss/index.html.md)) **Description:** Prevent loose skin and Ozempic Face before starting GLP-1 weight loss. FaceTite, fat transfer, and Morpheus8 recommended by Dr. Sheila Nazarian at Physique26 Beverly Hills. ### Content #### Refine Before You Redefine *Recommended Procedures & Devices | Pre-Weight loss* Starting your [weight loss journey](https://www.physique26.com/medical-weight-loss/weight-loss-program/) is an empowering step toward better health and confidence. However, rapid fat loss can sometimes lead to skin laxity and volume depletion, especially in the face. To maintain a youthful, balanced appearance as you shed pounds, certain non-surgical treatments can prepare your skin and body for optimal results. Here are the top recommended pre-weight loss procedures to help you stay radiant throughout your transformation. #### Tighten and Contour *FaceTite: Skin Tightening for a Youthful Look* If you’re preparing to begin [weight loss injections](https://www.physique26.com/medical-weight-loss/weight-loss-injections/), FaceTite is a powerful solution for preserving a youthful appearance as fat reduction occurs. This minimally invasive treatment uses radiofrequency energy to stimulate collagen production, tightening the skin on your face and neck. By enhancing your skin’s elasticity, FaceTite prevents sagging and helps maintain a naturally contoured appearance. **How It Works:** FaceTite requires no surgical incisions—just a few discreet needle punctures. It can also be combined with precision liposuction to remove excess fat and further sculpt the face and neck. **Why Consider FaceTite Before Weight Loss?** ** ** - **Prevents “Ozempic Face”:** [Rapid weight loss](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/) can lead to sagging and volume loss in the face, often referred to as “Ozempic Face.” FaceTite reduces the risk of these effects by tightening the skin and enhancing volume retention. - **Progressive Results:** The skin continues to tighten over the next 12 months, aligning perfectly with gradual weight loss progress. #### Restore Volume and Maintain a Glow *Fat Transfer: Restore Lost Volume Naturally* While FaceTite helps tighten skin, Fat Transfer focuses on restoring lost volume for a fuller, more youthful look. This treatment involves harvesting fat from areas like under the chin (commonly performed during FaceTite) or other fat-prone areas such as the lower abdomen, back, or thighs. The purified fat is then reinjected into areas that may need additional volume. **Common Treatment Areas:** - Cheeks - Temples - Lips - Jawline **The Benefits of Fat Transfer Before Weight Loss:** ** ** - Restores Volume: Maintains a youthful, refreshed look even as fat loss occurs. - Collagen Boost: Stem cells within the fat help promote better [skin quality and elasticity](https://www.physique26.com/enhancements/nad-injections/). - Natural Results: Since your body’s own fat is used, the results blend seamlessly with your natural features. #### Advanced Skin Tightening *RF microneedling with Morpheus8 and Vivace* RF microneedling with Morpheus8 and Vivace is one of the most advanced radiofrequency treatments designed to melt fat while tightening the skin. This treatment is perfect for those wanting to fine-tune their body contours before starting a weight loss program. **How It Works:** RF (Radiofrequency) microneedling is a minimally invasive treatment combining microneedling and radiofrequency energy. This treatment improves skin texture, reduces wrinkles, and addresses other skin concerns by stimulating [collagen production](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) and tightening the skin. **Why RF microneedling with Morpheus8 and Vivace Is a Game-Changer:** - **Collagen Stimulation:** The combination of microneedling and RF energy stimulates collagen production, which helps improve skin tone, texture, and elasticity. - **Skin Tightening:** RF energy heats the deeper layers of skin, resulting in firmer and tighter skin. - **Improved Texture and Tone:** RF microneedling helps to refine the skin's texture, reducing the appearance of fine lines, wrinkles, acne scars, and large pores. - **Minimal Downtime:** RF microneedling treatments typically require little downtime, with most patients experiencing only mild redness or swelling for a short time. Both **Morpheus8** and **Vivace** are effective tools for skin rejuvenation, offering non-surgical options for individuals looking to improve their skin without invasive procedures. The choice between the two often depends on personal preference, desired results, and the specific area of treatment. #### Getting a Head Start *Why Start These Treatments Before Weight Loss?* Beginning treatments like FaceTite, Fat Transfer, and Quantum RF before starting weight loss injections can provide several advantages: - **Prevent Skin Sagging: **Keep skin tight and youthful as fat diminishes. - **Maintain Facial Volume:** Avoid a gaunt appearance by preserving natural volume in key areas. - [**Boost Confidence**](https://www.physique26.com/enhancements/vitamin-b12/)**:** Feel radiant and balanced throughout your entire transformation. #### Plan Your Pre-Weight Loss Journey *Start Your Transformation with Physique26* At Physique26, we specialize in personalized, holistic care to help you achieve a balanced, beautiful transformation. Whether you're starting weight loss injections or exploring skin tightening treatments, our expert team is here to support you every step of the way. **Call Us Today:** [310-659-0500](tel:310-659-0500) **Email:** [info@physique26.com](mailto:info@physique26.com) **Visit Us:** [120 South Spalding Drive, Suite 315, Beverly Hills, CA](https://www.google.com/search?sca_esv=5e3c3cb851b57956&q=Nazarian+Plastic+Surgery&ludocid=17786415879028537222&lsig=AB86z5Wj1rEMPf1MEfEJSGmxMIwa&sa=X&ved=2ahUKEwj73OLakcGLAxWkrYkEHZEXFdAQoAJ6BAgfECQ&biw=1228&bih=839&dpr=1) ***Look and feel your best at every stage of your weight loss journey with Physique26.*** --- ## Book Your Medical Weight Loss Consultation Beverly Hills **Link:** [Book Your Medical Weight Loss Consultation Beverly Hills](https://www.physique26.com/consultation/) ([md](https://www.physique26.com/consultation/index.html.md)) **Description:** Book a medical weight loss consultation at Physique26 in Beverly Hills. Dr. Sheila Nazarian's team creates personalized GLP-1 and semaglutide plans. New patients welcome. ### Content #### Transform Your Health *Schedule Your Personalized Consultation at Physique26* At Physique26, we believe that wellness is more than just weight loss—it's about empowering you to look and feel your best with personalized, expert care. Schedule a consultation with our dedicated team to explore how our holistic approach can help you achieve your health and body goals. *Contact Us* 📞 Call Us: [310-659-0500](tel:310-659-0500) 📧 Email Us: [info@physique26.com](mailto:info@physique26.com) 📍 Visit Us: [120 South Spalding Drive, Suite 315, Beverly Hills, CA 90212](https://www.google.com/search?sca_esv=5e3c3cb851b57956&q=Nazarian+Plastic+Surgery&ludocid=17786415879028537222&lsig=AB86z5Wj1rEMPf1MEfEJSGmxMIwa&sa=X&ved=2ahUKEwj73OLakcGLAxWkrYkEHZEXFdAQoAJ6BAgfECQ&biw=1228&bih=839&dpr=1) --- ## Contact Us **Link:** [Contact Us](https://www.physique26.com/contact/) ([md](https://www.physique26.com/contact/index.html.md)) **Description:** Contact Physique26 in Beverly Hills to schedule consultations for medical weight loss, GLP-1 therapy, skincare, wellness, and aesthetic treatments. ### Content #### Your Wellness Partner *Contact Physique26* At Physique26, we're here to support your wellness journey every step of the way. Whether you're curious about our weight loss programs, seeking expert guidance on skincare, or want to learn more about our holistic services, our dedicated team is ready to assist you. *Get in Touch* **Phone:** [310-659-0500](tel:310-659-0500) **Email:** [info@physique26.com](mailto:info@physique26.com) **Office Hours** Monday – Friday: 9 AM – 5 PM **Visit Us in Beverly Hills** Located in the heart of Beverly Hills, our luxurious wellness center provides a welcoming environment where you can feel supported and cared for throughout your health transformation. **Address:** [120 South Spalding Drive, Suite 315 Beverly Hills, CA 90212](https://www.google.com/search?sca_esv=5e3c3cb851b57956&q=Nazarian+Plastic+Surgery&ludocid=17786415879028537222&lsig=AB86z5Wj1rEMPf1MEfEJSGmxMIwa&sa=X&ved=2ahUKEwj73OLakcGLAxWkrYkEHZEXFdAQoAJ6BAgfECQ&biw=1228&bih=839&dpr=1) --- ## Medical Weight Loss **Link:** [Medical Weight Loss](https://www.physique26.com/medical-weight-loss/) ([md](https://www.physique26.com/medical-weight-loss/index.html.md)) **Description:** Physician-supervised medical weight loss in Beverly Hills with semaglutide, tirzepatide, GLP-1 Squared, and Super Semaglutide programs. Personalized plans by Dr. Sheila Nazarian at Physique26. ### Content --- ## Open Payments Database **Link:** [Open Payments Database](https://www.physique26.com/open-payment-database-notice/) ([md](https://www.physique26.com/open-payment-database-notice/index.html.md)) **Description:** Open Payments Database NOTICE TO PATIENTS OPEN PAYMENTS DATABASE ### Content --- ## Patient Resources | Physique26 **Link:** [Patient Resources | Physique26](https://www.physique26.com/patient-resources/) ([md](https://www.physique26.com/patient-resources/index.html.md)) **Description:** Explore patient resources at Physique26 for expert care, transparent pricing, and personalized wellness services in Beverly Hills. Call today! ### Content #### Here for You, Every Step of the Way *Patient Resources* We are dedicated to providing exceptional wellness and aesthetic care in Beverly Hills. Our commitment begins with understanding your unique goals and empowering you with the knowledge you need for a confident wellness journey. We prioritize transparency by clearly explaining each treatment's benefits, risks, and expected results, ensuring you make informed decisions about your care. Whether you're exploring our weight loss solutions, skincare treatments, or personalized wellness plans, our expert team will guide you — from your initial consultation to achieving your desired results. To make your experience even smoother, we offer price transparency and flexible financing options, making investing in your health and beauty easier. Should you have any questions about our services or need further information, please feel free to reach out to us anytime. 📞 Phone: [310-659-0500](tel:310-659-0500) 📧 Email: [info@physique26.com](mailto:info@physique26.com) 📍 Address: [120 South Spalding Drive, Suite 315, Beverly Hills, CA 90212](https://www.google.com/search?sca_esv=5e3c3cb851b57956&q=Nazarian+Plastic+Surgery&ludocid=17786415879028537222&lsig=AB86z5Wj1rEMPf1MEfEJSGmxMIwa&sa=X&ved=2ahUKEwj73OLakcGLAxWkrYkEHZEXFdAQoAJ6BAgfECQ&biw=1228&bih=839&dpr=1) Transform your wellness journey with Physique26—where beauty meets confidence. --- ## Peptides & Enhancements **Link:** [Peptides & Enhancements](https://www.physique26.com/peptides-and-enhancements/) ([md](https://www.physique26.com/peptides-and-enhancements/index.html.md)) **Description:** Peptides & Enhancements ### Content --- ## Privacy Policy **Link:** [Privacy Policy](https://www.physique26.com/privacy-policy/) ([md](https://www.physique26.com/privacy-policy/index.html.md)) **Description:** Privacy Policy ### Content --- ## Sitemap **Link:** [Sitemap](https://www.physique26.com/sitemap/) ([md](https://www.physique26.com/sitemap/index.html.md)) **Description:** Sitemap --- ## GLP-1 Weight Loss for Texas Patients **Link:** [GLP-1 Weight Loss for Texas Patients](https://www.physique26.com/states/texas/) ([md](https://www.physique26.com/states/texas/index.html.md)) **Description:** Physician-led GLP-1 weight loss for Texas. Dr. Sheila Nazarian's team ships compounded semaglutide and tirzepatide with 3-week clinical check-ins. Physician-Led Care, Delivered to Your Door --- ## Terms of Service **Link:** [Terms of Service](https://www.physique26.com/terms-of-service/) ([md](https://www.physique26.com/terms-of-service/index.html.md)) **Description:** Review the Terms of Service for Physique26, including website usage, medical disclaimers, policies, and service information. ### Content physique26.com[ ](https://nazarianplasticsurgery.com/)(the “Site”) is a website that is controlled and operated by Nazarian Plastic Surgery, a plastic surgery practice in the State of California, United States of America. Our mail address for this Site is: 120 S. Spalding Dr. #315 Beverly Hills, CA 90212 United States of America You can contact us by email at [info@nazarianplasticsurgery.com](mailto:info@nazarianplasticsurgery.com) or phone at (310) 424-5526 or use our [Contact Us](/contact/) form. The following Terms and Conditions apply to your use of this Site. By using this Site, you acknowledge that you have read, understood, and agree to comply with those terms (the “Agreement”). If you do not accept any of these terms, please do not use the Site. Please read this page carefully before you use this Site. This Site provides content and features for Physique26 patients, medical and healthcare professionals, and public users. The Board Certified Plastic Surgeon of Nazarian Plastic Surgery does not intend for content found on this site to be considered medical advice. The content of the material is general in nature and not meant to be relied upon as medical advice related to your individual situation. This Site is designed to provide you with a basic understanding of the procedure you are researching. The text, graphics, photos, videos, and other information is not intended as medical advice and should not be considered medical advice. We at Physique26 encourage you to consult a qualified, Board Certified plastic surgeon for specific medical planning and advice pursuant to your individual medical situation on any of the plastic surgery procedures referred to herein. The Site may display content that is graphic in nature and that may depict partial nudity. If you find such material offensive you should not use this Site and should exercise caution before accessing certain features of the Site. Your use of this site indicates acceptance of these Terms and Conditions. We may from time to time change the terms that govern your use of our Site and we will post such revised Terms and Conditions on this page. You should therefore check this page regularly. Your use of our Site following any such change constitutes your agreement to follow and be bound by the Terms and Conditions as changed. SMS Marketing Program Name: Nazarian Plastic Surgery Program Description: By opting in, you may receive SMS messages about important practice updates, monthly specials and promotions, and other exciting information. Message Frequency: You can expect to receive approximately 1-2 messages from us. Cancellation of SMS Service: You can cancel the SMS service at any time. Simply text "STOP" to the shortcode. Upon sending "STOP," we will confirm your unsubscribe status via SMS. Following this confirmation, you will no longer receive SMS messages from us. To rejoin, sign up as you did initially, and we will resume sending SMS messages to you. Support for Messaging Issues: If you experience issues with the messaging program, reply with the keyword HELP for more assistance, or reach out directly to (310) 424-5526. Carrier Liability: Carriers are not liable for delayed or undelivered messages. Message and Data Rates: As always, message and data rates may apply for messages sent to you from us and to us from you. For questions about your text plan or data plan, contact your wireless provider. Privacy Inquiries: For privacy-related inquiries, please refer to our [Privacy Policy](/privacy-policy/). You may not copy, reproduce, publish, distribute, sell, create derivative works from, transfer, re-transmit, stream or sell the content, photos, or graphics of this website. You agree not to copy, distribute, imitate, re-transmit, or stream any technical, design, or layout elements of this site. This Site may provide links to other sites or services not owned, operated, or controlled by Physique26. By using any such link you are stating that you understand that the Site is not responsible for the content or services of any such linked site or service, that the appearance of such a link does not imply any endorsement by the Site and that these links are provided to you only as a convenience. Physique26 makes no express or implied warranties, representations, or endorsements whatsoever with respect to the content, products, and photos used throughout the site. Photo representation of procedures and services are models and should not be deemed as expected results, excluding the Before & After (Galleries) which are actual patients and results of Physique26. The photos on our Galleries patient photos should not be deemed as expected results as each patient and procedure is unique and results will vary. All photography in the Galleries are propriety of Physique26 and may not be copied, reproduced, published, distributed, sold, created derivative works from, transferred, re-transmitted, streamed, or sold. --- ## Patient Testimonials **Link:** [Patient Testimonials](https://www.physique26.com/testimonials/) ([md](https://www.physique26.com/testimonials/index.html.md)) **Description:** Real weight loss injection testimonials from Physique 26 ### Content #### Real Results | Weight Loss Injections "I cannot tell you how refreshing it is to get rid of food noise! After I turned 40, I began to put on weight and couldn’t get rid of it… even with a trainer 5 days a week. I decided to give semaglutides a try. It was an adjustment for the first two weeks, mainly understanding that sugar consumption did not make me feel good. After that, I saw the weight come off easily. I will say, in order to not lose muscle, heavy weights and adequate protein intake is a must. With all of the studies now coming out showing decreased heart attack and Alzheimer’s risk, I am even happier about my decision." - SN, Beverly Hills Weight Loss Injections Patient --- ## Thank You **Link:** [Thank You](https://www.physique26.com/thank-you/) ([md](https://www.physique26.com/thank-you/index.html.md)) **Description:** Thank You | Physique26 ### Content #### We Received Your Submission We'll get back to you as soon as possible. --- ## Videos **Link:** [Videos](https://www.physique26.com/videos/) ([md](https://www.physique26.com/videos/index.html.md)) **Description:** Watch our videos to answer any questions you have on our medical weight loss services today! Medical Weight Loss Videos ### Content --- ## Super Semaglutide **Link:** [Super Semaglutide](https://www.physique26.com/medical-weight-loss/super-semaglutide/) ([md](https://www.physique26.com/medical-weight-loss/super-semaglutide/index.html.md)) **Type:** Service **Description:** Explore Super Semaglutide at Physique26 in Beverly Hills. A precision, high-dose protocol for sustainable, medically guided weight management. ### Content #### The New Conversation Around Weight *High Dose Semaglutide from Physique26* Managing weight often feels like a negotiation with your own biology, one where the rules change as soon as you make progress. This frustration rarely stems from a lack of willpower; it is a metabolic set point that simply resists movement. Your reasoning for seeking medical support is valid. Weight loss plateaus are almost always biological. Hormones adapt, metabolic rates slow, and the same strategies that once worked eventually stop delivering results. Modern medicine now offers tools that address these internal signaling pathways directly. **Super Semaglutide** is our protocol for a medically supervised, higher-dose semaglutide treatment designed for patients who need more robust metabolic support than standard dosing provides. At Physique26, we utilize this advanced approach to provide a grounded, consistent path toward metabolic control for our Beverly Hills patients. #### Clinical Precision For Real Life *Understanding Medical Weight Loss* Medical weight loss stands apart from commercial diet culture by prioritizing biology over behavior. It is a clinical discipline built on safety and sustainable weight loss, treating metabolic health as a complex physiological system rather than a simple math problem. When you begin a medical weight loss program at Physique26, you aren't just getting a prescription; you are partnering with medical professionals who understand these biological drivers. This approach offers the ongoing clinical oversight necessary to manage your health effectively, ensuring the process is as safe as it is effective. Many of our patients have spent years cycling through restrictive diets and intense exercise regimens, only to find their weight inevitably returns. This often happens because standard diet and exercise plans do not address the underlying hormonal signals that drive hunger and fat storage. Our approach uses clinically proven medications to quiet the "food noise" in your brain, allowing you to make healthier choices without the constant battle against cravings. #### Beyond Standard Boundaries *What is Super Semaglutide?