Terms and conditions

What are GLP’s? The FDA (United States Food and Drug Administration) more recently approved GLP1 and GLP2 as a prescription weight loss aid. It's approval has already improved the lives of chronically overweight patients. GLP1, 2 or 3 injections are not an appropriate treatment for people who only need to lose a small amount of weight or have a body mass index (BMI) of 27 or less. It is also not appropriate for those who are looking for an "instant" or short-term weight loss fix. How Do GLP’s Work? They are a class of medications called glucagon-like peptide 1 (GLP-1) agonists. GLP-1 agonists that work by stimulating your pancreas to increase insulin. This additional insulin causes the stomach to empty over a longer period. This slow and consistent digestion is merely an early step in the chain reaction that makes semaglutide, Tirzepatide such an effective weight-loss drug. When your stomach takes more time to empty itself of food, it sends signals of "fullness" to the brain. This signal is sent throughout a larger portion of your day, even if you’re eating less food than usual. The result of this process is a powerful appetite suppression effect based on the patient's own natural insulin production. This means patients using semaglutide or semaglutide alternatives can benefit from medically assisted weight loss without any need for invasive surgery. A GLP regimen will also lead to healthier blood sugar levels, which can help a patient feel more energetic throughout the day. Stabilized and controlled blood sugar levels can also help improve other areas of your overall health. Even if you aren’t at risk for diabetes, this effect can contribute to a general sense of well-being, which is a crucial component in any weight loss journey

Potential GLP Side Effects

Loss of appetite (i.e., constant feelings of fullness that go beyond the desired results)
Light-headed or dizzy sensations
Persistent lethargic feeling
Gastrointestinal discomfort
Diarrhea
Nausea/ Vomiting
Do not take this medication if:
You have a personal or family history of medullary thyroid carcinoma (Thyroid Cancer)
You have a personal history Multiple Endocrine Neoplasia syndrome type 2 (MEN2)
You are pregnant or plan to become pregnant while taking this medicine.
You are diabetic and/or taking any medications related to lowering your blood sugar levels without speaking with your endocrinologist or primary care provider. Specifically, if you are prescribed Insulin because the combination may increase your risk of hypoglycemia (low blood sugar) and dosage adjustments by your provider may be necessary.
You are allergic to GLP-1 agonist such as: Adlyxin®, Byetta®, Bydureon®, Ozempic®, Rybelsus®, Trulicity®, Victoza®, Wegovy® Mounjaro® (THIS IS NOT AN ALL-INCLUSIVE LIST)

Possible drug interactions:

Anti-diabetic agents, specifically insulin and sulfonylureas (e.g., glyburide, glipizide, glimepiride, tolbutamide) due to the increased risk of hypoglycemia (low blood sugar). Do not take with other GLP-1 agonist medicines such as: Adlyxin®, Byetta®, Bydureon®, Ozempic®, Rybelsus®, Trulicity®, Victoza®, Wegovy® Maunjaro® (THIS IS NOT AN ALL-INCLUSIVE LIST).

Blood pressure medications: As weight loss may occur on this medication, it is imperative to monitor your blood pressure at home while on this medication and taking blood pressure medication at the same time. Weight loss may naturally decrease your blood pressure, which may make it necessary to adjust your blood pressure medication dosage. As weight loss occurs, it is recommended to keep a blood pressure diary.

GLP protocol:

Every 7 days you are advised to take your injection. It is recommended you take your current weight, blood pressure, and /or notate changes in medical history and discuss concerns regarding treatment.

In the event of an emergency, call 911 immediately.

IF YOU HAVE ANY QUESTIONS AS TO THE RISKS OR HAZARDS OF THIS TREATMENT, OR ANY QUESTIONS CONCERNING THIS PROPOSED TREATMENT OR OTHER POSSIBLE TREATMENTS, ASK NOW BEFORE SIGNING THIS CONSENT FORM.

By accepting these terms and conditions, I certify that I have read and understand the contents of this form. I am aware of the possible side effects and drug interactions and give my consent for treatment. I have informed the medical staff of any known allergies to drugs or other substances, and any past adverse reactions I’ve experienced. I have informed the medical staff of all medications and supplements I’m currently taking. I understand there are other ways and programs that can assist me in my desire to decrease my body weight and acknowledge that no guarantees have been made to me concerning my results.

