Compounded GLP-1 therapy · Fort Worth, Texas
Compounded semaglutide weight loss in Fort Worth.
Compounded semaglutide is a GLP-1 receptor agonist preparation that supports appetite regulation and blood sugar control via twice-weekly subcutaneous injection. At Highland Longevity, every prescription includes clinical follow-up, and DEXA can estimate changes in fat mass and lean mass over time.
- Board-certified in Obesity Medicine
- In-house DEXA body composition
- Free initial consultation
What it is
What is semaglutide?
Semaglutide is a GLP-1 receptor agonist—a class of medication that mimics a hormone your body naturally produces after eating. Semaglutide targets multiple pathways to help you eat less and feel satisfied longer.
What Highland Longevity prescribes: Highland Longevity prescribes compounded semaglutide, prepared by a state-licensed compounding pharmacy under physician supervision. Compounded semaglutide is not FDA-approved.
Some FDA-approved semaglutide products have specific cardiovascular evidence and indications. That evidence does not establish outcomes for Highland's compounded formulation.
- Twice-weekly doseA small injection, twice a week.
- Fullness signalTurns down hunger signals in the brain’s appetite centre.
- Slower emptyingFood stays in the stomach longer, so you feel satisfied between meals.
The Highland difference
More than a prescription. A physician-led plan around it.
Not all semaglutide providers are the same. Here's what sets our physician-led approach apart from online-only weight loss companies.
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A board-certified obesity medicine physician leads your care
Highland Longevity’s medical director, Dr. Joshua Lindsley, DO, DABOM, is board-certified in Obesity Medicine by the American Board of Obesity Medicine and in Emergency Medicine. Dr. Lindsley holds board certifications in both Obesity Medicine and Emergency Medicine — trained specifically in weight management and medication safety.
02
DEXA tracking, in the same building as your care
We track your fat loss vs. muscle preservation with medical-grade DEXA scans. The scale doesn't tell the whole story — body composition does.
Weight loss can include fat mass and lean mass. We may use DEXA estimates to reassess nutrition, resistance training, medication, and follow-up over time.
How DEXA body scans work
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A protocol built around you, with your lean mass in mind
No one-size-fits-all approach. We adjust dosing based on your response, side effects, labs, and body composition data — not just a number on a scale.
GLP-1 medications can cause muscle loss if not managed properly. We combine semaglutide with nutrition guidance and exercise protocols to protect lean mass.
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04
Straight answers about compounding
Highland discusses FDA-approved options first and limits compounding to documented patient-specific needs.
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Clear costs, no surprises
No hidden fees, no surprise costs. We go over what your plan costs at your free consultation, so you can make an informed decision before you start.
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An in-person Fort Worth clinic
Located in the Alliance corridor at 4801 Golden Triangle Blvd, with in-house DEXA, RMR testing, and labs. Easily accessible from Keller, Southlake, Roanoke, and throughout DFW.
Dosing
A gradual dosing schedule, split twice weekly
We start low and increase gradually to minimize side effects and help your body adjust. Each weekly amount is split into two equal injections.
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0.25mg /wk
Weeks 1-4
Starting dose to assess tolerance
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0.5mg /wk
Weeks 5-8
First dose increase
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1.0mg /wk
Weeks 9-12
Therapeutic effects begin
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1.7mg /wk
Weeks 13-16
Approaching target dose
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2.4mg /wk
Week 17+
Full maintenance dose
Comparing options? Read semaglutide vs. tirzepatide or learn about compounded tirzepatide.
Safety & candidacy
Is semaglutide right for you?
Semaglutide is used for specific patient populations; Highland prescribes compounded semaglutide, which is not FDA-approved. Most gastrointestinal side effects are mild, temporary, and occur during the dose escalation period.
Side effects & safety
Common side effects
- Nausea (typically improves after 2-4 weeks)
- Diarrhea or constipation
- Decreased appetite (this is the goal)
- Mild stomach discomfort
- Fatigue during dose increases
When to call your doctor
- Severe or persistent nausea/vomiting
- Signs of pancreatitis (severe abdominal pain)
- Vision changes
- Rapid heartbeat
- Signs of allergic reaction
Who it’s for
Good candidates
- BMI of 30 or higher (obesity)
- BMI of 27+ with weight-related conditions (high blood pressure, type 2 diabetes, high cholesterol)
- Previous unsuccessful attempts at diet and exercise alone
- Committed to lifestyle changes alongside medication
- Ready for regular physician monitoring
Not recommended for
- Personal or family history of medullary thyroid cancer
- Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
- History of pancreatitis
- Pregnant or planning to become pregnant
- Currently breastfeeding
What to expect
Your first steps at Highland
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01
Complimentary 30-minute consultation
An in-person visit with a Highland provider to talk through your goals, our services, and next steps. No pressure, and no medical treatment at this visit.
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Baseline testing
Comprehensive labs and a DEXA scan establish where you’re starting. An RMR test can be added to inform your nutrition plan.
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03
Your medical visit & plan
Your clinician reviews your results with you in plain language and builds a plan covering nutrition, activity, and medication when it’s appropriate.