* Super Semaglutide is not a different drug; it is the same FDA-approved molecule used at advanced therapeutic doses that exceed what is typically available in branded pharmacy pens. Brand-name products are capped at fixed maximum doses. At the same time, many respond well to those limits. Others plateau or never reach their full metabolic potential. Super Semaglutide exists for those patients. At Physique26, we utilize customized formulations from regulated pharmacies to allow for: - **Higher-dose flexibility** when clinically appropriate. - **Precision titration** based on your specific tolerance. - **Dosing accuracy** that standard pens cannot offer. This is not about aggressive medication; it is about using the right dose for the right biology at the right time. #### The Physique26 Difference *Why We Add Glycine* Most clinics offer standard Semaglutide. We recognized early on that while weight loss is the goal, muscle loss is a common and unwanted side effect of potent GLP-1 medications. To solve this, **all our GLP-1 formulations include Glycine.** Glycine is a powerful amino acid that acts as a "muscle-sparing" agent. It helps protect your lean muscle mass while the medication targets fat stores. This addition is our signature differentiator. It supports a healthier body composition, aids in gut health to reduce nausea, and helps prevent the "gaunt" look sometimes associated with rapid weight loss. We aren't just helping you lose weight. We are helping you maintain a strong, healthy physique. #### Silence The Food Noise *The Science: How It Works* Semaglutide works because it speaks your body’s native language. It is a GLP-1 receptor agonist, which means it mirrors a hormone your gut produces naturally after a meal. This biological signal handles three critical tasks: it helps the pancreas release insulin more effectively, it slows down how quickly your stomach empties, and—crucially—it tells the appetite centers in your brain that you are full. By improving insulin sensitivity and keeping digestion steady, the medication shifts your biology from "storage mode" to "utilization mode." It creates a window where losing weight feels like a manageable choice rather than a test of willpower. #### Identifying The Metabolic Gap *Am I a Candidate for Super Semaglutide?* This protocol is a clinical intervention, not a first step for everyone. It is specifically designed for those who require a more potent strategy to overcome physiological hurdles. You may be an ideal candidate if you: - Have **plateaued** on standard semaglutide dosing (e.g., 2.4mg). - Have **significant weight to lose** and require stronger appetite regulation. - Experience persistent **“food noise”** despite significant lifestyle changes. - Have a history of **yo-yo dieting,** where your metabolic rate adapts rapidly to calorie restriction. During your consultation, we screen for contraindications, including a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) #### Your Pace *Your Physique26 Treatment Plan* Starting a prescription protocol can feel heavy if you don't have the right support. We stripped away the confusion to make the process transparent. Whether you come to us in Beverly Hills or work with us remotely, the medical rigor is identical. #### What to Expect: The Timeline Real metabolic change doesn't happen overnight, but the shifts start early. Here is how the progression typically looks. #### Medical Guidance, Always On *Safety, Side Effects, and Medical Supervision* We don’t gloss over the risks. Semaglutide is based on FDA-approved medications, but it is a serious drug with potential side effects. *Common Side Effects* You might experience nausea, heartburn, or fatigue, especially when dosing up. These are usually temporary. Mitigating Risks: This is why medical supervision matters. If you feel off, we can adjust your dose or prescribe supportive therapies to keep you comfortable. Contraindications: We screen rigorously for personal or family history of medullary thyroid carcinoma or MEN 2, in line with the latest medical research. When you choose a provider who offers ongoing support, you aren't left guessing. If side effects pop up, we manage them together. Lose weight safely. Don't trade your health for a faster result. #### Make It Stick *Lifestyle Synergy* There is a misconception that these medications are quick fixes that replace the need for a healthy diet or exercise. In reality, the medication makes those lifestyle changes effective. When you are fighting your own biology, choosing a salad can feel like a penalty. But when Super Semaglutide recalibrates those signals, nutritious food stops being a chore and starts becoming a natural preference. The medication creates the metabolic opening; your habits determine the long-term success. We prioritize protein-rich nutrition to ensure you protect lean muscle mass while the number on the scale goes down. We emphasize hydration. It is non-negotiable for keeping your metabolism efficient and minimizing side effects. We also look at regular physical activity and sleep differently. Whether it’s strength training, Pilates, or just a daily walk, movement is about mood and insulin sensitivity, not punishment. And sleep is often the missing variable in weight loss; it is where your body actually resets. The goal is to move away from willpower and rely on results. The medication clears the metabolic fog, making it easier to build habits that lead to sustainable results. #### Reflecting Clinical Complexity *Cost of Super Semaglutide* Pricing for our protocol reflects the customization required for your specific anatomy and metabolic needs. Variables that influence the cost include the specific concentration of your formulation and the frequency of medical oversight required for higher-dose protocols. While insurance coverage for weight loss remains inconsistent, we offer transparent self-pay options to ensure uninterrupted, high-quality care. #### The Beverly Hills Standard *Why Choose Physique26?* In a city like Beverly Hills, you have endless options for aesthetic and wellness treatments. However, medical weight loss requires a level of clinical rigor that goes beyond a standard medspa menu. #### Next Steps If you are ready to stop guessing and start a weight loss program grounded in science, choose Dr and the team at Physique26. Let’s create a plan that makes sense for your life. Contact us today to schedule your consultation. #### Super Semaglutide *Frequently Asked Questions* --- ## Weigh Loss Program | Nutritional Recommendations **Link:** [Weigh Loss Program | Nutritional Recommendations](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/) ([md](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/index.html.md)) **Type:** Service **Description:** Struggling to lose weight? Physique26 offers physician-recommended nutrition plans with personalized guidance, balanced meals, and support for lasting results. ### Content #### Redefining Wellness *Why Choose Physique26 for Nutritional Recommendations?* At Physique26, we combine advanced weight loss treatments with personalized nutritional guidance to ensure your journey is effective, sustainable, and transformative. Our team of experts designs meal plans tailored to your needs, focusing on balanced meals, portion control, and nutrient-rich foods to complement your [weight loss program](/medical-weight-loss/weight-loss-program/). With Physique26, you’ll receive the tools and support to achieve lasting health and wellness. *Nutritional Recommendations at a Glance* - **Purpose:** Designed to complement your weight loss program, our nutritional recommendations promote sustainable habits that support long-term health and wellness. - **Benefits: **Stabilize blood sugar, [increase energy levels](https://www.physique26.com/enhancements/nad-injections/), improve digestion, and reduce cravings with a balanced approach to eating. - **Personalized Support: **Tailored guidance ensures your meals align with your specific goals, lifestyle, and preferences. - **Results:** Experience steady weight loss, enhanced metabolic health, and the confidence that comes with building a healthier relationship with food. - **Holistic Care:** Nutrition works in harmony with treatments like [weight loss injections](https://www.physique26.com/medical-weight-loss/weight-loss-injections/), creating a comprehensive plan for achieving your best self. #### Nurture Your Transformation *Nutritional Recommendations Overview* Nutritional recommendations at Physique26 are designed to work in harmony with your weight loss program, which may include medications like [semaglutide and tirzepatide](https://www.physique26.com/medical-weight-loss/weight-loss-injections/). These guidelines emphasize balanced meals that stabilize blood sugar, support energy levels, and optimize overall health. By combining macronutrients thoughtfully, monitoring portion sizes, and prioritizing wholesome ingredients, you can make meaningful progress toward your weight loss goals while maintaining your overall wellness. #### Achieve More With the Power of Nutrition *What does a typical nutrition plan look like?* At Physique26, our nutritional recommendations focus on balanced, satisfying meals that fuel your body while supporting your weight loss goals. Our approach emphasizes lean proteins, fiber-rich vegetables, and healthy fats to help you feel full, energized, and nourished throughout the day. We provide you with a range of specific meal ideas and guidelines on portion control to help you plan your day. Every meal is designed to maintain stable blood sugar levels, promote satiety, and complement your [holistic weight loss plan](https://www.physique26.com/medical-weight-loss/weight-loss-program/). We also recognize that snacking plays an important role in sustaining energy and preventing cravings. That’s why we encourage smart choices and provide recommendations for satisfying snacks that will keep you on track. At Physique26, we don’t believe in restrictive dieting—we focus on enjoying nutrient-dense foods that promote long-term wellness. Our team will guide you in selecting meals that fit your lifestyle, making healthy eating both enjoyable and sustainable. #### Personalized Guidance and Support *IS A HOLISTIC NUTRITION PLAN RIGHT FOR ME?* If you’re enrolled in the Physique26 holistic weight loss program, adopting expert nutritional recommendations will enhance your results. These guidelines are ideal for anyone looking to lose weight effectively, reduce insulin resistance, and improve their energy levels. By emphasizing whole, unprocessed foods and mindful eating, this approach is accessible, sustainable, and tailored to your lifestyle. Those with specific dietary restrictions or medical conditions should discuss their needs with our team to ensure a safe and effective plan. #### Optimize Your Weight Loss *Benefits of Nutritional Recommendations* Our nutritional recommendations empower you to build sustainable, healthy eating habits. Balanced meals help regulate blood sugar, preventing energy crashes and cravings, while portion control ensures that your intake matches your body’s needs. The focus on hydration and fiber supports digestion, preventing discomfort and promoting satiety. By avoiding processed foods and sugary snacks, you’ll feel more energized and enhance your overall health, making it easier to maintain long-term weight management. #### Redefining Wellness *Results of Following a Holistic Nutrition Plan* With consistent adherence to our recommendations, you’ll experience improved energy, stable blood sugar levels, and steady progress toward your weight loss goals. Many patients notice reduced cravings, better digestion, and increased overall wellness. These dietary habits not only support weight loss but also lay the foundation for long-term health, ensuring your transformation is both effective and sustainable. #### Nutritional Recommendations *Frequently Asked Questions* --- ## Weight Loss Program | Supplementary Products **Link:** [Weight Loss Program | Supplementary Products](https://www.physique26.com/medical-weight-loss/weight-loss-products/) ([md](https://www.physique26.com/medical-weight-loss/weight-loss-products/index.html.md)) **Type:** Service **Description:** Discover medical weight loss supplements and wellness products designed to support metabolism, skin firmness, hydration, hair wellness, and recovery. ### Content #### Nourish Your Body, Elevate Your Wellness *Why Choose Physique26 for Weight Loss Supplements?* At Physique26, we believe weight loss is just one part of your journey toward a healthier, more confident you. To enhance your transformation, we offer a curated selection of supplementary products designed to support your skin, hair, and [energy levels](https://www.physique26.com/enhancements/nad-injections/). With expert guidance and premium products selected for their quality and efficacy, we ensure that you not only reach your weight loss goals but also maintain a radiant, youthful appearance, optimal wellness, and enhanced confidence. *Supplementary Products at a Glance* - **Purpose:** High-quality supplementation to enhance your [weight loss journey](https://www.physique26.com/medical-weight-loss/weight-loss-program/) by addressing concerns like loose skin, reduced energy levels, and thinning hair. - **Benefits: **Improve skin elasticity, hydrate and firm targeted areas, boost energy, and promote healthy hair growth. - **Convenience:** Includes easy-to-use options like topical creams, skin patches, and portable hair solutions that fit seamlessly into your daily routine. - **Expert Guidance: **All products are recommended by the experienced team at Physique26 to ensure they align with your personalized weight loss program and deliver optimal results. #### Enhance and Optimize *Skin Care, Supplements, and More* Our supplementary products are thoughtfully selected to address the common challenges associated with weight loss, such as loose skin, decreased energy, and [thinning hair](https://www.physique26.com/enhancements/cedar-oral/). From topical creams to nutrient-rich patches and innovative hair solutions, these products work alongside your weight loss program to optimize your overall results. Explore our rich range of products below. #### Skin Care **Firming Neck Cream** Regain a youthful, contoured neck with the Firming Neck Cream. Designed to target loose, crepey skin often seen after weight loss, this powerful formula lifts, tightens, and smooths for a refreshed and revitalized look. #### Supplements #### Hair Restoration #### Concierge Wellness Support *Selecting the Right Products for Your Needs* Choosing the right products to support your weight loss journey can feel overwhelming, but at Physique26, we make the process simple and tailored to you. Our expert team takes the time to understand your unique needs, goals, and lifestyle, ensuring that every recommendation is perfectly aligned with your wellness plan. Whether you’re focused on improving skin firmness, boosting energy, or enhancing hair health, we’ll guide you to the products that best complement your transformation. During your consultation, we’ll discuss your concerns and desired outcomes, offering professional insights to help you make informed decisions. With our personalized approach, you can feel confident that each product is selected to maximize your results and fit seamlessly into your routine. #### Convenient and Effective *What are the benefits of supplementary products?* Our supplementary products are designed to enhance your weight loss journey with unmatched convenience and comprehensive care. By integrating seamlessly into your [daily routine](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/), these solutions save you time while delivering targeted support for your overall wellness. With expert guidance from the Physique26 team, each product is selected to align with your unique goals, ensuring optimal results. #### Revive Your Wellness. Brighten Your Life. *Supplementary Product Results* Our research-backed selection of products can deliver noticeable improvements, including smoother skin, enhanced energy levels, or healthier, fuller hair. Many of our patients report feeling more confident and vibrant as these products complement the physical changes achieved through weight loss. Results vary based on the product and individual, but when integrated into your routine, they can enhance both your appearance and overall well-being, making the perfect complement to your weight-loss journey. #### Supplementary Products *Frequently Asked Questions* --- ## GLP-1 Squared: Dual-Action Metabolic Therapy **Link:** [GLP-1 Squared: Dual-Action Metabolic Therapy](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/) ([md](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/index.html.md)) **Type:** Service **Description:** GLP-1 Squared combines physician-prescribed semaglutide and tirzepatide in one customized protocol for accelerated fat loss and metabolic control. Available nationwide. ### Content #### Advanced Architecture for Weight Management Metabolic health is rarely solved by a single variable. For many patients, the barrier to significant weight loss isn’t just willpower or a lack of exercise—it is a complex physiological interplay of insulin signaling, gastric timing, and the [neurological](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/) "noise" around food. Modern medicine has given us powerful tools to address this. [Semaglutide and tirzepatide](https://www.physique26.com/medical-weight-loss/weight-loss-injections/) have changed the landscape of weight management, helping millions move the needle on body weight and [metabolic health](https://www.physique26.com/enhancements/low-dose-naltrexone/). However, standard commercial protocols often force a choice between the two, locking individuals into a single pathway that may not fully address their unique medical needs. GLP-1 Squared is Physique26’s answer to that limitation. It is a prescription-strength, custom-compounded protocol that combines the two most effective active pharmaceutical ingredients in metabolic medicine into a single formulation. By utilizing the strengths of both semaglutide and tirzepatide simultaneously, GLP-1 Squared offers a synergistic approach for those seeking robust, data-driven results. *What is GLP-1 Squared?