GLP-1 medications · semaglutide and tirzepatide
The two GLP-1 medications most Nashville clinics prescribe from a form. We prescribe them after a 75-minute visit and a lab draw, dose up slowly, and put a nurse in your week.
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In numbers
Semaglutide, all in
Tirzepatide, all in
At home, taught at the first dose
Then the exit plan
Results vary from person to person. Nothing on this page is a promise of weight lost or kept off, and a program may be declined after the Starting Line if it is not right for you.
Why it works
Semaglutide and tirzepatide copy hormones your gut makes after a meal. Appetite drops, fullness comes sooner and stays longer, and for many people that makes eating less feel ordinary rather than heroic. That is the whole mechanism. It does not choose what you eat, protect your muscle, or know when to stop, which is why the plan carries a dietitian, a body composition reading and a taper.
Sold under brand names you will have heard of, the molecules are the same; what we prescribe is a compounded version prepared to your prescription by a licensed pharmacy. It is not FDA-approved and we will not tell you it is identical to a brand. We tell you which pharmacy and we record every dose.
Drawn on site at the first visit: metabolic panel, thyroid, A1c, lipids. Back within two business days. Nothing is prescribed before they are.
Muscle, fat and water, not just a number on a scale. Repeated at week twelve so the plan protects muscle, not just the total.
Medication if any, the dose schedule, the weekly check-in day, two dietitian sessions, the monthly NP visit, the price, and the exit plan. In writing, yours to keep.
The same nurse every week, in person before work or on video at lunch. Side effects, dose, food, the hard week. A person, not a portal.
Candour
Who treats you
Lead Clinician, Nurse Practitioner
Dana runs the Starting Line: the history, the readings, the labs and the written plan. She sees every weight loss patient monthly, adjusts doses with the weekly nurse notes, and signs the exit plan.
Medical Director
Priya is a physician with a background in obesity medicine who founded Wrenhaven in 2022. She writes the protocols, reviews every plan before a prescription is written, and is in the building during clinic hours as the collaborating physician.
Illustrative stories. Wrenhaven is a fictional clinic; these are written examples, not patient reviews.
Dana started me at the lowest dose and held it for a month because the labs said my thyroid needed a look first. Nobody had ever slowed me down before.
The nausea in week two was real. One call, one dose held, one week later it was fine.
Dana decides with you at the Starting Line from your labs, history, appetite pattern and budget. Tirzepatide works on two gut hormones and costs more; semaglutide works on one and has the longer track record. Both are managed the same way here.
We do not say. Results vary widely with dose, food, sleep, medication history and the person. The body composition reading at week twelve tells you what changed and where, which is the number that matters.
It is prepared by a licensed pharmacy to a prescription written for you, and it is not FDA-approved. We use one pharmacy, name it, and record the dose at every step. If you prefer a brand-name product, Dana will say what that involves.
Yes, once a week, at home. The first dose is given here with the nurse teaching you; most people find the second one unremarkable.
Call. The nurse will tell you whether to take it late or skip, depending on how late, and the plan notes it.
Labs again, a body composition reading, and a decision with Dana: continue, step down, or move to the maintenance program. The exit plan was on page two from day one.
The Starting Line · 75 min · $149, credited
Seventy-five minutes with a nurse practitioner, labs and a body composition reading included, and a written plan to take home.