Treatment Featured In
Medical Weight Loss in Nashville, TN, at Hourglass Aesthetics & Wellness
You know what you’re “supposed” to do. Eat better. Move more. Control your portions. Stay consistent. But knowing what to do and getting your body to cooperate can feel like two very different things.
At Hourglass Aesthetics & Wellness, our medical weight loss program gives appropriate patients another tool. GLP-1-based medications such as semaglutide and tirzepatide can help regulate appetite and increase feelings of fullness, making it easier to work toward meaningful weight loss alongside sustainable lifestyle changes.
But medication is only one part of the plan. We start by getting to know you, your health history, your previous weight loss experiences, and where you want to go. From there, we create a personalized approach and continue adjusting it as your body responds.
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Meet The Team
Brie Chandler, PA-C, DMS
Lead Aesthetic Injector
Justin Perry, FNP-BC
Aesthetic Injector
Maressa Coley
FNP-C, APRN
Dr. Jon S. Hourigan, MD
Owner (Owner in Nashville location only)
Dr. Kye Higdon, MD
Board-Certified Plastic Surgeon + Nashville Medical Director
Why Choose Hourglass Aesthetics & Wellness for Medical Weight Loss?
Medical weight loss is about far more than simply gaining access to an injection. Your health history, starting point, goals, and individual response to medication all play an important role in shaping your treatment plan. Just as importantly, your care should continue to evolve as your body responds and your needs change over time.
At Hourglass, medication is only one part of a more thoughtful, personalized approach. You receive ongoing guidance and support throughout your journey, rather than being handed a prescription and expected to navigate the process on your own.
- A personalized medical weight loss program designed around your health history, starting point, lifestyle, and individual goals.
- GLP-1-based medication options, including semaglutide and tirzepatide, when clinically appropriate.
- Individualized dosing determined by a qualified provider rather than a one-size-fits-all approach.
- Ongoing monitoring to evaluate your progress, tolerance, and response throughout treatment.
- Nutrition, physical activity, and lifestyle guidance designed to support your medical weight loss plan.
- A realistic approach focused on sustainable progress rather than promising a quick fix or overnight transformation.
- A high-touch experience where you have a team to answer questions, track progress, and help determine what should come next.
Medical Weight Loss: The Highlights
What It Is
Who It's For
How Medication Helps
The Experience
Dosing
Ongoing Care
The Hourglass Difference
How Do GLP-1 Weight Loss Injections Work?
One reason weight loss can be so difficult is that your body has powerful systems designed to regulate hunger, fullness, digestion, and energy balance.
GLP-1-based medications work with some of those pathways. GLP-1, or glucagon-like peptide-1, is a naturally occurring hormone involved in appetite and blood sugar regulation. Medications that act on GLP-1 pathways can help reduce appetite, increase feelings of fullness, and slow gastric emptying.
For many patients, that changes the experience of trying to lose weight. You may feel satisfied with smaller portions. Cravings may feel more manageable. The constant thoughts about food that can make calorie reduction difficult may become easier to navigate. The medication doesn’t make healthy habits irrelevant. It can make those habits easier to put into practice.
Semaglutide & Tirzepatide at Hourglass
Semaglutide and tirzepatide are both used within medical weight management, but they aren’t identical.
Your provider will evaluate your medical history, previous treatments, current medications, goals, and other relevant factors before determining which options may be appropriate.
Semaglutide
Semaglutide acts on GLP-1 receptors involved in appetite, digestion, and blood sugar regulation.
When used as part of an appropriate medical weight management plan, semaglutide may help reduce hunger and increase satiety, making it easier to maintain a calorie deficit.
Treatment is commonly administered as a once-weekly subcutaneous injection.
Your dosage isn’t determined solely by how quickly you want to lose weight. Treatment is individualized and typically adjusted gradually based on your response and tolerance.
Tirzepatide
Tirzepatide acts through both GIP and GLP-1 receptor pathways, giving it a different mechanism of action than semaglutide.
Like semaglutide, it can influence appetite, satiety, digestion, and metabolic processes involved in weight management.
Tirzepatide is also commonly administered through a once-weekly subcutaneous injection.
Which medication is appropriate for you depends on your individual medical evaluation. We don’t expect you to know which one you need before your appointment.
That’s our job to help determine.
What Can Change With Medical Weight Loss?
Weight loss may be the reason you walk through our doors, but successful weight management can affect much more than the number you see on the scale.
Depending on your starting health, progress, and individual response, losing excess weight may support improvements in areas such as:
- Body weight and body composition
- Appetite control
- Portion management
- Food cravings
- Blood sugar regulation
- Mobility and physical activity
- Energy for everyday activities
- Confidence in maintaining healthier habits
- Overall health and quality of life
Your experience will be your own.
We aren’t looking for the fastest possible change. We’re looking for meaningful progress that supports your health and builds a stronger foundation for what comes next.
What Does Eating Look Like on a GLP-1?
When your appetite decreases, nutrition becomes even more important.
GLP-1 medications can make it easier to eat smaller portions, but your body still needs adequate nutrition. That means paying attention to what fills those smaller portions rather than simply trying to eat as little as possible.
Protein is particularly important during weight loss because weight loss can involve the loss of both fat and lean tissue.
A thoughtful nutrition strategy may emphasize:
- Adequate protein
- Nutrient-dense foods
- Fruits and vegetables
- Appropriate hydration
- Fiber as tolerated
- Balanced meals
- Portions that work with your changing appetite
Extreme restriction isn’t the goal.
The goal is to use the appetite support medication to build an eating pattern you can actually sustain.
Why Strength Training Matters During Weight Loss
When the scale starts moving, it’s tempting to make that number the only measure of success. But weight loss can include both fat and lean tissue.