* GLP-1 Squared (GLP-1²) is the name for a compounded medication that combines two distinct drug ingredients: semaglutide and tirzepatide. Both are a type of drug known as a glucagon-like peptide-1 (GLP-1) receptor agonist, but they function in slightly different ways. Instead of cycling between medications or guessing which receptor pathway will yield the best results, this hybrid formulation is intended to utilize the best aspects of each. It targets multiple receptor pathways at once, offering a comprehensive strategy for patients who need tighter control over hunger, cravings, and [metabolic efficiency](https://www.physique26.com/enhancements/nad-injections/). Because this specific combination is not available as a mass-produced commercial brand, GLP-1 Squared is a custom-compounded product. This means it is created by specialized compounding pharmacies that mix the active ingredients to precise standards, allowing for a level of customization that off-the-shelf drugs cannot match. #### The Mechanism: Dual Action, Complementary Pathways To understand why GLP-1 Squared is effective, you have to look at the biology of how these medications interact with the body. #### The Role of Compounding Pharmacies *Customization and Quality Control* GLP-1 Squared is available by prescription only through a licensed provider and a state-licensed pharmacy. Because it is a compounded medication, understanding the source is critical for safety and effectiveness. Compounding pharmacies play a vital role in modern medicine by creating medications tailored to the specific needs of patients—for example, removing allergens like dyes, creating specific liquid formulations for those who cannot swallow pills, or combining compatible active ingredients like semaglutide and tirzepatide. However, not all pharmacies operate with the same rigor. At Physique26, we vet our partners extensively. We ensure that the compounding pharmacies we work with use high-purity active pharmaceutical ingredients and adhere to strict sterility and potency standards. We address common concerns regarding compounded drugs by prioritizing transparency: we know exactly where the medication comes from, how it is made, and the quality of the components used. #### Determining Medical Fit *Who Is A Candidate?* GLP-1 Squared is not for everyone. It is a potent therapy reserved for patients with specific goals and medical profiles. You might explore this option if: - You are a High-Output Patient: You need reliable appetite control that withstands high-stress or high-activity lifestyles where cortisol spikes often drive cravings. - You Have Hit a Plateau: You have tried single-agent therapies (like semaglutide alone) and found the results halted after a few months. - You Need Efficiency: You prefer a single weekly injection that covers multiple metabolic bases. #### The Physique26 Protocol *Dose Adjustments and Micro-Titration* One of the key benefits of using a compounded formula like GLP-1 Squared is the ability to fine-tune dosing. Commercial pens often come in fixed, large jumps in dosage. If the next step up is too strong, the patient suffers; if the current step is too weak, progress stalls. At Physique26, we utilize micro-titration. We prescribe doses that allow for smaller, more precise increments. This approach helps mitigate side effects like nausea while maintaining consistent weight loss. Dose adjustments are made based on your feedback, symptoms, and data—not a rigid manufacturer schedule. [.title-sm]How to Administer[] GLP-1 Squared is typically dispensed in a vial. You will learn to self administer the medication via a subcutaneous injection (just under the skin) once a week. - Site Selection: Common sites include the abdomen or thigh. - Technique: We provide resources and coaching to ensure you are comfortable measuring and injecting the correct amount. - Frequency: Most patients inject on the same day each week. If you miss a dose, contact our office for instructions on how to resume. #### What to Watch For *Managing Side Effects* As with other GLP-1 therapies, potential side effects can occur as your body adjusts to the medication. The most common issues are gastrointestinal, given how these drugs influence gastric emptying. - Nausea: This is the most frequently reported symptom. It typically subsides as your body adapts to the dose. - Vomiting or Diarrhea: Less common but possible if the dose is increased too quickly or if food intake is too heavy in grease or sugar. - Constipation: Slowed digestion can lead to backup; hydration is key. - Injection Site Reactions: Mild redness or bruising at the site of injection is normal and usually resolves quickly. We monitor these symptoms closely. Because we can control the doses precisely, we can lower the amount temporarily to allow your system to acclimate, reducing the likelihood of severe nausea or vomiting that often leads patients to cancel treatment on standard protocols. #### Protecting Lean Mass *Muscle-Centric Weight Management* The risk with any powerful weight loss med is losing muscle alongside fat. When appetite drops significantly, protein intake often drops with it. If you lose weight but also lose the lean tissue that drives your metabolism, you are setting yourself up for long-term rebound. At Physique26, we do not simply prescribe GLP-1 Squared and send you home. We build a body composition protocol around it. Additionally, we may recommend specific labs or testing to measure inflammatory markers or nutrient deficiencies that could hinder your progress. We emphasize: - [Protein Targets](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/): Setting clear nutritional baselines to support [muscle retention](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/). - Resistance Training: Ensuring your treatment plan integrates with your workout routine. - Metabolic Monitoring: Using data to ensure the weight coming off is the right kind of weight. #### The Logistics *Insurance, Cost, and Access* #### A Medical Home for High-Performance Health *Why Physique26?* Navigating the world of weight loss drugs can be overwhelming. There are endless websites offering quick scripts, but few offer the medical continuity required for safety and [long-term success](https://www.physique26.com/medical-weight-loss/weight-loss-program/). Physique26 is a physician-led practice. We do not view medicine as a transactional service. We view it as a partnership. Whether you are a founder needing cognitive clarity while dieting, or a patient struggling with inflammation and metabolic stalling, we utilize tools like GLP-1 Squared to help you build a physiology that serves your life. We watch the details—sourcing, efficacy, side effects, and body composition—so you can focus on the results. #### Ready to Explore Advanced Metabolic Support? *
* If you are looking for a comprehensive approach to weight loss that goes beyond the standard protocol, GLP-1 Squared may be the solution. Talk to the team at Physique26 to explore if this dual-action therapy is right for you. Visit our website or call our office to book your consultation today. #### GLP-1 Squared *Frequently Asked Questions* --- ## Sermorelin Injections and Nasal Spray **Link:** [Sermorelin Injections and Nasal Spray](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) ([md](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/index.html.md)) **Type:** Service **Description:** Physician-prescribed sermorelin available as nasal spray or injection. We help you choose the right delivery method for your goals. Customized dosing. Ships nationwide. ### Content #### Rethinking “Anti-Aging” and Growth Hormone Growth hormone isn’t just a "vanity hormone"—it is the body’s primary driver of deep sleep, tissue repair, and metabolic efficiency. When those levels drop due to age or stress, you feel it: workouts take longer to recover from, sleep feels shallow, and body composition seems stuck despite your effort. Sermorelin is a peptide designed to restore that rhythm without overriding your biology. Instead of flooding the system with synthetic hormones, it prompts your pituitary gland to release *your own* growth hormone in natural, physiologic pulses. #### Who Is This For? At Physique26, this protocol is frequently used for: - Patients on GLP-1 Medications: To protect lean muscle mass and support metabolism while losing weight. - High-Output Professionals: Founders and executives who notice their recovery window shrinking and resilience fading. - The "Slow Healer": Individuals who are training hard but seeing diminishing returns in recovery and sleep quality. We use Sermorelin not as an "anti-aging" shortcut, but as a structured tool for patients who already have the fundamentals in place and want something worth their data. #### Inside The Body’s Own Script *What Sermorelin Actually Is* Sermorelin is a short peptide modeled on the segment of growth hormone–releasing hormone (GHRH). That’s the entire point of using it: it cues the pituitary to produce and release growth hormone naturally. This distinction matters. Synthetic HGH can bypass the body’s regulatory systems, which is why endocrinologists are often cautious about it. Sermorelin acts upstream. It doesn’t replace GH; it reminds the body how to signal for it. Your feedback loops stay intact. When GH and IGF-1 reach appropriate levels, the system downshifts on its own. It is a peptide used to nudge a natural process, not create a synthetic peak. #### Same Molecule, Different Ritual *Injections vs. Nasal Spray* Route matters. On paper, injections and nasal spray use the same peptide. In real life, they behave differently. Sermorelin Injections are given just under the skin, most often at night. That timing lines up with your natural growth hormone pulses, which peak during early sleep. Absorption is reliable, and dosing is precise. For patients who want a clean, predictable signal—especially those already investing in GLP-1s or structured training—this is the standard starting point. Nasal Spray leans into convenience. It’s needle-free and easier to travel with. The tradeoff is variability; absorption depends on the mucosa and technique. For some patients, it’s enough. For others, it serves as maintenance. At Physique26, we don’t default to “easy.” We match the route to your habits and goals. #### Night Work You Feel By Morning *How Sermorelin May Support Repair, Composition, and Recovery* At night, growth hormone pulses help drive protein synthesis, collagen production, and tissue remodeling. When that rhythm softens, you feel it as a slower recovery and more stubborn central fat. Sermorelin is meant to support that internal timing. For many patients, the first change isn’t visible in the mirror. It’s in the quality of sleep. Nights feel deeper and more continuous. You wake up less wired and more restored. Over weeks to months, the downstream effects can touch body composition. Holding onto lean mass gets easier when your recovery window is actually productive. Fat around the midsection may become more responsive when GH signals are optimized. Joints often feel less "angry"—that’s the collagen side of the story catching up. Note: Sermorelin doesn’t build muscle if you don’t train. It makes the work you’re already doing more effective. #### High-Functioning, Harder-To-Recover Seasons *Who Might Consider Sermorelin at Physique26* The patients who end up discussing Sermorelin with us usually share a profile. They aren’t chasing shortcuts. They’re already training, eating with intent, and prioritizing sleep. Many are on GLP-1 medications (Semaglutide/Tirzepatide) and want to ensure the weight they lose is fat, not muscle. Others are high-output adults who notice the gap between input and output widening—workouts hurt longer, and energy dips lower. Sermorelin becomes a meaningful conversation because they want their body to use the fuel and training more efficiently. #### Peptides on a Program *How We Dose and Structure the Therapy* Sermorelin works when the dosing is intentional. At Physique26, we start with a review of your medical history, labs, and training demands. Once cleared, the starting dose is conservative. Sermorelin responds best to consistency. Most patients begin with nightly injections taken 60–90 minutes before sleep to align with natural rhythms. Follow-ups happen every 8–10 weeks. We track sleep quality, recovery, and IGF-1 levels. If the changes are meaningful, we hold the dose. If they aren’t, we stop. Sermorelin is a tool, not a contract. #### Days, Weeks, Months *What to Expect Over Time* #### Only If Your Labs Agree *Safety & Contraindications* Sermorelin is generally better tolerated than exogenous growth hormone because it works within the body’s feedback systems. Common side effects are mild: redness at the injection site, transient flushing, or a brief headache early on. There are clear red lines. We do not use Sermorelin in patients with active cancers, untreated proliferative retinopathy, or uncontrolled diabetes. A history of aggressive hormone manipulation also changes the risk calculus. If we can’t keep your risk profile clear, we don’t proceed. #### Add Another Layer *Lifestyle and Stack Context at Physique26* Sermorelin only makes sense inside a real plan. It works best when sleep and training are already present. At Physique26, Sermorelin sits beside other tools. It is often paired with GLP-1 protocols for weight management, B12 for energy, or NAD+ for cognitive support. It is the piece we reach for when recovery and repair aren’t keeping pace with your effort. #### Transparent Numbers, Flexible Access *Pricing, Access, and Practical Details* Sermorelin therapy at Physique26 is a self-pay service. Both injections and nasal spray are prescription-only and sourced through trusted compounding pharmacies. Costs are discussed upfront—including peptide, visits, and labs—so you know the investment before you start. HSA or FSA funds can often be used. #### Glamour With A Medical Backbone *Why Physique26* Physique26 is built around one principle: performance medicine should be edited, not excessive. We treat peptides like any other medical tool—useful when the context is right, unnecessary when it isn’t. Our team sits at the intersection of aesthetics, metabolism, and longevity, which means we understand how growth hormone pathways interact with training, GLP-1s, stress physiology, sleep architecture, and long-term metabolic health. We don’t chase peptide trends, and we don’t chase numbers just to say we moved them. We track your data week to week, adjust when the feedback is clear, and protect your risk profile while helping you understand the “why” behind each step. Whether Sermorelin becomes a long-term layer or a short-term test, the process stays grounded, deliberate, and transparent. #### Sermorelin Injections & Nasal Spray *Frequently Asked Questions* --- ## Methylene Blue Capsules for Brain Health **Link:** [Methylene Blue Capsules for Brain Health](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/) ([md](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/index.html.md)) **Type:** Service **Description:** Low-dose Methylene Blue capsules for brain health, cognitive endurance, and mitochondrial support. Medically guided and pharmaceutical-grade at Physique26 in Beverly Hills. ### Content #### Sustained Focus *Fueling the Brain’s Core Machinery* Brain health has become a mainstream obsession. Nootropic stacks, mushroom blends, “focus shots,” blue drinks on TikTok, most people who care about performance have tried at least one experiment. The problem isn’t interest; it’s signal. Very few of these trends have a clear medical backbone, and even fewer are grounded in the kind of oversight you’d expect if the same substance were handed to you in a hospital instead of a wellness shop. At Physique26 in Beverly Hills, Methylene Blue is utilized as a precision tool for cognitive endurance and cellular resilience. It is not a stimulant that forces energy out of a tired system. Instead, it improves the efficiency of how your cells produce energy in the first place. This makes it a compelling option for high-output patients (executives, creatives, and athletes) who require sustained mental focus without the crash of caffeine or synthetic stimulants. #### Real Medicine, Not a Vibe *What Methylene Blue Actually Is* Methylene Blue is unique because of how it functions at the cellular level: it acts as an electron donor. While originally FDA-approved decades ago to treat specific blood disorders, its modern application focuses on the mitochondria, the "power plants" inside your cells. In simple terms, Methylene Blue steps into the electron transport chain (the process that creates energy) and improves the efficiency of ATP production. It effectively helps the cell produce more energy with less metabolic waste (oxidative stress). #### Support The System Over The Symptom *How Methylene Blue May Support Brain Health* The interest in Methylene Blue for cognition comes from its role inside the cell, specifically in how neurons make and manage energy. At low oral doses, it can act as an alternate electron carrier within the mitochondrial electron transport chain, giving stressed or inefficient cells another pathway to produce ATP. That matters because the brain burns a disproportionate share of the body’s energy and is quick to signal when production lags. There’s also a redox component. Methylene Blue interacts with the systems that regulate oxidative stress, helping maintain a more stable balance between free radical production and antioxidant activity. When that balance tips too far in either direction, neurons struggle to repair, adapt, and signal cleanly. Early research suggests low-dose Methylene Blue may help maintain a more favorable environment for those processes, particularly during heavy cognitive demand or aging. The combination, supporting mitochondrial throughput and modulating redox activity, is why clinicians view it as a candidate for long-term brain performance rather than a stimulant. It’s subtle, systemic, and dependent on consistency rather than timing. #### Hype Filtered Through Peer Review *What the Evidence Actually Says* Most of the compelling data comes from early-stage research. In preclinical models, low-dose Methylene Blue improves mitochondrial respiration, modulates oxidative stress markers, and enhances performance on memory and learning tasks. Human studies are fewer, but several small trials have demonstrated dose-dependent changes in brain activity on functional imaging, along with measurable improvements on specific cognitive assessments. These findings place the therapy in the “promising, not definitive” category. The human data