Frequently Asked Questions
Find answers to common questions about our services and treatments
How do I get started with a weight loss program at Better Off?
Please contact us to set up a consult to get started. We can discuss the best options for your weight loss goals.
How do I get started with Semaglutide or Tirzepatide?
Please schedule a consultation to discuss starting GLP-1 medications. During your consultation, we will review your medical history, discuss your goals, and determine if you are a good candidate for these medications.
Does building muscle with Emsculpt Neo hurt or have muscle pain after treatment?
Emsculpt Neo treatments feel like an intense workout. While you may experience some muscle soreness similar to after exercise, this is normal and indicates the treatment is working effectively. Most clients find the treatment comfortable and can resume normal activities immediately after.
Is Emsculpt Neo okay to do while I am on a GLP1 medication like Ozempic, Wegovy or Zepbound?
There are no well-documented contraindications or known interactions between Emsculpt Neo treatments and the use of GLP-1 medications. In fact, some medical professionals suggest that combining these therapies may enhance body contouring results. For instance, after weight loss with semaglutide (a GLP-1 medication), Emsculpt Neo can help reduce stubborn fat, tighten skin, and strengthen muscles, addressing areas that may not respond adequately to weight loss alone.
What are bio-identical pellets?
Bio-identical pellets are a type of hormone replacement therapy (HRT) designed to deliver a steady dose of hormones to individuals who are deficient. Made from plant sources (usually soy or yam) to be chemically identical to the body’s own hormones, these pellets contain hormones like estrogen, testosterone, or progesterone. They’re typically inserted under the skin, usually in the hip or buttocks, where they slowly release hormones into the bloodstream over a few months, providing a consistent level without the fluctuations associated with some other forms of HRT, like pills or creams.
What is the difference between semaglutide and tirzepatide?
Both are once-weekly injectable GLP-1 medications used for weight loss. Semaglutide (Wegovy for weight loss, Ozempic for type 2 diabetes) mimics one hormone, GLP-1. Tirzepatide (Zepbound for weight loss, Mounjaro for type 2 diabetes) mimics two — GLP-1 and GIP — and in clinical trials it produced larger average weight loss: up to about 21% of body weight over 72 weeks in the SURMOUNT-1 trial, compared with about 15% over 68 weeks for semaglutide in the STEP 1 trial. Semaglutide has more years of long-term data behind it, and for most people paying cash it is the more affordable option. Side effects are similar for both, mostly digestive and usually mild to moderate early on. The right choice depends on your health history, goals, and budget — which is exactly what your consultation covers. Read our full trial-by-trial comparison on the blog.
How much do GLP-1 medications cost without insurance?
If you pay out of pocket, expect roughly $300 to $1,100 per month for brand-name semaglutide or tirzepatide, depending on the medication, the dose, and how you get it. Almost nobody pays the raw list price. Manufacturer self-pay programs bring costs down a lot: Eli Lilly's LillyDirect prices Zepbound (tirzepatide) at $299/month for the 2.5 mg starting dose, $399 for 5 mg, and $449 for higher doses, and Novo Nordisk is cutting the list price of Wegovy and Ozempic (semaglutide) to $675/month starting January 1, 2027. Our medically supervised weight loss program starts at $400 and includes the evaluation, nutrition coaching, and follow-up — and we give you your exact monthly number before you commit. Our full cost guide on the blog covers savings programs and what to watch out for.