Frequently asked questions.

Wegovy®

What is Wegovy?
Wegovy (semaglutide) is an FDA-approved prescription medication used for chronic weight management in adults who are overweight or have obesity. It works by mimicking a natural hormone that helps regulate appetite and blood sugar.

How does Wegovy help with weight loss?
Wegovy helps reduce hunger, increase feelings of fullness, and support healthier portion control. It is most effective when combined with lifestyle changes such as a balanced diet, exercise, and behavioral support.

Is Wegovy safe?
Wegovy is generally safe when prescribed and monitored by a healthcare provider. Some individuals may experience mild side effects such as nausea or gastrointestinal discomfort, which typically improve over time. Your provider will review your health history to ensure it is appropriate for you.

SSRIs (Selective Serotonin Reuptake Inhibitors)

What are SSRIs?
SSRIs are a class of antidepressant medications that help treat depression, anxiety, and related conditions by increasing the level of serotonin in the brain. Common SSRIs include sertraline, fluoxetine, citalopram, and escitalopram.

How long do SSRIs take to work?
Most people begin to notice improvement within 4 to 6 weeks of consistent use. However, it may take a few adjustments to find the right medication and dose for your individual needs.

Are SSRIs addictive?
No, SSRIs are not habit-forming or addictive. However, it is important not to stop taking them abruptly without consulting your provider, as this can cause withdrawal-like symptoms.

Stimulants

What are stimulants used for?
Stimulant medications are commonly prescribed to manage Attention-Deficit/Hyperactivity Disorder (ADHD). They help improve focus, concentration, and impulse control.

Are stimulants safe?
When prescribed and monitored by a qualified provider, stimulants are safe and effective for many patients. Commonly used options include methylphenidate and amphetamine-based medications. Regular follow-up visits are important to monitor blood pressure, sleep, appetite, and overall response.

Can stimulants be misused?
Yes, stimulants have the potential for misuse if not taken as prescribed. At RealShift Elevated, we closely monitor each prescription to ensure responsible, safe, and effective use.

Spravato® (Esketamine)

What is Spravato?
Spravato is an FDA-approved nasal spray form of esketamine used for adults with treatment-resistant depression or major depressive disorder with suicidal thoughts or actions.

How does Spravato work?
Spravato acts on the NMDA receptors in the brain, helping to restore connections between nerve cells and rapidly improve symptoms of depression. It is administered under clinical supervision in a certified treatment center.

What can I expect during treatment?
Each session is completed in-office under provider supervision. You will be monitored for about two hours after administration to ensure safety and comfort. Most patients receive treatments twice a week at first, then transition to less frequent maintenance sessions.

Is Spravato covered by insurance?
Many insurance plans, including HMSA and TriWest, may cover Spravato treatment for eligible patients. Our team can help verify your benefits and determine coverage before starting care.

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