sets are small, dosing is inconsistent across studies, and many trials follow participants for weeks rather than months. The direction of the research is encouraging, but it is not large or mature enough to qualify Methylene Blue as a proven treatment for any cognitive disorder. That’s why we use it thoughtfully, monitor closely, and reassess based on individual response. #### If “Fine” Isn’t Your Baseline *Who Might Consider Methylene Blue Capsules at Physique26* Patients who consider this therapy at Physique26 tend to be proactive about brain health and already organized about their routines. They’ve dialed in sleep patterns, nutrition, and training, and they pay attention to how their cognition performs under daily load. What brings them in is usually a mismatch between effort and output—mental fatigue arriving too early, focus slipping during deep work, or a general sense of cognitive drag that isn’t explained by labs or lifestyle. Others fall into a more longevity-minded category. They’re thinking about preserving cognitive endurance over decades and want tools with plausible mechanisms, clinical oversight, and measurable endpoints. They’re not looking for a high or a stimulant—they want consistency, cleaner recall, and sustained bandwidth across long stretches of work and life. The common thread is that candidates are willing to test a therapy that works gradually and requires honest tracking. It’s thoughtful self-optimization, not a shortcut. #### Data First, Decisions Second *The Physique26 Capsule Protocol* Evaluation starts with a full medical and cognitive review. We look at your history, current medications, prior nootropics, baseline cognitive patterns, and recent labs. Once we confirm that Methylene Blue is appropriate to test, we order G6PD screening and finalize your dose range. Most patients begin at the lowest effective tier because the research supports an inverted U-shaped response curve—higher doses don’t necessarily produce better results. After clearance, the capsules are added to your morning routine. The follow-through matters here: consistent timing, food intake, and tracking of subjective changes. Follow-ups occur every four to six weeks, where we look for patterns rather than single moments. If the data is clean, meaning your day feels more efficient, or your mental stamina holds longer, we stabilize the dose. If there is no measurable change after a full twelve-week cycle, we close the trial and adjust your plan. #### Safety Isn’t The Fine Print Here *Safety, Side Effects, and Drug Interactions* Everything about Methylene Blue hinges on dose and context. At the low ranges we use for brain support, most side effects are mild and short-lived. Some patients notice a brief wave of nausea early in the course, which usually improves with food. A minority reported a light, transient headache in the first week. Almost everyone sees the classic blue or green discoloration in their urine, which is harmless and expected. These are not red flags—they’re just part of how the drug moves through the body. The serious risks come from interactions and underlying conditions, which is why this therapy should never be used without a clinician’s oversight. The most important concern is serotonin syndrome, a potentially dangerous state caused by excessive serotonin activity. Methylene Blue can amplify that risk when combined with certain antidepressants, MAOIs, migraine medications, or complex psychiatric regimens. That is why your full medication list and mental-health history are part of our intake, not an afterthought. We will say no if there is any reason to doubt the safety of the combination—full stop. G6PD deficiency is another non-negotiable. Patients with this condition may not metabolize Methylene Blue safely, which can lead to hemolysis. For that reason, we screen everyone before starting, even if you’ve taken Methylene Blue in another setting without an issue. The goal is to avoid surprises, not react to them. Pregnancy, breastfeeding, and severe organ disease are also exclusions. Finally, there is the supplement question. Online retailers and “biohacking” brands sell methylene blue in eye-drop bottles, dropper vials, tinctures, troches, and even “brain gummies.” These products are often unregulated, improperly dosed, or contaminated with industrial-grade dye. That category is not comparable to pharmacy-compounded capsules. At Physique26, all methylene blue is prepared in vetted compounding pharmacies, tested for purity, and dosed in milligram ranges that match published research. Patients deserve medical-grade quality for a therapy that interacts with mitochondrial and neurotransmitter pathways. Nothing less is acceptable. #### Same Molecule, Different Commitments *Capsules vs. IV Methylene Blue* Both forms use the same molecule, but they belong to different conversations. IV Methylene Blue is occasionally used in post-procedure healing protocols or in metabolic support plans where a stronger systemic effect is indicated. Those infusions require in-person monitoring, blood pressure tracking, and slow titration. They are not routine, and we reserve them for very specific clinical goals. Capsules are the opposite. Gentler, easier to live with, and better suited for brain health exploration over time. They allow us to modulate dose with precision, adjust based on cognitive response rather than immediate physical effects, and track your progress in a way that respects your schedule. Many patients who start IV eventually transition to capsules for maintenance. Others use capsules alone and get the data they need without ever needing an infusion. The route is chosen based on your physiology, goals, and risk profile, not a trend or a package. #### No Buzz, Just A Higher Floor *What to Expect Over Weeks and Months* Methylene Blue doesn’t produce an immediate shift. Instead, the early signs show up in how the day feels. Tasks may move with less resistance. Mental stamina holds a little longer. You reach the end of a workday without the same cognitive drop-off. These changes, when they happen, tend to accumulate quietly over several weeks. By the second month, you’ll know whether the therapy is worth continuing. Patients who benefit describe steadier attention during long blocks of work, better task switching, and less mid-afternoon mental fatigue. Those who don’t respond simply don’t feel enough difference to justify staying on it, and that’s a valid outcome. At the twelve-week mark, most patients have a clear read on their personal signal. The long-term conversation is more nuanced. Early research suggests potential for improved metabolic efficiency and redox stability in neurons, which could matter for long-range brain resilience. But those ideas remain theoretical. We treat them as possibilities, not promises. #### Sleep, Food, Then Supplements *Lifestyle Factors That Influence Results* Methylene Blue works best when the basics are already strong. Patients with regular sleep cycles, balanced micronutrient intake, structured training, and stable metabolic health tend to see the clearest signal. These foundational habits improve mitochondrial efficiency on their own, which makes any additional support more noticeable. Nutrition and hydration also shape outcomes. The brain performs better when blood sugar is predictable, electrolytes are adequate, and inflammation isn’t chronically elevated. Alcohol intake, stress patterns, and meal timing can all blur the signal of a therapy like this, not because they’re prohibited, but because they disrupt the same pathways Methylene Blue is meant to support. For patients using GLP-1 medications, dose adjustments may be needed as caloric intake changes. The overarching theme is simple: Methylene Blue can support a strong system. It cannot compensate for one that’s depleted. #### Your Brain, Your Budget *Price, Access, and Scheduling* We keep this simple. Methylene Blue capsules are available as a self-pay service, with pricing dependent on dose and duration. All capsules come from vetted compounding pharmacies and are shipped directly to you. We handle the prescribing, lab review, and follow-ups. HSA and FSA payments are typically accepted, and we provide documentation for patients who need it. Scheduling fits around your life. Most people do a telehealth intake, complete their labs, and begin once screening is clear. Check-ins are short and purposeful, focused on cognitive performance, side effects, and dose adjustments. Because this therapy works over time, it doesn’t require frequent visits. It requires consistency. #### Serious Medicine, Clean Aesthetics *Why Physique26?* Physique26 sits at the intersection of aesthetics, metabolism, and long-term wellness. Our team understands that brain performance isn’t separate from the rest of your physiology—your sleep, metabolic profile, GLP-1 regimen, training schedule, and stress patterns influence. That context allows us to use Methylene Blue in a way that’s conservative, informed, and integrated, not impulsive. We don’t chase trends. We refine them. Every protocol is individualized, tracked, and re-evaluated. If the therapy benefits you, we keep it. If it doesn’t, we pivot without hesitation. The goal is not to stack supplements. It is to create a personalized brain-health plan that respects your biology and your unique goals. #### Methylene Blue Capsules for Brain Health *Frequently Asked Questions* --- ## Cashmere Anti-Aging Cream **Link:** [Cashmere Anti-Aging Cream](https://www.physique26.com/enhancements/cashmere-anti-aging-cream/) ([md](https://www.physique26.com/enhancements/cashmere-anti-aging-cream/index.html.md)) **Type:** Service **Description:** Cashmere is a physician-dispensed tretinoin night cream with GHK-Cu, niacinamide, and caffeine. Targets fine lines, tone, and texture at Physique26 in Beverly Hills. ### Content #### (Caffeine • GHK-Cu • Niacinamide • Tretinoin) People who take skincare seriously are past texture talk and vague promises. They want ingredients that do measurable work and a plan that respects tolerance, timing, and daily life in Los Angeles. That’s the bar for Cashmere, our prescription-strength, night-use cream built around tretinoin with supportive actives for tone, texture, and firmness. At Physique26 in Beverly Hills, Cashmere is used as a medical topical inside a monitored routine—not a standalone cosmetic. The formula centers on tretinoin and layers GHK-Cu (copper peptide), niacinamide, and caffeine to target photoaging while guarding the barrier and keeping use realistic for high-demand schedules. #### Built To Do Work *What is Cashmere?* Cashmere is a physician-dispensed cream that pairs a retinoid with proven support ingredients. Tretinoin drives epidermal turnover and collagen signaling for lines, blotchy tone, and roughness. GHK-Cu helps with visible firmness and quality over weeks. Niacinamide supports barrier function and more even tone. Caffeine contributes to a tighter, less puffy look—especially around the eyes—so the skin reads more rested while deeper changes build. This is structurally different from retail “cashmere” moisturizers that highlight plant antioxidants or resveratrol. Those can be elegant hydrators for morning routines, but they do not replace a supervised retinoid regimen. #### Remodeling Without The Chaos *Why These Actives Together* Tretinoin remodels; the supporting trio makes the process more livable and cosmetically rewarding. GHK-Cu signals repair, niacinamide steadies the barrier and oil balance, and caffeine sharpens the “you look rested” effect on busy mornings. Clinical literature on each ingredient is stronger than the head-to-head synergy data for the exact combination, so we rely on evidence for the parts plus in-clinic experience for the whole. The protocol, not just the product, is what keeps results consistent. #### OTC Retinol Grads, Step Up *Who Cashmere Is For* Cashmere suits patients with mild-to-moderate photoaging: fine lines, uneven tone, textural roughness, and a preference for evidence-based topicals they can stick with. It’s also a practical step-up for those moving from over-the-counter retinol to prescription tretinoin. We hold Cashmere during pregnancy or nursing and use caution with active eczema, barrier disruption, or intense sun exposure you can’t avoid (outdoor shoots, travel without shade management). A brief consult sorts out fit and timing. #### Pea Size At Night *How You’ll Use It* Most patients start Cashmere at night, pea-size to the full face after cleanser, two to three evenings per week. If you’re comfortable after 10–14 days, increase frequency. Pair with a bland moisturizer on top if you feel tight. Daytime means broad-spectrum SPF, a vitamin C serum if you use one, and common-sense shade habits (hat, sunglasses, not baking at midday in Beverly Hills). If you’re on acids or exfoliating masks, rotate them to off-nights at first. Irritation that lingers gets a message to the team for adjustments. #### Progress You Can Screenshot *What to Expect: Timeline and Outcomes* Weeks 2–4 often bring smoother texture and a more even surface. By 8–12 weeks, tone looks steadier and fine lines start to soften. Firmness and elasticity cues build more slowly and depend on adherence, sun behavior, and your baseline. Expect plateaus and step-ups; that’s normal for retinoids. The check-ins matter: tolerability tweaks, small frequency changes, or seasonal SPF coaching keep the graph moving in the right direction. #### SPF Every Morning. Nonnegotiable. *Safety, Interactions, and Contraindications* Tretinoin increases photosensitivity. Daily SPF isn’t negotiable. A little dryness or flaking early on is common and manageable with spacing, moisturizer layering, or a temporary pause. We avoid Cashmere during pregnancy or nursing. If you’re scheduling peels, microneedling, lasers, or resurfacing, we’ll set hold windows before and after so the skin behaves. If your routine already includes strong acids, benzoyl peroxide, or potent actives, we’ll map which nights go where to prevent unnecessary irritation. #### Night Treatment vs Day Comfort *Cashmere vs. Retail “Cashmere” Creams* Retail “cashmere” moisturizers lean into feel, hydration, and antioxidant stories. They’re good daytime companions under SPF and a reasonable add when you want comfort without downtime. Cashmere is built for work at night: prescription tretinoin as the driver, supported by GHK-Cu, niacinamide, and caffeine, rolled into a monitored plan with clear guardrails. Many patients use both—retail cream in the morning for comfort and barrier care, Cashmere at night for remodeling—so the skin reads rested while deeper change builds over weeks. #### How to use both without guessing In most cases, keep retail cream in the morning—cleanser, vitamin C, retail moisturizer, SPF—and reserve Cashmere for night. Start Cashmere two or three evenings per week, pea-size for the full face after cleanser; add a bland moisturizer on top if you feel tight. If your calendar includes peels, microneedling, or laser, hold Cashmere per the plan and lean on the retail cream plus SPF until skin is settled. When travel, shoots, or long days stack up, you can add the retail moisturizer on Cashmere off-nights so the barrier stays calm while the treatment cadence remains intact. #### AM Vitamin C, PM Cashmere *How Cashmere Fits Inside Physique26* Skin improves faster when the rest of the plan is aligned. Mornings typically feature cleanser, vitamin C, moisturizer, and SPF. Evenings rotate Cashmere with off-nights for barrier repair as needed. If you’re in a GLP-1 program and noticing dullness or tone shifts during weight loss, we time devices and topicals to protect the barrier and keep progress visible. If travel or shoots are on the calendar, we adjust cadence so your face cooperates with your week, not the other way around. #### Pickup In Beverly Hills Or Ship *Pricing, Refills, and Access* Cashmere is dispensed through Physique26 after a brief consult. Refills follow once your tolerance and results are dialed in. This is typically self-pay; HSA/FSA documentation is available on request. Pickup is in Beverly Hills or shipped where compliant. If you’re already a Physique26 patient, Cashmere can be added at your next check-in. #### Cashmere Anti-Aging Cream *Frequently Asked Questions* --- ## Levocarnitine Injections **Link:** [Levocarnitine Injections](https://www.physique26.com/enhancements/levocarnitine-injections/) ([md](https://www.physique26.com/enhancements/levocarnitine-injections/index.html.md)) **Type:** Service **Description:** Levocarnitine injections support fat oxidation, energy, and recovery during weight loss. Physician-guided and GLP-1 compatible at Physique26 in Beverly Hills. ### Content #### Rethinking “Fat Burner” Shots *Metabolic support for patients who already take their health seriously.