RELEASE FROM MEDICAL LIABILITY AND MALPRACTICE CLAIMS:

I agree to release the Total Skin and Wellness and all her associates from all medical liability and malpractice claims related to all care.

This consent covers the initial and all future orders for this medication.

Please accept here to consent to cancellation and liability information.

Cancellation / Rescheduling / Refund Policy

Total Skin and Wellness has a 24-hour cancellation / rescheduling policy. If you miss your appointment, cancel or change your appointment with less than 24 hours’ notice, you will be charged 50% of the total treatment pricing or lose a session.

This policy is in place out of respect for our therapists and our clients. Cancellations with less than 24 hours’ notice are difficult to fill. By giving last minute notice or no notice at all, you prevent someone else from being able to schedule into that time slot.

No refunds are made for products, service packages and pre-paid treatments once they are purchased. If for some reason you are not able to use an un-rendered, pre-paid service, you may do a onetime exchange of the unused portion toward other services. There will be no refund on gift cards purchased.

I understand that I may be receiving an injectable treatment as part of my care at Total Skin and Wellness that may require self injection.
I acknowledge and agree to the following.
I authorize the possible administration of the injection(s) by a trained, designated staff member who may not be a licensed nurse or physician but has been appropriately trained under the supervision of a licensed medical provider when I choose to not self inject.
I understand that this staff member has received instruction and competency-based training in the proper handling and administration of the specific injection(s) being given.
I give my verbal and written consent to receive the injection from this individual.
I understand that a licensed medical provider (such as a nurse practitioner or physician) is supervising and available for any questions or complications that may arise.
I have had the opportunity to ask questions about the treatment, administration process, and potential risks or side effects, and all my questions have been answered to my satisfaction.
I understand that I may decline treatment or request that a licensed nurse or provider administer my injection instead, without any impact on my overall care.
By signing below, I confirm that I give my informed consent — including verbal consent — for the injection to be administered by a trained, non-nurse staff member under appropriate supervision.

TEMPERATURE NOTICE: If the medication is hot to the touch, there's no need to worry, as the medication is stable for up to 56 days, at up to 86 degrees Fahrenheit. Having the medication refrigerated is important, but it is not required. The ice pack and thermal bags are to avoid extremely high temps during the shipping process. Also, the medication can reach 104 degrees Fahrenheit & still remain stable for 3 days.

To add to the notice: THE VIAL ITSELF CANNOT BE IN DIRECT SUNLIGHT.

ARBITRATION AGREEMENT

This Arbitration Agreement ("Agreement") is entered into by and between the undersigned individual ("Client") and Total Skin and Wellness Med Spa and TSW Medical Associates Inc., a California business ("Company").

1. Agreement to Arbitrate

The Client and Company agree that any and all disputes, claims, or controversies arising out of or relating to the Client’s services, treatments, or interactions with the Company shall be resolved exclusively through final and binding arbitration, and not in court.

This includes, but is not limited to:

Claims related to services rendered
Personal injury or property damage claims
Breach of contract
Violation of any federal, state, or local law or regulation

2. Arbitration Rules

Arbitration shall be administered by the American Arbitration Association (AAA) or another mutually agreed-upon neutral arbitration provider. The arbitration shall be conducted in accordance with the chosen provider’s applicable rules for commercial or consumer disputes, as appropriate.

3. Venue and Governing Law

The arbitration will take place in San Clemente, California, and will be governed by the laws of the State of California.

4. Waiver of Jury Trial

By signing this Agreement, both parties knowingly and voluntarily waive the right to a trial by jury.

5. Class Action Waiver

The Client and Company agree that all claims will be arbitrated individually, and not as part of any class, representative, or collective action.

6. Costs

Each party shall bear its own attorney’s fees and costs, except as otherwise provided by law or by the arbitrator’s decision.

7. Severability

If any part of this Agreement is found to be unenforceable, the remaining provisions shall remain in full force and effect.

8. Acknowledgment

The Client acknowledges that they have had the opportunity to read and understand this Agreement and consult with legal counsel if desired. This Agreement is entered into voluntarily and is binding upon both parties.