A Realistic Look at GLP-1 Weight Loss Options
If you’ve tried to lose weight before, you probably already know the cycle.
You clean up your diet. You try to stay consistent. Maybe it works for a bit, maybe it doesn’t. Either way, it’s frustrating when the results don’t match the effort.
That’s usually the point where people start looking into weight loss injections.
At Just You Aesthetics in Tyler, Dr. Stephen Spain works with patients who are done guessing and want something more structured. Not a generic plan, not another reset. Something that actually works with how their body responds.
You’ve probably heard of medications like Ozempic®, Wegovy®, Mounjaro®, or Zepbound®. There are also newer options like Retatrutide that are starting to get a lot of attention for the results they’re showing in clinical trials.
The short version is, these treatments are changing how medical weight loss is approached.
What Are Weight Loss Injections?
Weight loss injections are prescription medications that help regulate hunger, blood sugar, and how your body processes food.
Most of them fall under something called GLP-1 medications.
They help you feel full sooner. They slow down how quickly your stomach empties. They also reduce the constant “thinking about food” feeling a lot of people deal with.
Some of the newer medications build on that:
- GLP-1 medications target appetite and digestion
- GLP-1 + GIP medications add another layer of metabolic support
- GLP-1 + GIP + glucagon medications work across multiple pathways
That’s why results have been improving with each new generation.
GLP-1 Medications Compared
Here’s a simplified breakdown of what you’ll usually see:
Semaglutide (Wegovy®, Ozempic®)
FDA approved. This is what most people have heard of first. Average weight loss sits around 15% of body weight in trials, but it can come with more noticeable GI side effects like nausea.
Tirzepatide (Mounjaro®, Zepbound®)
Also FDA approved. This one works on two pathways instead of one. Patients tend to see closer to 20–22% average weight loss, and it’s often better tolerated than semaglutide.
Retatrutide
Still in Phase 3 trials, but getting a lot of attention. It targets three pathways instead of one or two. Early data is showing around 24% average weight loss, with fewer side effects seen in clinical trials so far.
There isn’t a universal “best” option. It really depends on how your body responds, your medical history, and what you can tolerate long term.
What Makes Retatrutide Different From Ozempic® or Mounjaro®?
The main difference is how many systems it targets at once.
Older medications like Ozempic® focus on one pathway. Mounjaro® builds on that with two. Retatrutide adds a third, which is part of why the weight loss numbers are higher in trials.
It also gives a bit more flexibility with dosing, which can make the process easier to stick with.
That said, newer doesn’t automatically mean better for everyone.
Dr. Spain’s approach is pretty straightforward. Match the treatment to the patient, not the other way around.
“We’re really excited to be able to offer this new treatment, and we think it’s going to help a lot of folks out there.”
— Dr. Stephen Spain

Who Is a Good Candidate for Weight Loss Injections?
This tends to work well for people who:
- Have struggled to lose weight with diet and exercise alone
- Are dealing with things like Type 2 diabetes, high blood pressure, or high cholesterol
- Tried something like semaglutide or tirzepatide and didn’t tolerate it well
- Want something more structured than trying to figure it out on their own
Who Is Not a Good Candidate
There are some clear situations where these medications are not recommended:
- Pregnancy or breastfeeding
- Personal or family history of medullary thyroid cancer or MEN2
- Certain pancreatic conditions
This is why the consultation matters. You don’t want to guess your way into this.
Side Effects and What to Expect
Most people deal with some level of adjustment in the beginning.
The common ones are:
- Nausea
- Mild digestive issues
- Reduced appetite
Those usually improve as your body adjusts, especially if dosing is increased gradually.
Semaglutide tends to have more noticeable GI side effects. Tirzepatide is usually easier for people to tolerate. Retatrutide, based on current trials, looks promising on that front too.
There are also rare but more serious risks, like pancreatitis or thyroid-related concerns, which is why this is something you do under medical supervision.
Dr. Spain goes over all of this before starting anything so you know what you’re signing up for.
How to Get Prescription for Weight Loss Injections in Tyler
The process is pretty simple:
- Call Just You Aesthetics at (903) 426-1023 to schedule
- Fill out a short health history before your appointment
- Meet with Dr. Spain to go over your goals and options
- If prescribed, you’ll start with your first injection in-office
- From there, you’ll have follow-ups to track progress and adjust as needed
It’s not a one-and-done thing. It’s monitored over time.
Frequently Asked Questions About Weight Loss Injections
Does insurance cover this?
Sometimes, but not always. It depends on your plan.
How fast will I see results?
Most people notice changes within a few weeks, with more consistent weight loss over a few months.
Do I need a referral?
No. You can schedule directly.
What happens if I stop the weight loss injections?
Appetite usually comes back over time if nothing else changes. That’s part of the long-term conversation.
Are you accepting new weight loss patients?
Yes. We are happy to help new patients with their weight loss journey.
Why People in Tyler Choose Just You Aesthetics
A lot of patients aren’t looking for another generic program. They want something that’s actually tailored to them and monitored by a doctor.
Dr. Stephen Spain offers that, along with access to newer treatments like Retatrutide as they become available. The focus is on finding something that works for you specifically, not forcing you into a standard plan.
If you’re at the point where you’re tired of guessing, this is at least worth a conversation.
Call Just You Aesthetics at (903) 426-1023 to schedule a consultation or reach out through the online form.