* Weight loss injections have become a category of their own in Beverly Hills. MIC shots, “skinny” shots, B12 blends—most people who care about body composition have seen some version marketed as an easy way to lean out or [boost energy](https://www.physique26.com/enhancements/vitamin-b12/). The problem is that most of these formulas lean on vague claims and stimulants rather than clear mechanisms and data. Levocarnitine operates in a different lane. It’s not a mystery cocktail and it’s not an appetite suppressant. It’s the bioactive form of L-carnitine, a molecule your cells already use to move fat into mitochondria so it can be burned for energy. That makes it a metabolic support, not a stand-alone weight loss drug. When you’re already managing calories, lifting, and working with [GLP-1s](https://www.physique26.com/medical-weight-loss/weight-loss-injections/) or other structured protocols, Levocarnitine becomes a way to support how your body uses fuel, not a promise that it will do the work for you. At Physique26, Levocarnitine injections live inside that context. They’re offered to patients who are serious about body composition, already have a training and [nutrition framework](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/) in place, and want a measured way to see whether targeted carnitine support makes their program more efficient or simply adds noise. The emphasis is on structure, labs, and follow-up—not on selling a “fat burner” story. #### Turning Stored Fuel Into Real Output *What Levocarnitine Actually Does* Levocarnitine is the transport system that helps long-chain fatty acids cross into the [mitochondria](https://www.physique26.com/enhancements/nad-injections/), where they can be oxidized and turned into ATP. Without enough of it, fat has a harder time getting to the machinery that burns it, and the body leans more on other fuel sources. With adequate Levocarnitine, the shuttle runs more smoothly, which can support cleaner use of stored fat during exercise and calorie deficits. Your body makes carnitine on its own, and you also get it from food, mainly meat and dairy. For some people, that baseline is enough. For others—especially those with higher demands, specific medications, metabolic issues, or aggressive weight-management plans—supplementing into a higher, therapeutic range can make sense. That’s where injection comes in. It bypasses the variability of gut absorption and allows us to reach and maintain levels that are harder to achieve with diet or over-the-counter capsules alone. There’s also a housekeeping component. Levocarnitine participates in removing excess acyl groups from cells, which helps keep mitochondrial metabolism from getting bogged down. In practical terms, that can look like better tolerance for hard training, less of the heavy-leg fatigue that shows up during deficits, and smoother recovery between sessions when everything else—protein intake, sleep, GLP-1 dosing—is aligned. It doesn’t replace those inputs. It supports them. #### Less Drag, More Usable Energy *How Levocarnitine Supports Metabolism in Real Life* In practice, Levocarnitine’s value shows up in the gap between what you’re doing *right* and what you’re still not getting from your body. You can be in a calorie deficit, lifting consistently, hitting your step count, managing GLP-1 dosing—and still feel like your output doesn’t match your effort. That mismatch often comes down to fuel handling. When fatty acids struggle to move efficiently into the mitochondria, your body leans more heavily on glycogen. You fatigue sooner, recover more slowly, and the “cutting” phase of your program feels blunt instead of precise. Levocarnitine injections aim to smooth that bottleneck. With steadier access to fat as a fuel source, you may notice better endurance in your training sessions, fewer dips in power output, and a more stable energy profile throughout the day. For some patients, especially those in prolonged deficits or intense strength cycles, the shift is subtle but meaningful—better training consistency, less metabolic friction, and more usable recovery between workouts. It’s not dramatic, but it’s directional. And direction matters in [body composition](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) work. There’s also a cognitive element that often gets overlooked. When your muscles manage energy more efficiently, your central fatigue threshold tends to rise as well. Patients describe being able to stay mentally “in” their sessions longer—more focus, better form, fewer fall-off points where discipline gets replaced by fatigue. None of this replaces programming or nutrition. It just helps your physiology keep up with your plan. #### The Evidence Behind Levocarnitine Levocarnitine is not a new molecule chasing the wellness trend cycle. Its role in fatty-acid oxidation is well established in basic science, and it’s been used clinically for decades in settings where mitochondrial function needs explicit support. Most of the research in athletes and metabolic patients points to the same idea: when you raise carnitine levels into a therapeutic window and pair it with a structured training program, you can improve fat utilization and delay fatigue. Human studies vary in design, but several themes repeat. Some show improved markers of mitochondrial efficiency, especially in populations with higher metabolic stress—people in large deficits, individuals on GLP-1 medications, high-volume endurance athletes, and adults with insulin resistance. Others demonstrate reduced lactate accumulation during exercise and better tolerance for longer sessions. A handful show modest improvements in body composition when Levocarnitine is layered onto an existing plan, not used in isolation. Where the evidence is clearest is in safety and mechanism. We know how Levocarnitine moves through the body, how it’s metabolized, and how it behaves across dose ranges. We also know what it does *not* do: it does not replace nutrition, it does not override poor training habits, and it does not produce stimulant-like effects. At Physique26, we position Levocarnitine injections as an evidence-aligned metabolic support—not a shortcut. The goal is to use what the science supports without overselling what it can’t promise. #### If “Tired But Trying” Isn’t Enough *Who Might Consider Levocarnitine at Physique26* Most patients who explore Levocarnitine are already moving in the right direction. They’re training regularly, paying attention to protein intake, adjusting macros around their goals, and often using GLP-1 medications or structured metabolic programs. What they notice, despite all of that work, is diminished drive in their sessions or a frustrating stall in fat utilization—particularly during prolonged deficits or phases where they’re trying to lean out without losing strength. This therapy makes sense for people who want cleaner energy turnover: the founder cycling through long workdays and late-night workouts, the patient on GLP-1s who feels sluggish as calories shift, or the lifter trying to maintain performance while cutting. Some patients are also simply in a season where recovery feels inconsistent; when the basics are solid but the metabolic math still feels off, Levocarnitine offers another lever to test. It’s also relevant for patients with specific needs—those with longstanding fatigue, low exercise tolerance, or suspected mitochondrial inefficiency shown in labs or symptoms. The through-line is the same: they’re looking for refinements, not miracles. People expecting stimulant-like acceleration tend not to be a match. This therapy works best for the patient who plays a long game and wants their internal machinery to perform as well as the rest of their plan. #### Dose Follows Data *How We Dose and Structure the Therapy* Levocarnitine works on a rhythm, not in a spike. At Physique26, injections are dosed based on your baseline labs, training schedule, metabolic status, and whether you’re currently in a calorie deficit, maintenance phase, or building cycle. Most patients start with a low-to-moderate dose given one to three times per week, usually tied to training days or the day before heavy sessions. That timing helps align the therapy with the moments of highest metabolic demand. The first step is always a clinical review—looking at your sleep patterns, recovery habits, current medications, and GLP-1 regimen if applicable. We also look at markers that influence mitochondrial efficiency, including B vitamins, iron status, and thyroid function. Once the basics look stable, we introduce Levocarnitine as part of a structured plan rather than a standalone experiment. Patients track their performance markers and day-to-day signals: stamina, energy stability, recovery ease, and consistency in their workouts. Early changes can feel small—a smoother warm-up, fewer mid-session dips, a cleaner finish to your sets—but they often compound over six to eight weeks. Follow-ups help determine whether to adjust the dose, maintain it, or phase it out if the signal stays weak. The dosing strategy is simple: use the minimum effective amount, evaluate honestly, and keep the plan aligned with your goals instead of chasing the highest number. The point isn’t stimulation—it’s efficiency. #### Subtle Shifts, Then Steady Wins *What to Expect Over Time* Levocarnitine doesn’t announce itself. There’s no rush, no immediate “kick,” and no dramatic shift in the first few days. Most patients notice the earliest changes during training: steadier output, fewer moments where their legs feel heavier than they should, and a sense that they can stay in the work without dipping into the familiar slump that usually hits halfway through a session. Recovery can feel cleaner too—less of the lingering drag that follows high-effort days. By weeks four to six, patterns become clearer. People doing strength-based training often describe better endurance between sets. Patients on GLP-1 medications notice fewer dips in energy as their bodies adapt to lower calorie intake. Endurance-focused patients—cyclists, runners, class-training regulars—sometimes report the simplest change of all: they finish strong instead of fading. Where this therapy tends to matter most is consistency. Not bigger numbers, not faster sprints—just the ability to repeat quality work day after day without the same metabolic friction. And if the signal doesn’t show up by week eight to twelve, that’s information too. We adjust, simplify, or remove the therapy entirely. The value is in the clarity, not in forcing a tool that doesn’t match your physiology. #### Your Labs Decide, Not Your FYP *Safety & Contraindications* Levocarnitine is generally well-tolerated, but it’s still a metabolic therapy—not a casual supplement—and we treat it accordingly. The most common side effects are mild: a brief sense of stomach heaviness when taken without food, or a temporary shift in digestion as your body adjusts. These are usually short-lived and often improve with dosing changes. There are specific situations where we pause. Patients with significant kidney disease may not process levocarnitine efficiently, which can lead to accumulation. Those with seizure disorders require closer oversight, particularly if their neurologist is adjusting medications. And while levocarnitine is sometimes used clinically in pregnancy for diagnosed deficiencies, supplementation for performance isn’t recommended during pregnancy or breastfeeding. Medication interactions are rare but not irrelevant. Certain antibiotics and anticonvulsants can influence carnitine levels, and we review these carefully during intake. The goal is simple: use levocarnitine where it adds clarity and withdraw it when the risk-benefit ratio shifts. Every decision is made with your full physiology in view, not just your training log. #### Clarity On Cost From Day One *Price & Access* Levocarnitine is offered as a self-pay service and is available in both oral and injectable formats. The route depends on your goals: capsules for steady maintenance, injections for patients who want a stronger or more predictable signal during heavy training cycles or while adjusting to GLP-1 medications. Pricing varies based on dose and duration, and everything is compounded through vetted pharmacies—no third-party powders, no unregulated imports. Most patients begin after a standard health review and, if needed, basic lab work to understand metabolic baselines. Follow-ups are spaced intentionally. This therapy doesn’t require constant monitoring—it requires smart adjustments grounded in real performance data. HSA and FSA funds are typically accepted, and documentation is provided for those who need it. #### Performance Medicine, Edited For You *Why Physique26* Levocarnitine works best inside a thoughtful plan, not as a standalone experiment. Physique26 takes a systems-level view—your training load, your GLP-1 program, your micronutrient status, your recovery patterns, and the cognitive demands of your day. That context shapes how we decide on dose, route, timing, and duration. Our team is comfortable working with athletes, founders, and patients navigating body-recomposition therapies. We know where levocarnitine shines, where the signal is subtle, and when another tool would get you further. The goal is always the same: remove friction from your physiology so your effort pays off. If levocarnitine helps you get there, we keep it. If it doesn’t, we redirect without hesitation. #### Levocarnitine Injections *Frequently Asked Questions* --- ## Holistic Weight Loss Program **Link:** [Holistic Weight Loss Program](https://www.physique26.com/medical-weight-loss/weight-loss-program/) ([md](https://www.physique26.com/medical-weight-loss/weight-loss-program/index.html.md)) **Type:** Service **Description:** Physician-supervised medical weight loss program in Beverly Hills combining semaglutide, tirzepatide, nutrition counseling, and aesthetic treatments for lasting results. ### Content #### Your Transformation Starts Here *Why Choose Physique26 for Holistic Weight Loss?* At Physique26, we take a comprehensive approach to weight loss, supporting not just your physical transformation but your overall health and wellness journey. Led by world-renowned board-certified plastic surgeon Dr. Sheila Nazarian and her expert team, our holistic weight loss program combines cutting-edge medical interventions with supportive lifestyle guidance. From personalized coaching to advanced treatments like semaglutide, tirzepatide, and high-quality supplementation, we address every aspect of your health to help you achieve sustainable and transformative results. At Physique 26, you also benefit from a [comprehensive menu of services](https://www.physique26.com/services/), including innovative skin care treatments and regenerative approaches to help you glow from head to toe. Let us help you enjoy your personal transformation to the fullest with our holistic, world-class care! *Holistic Weight Loss at a Glance* - **Comprehensive Care:** Highly customizable programs combining nutritional counseling, exercise, and medical weight loss solutions. - **Advanced Treatments: **Access to a wide range of weight loss, wellness services to support your post-weight-loss transformation. - **Expert Guidance:** Our experienced team of medical professionals and aesthetic specialists provides comprehensive support and guidance at every stage of your journey. #### Science-Backed Solutions *Holistic Weight Loss Care* Our holistic weight loss program goes beyond simply losing weight. At Physique26, we combine nutrition counseling, prescription [weight loss medications](https://www.physique26.com/medical-weight-loss/weight-loss-injections/), and tailored fitness plans with treatments to enhance your appearance and overall wellness. Our leading specialists provide tailored support at every step, combining science-backed solutions with guidance, support, and motivation. Whether you're starting your journey or looking to refine your results, our program offers the tools to lose excess weight and feel your best. #### A Multimodal Approach *What is the holistic weight loss program like?* Your journey begins with an in-depth consultation to assess your health, lifestyle, and goals. From there, our team will develop a customized, multimodal treatment plan to fit your unique needs and goals. Your comprehensive weight loss program will include a combination of research-based approaches and ongoing support and guidance from our wellness and aesthetics specialists. - [**Nutrition Counseling**](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/)**:** Research-backed advice to fuel your weight loss journey with healthy habits and sustainable choices. - **Weight Loss Medications: **We offer proven options like [semaglutide and tirzepatide](/medical-weight-loss/weight-loss-injections/) to support effective weight loss and metabolic health. - **Energy and Wellness Boosters:** Vitamin patches, such as SculptPatch and RenewPatch, optimize energy levels, skin health, and more. - **Regular Monitoring: **Ongoing guidance to track progress, adjust your plan, and celebrate milestones. #### Feel Good. Look Radiant. *What other treatments complement holistic weight loss?* At Physique26, we want you to have all the tools you need to transform your health and confidence. Achieving your weight goal is only the beginning. We offer a wide range of treatments to enhance your health and appearance, ensuring you look and feel your best: #### Nutraceutical #### Non-Surgical #### Minimally-Invasive #### A Personalized Path to Lasting Wellness *Is the holistic weight loss program right for you?* If you're ready to transform your health and achieve lasting results, our holistic weight loss program could be the perfect fit for you. Our program is designed for individuals who are struggling to shed excess weight despite their best efforts with diet and exercise or for those looking to enhance their [metabolic health](https://www.physique26.com/enhancements/low-dose-naltrexone/) under expert guidance. With a medically supervised approach, tools to manage your weight long-term, and additional support for skin and body rejuvenation after weight loss, we provide a customized plan to address your unique needs. During your consultation, we’ll evaluate your health history, lifestyle, and goals to ensure this program aligns with your vision for wellness and transformation. With our comprehensive care, you can achieve more than just weight loss—you’ll gain renewed energy, confidence, and a healthier outlook on life. #### Guidance, Support, and Motivation *What are the benefits of a holistic weight loss program?* Our program not only helps you lose weight but also enhances your overall health. Benefits include: - [Improved metabolic health](https://www.physique26.com/enhancements/low-dose-naltrexone/) and reduced risk of conditions like high blood pressure. - Elevated [energy levels](https://www.physique26.com/enhancements/nad-injections/) and vitality. - Better skin elasticity and reduced appearance of sagging or loose skin. - Enhanced self-confidence and a rejuvenated appearance. #### Embrace the Best Version of You *Holistic Weight Loss Program Results* The results of our holistic weight loss program at Physique26 go far beyond the number on the scale. You’ll experience a complete transformation, not just in how you look, but in how you feel and live your life. Imagine waking up each day with renewed energy, improved metabolic health, and the confidence to take on the world. As you progress through the program, you’ll notice improvements in your [body composition](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/), skin elasticity, and overall vitality. With complementary treatments like microneedling, injectables, and laser therapies, you can refine and enhance your appearance for a radiant, rejuvenated look that matches how you feel inside. Many of our patients share how this program helped them regain a sense of control over their health and empowered them to build sustainable habits for the future. With the ongoing support of our dedicated team, your transformation is not just achievable—it’s lasting. This is more than a weight loss journey; it’s a celebration of your strength and determination to become the best version of yourself. #### Holistic Weight Loss Program *Frequently Asked Questions* --- ## NAD+ Injections **Link:** [NAD+ Injections](https://www.physique26.com/enhancements/nad-injections/) ([md](https://www.physique26.com/enhancements/nad-injections/index.html.md)) **Type:** Service **Description:** Explore physician-guided NAD+ injections at Physique26 in Beverly Hills. Structured support for energy, cognition, and metabolic health—no hype, just data. ### Content #### For Days That Don’t Have Off-Switches *NAD+ for Real-World Performance* The wellness world has turned NAD+ into a catchall answer for everything from “better energy” to “longer life.” IV bars advertise quick hits. Supplements promise mitochondrial miracles. And somewhere in the middle of all that noise sits the actual molecule, nicotinamide adenine dinucleotide, a coenzyme your cells have relied on since day one. People aren’t wrong to be curious. They’re just rarely given an honest explanation of what this therapy can and can’t do. NAD+ is central to energy metabolism, DNA repair, and mitochondrial function. But delivery matters. Oral supplements often degrade in the gut, and IVs require hours in a chair and make you feel crummy afterwards. At Physique26 in Beverly Hills, we use NAD+ injections intentionally: a direct, efficient route for patients who want measured support for their brain, metabolism, and overall stamina. #### The Molecule Your Cells Run On *What NAD+ Actually Is* NAD+ is not a wellness trend. It’s a coenzyme found in every cell in the body, involved in hundreds of metabolic reactions. The simplest way to think about it: without enough NAD+, your cells don’t convert fuel into usable energy efficiently. It sits inside