Preserving muscle matters for strength, mobility, physical function, body composition, and long-term health. That’s why resistance training and adequate protein can be important components of a comprehensive weight management strategy. You don’t have to become a bodybuilder. The goal is simply to give your body a reason to maintain muscle while you’re losing weight.
We’ll help you think beyond “eat less and weigh less” and toward a healthier overall approach to changing your body composition.
Your Medical Weight Loss Journey at Hourglass
- We'll discuss your weight history, previous weight loss attempts, current concerns, and goals.
- Your provider will review your medical history, current medications, and relevant personal and family health history.
- We'll determine whether a GLP-1-based medication may be clinically appropriate for you.
- You'll have an opportunity to ask questions about semaglutide, tirzepatide, expected results, potential side effects, and treatment responsibilities.
- If treatment is appropriate, we'll develop a personalized starting plan rather than using the same protocol.
- GLP-1-based weight-loss medications are commonly administered via subcutaneous injection.
- You'll receive guidance on proper administration, injection sites, and your treatment schedule.
- Dosing typically begins conservatively and may be adjusted gradually based on your individual response and tolerance.
- We'll discuss common side effects and what to do if you're experiencing symptoms that concern you.
- Nutrition, activity, hydration, and other lifestyle habits remain important throughout treatment.
- We'll check in on more than the number on the scale.
- Your provider will want to know how you're tolerating medication, how your appetite has changed, and whether you're experiencing side effects.
- Dosing may be adjusted when clinically appropriate.
- Your nutrition, physical activity, and other habits can be revisited as your needs change.
- Weight loss isn't always perfectly linear. Plateaus and changes in the rate of progress can happen.
- Your plan can evolve as you transition from active weight loss to long-term weight management.
You've Tried Doing It Alone. Maybe You Don't Have To.
Is Medical Weight Loss Right for You?
You've Tried Diet And Exercise
Hunger Keeps Getting In The Way
Your Weight Is Affecting More Than Your Appearance
You're Tired Of Starting Over
You Want Medical Oversight
You're Not Sure Whether A GLP-1 Is Right For You
Experience Medical Weight Loss in Nashville
There isn’t one perfect weight loss timeline, one perfect diet, or one medication that makes sense for everyone. That’s why we start with you.
At Hourglass Aesthetics & Wellness, medical weight loss combines appropriate medication with ongoing guidance and a treatment plan that can evolve as you do. We’ll celebrate the progress. We’ll troubleshoot the plateaus. And we’ll keep looking at the bigger picture beyond the number on the scale.
Call us at (615) 819-1111 to schedule your medical weight loss consultation in Nashville.
The Hourglass Difference
“We deliver Ritz-Carlton–level hospitality from the moment you enter our space. Often referred to as the Gucci of aesthetics, we set the standard for exceptional care, elevated experiences, and uncompromising results that exceed expectations at every touchpoint.”
– Owner Beth Hourigan
Real People. Real Results.
“Brandy is my favorite esthetician in Lexington! She has always made me feel comfortable, and is such an important friend in my life. Her work is truly stunning and unmatched! I know she will always put her best effort forward into any service I receive, and she will hype me up to making me feel gorgeous walking out of the salon! I couldn’t recommend someone better than Brandy as a lash tech or for any of her other esthetic treatments! She stands out and goes above and beyond for every client! She’s also an amazing waxer!”
– Sabrina B.
“Hourglass was very modern, classy and clean inside. I felt like it was a spa-like experience. My aesthetician explained everything to me and even did a quote for cost before we got started. They let my mom come back with me which made me feel more comfortable. They did not pressure me into buying extra services or do a big sales pitch to me which I thought was refreshing. They gave me a brochure and answered all of my questions. Overall it was a very pleasant experience and I will be back. Everything was quick and there was off street parking around back.”
“Absolutely love Hourglass Aesthetics! The moment you walk in you immediately feel welcome. Everyone is so kind and helpful. So happy I found them! Definitely recommend for all treatments! You won’t be disappointed!”
– Mandy S.
Medical Weight Loss FAQs
Semaglutide & Tirzepatide
What is the difference between semaglutide and tirzepatide?
Which weight loss injection is best for me?
Weight Loss Results
How much weight can I lose with GLP-1 medications?
Results vary considerably. Your medication, starting weight, dosage, treatment duration, lifestyle habits, and individual response can all influence how much weight you lose.
How quickly will I lose weight?
What if my weight loss slows down?
Is faster weight loss always better?
GLP-1 Dosing & Injections
How often are semaglutide and tirzepatide injections taken?
Where are GLP-1 medications injected?
How is my dose determined?
Should I increase my dose if I'm not losing weight quickly enough?
What happens if I miss a dose?
GLP-1 Side Effects & Safety
What are common side effects of GLP-1 weight loss medications?
Gastrointestinal symptoms such as nausea, vomiting, diarrhea, constipation, or abdominal discomfort can occur. Your provider will review potential side effects and advise you on when to contact the office.
Is everyone a candidate for GLP-1 medication?
Why is medical supervision important?
Can I take other medications while using a GLP-1?
Nutrition, Exercise & Muscle
Do I still need to diet while taking a GLP-1?
Why is protein important during GLP-1 weight loss?
Should I exercise while taking semaglutide or tirzepatide?
What if I'm not hungry enough to eat?
Long-Term Weight Management
What happens when I reach my goal weight?
Will I regain weight if I stop taking a GLP-1?
How long will I need weight loss medication?
Will I have to stay on the same dose forever?
What if GLP-1 medication isn't right for me?
Then we won’t force it.
Your consultation is to determine whether medical weight-loss medication is an appropriate part of your care. If you’re not a good candidate, we’ll be transparent about that rather than treating medication as the answer for everyone.
Schedule a Consultation
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