Walnut Creek Aesthetics GLP-1 and Tirzepatide Program Protocol

Purpose

To provide a structured protocol for the administration and management of GLP-1 and Tirzepatide treatments at Walnut Creek Aesthetics, ensuring consistent, safe, and effective patient care.

Step-by-Step Protocol

1. Patient Intake and Pre-Treatment Assessment

1.1 Registration:

• Ensure the patient completes all necessary registration and consent forms.
• Verify that the General Fitness Evaluation (GFE) has been conducted.

1.2 Health Screening:

• Confirm the absence of contraindications:
  • Significant gastrointestinal disease.
  • Pregnancy or breastfeeding.
  • Severe allergies to medication components.

• Record self-reported weight and health status.

1.3 Patient Education:

• Explain the mechanism of action and benefits of Tirzepatide.
• Discuss treatment expectations and address patient questions.
• Inform the patient of potential side effects and how to manage them.

2. Dosage and Administration

2.1 Initial Dose:

• Start with 2.5 mg or 5 mg once weekly for four weeks.
• Higher doses require medical approval.

2.2 Titration:

• Evaluate dose every four weeks:
  • No/minimal side effects + weight loss plateau: Increase by 2.5 mg.
  • No/minimal side effects + effective weight loss: Maintain dose.
  • Intolerance to side effects: Decrease by 2.5 mg.

• Maximum dose: 15 mg once weekly (requires approval).

2.3 Injection Guidelines:

• Use 0.5cc syringe with 5/16″ 30g needle.
• Rotate injection sites:
  • Abdomen.
  • Front of thigh.
  • Back of upper arm.
• Administer each injectable at a different site if multiple injections are required.

3. Treatment Workflow

3.1 Arrival:

• Walk-ins welcome; ensure same-day treatment availability.

3.2 Evaluation:

• Verify completed forms and GFE.
• Conduct a brief health check.

3.3 Payment:

• Process payment before administering treatment.
  • Single injection: $175.
  • 4-injection bundle: $500.

3.4 Injection:

• Administer the approved dose per protocol.
• Ensure proper documentation of the treatment.

3.5 Follow-Up:

• Schedule the next visit.
• Reassess patient progress and adjust dose as needed every four weeks.

4. Post-Treatment and Inventory Management

4.1 Post-Treatment Care

• Advise on managing side effects:
  • OTC therapies for gastrointestinal discomfort.
  • Contact clinic for persistent side effects.
• Provide aftercare instructions.

4.2 Inventory Management:

• Mark the opening date on vials.
• Store in the medical refrigerator (36°F to 46°F / 2°C to 8°C).
• Dispose of opened vials after 30 days.
• Contact supervisor if storage protocol is breached.

5. Add-On Services: NAD+ Injections

5.1 Indications:

• Restores NAD+ levels for improved energy, skin elasticity, and metabolic health.
• Addresses brain fog and aging-related declines.

5.2 Dosage:

• Administer once-weekly injections.
• Missed doses do not reduce treatment efficacy.

Key Notes

• Same-day treatments are available for walk-ins.
• Tirzepatide is not eligible for discounts, exchanges, or store credits.
• Bundle treatments with services like RFM, CS, and Thermage for optimal results.

Summary

This protocol ensures a seamless, patient-focused approach to GLP-1 and Tirzepatide treatments at Walnut Creek Aesthetics, prioritizing safety, efficacy, and patient satisfaction.