the machinery that generates ATP, supports DNA repair, and helps regulate enzymes that influence how cells age and respond to stress. Levels of NAD+ decline with age, chronic stress, poor sleep, heavy alcohol use, and certain illnesses. That drop doesn’t show up as a single symptom, but it can contribute to slower recovery, reduced stamina, more noticeable brain fog, and a general sense that your baseline is lower than it used to be. This is why NAD+ has become a focus in longevity and performance medicine. The question is not “does the molecule matter?” It clearly does. The real question is how changing its availability might influence how you feel and function. #### Direct Route, Cleaner Signal *Why We Use Injections* For patients at Physique26, the route of delivery is the difference between a supplement and a therapy. Most over-the-counter products don’t contain NAD+ itself; they offer precursors like NR or NMN. That can be a valid approach, but it is indirect and depends heavily on your gut health and liver function. NAD+ Injections bypass digestion entirely. When delivered intramuscularly, the molecule enters circulation in a controlled, bioavailable way. This supports whole-body energy metabolism, recovery, and cellular repair directly. Patients who respond often notice steadier daytime stamina, easier workout recovery, or a cleaner sense of “on” during long days of work—without the variability of a pill. Injections are also effective without the hang-over feeling NAD IV drips often cause. #### Energy That Matches Your Output *How NAD+ Supports Metabolism* Most of the interest in NAD+ comes from its role in energy metabolism. When NAD+ levels are sufficient, cells make ATP more efficiently, and that shows up in the way you think and move. None of this is dramatic. It’s the difference between forcing your brain into focus versus having the bandwidth to begin with. Support During Weight Loss & GLP-1s On the metabolic side, NAD+ is a powerful partner to weight loss protocols. During calorie restriction, especially on GLP-1 medications, people often feel a drop in stamina or mental sharpness. NAD+ injections can help stabilize energy production during these phases so your output doesn’t dip as sharply as your intake. #### If “Fine” Feels Too Low-Bar *Who Might Consider NAD+ Injections* The people who tend to explore NAD+ at Physique26 have usually tried foundational changes first. They sleep consistently. They train. They manage nutrition. And even with that structure in place, they notice their baseline slipping, longer ramp-up times in the morning, or slower recovery after demanding days. For some, NAD+ becomes a way to evaluate whether mitochondrial support shifts that trajectory. - The Founder: Using weekly injections to sustain cognitive output during strategy blocks. - The Patient on GLP-1s: Using metabolic support to maintain energy while losing weight. - The Longevity Focused: Integrating NAD+ as a targeted tool alongside strength training and cardiovascular optimization. The through-line is intention. NAD+ works best for people who want a measured, medically evaluated trial, not a shortcut. #### No Biohacking Without Guardrails *Safety & Expectations* Safety with NAD+ is mostly about matching the right patient to the right dose. The molecule itself is familiar in medicine, but rapid dosing can be uncomfortable. Injections are generally well-tolerated and avoid the intense "flush" or nausea sometimes associated with rapid IV infusions. #### Slow Build, Better Baseline *What to Expect* NAD+ doesn’t feel like caffeine, and it doesn’t announce itself. Most patients describe the early phase as a subtle shift: mornings start with less friction, tasks feel easier to enter, and cognitive endurance stretches a little further into the afternoon. By weeks four to eight, the trajectory becomes clearer. Patients who respond tend to show a pattern: steadier output, cleaner concentration, and less of the mid-day slide that used to be predictable. If the signal isn’t visible by the 12-week mark, we treat that as meaningful data. We stop or redirect. The goal is not to collect therapies. It’s to identify what genuinely supports your energy metabolism. #### Pricing, Access, and Scheduling NAD+ Injections at Physique26 are offered as elective, self-pay services. There is no membership requirement and no complex contract. Most patients start with a consultation to review history, medications, and current routine. Injections are administered in-clinic on a weekly schedule that fits your work and travel. Why Physique26? NAD+ therapy lives in a grey area: too complex to be a casual wellness add-on, too hyped to be taken at face value. Physique26 exists in that middle space with a clear bias toward restraint. We don’t treat metabolic health in isolation. NAD+ is considered alongside GLP-1 use, B12 support, training load, and the demands of your actual life. If you’re looking for a quick fix and a hashtag, this isn’t the right fit. If you want a medically grounded way to test whether NAD+ meaningfully improves how you think, move, and recover with a clear off-ramp if it doesn’t, this is exactly the kind of work Physique26 is built to do. #### NAD+ Injections *Frequently Asked Questions* --- ## Xtressé Hair Growth Gummies **Link:** [Xtressé Hair Growth Gummies](https://www.physique26.com/enhancements/hair-force-one/) ([md](https://www.physique26.com/enhancements/hair-force-one/index.html.md)) **Type:** Service **Description:** Xtressé is a biotin-free hair growth gummy with NAD+, saw palmetto, and ashwagandha, recommended by the Physique26 team for hair thinning during GLP-1 weight loss. ### Content Hair thinning during a weight loss journey is common, and it’s rarely one thing. GLP-1 medications, rapid fat loss, stress, and hormonal shifts can all shorten the hair growth cycle at the same time. Rather than reach for another biotin-heavy gummy, our team recommends Xtressé, a biotin-free daily formula built around NAD+, saw palmetto, ashwagandha, and pumpkin seed extract to support follicle health without the lab-interference issues high-dose biotin can cause. [→ Shop Xtressé on The Skin Spot](https://theskinspot.com/products/xtresse-hair-growth-gummies?variant=50885773852708&utm_source=physique26&utm_medium=referral&utm_campaign=hair-force-one-replacement) Most hair gummies lean almost entirely on biotin, which has thin evidence for regrowth and can throw off thyroid and cardiac lab results, a real problem for patients we're already monitoring during a weight loss protocol. Xtressé skips high-dose biotin and targets the cellular and oxidative-stress drivers of shedding instead. #### Clinical Hair Nutrition *What Hair Force One Is* Hair Force One is a simple, high-value stack in capsule form. The formula targets known rate-limiters for growth and caliber, per serving: Vitamin C 250 mg, Zinc 12.5 mg, Biotin 2.5 mg, Iron 10 mg, Niacinamide 250 mg, and Methylcobalamin 500 mcg. That mix supports collagen formation, non-heme iron uptake, cellular energy, keratin production, and oxygen delivery to follicles. It’s dispensed with guidance, folded into an overall plan, and adjusted when labs or life call for it. *How It Works* NAD+ supports cellular energy at the follicle level. Saw palmetto is linked to hair density and hormonal factors in thinning. Ashwagandha helps manage stress, a common shedding trigger. Pumpkin seed extract supports scalp health and density. Taurine, horsetail extract, turmeric, and pea sprout extract round out the formula for follicle protection and scalp inflammation control. *How to Take It* Two gummies daily, taken consistently. Most patients notice reduced shedding around one month, with visible new growth typically between months two and three. *How Xtressé Fits Your Plan* If you're in a weight loss protocol with us, hair density is part of the conversation. Xtressé slots in as a daily, physician-recommended step that doesn't compete with your labs or medication schedule. *Frequently Asked Questions* --- ## Vitamin B12 **Link:** [Vitamin B12](https://www.physique26.com/enhancements/vitamin-b12/) ([md](https://www.physique26.com/enhancements/vitamin-b12/index.html.md)) **Type:** Service **Description:** Vitamin B12 injections and transdermal patches for energy, focus, and metabolic support. Physician-supervised and GLP-1 compatible at Physique26 in Beverly Hills. ### Content #### B12 for High Output Vitamin B12 is central to red blood cell formation, neurological function, and energy production. When it dips, even into the low-normal range for a high-demand life, you see it: slower recovery, softer focus, and mood shifts that track with real numbers, not vague intuition. At Physique26 in Beverly Hills, Vitamin B12 support is not a one-size-fits-all injection. It is a managed protocol that utilizes intramuscular injections for immediate correction and transdermal patches ([SculptPatch](https://theskinspot.com/products/sculptpatch?_pos=1&_sid=527fae25a&_ss=r?variant=40172260360228)) for steady, needle-free maintenance. Whether we are correcting a confirmed deficiency or supporting a patient in a high-output weight loss program, the goal is straightforward: align symptoms, labs, and delivery methods so patients know exactly why B12 is in their plan and what it is meant to do. #### Fuel For High-Output Days *Where Vitamin B12 Fits at Physique26* At Physique26, Vitamin B12 isn’t a branded “energy boost” slogan. It’s a physiological tool built for patients who expect performance and accountability. Many patients come to Physique26 already on GLP-1 medications for [medical weight loss](https://www.physique26.com/medical-weight-loss/weight-loss-injections/), adjusting their nutrition, or balancing demanding careers with aggressive health goals. In that context, Vitamin B12 supports the body’s ability to keep up: it assists red blood cell production, oxygen delivery, and energy metabolism. For patients who travel frequently or prefer to avoid weekly needles, the inclusion of the SculptPatch allows for consistent dosing without a clinic visit, ensuring that "busy" doesn't mean "depleted." Instead of treating Vitamin B12 as a standalone product, the team folds both injections and patches into a broader assessment that looks at symptoms, medical history, digestive function, and medications. It’s a small but critical piece of a structured approach that also considers [protein](https://www.physique26.com/medical-weight-loss/nutritional-recommendations/), strength training, metabolic support, and realistic recovery windows. #### Metabolism, Mood, Nerve Support *What Vitamin B12 Actually Does* Vitamin B12 is a water-soluble vitamin and an essential nutrient involved in DNA synthesis, red blood cell formation, and the protection of nerve cells. When levels are adequate, most people never think about it. When they’re low, or hovering at the low end of “normal” for a person with a demanding lifestyle, the cracks show up as fatigue, [brain fog](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/), reduced focus, mood shifts, and decreased [exercise tolerance](https://www.physique26.com/enhancements/levocarnitine-injections/). Because Vitamin B12 is tied so closely to the body’s metabolic processes and neurological function, Physique26 treats it as a measurable lever. The goal isn’t to chase extreme numbers; it’s to identify who may benefit based on real symptoms and context, then use the right delivery method (needle or patch) as an effective means of correction. Diet plays a role. Patients who avoid animal foods, have a limited diet, or live with certain gut conditions are more at risk. So are those using medications that interfere with absorption. For patients already pushing hard in work and training, there’s less margin for quiet deficiencies. #### Direct Route, Predictable Levels *Why Vitamin B12 Replenishments Make Sense Here* For many patients, oral B12 is enough. For others, it isn’t. Absorption can be reduced by age, gut health, GI surgery, or medications, making direct delivery methods more reliable for restoring function. At Physique26, we customize the route of administration to fit the patient’s lifestyle and biological needs: Your provider evaluates which route (or combination of routes) fits your physiology instead of defaulting to a single recommendation. #### Dosing with Data *The Physique26 Vitamin B12 Protocol* The process begins with a focused consultation (virtual or in person) to understand symptoms, medications, digestive factors, and any known risks for deficiency. Many Physique26 patients already have recent labs from their GLP-1 or metabolic programs, which makes it easier to see where B12 fits in the bigger picture. If injections are appropriate, dosing isn’t guesswork. Deficiency usually calls for a defined weekly schedule followed by reassessment once fatigue, cognition, and neurological markers stabilize. Patients with normal labs but high-demand lifestyles may follow a more flexible “performance schedule” during busy work cycles, travel, or calorie-restricted phases. Some patients transition to the SculptPatch once levels stabilize, using it as a maintenance tool that supports energy and metabolic output without sticking to a strict injection timeline. Others combine both: injections for correction, patches for between-visit support. The priority is clarity. Why each option is used, how long it’s needed, and what you should expect as levels normalize. #### Steadier Energy, Clearer Focus *Benefits You Can Expect* Used appropriately, Vitamin B12 can help improve energy in patients who are low or trending low-normal relative to their needs. Many patients report increased energy that feels steady rather than jittery, better focus and mental clarity in demanding work days, and improved mood when deficiency-driven fatigue and fog ease up. For patients in active weight loss or [GLP-1 programs](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/), adequate B12 supports red blood cell formation, oxygen delivery, and [energy production](https://www.physique26.com/enhancements/nad-injections/), which makes it easier to maintain movement, preserve lean mass, and engage with the plan instead of slipping into exhaustion. There can be secondary benefits to overall health and wellness markers when deficiency is corrected: better training quality, more stable mood, fewer days lost to drag. What Vitamin B12 does not do here: it does not function as a stand-alone weight loss agent, and it is not sold as a cure-all for vague symptoms without proper evaluation. That line is non-negotiable. *An Alternative: B12 Transdermal Support* For patients who prefer a needle-free option, the SculptPatch offers a transdermal route for steady Vitamin B12 delivery. It’s a maintenance-friendly choice for people who travel often, dislike injections, or want subtle support between in-office visits. It’s not a replacement for correcting deficiency, but it can help maintain energy, cognition, and metabolic output once levels are restored. #### When Labs And Life Agree *Good Candidates for Vitamin B12 Injections* Vitamin B12 support at Physique26 is considered for patients with real indicators, not just anyone curious about a trend. You might be a good candidate if you: - Are in a structured weight loss plan. - Follow a restrictive or plant-based diet. - Have a history of GI or bariatric surgery. - Manage ongoing fatigue that doesn’t match your sleep schedule. - Are needle-averse but need stronger support than oral supplements (making you an ideal candidate for the SculptPatch). In each case, the team looks at symptoms and your wider lifestyle before moving ahead. The aim is to determine when B12 will serve as meaningful metabolic support and when your energy issues point somewhere else entirely. #### Pharmacy-Grade Tracked Outcomes *What to Expect from a B12 Replenishment* A Vitamin B12 Replenishment at Physique26 is quick and direct. The medication is administered intramuscularly in a controlled setting using a pharmacy-grade product. Mild soreness at the injection site is the most common effect. Serious reactions are rare and discussed openly, along with clear guidance on when to contact the team. Because B12 is a water-soluble vitamin, excess is generally excreted in urine, but that doesn’t mean unlimited dosing is appropriate. Thoughtful protocols, real charts, and ongoing observation matter, especially when B12 is one piece of a more complex plan that may include GLP-1s, IV therapy partners, or other vitamin injections such as vitamin C-based blends for immune system or wellness support. If you see B12 marketed as limitless, routine, and context-free, that’s a red flag. Here, it’s framed honestly: evidence-informed, monitored, and used with respect for the rest of your physiology. #### Metabolism Support During Deficit *Vitamin B12 Replenishments and Weight Loss* There’s persistent confusion online about B12 as a fat-burning shot. In reality, Vitamin B12 supports weight loss indirectly for the right patient: by easing deficiency-driven fatigue, stabilizing [neurological function](https://www.physique26.com/enhancements/low-dose-naltrexone/), protecting red blood cell formation, and helping you maintain movement, structure, and adherence. At Physique26, B12 is paired with GLP-1 protocols, nutrition coaching, and strength training guidance. It supports the body rather than pretending to replace real work. If your levels are already robust and your fatigue is tied to sleep or stress, you’ll hear that directly. #### Cost, Access, And Practical Details *How Often, How It’s Billed, and Insurance Notes* Frequency varies. Some patients need a focused course of weekly injections. Others transition to less frequent maintenance or shift to oral support once levels and symptoms normalize. Your provider will map this out so you understand the rationale and endpoint rather than feeling locked into indefinite visits. Physique26 operates primarily as a self-pay model for Vitamin B12 injections and related services. Many patients use HSA or FSA funds. Major insurance providers and most PPO insurance plans typically do not cover B12 injections in this context, and the team won’t overstate coverage to win a booking. If you’d like documentation to submit to your PPO insurance plans, that can be discussed during your consultation. Transparency applies to billing as much as it does to dosing. #### Why Physique26 for Vitamin B12 in Beverly Hills *Precision Care for High-Standard Patients* Choosing Vitamin B12 in Beverly Hills means you have options, from IV lounges to concierge practices. Physique26 stands as a physician-led program built inside a respected aesthetic and surgical environment, with protocols that already account for complex weight loss cases, metabolic health, and aesthetic outcomes. Here, Vitamin B12 is: - Used under medical supervision, never in isolation from your medical history. - Integrated with your lifestyle, training, and workload. - Aligned with personalized care instead of generic drip menus. - Many patients find that alignment matters more than any single injection. The next step is simple: schedule a consultation with Physique26 to see if Vitamin B12 injections belong in your plan, or if your energy, mood, and focus call for a different strategy entirely. #### Vitamin B12 Injections at Physique26 *Frequently Asked Questions* --- ## Weight Loss Injections **Link:** [Weight Loss Injections](https://www.physique26.com/medical-weight-loss/weight-loss-injections/) ([md](https://www.physique26.com/medical-weight-loss/weight-loss-injections/index.html.md)) **Type:** Service **Description:** Physician-supervised semaglutide and tirzepatide weight loss injections in Beverly Hills. Glycine-compounded, microdosed, shipped to most states. Book today. ### Content #### Revolutionize Your Weight Loss Journey *Why Choose Physique26 for Weight Loss Injections?