Medical Notice

Prescription medications. Brand-name Zepbound® (tirzepatide) and Wegovy® (semaglutide) are FDA-approved for chronic weight management; Mounjaro® and Ozempic® are FDA-approved for type 2 diabetes. Compounded tirzepatide and semaglutide have not been reviewed or approved by FDA and are not reviewed by FDA for safety, effectiveness or quality. Your clinician will tell you clearly whether you are prescribed a brand-name or a compounded medication. Full disclosure and informed consent are required. Individual results vary.

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GLP-1 / GIP Medical Weight Loss · Ann Arbor

The Biology of Fat Loss Finally Addressed.

GLP-1 and GIP receptor agonist therapy acts at the level of the brain, the gut, and the metabolic system. Tirzepatide is the active ingredient in Zepbound®, which is FDA-approved for chronic weight management, and it activates two receptors rather than one. Compounded tirzepatide contains the same active ingredient but has not been reviewed or approved by FDA. Both are provided only as part of Arbour Longevity’s clinician-supervised medical weight loss program, with the form clearly disclosed.
  • Brand-name or compounded, clearly disclosed
  • GLP-1 + GIP Dual Agonist
  • Clinician-Prescribed & Supervised
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GLP-1 / GIP Medications at Arbour Longevity

Every Medication. Every Regulatory Status. Fully Disclosed.

Brand-Name: FDA-Approved · Compounded: Not Reviewed or Approved by FDA

GLP-1 / GIP Dual Agonist · Gold Standard

Tirzepatide

Mounjaro® (T2D) · Zepbound® (weight management) · Compounded tirzepatide (not reviewed or approved by FDA)

Tirzepatide is the active ingredient in Mounjaro® and Zepbound®, brand-name products approved by FDA for type 2 diabetes and chronic weight management respectively. It activates both GLP-1 and GIP receptors, which reduces appetite, slows gastric emptying and improves insulin sensitivity. Phase 3 trials of the brand-name product showed significant body weight reduction. Compounded tirzepatide is prepared by a compounding pharmacy for an individual patient; it has not been reviewed or approved by FDA and its safety, effectiveness and quality have not been reviewed by FDA.

  • Two pathways, always disclosed: brand-name Zepbound® / Mounjaro® (FDA-approved), or compounded tirzepatide from a licensed compounding pharmacy (not reviewed or approved by FDA). Contraindications, including personal or family history of medullary thyroid carcinoma and MEN 2, are reviewed at consultation.

Typical Administration

Subcutaneous injection · Weekly · Titrated from starting dose under clinician supervision · Patient self-administered

Adjunct Protocols, Supporting Every Weight Loss Program

B12 Injections · Metabolic IV

B12 Injections

Methylcobalamin injections support cellular energy metabolism and neurological function, addressing the fatigue that often accompanies caloric restriction and metabolic change. Available weekly or bi-weekly during your program.

Metabolic IV Therapy

Our Metabolic Reset IV delivers the B-Complex, Alpha Lipoic Acid, L-Carnitine, and Magnesium most depleted during active weight loss, supporting metabolic function, energy, and helping prevent the micronutrient deficiencies that slow progress.

GLP-1 / GIP Therapy · Ann Arbor

The Fat Loss Results You Stopped Believing Were Possible.

Schedule a GLP-1 consultation at Arbour Longevity. We review your metabolic history, current health status, and prescribe the protocol that is clinically appropriate, with complete transparency about every medication, its evidence, and its regulatory status.

Schedule GLP-1 Consultation← Weight Loss Overview
Brand-name products FDA-approved; compounded preparations have not been reviewed or approved by FDA · All medications clinician-prescribed after comprehensive evaluation · Informed consent required

What GLP-1 therapy costs here

We publish our prices. Most clinics in Ann Arbor do not — you have to book a consultation to find out what you would be paying.

$299
per month
2.5–5 mg
Starting and early titration doses. Where most patients begin.
$450
per month
5–7.5 mg
Mid-range therapeutic dosing as tolerance builds.
$599
per month
7.5 mg and above
Higher therapeutic dosing for patients who need it.

The medication is included in the monthly fee.

That matters more than the headline number. Most clinics quote a program fee and then bill medication separately. We don’t do that — the price you see includes your medication. There is nothing to add on here — the figure above is what you pay.

Your first visit is $35, and it is applied toward your treatment plan. HSA and FSA funds are accepted.

What you are actually paying for

There are cheaper GLP-1 programs than ours. It is worth understanding what has been removed to get the price down.

A clinician, in a room, who knows your history

Prescribed and managed by Gandhi Bhattarai, FNP-BC, PMHNP-BC — triple board certified, and the owner of the practice. Not a form you fill in, not a prescriber you never meet, not a different person each time.

Labs before anything is prescribed

Comprehensive metabolic panel, hormone levels, thyroid, inflammation markers and insulin resistance indicators. Then a lab review at six to twelve weeks, with the protocol adjusted to what your results actually show rather than to a fixed schedule.

Health coaching, included

An in-house certified health coach, clinician-led lifestyle counseling and dietitian referral coordination are part of the program, not an upsell. The medication changes appetite. Coaching is what determines whether the change holds once the medication stops.

Medication from a pharmacy that purity-tests its product

We know where what we prescribe comes from and we can tell you. Ask any provider the same question — who is supervising this, and where does the medication come from. The answers vary more than people expect.

A cheaper program is usually cheaper because there is no examination, no lab work, no coaching and nobody accountable for the outcome. That is a reasonable trade for some people. It should just be a choice you make knowingly rather than one you discover later. If you are searching locally, we also have a page on semaglutide in Ann Arbor.