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04
Follow-up & re-scan
Regular check-ins track how you’re feeling, side effects, and progress, with repeat DEXA scans so we can see what’s actually changing and adjust.
Care for your situation
Semaglutide for specific conditions
- Insulin resistanceWeight gain driven by blood-sugar regulation
- PCOSInsulin resistance and hormonal challenges
- PerimenopauseWeight change as hormones begin to shift
- MenopauseMetabolic changes during menopause
- HypothyroidismThyroid-related metabolic slowdown
Further reading: medical weight loss at Highland · the complete weight-loss guide · DEXA body scans
Questions
Semaglutide FAQ
Something we didn’t cover? Call (214) 444-9796 — a real person at our Fort Worth clinic will answer.
In clinical trials of brand-name semaglutide (not the compounded medication Highland prescribes), participants lost an average of 15% of body weight over 68 weeks. 86% of participants lost at least 5% of their body weight, and over 50% lost 15% or more. Results vary based on individual factors and adherence to lifestyle modifications.
No. Highland discusses FDA-approved options first and limits compounding to documented patient-specific needs. We do not dispense Wegovy®, Ozempic®, or Rybelsus®, which are brand-name semaglutide products manufactured by Novo Nordisk. Compounded semaglutide is prepared by a state-licensed compounding pharmacy under physician supervision. Compounded medications are not FDA-approved.
Both contain semaglutide as the active ingredient. Wegovy is the brand-name semaglutide product used for weight loss at a 2.4mg dose. Ozempic is the brand-name semaglutide product used for type 2 diabetes at lower doses. Highland Longevity does not prescribe either product — we prescribe compounded semaglutide, which is prepared by a state-licensed compounding pharmacy and is not FDA-approved.
Semaglutide is a long-term medication for chronic weight management. Studies show weight loss is maintained at 2+ years with continued treatment. Stopping the medication typically leads to weight regain, which is why we focus on sustainable lifestyle changes alongside medication.
Studies show that stopping semaglutide typically leads to weight regain. This is why we emphasize body composition—preserving muscle mass—and sustainable nutrition habits. Some patients eventually transition off medication; others use it long-term. Your physician will help you decide.
Semaglutide is injected twice weekly using a small, thin needle into the abdomen, thigh, or upper arm. Most patients find it nearly painless. We'll teach you the proper injection technique at your first appointment.
Semaglutide as a molecule was originally developed for type 2 diabetes; it can support both blood sugar control and weight loss. Highland Longevity prescribes compounded semaglutide, not the brand-name diabetes drug Ozempic. If you have diabetes and are already on medications, your physician will need to evaluate whether compounded semaglutide is appropriate for you and adjust your treatment plan to avoid low blood sugar.
Cost depends on your dose and protocol, and your provider walks through it with you at your free initial consultation, before you commit to anything. We aim to be upfront with no hidden fees — unlike many online providers that advertise low prices then add on costs for labs, shipping, or physician visits.
Yes. Highland Longevity offers telehealth semaglutide consultations for patients across Texas. After your initial evaluation, follow-up visits can be done virtually with medication shipped directly to you. We recommend periodic in-person visits for DEXA body composition tracking to estimate changes in fat mass and lean mass over time.
Unlike telehealth-only weight loss companies, Highland Longevity is a physician-led clinic that tracks your body composition with DEXA scans to estimate changes in fat mass and lean mass over time. Our physician-led team oversees every patient's protocol, adjusts dosing based on response and labs, and offers complementary services like hormone optimization and metabolic testing that online-only providers cannot.
Highland Longevity · Fort Worth, Texas
Plan your semaglutide consultation in Fort Worth
Medical leadership: Dr. Joshua Lindsley, DO, DABOM, board-certified in Obesity Medicine by the American Board of Obesity Medicine. Meet your care team.
Start with a free, 30-minute, in-person consultation with a Highland provider to discuss your goals, available services and next steps. This introductory visit is separate from medical evaluation and treatment.
Book a free introductory consultationVisit our Fort Worth clinic
4801 Golden Triangle Blvd, Suite 121Fort Worth, TX 76244
Monday–Friday, 8 a.m.–5 p.m.
First and second Saturdays, 10 a.m.–2 p.m.; other Saturdays closed.
Start with a conversation
Ready to start semaglutide?
Book a free consultation to discuss whether semaglutide is right for you. We'll review your medical history, current medications, and weight loss goals.
Medical disclaimer. The information on this page is for educational purposes and is not medical advice. It does not establish a physician-patient relationship and is not intended to diagnose, treat, cure, or prevent any disease. All treatments at Highland Longevity are provided under the supervision of a licensed physician. Individual results vary. Please consult a qualified healthcare provider to determine whether a given therapy is appropriate for your individual health status.
*This is not medical advice. Semaglutide is a prescription medication requiring physician evaluation.
Medical references & guidelines
- Wilding, J. P. H., et al. (2021). Once-Weekly Semaglutide in Adults with Overweight or Obesity. The New England Journal of Medicine.
- Novo Nordisk A/S. (2021). Wegovy (semaglutide) injection Prescribing Information.
- Jensen, M. D., et al. (2014). 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults. Journal of the American College of Cardiology.