* Our personalized weight loss solutions are designed to help you achieve your health goals while improving your overall wellness. Weight loss injection options like semaglutide and tirzepatide combine advanced science with expert care to deliver sustainable results. Under the guidance of Dr. Sheila Nazarian and her dedicated team, you’ll receive a tailored program to [optimize your health](https://www.physique26.com/enhancements/levocarnitine-injections/), manage insulin resistance, and support long-term weight management. *Weight Loss Injections at a Glance* - **Active Ingredients: **Semaglutide (GLP-1 agonist) and Tirzepatide ([GLP-1 and GIP agonist](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/)). - **Purpose:** Regulate appetite, improve insulin sensitivity, and support sustainable weight loss. - **Health Benefits: **Cardiovascular protection, reduced stroke risk, and longer life expectancy. - **Convenience:** Sourced from a compounding pharmacy for cost savings and dosing flexibility. - **Administration: **Easy self-injection with insulin syringes after professional guidance. #### The Future of Weight Management *What are weight loss injections?* Weight loss injections utilize medications like semaglutide and tirzepatide to help regulate appetite, insulin levels, and blood sugar. These medications mimic the effects of hormones such as GLP-1 and GIP, which naturally occur in the body and play a role in reducing hunger and improving metabolism. By enhancing insulin sensitivity and [curbing cravings](https://www.physique26.com/enhancements/low-dose-naltrexone/), weight loss injections can make it easier to achieve and maintain a healthy weight. They are particularly beneficial for individuals experiencing insulin resistance, a common condition that hinders weight loss and can lead to fatigue and sugar cravings. #### Personalized Support for Sustainable Results *What is the weight loss injection procedure like?* After an initial consultation to evaluate your health and goals, your provider will guide you on how to self-administer the injections using an insulin syringe. Unlike prefilled auto-injectors, the vial system allows for dose adjustments to match your needs over time. You’ll typically administer the medication weekly, with [ongoing support and guidance](https://www.physique26.com/medical-weight-loss/weight-loss-program/) from the Physique26 team to monitor your progress and optimize your results. For those interested in a more comprehensive approach to weight management, our [holistic weight loss program](/medical-weight-loss/weight-loss-program/), combines medical weight loss with nutrition counseling and ongoing guidance for your journey. #### Achieve Your Goals with Precision and Care *What are the benefits of weight loss injections?* Weight loss injections can provide transformative health benefits. By improving insulin sensitivity, these medications combat insulin resistance, helping to stabilize blood sugar levels and reduce fatigue and cravings. Patients often notice [enhanced energy levels](https://www.physique26.com/enhancements/nad-injections/), better metabolic health, and significant reductions in excess fat. With a personalized plan from Physique26, you’ll experience sustainable results that improve both your physical and [mental well-being](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/). #### Start Your Path to Confidence *Are weight loss injections right for me?* If you’ve struggled to lose weight through traditional methods like diet and exercise, weight loss injections could be the solution you need. They’re especially effective for individuals dealing with insulin resistance or other metabolic challenges. They are suitable for adults with a body mass index (BMI) of 30 or higher, or those with a BMI of 27 or higher who also have weight-related health conditions such as hypertension, type 2 diabetes, or high cholesterol. These injections are safe for most patients but may not be suitable if you have specific medical conditions or are pregnant or breastfeeding. During your consultation, we’ll assess your medical history and goals to determine if this approach is right for you. #### Embrace Your Best Self *Weight Loss Injections Results* Results with weight loss injections are both significant and sustainable. Many patients notice a reduction in appetite and improved energy within weeks, with steady weight loss occurring over several months. Beyond the visible changes, you’ll experience improved [metabolic health](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) and reduced risks for chronic conditions, including cardiovascular disease and type 2 diabetes. With ongoing treatment and lifestyle adjustments, these results can last long-term, helping you maintain your ideal weight and live a healthier, more vibrant life. #### Weight Loss Injections *Frequently Asked Questions* --- ## Euphoria Cream (L-Arginine / Oxytocin / Niacin) **Link:** [Euphoria Cream (L-Arginine / Oxytocin / Niacin)](https://www.physique26.com/enhancements/euphoria-cream/) ([md](https://www.physique26.com/enhancements/euphoria-cream/index.html.md)) **Type:** Service **Description:** Euphoria Cream: Doctor-supervised topical oxytocin + L-Arginine for sleep, stress relief & intimacy. Customized formulation. Works in 10-20 min. ### Content #### Smart Intimate Wellness Sexual wellness has become crowded with products that promise a lot and explain very little. Oils, gels, gummies—most of them lean on marketing copy and “tingle” language instead of physiology, leaving people to guess what’s actually happening under the surface. The curiosity is real. The information rarely is. Euphoria Cream lives in a different category. It’s a compounded, physician-guided formula built around three active ingredients—L-arginine, oxytocin, and niacin—chosen for their roles in arousal, circulation, sensitivity, and connection. Used topically, it’s a quiet, practical tool for people who want more responsiveness, more ease, and fewer barriers when intimacy actually happens. No theatrics, no big claims—just a targeted formula with a medical backbone. At Physique26 in Beverly Hills, we offer Euphoria Cream as part of personalized, adult sexual wellness care. It’s for patients who want something functional, predictable, and grounded in physiology—not a novelty product wrapped in euphemisms. #### Intimacy Deserves Better Than Mystery Gels *Rethinking Intimate Wellness Support* Intimate wellness is often treated like an afterthought—an aisle of warming gels that all feel the same and rarely do more than mask a problem. The gap isn’t desire; it’s real, mechanistic support. Arousal isn’t a mood issue. It’s circulation, nerve responsiveness, hormones, context, and the ability to shift gears when life is already busy. Most over-the-counter “female libido boosters” focus on sensation for sensation’s sake. They can be fun, but they don’t do much for the people who struggle with actual responsiveness, inconsistent arousal, or the physiological effects of [stress](https://www.physique26.com/enhancements/nad-injections/), aging, postpartum changes, or medication. The patients who reach for Euphoria Cream aren’t looking for a shortcut. They’re looking for clarity: something that works with their biology, not around it. A formula that has a defined pathway—more blood flow where it matters, better signaling, a softer nervous system—rather than vague marketing promises. #### Arousal Support, Not A Party Trick *What Euphoria Cream Actually Is* Euphoria Cream is a compounded topical medication—not a cosmetic and not a generic “warming” cream. It’s prepared by a pharmacy, dispensed under medical guidance, and formulated to support arousal and sensitivity through three key pathways. L-Arginine supports nitric oxide production, which drives localized vasodilation—more blood flow to the external genital tissues, more capacity for sensation. Niacin creates a gentle flush and warmth that improves microcirculation. It also enhances tissue awareness, making it easier to “arrive” physiologically when intimacy begins. Oxytocin, applied topically, is used for its role in relaxation, bonding, and helping the body transition out of high-alert states. Arousal becomes more accessible when the nervous system isn’t doing its own thing in the background. Together, these ingredients offer a more grounded, biologically coherent approach to sexual wellness—something you can actually understand, track, and adjust as you go. #### Circulation Finally Joins The Moment *How Euphoria Cream Works in the Body* Arousal is a physiological sequence, not a mystery. It starts with circulation, continues with nerve activation, and settles into a state where your body can respond instead of resisting. Euphoria Cream works by stepping into those early stages and making them more accessible. The L-arginine component supports nitric oxide production, which signals small blood vessels in the external genital tissues to open. More blood flow means more sensitivity, fuller tissue response, and a faster shift into arousal when intimacy begins. It’s subtle but noticeable—an “I can feel this more clearly” effect rather than a dramatic jolt. Niacin adds a soft warmth and heightened awareness to the area. It’s the gentle flush most people notice first, a cue that circulation has increased and the tissue is primed. For many patients, this warmth makes it easier to stay connected to physical sensation instead of feeling muted or delayed. Oxytocin contributes through a different channel. Applied topically, it supports relaxation and bonding pathways—important for people whose arousal is impacted by stress, tension, or difficulty transitioning out of a [heightened mental state](https://www.physique26.com/enhancements/methylene-blue-capsules-for-brain-health/). A calmer nervous system makes arousal less effortful. When these ingredients work together, they give the body a cleaner on-ramp into intimacy, without forcing a particular response or mimicking arousal artificially. #### For When Desire Shows Up First *Who Might Consider Euphoria Cream at Physique26* Most patients who explore Euphoria aren’t searching for a “fix.” They’re simply noticing a shift: arousal feels slower, sensitivity is inconsistent, or desire doesn’t reliably line up with their intentions. Sometimes this comes with age or stress. Sometimes it follows childbirth, [hormonal changes](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/), or medication. Sometimes it’s just the reality of a busy life and a brain that doesn’t downshift easily. Euphoria works well for people who still feel desire but want the physical response to meet them halfway. It also helps patients who experience muted sensation during intimacy, difficulty staying engaged once things begin, or a sense of disconnect between mental and physical readiness. For individuals who’ve tried lifestyle changes, lubricants, or timing adjustments and still feel like something’s missing, a targeted topical can fill that gap. It’s not ideal for every scenario. If pain, pelvic floor tension, severe dryness, or hormonal imbalances are contributing factors, those need to be addressed first. Our job at Physique26 is to help you figure out whether this cream belongs in your plan—or whether your body is asking for something different entirely. The goal isn’t to add products. It’s to create a sexual wellness setup that feels functional, responsive, and actually sustainable. #### Less Guessing, More “I’m Ready” *What You Can Realistically Expect* Most patients feel a shift within 10–30 minutes of applying Euphoria Cream. The first sensations are typically warmth, awareness, and a fuller, more responsive feeling in the external genital tissues. It’s not overwhelming, and it doesn’t mimic arousal on its own. It simply lowers the threshold for your body to respond when intimacy begins. Over time—across multiple uses—some patients notice a pattern: easier transitions into intimacy, less guesswork about whether their body will “cooperate,” and a sense of staying present in the experience rather than getting pulled into mental noise. Sensitivity may become more consistent, and arousal can feel more accessible even after long days or high-stress cycles. Every response is unique. Some patients find Euphoria becomes a go-to tool; others notice subtler shifts and use it situationally. A small percentage don’t feel much at all, which is why we reassess after a handful of applications. The goal is clarity, not commitment. #### Apply, Exhale, Let Your Body Answer *How to Use Euphoria Cream* Most patients apply a dime-sized amount to the external genital area—focusing on the clitoral region and surrounding tissues—about 10 to 20 minutes before intimacy. The cream is meant for external use only unless your provider gives specific directions. You can use Euphoria on a schedule or only when you want it. Some patients apply it during solo exploration first to understand their response without pressure; others prefer first use with a trusted partner. Both are valid approaches. It’s compatible with most toys and condoms, but checking ingredient interactions is part of your intake. Communication helps too. Discussing Euphoria with a partner often removes the assumption that something is “wrong,” and reframes it as a shared experience: an experiment in sensation, ease, and connection rather than a correction. #### Turn On, Without Ignoring Red Flags *Safety, Side Effects, and When to Avoid It* Euphoria Cream is generally well-tolerated, but like any topical medication, it has boundaries. Mild warmth, tingling, or redness are common and expected, especially due to niacin’s effect on microcirculation. These sensations usually fade within minutes. We avoid Euphoria in patients with a history of significant vulvar irritation, active dermatologic conditions in the area, or known sensitivity to any ingredient. Pelvic pain conditions—such as vaginismus or vestibulodynia—may worsen with added stimulation, so these patients require a separate evaluation before considering the cream. Pregnancy and breastfeeding are caution zones. While topical absorption is limited, we take a conservative approach and often wait until the postpartum period has stabilized. As always, the purpose of a medical consult is to make sure your use of the cream fits your physiology, your sexual health history, and the realities of your life—not an idealized version of it. #### Intimacy As Part Of Your Health *How Euphoria Fits Into a Larger Wellness Plan* Euphoria is most effective when it joins a broader sexual wellness strategy. For many patients, desire and arousal aren’t psychological issues—they’re downstream of sleep quality, stress loads, hormonal stability, [metabolic shifts](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/), or the physical changes that accompany GLP-1 use or weight fluctuations. At Physique26, we often pair Euphoria with targeted hormone evaluation, stress-modulating strategies, pelvic floor referrals when needed, and support for lubrication or [tissue comfort](https://www.physique26.com/enhancements/cashmere-anti-aging-cream/). Intimacy is complicated; physiology doesn’t exist in a silo. Arousal creams can help, but the best results happen when the rest of your health is aligned. Euphoria isn’t meant to replace your foundations. It enhances them. It creates more space for pleasure and less resistance at the moment when presence matters most. #### More Than Just Warm And Slippery *Euphoria Cream vs. Retail Arousal Creams & Lubricants* Most retail arousal creams rely on sensation—heat, tingles, or cooling agents meant to heighten awareness. These can be enjoyable, but they don’t meaningfully change circulation, nerve response, or the neurochemical factors that influence arousal. Euphoria Cream works on defined mechanisms: nitric oxide production, microcirculation, and oxytocin-related relaxation. It isn’t a cosmetic and isn’t built for immediate theatrics. It’s a pharmaceutical-grade formulation prepared by a compounding pharmacy with consistent dosing and batch testing. Lubricants still have their place. If dryness is the only issue, a good lube solves that cleanly. Euphoria is for the person who wants deeper support—for the physiology behind desire, not just the friction in the moment. #### Private, Streamlined, Adult-Level Care *Pricing, Access, and What Working With Physique26 Looks Like* Starting Euphoria Cream begins with a brief telehealth consult and a targeted sexual wellness intake. From there, your prescription is compounded and shipped directly to your home. Pricing is self-pay and depends on strength and supply; HSA and FSA payments are often accepted. Most patients check in after a few uses to confirm whether the response is meaningful, too mild, or needs an adjustment. If there’s no clear improvement after a reasonable trial period, we pivot. Intimate wellness deserves options, not loyalty to a product that isn’t serving you. #### Sexual Health, But Chic *Why Physique26 for Intimate Wellness* Physique26 approaches sexual wellness the same way we approach metabolic and aesthetic care: through the lens of physiology, design, and a patient’s real life. Intimacy isn’t a side note. It’s part of [overall vitality](https://www.physique26.com/peptides-and-enhancements/)—affected by every system in the body. Our team handles these conversations with clarity and discretion. No dramatics. No euphemisms. Just smart, mechanism-based guidance and tools that are chosen for a reason, not a trend. #### Euphoria Cream (L-Arginine / Oxytocin / Niacin) *Frequently Asked Questions* --- ## Low Dose Naltrexone **Link:** [Low Dose Naltrexone](https://www.physique26.com/enhancements/low-dose-naltrexone/) ([md](https://www.physique26.com/enhancements/low-dose-naltrexone/index.html.md)) **Type:** Service **Description:** Low Dose Naltrexone (LDN) is a low-dose immune modulator used for weight loss, inflammation, and chronic fatigue. Physician-managed LDN protocols at Physique26 Beverly Hills. ### Content #### Inflammation Is The New Aging In the world of high-performance health and aesthetics, inflammation is often the invisible barrier. You can perfect your skincare, dial in a healthy diet, and commit to an active lifestyle, yet still feel the drag of systemic resistance—whether that shows up as reactive skin, slow recovery, [chronic fatigue](https://www.physique26.com/enhancements/nad-injections/), or a mood that doesn’t quite match your metrics. At Physique26 in Beverly Hills, we view Low Dose Naltrexone (LDN) as a sophisticated tool for modulating the body’s internal environment. While originally developed for entirely different medical purposes, low dose naltrexone has emerged as a compelling option for patients seeking to lower inflammatory "noise," support the immune system, and quiet the signals that drive chronic pain, autoimmune flares, and skin reactivity. This isn’t about masking symptoms. It is about using a targeted medication to help the body regulate itself more effectively. By working with the central nervous system to upregulate endogenous endorphins, LDN offers a holistic approach to wellness that aligns with the physiology of high-output individuals. #### The Science Of Doing Less *What is Low Dose Naltrexone (LDN)?* Low dose naltrexone (LDN) refers to the use of naltrexone at roughly one-tenth (or less) of the standard dose. While the full-strength version was FDA-approved decades ago for opioid addiction and alcohol dependence, the low-dose protocol—typically 0.5 mg to 4.5 mg—behaves completely differently. At this microdose, the medication acts as a gentle modulator rather than a heavy blocker. It creates a brief, temporary blockade of opioid receptors, which triggers a rebound effect: the body responds by producing more of its own [endorphins](https://www.physique26.com/enhancements/euphoria-cream/) and enkephalins. These natural peptides are powerful regulators. They don’t just influence pain relief; they play a critical role in immune function, cell growth, and inflammatory signaling. For patients in Los Angeles and West Hollywood dealing with chronic conditions or simply trying to optimize recovery, this mechanism offers a unique advantage. It supports overall health without the sedation, dependency, or "medicated" feeling often associated with traditional methods of treating pain or inflammation. #### Redness Is A Tell *Why Physique26 Prescribes LDN* Why is a practice known for body composition and aesthetics focusing on an immunomodulator? Because inflammation is the enemy of aesthetic results. When the body is in a chronically reactive state, resources are diverted to fighting perceived threats rather than repairing tissue. This state can manifest as: - Persistent discomfort or stiffness after exercise. - Reactive skin conditions like eczema, psoriasis, or acne. - Muscle weakness or an inability to build [lean muscle mass](https://www.physique26.com/enhancements/sermorelin-injections-and-nasal-spray/) despite training. - "Puffy" or inflamed tissue that resists definition. By incorporating a customized treatment plan with LDN, we aim to lower that systemic inflammatory load. When the immune system stops fighting unnecessary battles, the body can focus on what you actually want it to do: healing surgical incisions, building collagen, recovering from workouts, and maintaining metabolic stability. #### Calming The Invisible Flare *Conditions We Treat & Support* While Physique26 focuses on optimization, many of our patients come to us managing underlying issues that limit their quality of life. Clinical studies and patient reports suggest potential benefits for a wide range of issues. #### Hack Your Own Endorphins *The Physiology: How LDN Works* Understanding the mechanism helps clarify why such a low dose naltrexone can have such broad effects. #### Gut Health Is Skin Health *Integration with Lifestyle & Metabolism* #### Dosing Is An Art *The Physique26 Protocol* Customized Treatment Plan In Beverly Hills, medicine is personal. We do not hand out a standard script and send you on your way. Your protocol is built around your specific physiology. #### No Fog, Just Function *Safety & Side Effects* One of the reasons LDN is gaining popularity among doctors and patients alike is its safety profile. Because the dosage is so low, the risk of serious adverse events is minimal compared to steroids or biologics often used for autoimmune conditions. - Vivid Dreams: This is the most reported side effect. It happens because of the endorphin rebound during REM sleep. For most, it settles in a week. If it disrupts sleep, we simply move the dose to the morning. - Transient Headaches: Mild headaches can occur during the first few days of titration. - No Dependence: Unlike opioids, naltrexone is not habit-forming. You do not build a tolerance, and there is no withdrawal if you stop. - Liver Safety: While high-dose naltrexone requires liver monitoring, low dose naltrexone has not been shown to carry the same risks. However, we always review liver health as part of your intake. #### Repurposed For Performance *The Medical Context* Separating Past from Present It is important to distinguish low dose naltrexone from its history. Naltrexone was originally approved in 1984 for blocking opioid receptors completely to treat opioid addiction. Later, it was used for alcohol dependence to reduce cravings. In those contexts, the standard dose is 50 mg or higher. That dosage creates a continuous blockade—meaning no endorphins get through. That is *not* what we are doing here. At Physique26, we are using a fraction of that amount (approx. 4 mg) to create a pulsatile effect. This distinction is vital. We are not treating addiction; we are treating dysregulation. #### Biology for Beauty *Why Choose Physique26?* Navigating chronic pain conditions, inflammation, or aesthetic recovery requires more than just a prescription pad. It requires a doctor and a team who understand the interplay between mental health, physical performance, and metabolic data. Our approach is different: - Physiology First: We don’t guess. We look at root causes. - Integrated Care: We consider how LDN fits with your diet, your exercise routine, and your aesthetic procedures. - Patient Education: We want you to understand how LDN works so you can be an active participant in your recovery. Whether you are trying to heal from surgery, manage fibromyalgia, or simply lower the inflammatory noise of modern life, our team in Beverly Hills is ready to build a plan that works. #### Ready to lower the inflammatory volume? Contact Physique26 in Beverly Hills to schedule your consultation. Let’s determine if Low Dose Naltrexone is the missing link in your treatment options for a calmer, more resilient body. #### Low Dose Naltrexone *Frequently Asked Questions* --- ## Cedar Oral **Link:** [Cedar Oral](https://www.physique26.com/enhancements/cedar-oral/) ([md](https://www.physique26.com/enhancements/cedar-oral/index.html.md)) **Type:** Service **Description:** Cedar Oral combines oral minoxidil and finasteride to treat pattern hair loss and thinning. Physician-directed, GLP-1 compatible, and available at Physique26 in Beverly Hills. ### Content #### (Biotin • Finasteride • Minoxidil) Hair loss plans that work are simple to follow and easy to measure. If you’ve tried topicals and missed doses, or you’re seeing pattern thinning speed up during weight changes, you’re likely looking for a pill-based protocol that fits a busy week and still moves the needle. Cedar Oral is the physician-directed regimen at Physique26 in Beverly Hills. It combines finasteride to lower scalp DHT, low-dose oral minoxidil to keep hairs in the growth phase longer, and biotin only when diet or labs suggest a gap. The aim is straightforward: slow miniaturization, improve caliber and density, and track progress with consistent photos and set follow-ups. #### Oral Protocol, Clinic Oversight *What is Cedar Oral?* Cedar Oral is a three-agent regimen that addresses the two forces most responsible for common thinning—hormone-driven miniaturization and short growth cycles—while covering basic cofactors when appropriate. #### Target Hormones, Support Follicles *How It Works Biologically* #### Pattern Thinning With Momentum *Who’s a Good Candidate* Cedar Oral fits adults with pattern thinning who want a pill-based plan and are comfortable with medical monitoring. Men with Norwood stage 2–5 often do well. Women may be candidates in select cases—post-menopause or with reliable contraception—after reviewing options and risks. It’s also useful for patients in active [medical weight loss](https://www.physique26.com/medical-weight-loss/weight-loss-program/) who notice increased shedding (telogen effluvium) or unmasking of AGA during rapid change. We’ll steer you elsewhere if scarring alopecias are suspected, if traction habits continue, or if inflammatory scalp disease is active and untreated. #### Baseline. Dose. Track. Adjust. *The Physique26 Process* #### Stabilize By Month Four *Timeline & Expectations* Months 1–2 can feel uneventful or even a touch shed-heavy as cycles reset. By months 3–4, shed rates usually settle, and early density cues show up at the crown or part. Months 6–12 are when most patients notice meaningful thickening and coverage. Stop the plan and hair gradually trends back to its baseline over months; maintenance is part of the conversation from day one. #### Screened, Documented, Monitored *Safety, Side Effects & Contraindications* #### Pills or Drops *Cedar Oral vs. Other Options* Some patients prefer topical minoxidil for a lower systemic footprint; others can’t abide the mess or irritation. Dutasteride has a stronger DHT-lowering effect but carries different trade-offs. PRP and microneedling can complement medical therapy for recruitment and caliber, while transplant is a structural solution for advanced loss once medical therapy is stabilized. We map choices to your goals, time, and risk tolerance—then commit to a path you can actually follow. #### Postpartum Shed, Planned Support *Guidance for Women* Finasteride use in women is restricted and off-label; we have direct conversations about contraception and alternative paths. Spironolactone is often discussed as an anti-androgen option. For postpartum and perimenopausal shedding, we separate temporary telogen effluvium from underlying AGA so expectations stay realistic. If oral minoxidil is used, dosing is conservative, and side effects are reviewed in detail. #### Sleep, Stress, Scalp Care *Lifestyle & Everyday Hair Practices* Hair responds to consistent inputs. We talk protein targets, ferritin support when low, sleep and stress basics, and gentle styling. If seborrheic dermatitis is part of the picture, medicated shampoos lower [inflammation](https://www.physique26.com/enhancements/low-dose-naltrexone/) that can worsen shedding. Heat and traction rules are kept simple so you’ll actually follow them. #### Refills Tied To Check-Ins *Pricing, Access & Coverage* Cedar Oral is prescribed through Physique26 after evaluation. This is typically self-pay; HSA/FSA receipts are available. Refills align with check-ins. Shipping is available where compliant. Most insurers don’t cover AGA medications; we can provide documentation if you choose to submit. #### Hair Support Alongside GLP-1 *Cedar Oral Inside Physique26* If you’re on [GLP-1 therapy](https://www.physique26.com/medical-weight-loss/glp-1-squared-dual-action-metabolic-therapy/), we integrate hair support from the start, so shedding doesn’t derail your mood or training. Skin protocols (think AM vitamin C and SPF, night retinoid like [Cashmere](https://www.physique26.com/enhancements/cashmere-anti-aging-cream/)) run alongside, so your face and hair move in the same direction. You get a single team, one chart, and a plan that respects your calendar. #### Cedar Oral (Biotin/Finasteride/Minoxidil) *Frequently Asked Questions* --- ## GLOW Peptide Injections **Link:** [GLOW Peptide Injections](https://www.physique26.com/enhancements/glow-peptide-injections/) ([md](https://www.physique26.com/enhancements/glow-peptide-injections/index.html.md)) **Type:** Service **Description:** Physician-guided GLOW peptide injections in Beverly Hills combine GHK-Cu, BPC-157, and TB-500 to support skin vitality, recovery, and healthy aging. ### Content If your skin seems less vibrant and your body takes longer to recover, GLOW provides a physician-guided way to support both your appearance and recovery from the inside out. This personalized blend of GHK-Cu, BPC-157, and TB-500 helps promote skin vitality, healthy collagen, soft-tissue recovery, and overall resilience. At Physique26 in Beverly Hills, your treatment plan is tailored to your goals, health history, and how you respond. You’ll get clear instructions, education on injections, and ongoing support from a medical team that understands the connection between skin, strength, recovery, and healthy aging. #### A Brighter Approach to Skin and Recovery *What is GLOW?* **GLOW is a clinician-prescribed injectable blend of three complementary peptides: GHK-Cu, BPC-157, and TB-500. Together, they are used to support skin quality, collagen and elastin activity, cellular repair, and physical recovery.** Peptides are short chains of amino acids that act as messengers throughout the body. Each ingredient in GLOW has a distinct role, giving the blend a broader focus than a single-purpose skin product or recovery treatment. This approach offers a simple plan for people who want to look refreshed, feel stronger, and support their body’s natural renewal with medical guidance. #### GLOW at a Glance - **Best for:** Adults interested in skin vitality, healthy aging, and physical recovery - **Service type:** Physician-guided peptide therapy - **Key ingredients:** GHK-Cu, BPC-157, and TB-500 - **Delivery:** Subcutaneous injection - **Appointment length:** Varies according to your consultation and treatment plan - **Downtime:** None for most patients - **Typical initial plan:** One or two injections per week for four to six weeks - **When changes may appear:** A few weeks to a few months - **Maintenance:** Often every other month as tolerated and directed by your provider - **Pricing:** Contact the Physique26 office for current pricing #### What Can GLOW Support? GLOW is made for people who care about both how they look and how they feel. Some want smoother, firmer skin, while others need extra support for recovery after workouts, weight loss, or cosmetic treatments. Many like having a plan that covers both. Potential benefits may include: - Firmer, more youthful-looking skin - Support for collagen and elastin production - Smoother skin texture and a more radiant appearance - Improved microcirculation and oxygen delivery to skin and soft tissue - Support for healthy hair and nails - More comfortable recovery after exercise or physical stress - Support for tendons, ligaments, and muscles - Balanced inflammatory and oxidative-stress responses - Restorative sleep, recovery, and overall vitality Your provider will help you focus on the results that matter most to you and find practical ways to track your progress. Results and timelines are different for everyone. #### What Is in the GLOW Peptide Blend? #### How Do GLOW Peptide Injections Work? GLOW is designed to support several connected processes within the body. **Collagen and elastin activity:** GHK-Cu supports signals associated with the structural proteins that help skin look firm, smooth, and resilient. **Microcirculation:** GHK-Cu and TB-500 are associated with vascular activity that helps deliver oxygen and nutrients to skin and soft tissue. **Cellular repair:** BPC-157 and TB-500 support pathways involved in cell movement and tissue remodeling after physical stress. **Inflammatory balance:** All three peptides are used in protocols designed to support a balanced response to inflammation and oxidative stress. **Whole-body recovery:** By combining skin and soft-tissue support, GLOW can fit naturally into a broader plan for exercise, healthy aging, weight management, or aesthetic maintenance. GLOW works over time. Staying consistent, keeping hydrated, getting enough sleep, eating well, protecting your skin from the sun, strength training, and following your usual skin-care routine all make a difference. #### Is GLOW Right for You? GLOW may be a good fit if you want to support skin quality and physical recovery within one physician-guided plan. Patients often consider the blend when they: - Notice changes in skin firmness, texture, or radiance - Want to support collagen as part of a healthy-aging routine - Recover slowly from workouts or an active schedule - Want added soft-tissue support - Are navigating changes in skin or body composition during weight loss - Want to complement an aesthetic treatment or maintenance plan - Prefer personalized dosing and medical follow-up During your consultation, the Physique26 team will review your goals, current medications, health history, and any other treatments. Your provider will decide if GLOW is right for you and adjust the plan to fit your needs. #### What Happens During Your GLOW Consultation? #### When Will I Notice GLOW Results? Results are different for everyone and may show up in a few weeks or a few months. Some people first notice their skin looks more hydrated or refreshed. Others see better recovery, easier movement, or more steady wellness habits. Improvements in texture, firmness, and collagen usually take time. Your starting point, age, skin quality, activity, nutrition, sleep, and how consistent you are with treatment all affect how quickly you see results. Physique26 may recommend photographs, waist or body-composition data, or simple recovery markers to help you assess changes more objectively. #### How Often Are GLOW Injections Given? GLOW can be administered one or two times per week for an initial four- to six-week period. Your provider will discuss the schedule with you and personalize it according to your goals and how you tolerate treatment. After the first round of treatments, maintenance is often scheduled every other month if you tolerate it well. Your dose, frequency, and treatment length may be different, so always follow your personalized instructions. #### Are There Side Effects? GLOW is made to fit easily into your routine. You might notice some temporary redness, tenderness, itching, bruising, or mild swelling where you get the injection. Some people may also have a headache, nausea, or feel tired. Your provider will review relevant precautions and what to do if you experience a reaction. GLOW is a clinician-prescribed compounded peptide formulation, and individual responses vary. #### How Much Do GLOW Peptide Injections Cost in Beverly Hills? Pricing depends on your personalized treatment plan and recommended schedule. Please contact the Physique26 office for exact GLOW pricing and current availability. #### Why Choose Physique26 for GLOW? Peptide therapy is most effective when every part of your plan has a purpose. At Physique26, you get personalized treatment along with medical guidance and support, so you always know what to expect and feel taken care of. Led by board-certified plastic surgeon Sheila Nazarian, MD, the Beverly Hills team understands the relationship between skin quality, body composition, weight management, strength, and recovery. That wider perspective helps your provider decide how GLOW fits into your full wellness plan. Your care may include: - A personalized medical evaluation - Dosing selected around your goals and response - Injection education and practical at-home guidance - Coordination with skin, hair, fitness, and weight-management services - Follow-up and direct access to your care team - Adjustments as your needs change This medical plan is designed to truly support how you want to look, feel, and live, with real follow-through at every step. #### Bring Your Radiance and Recovery Into Focus Healthy-looking skin and better recovery both depend on how your body renews itself. GLOW brings these goals together in one personalized plan, guided by a team that considers your whole health. Book a consultation with Physique26 in Beverly Hills to find out how GLOW can fit into your skin, recovery, and healthy aging routine. [Schedule Your GLOW Consultation](/consultation/) #### GLOW Peptide Injections *Frequently Asked Questions* ---