Lose the Weight. Keep Your Strength. Tirzepatide & Semaglutide Weight Management in Granite Bay

A complete medical weight management program: consultations with our Board Certified Providers, weekly Tirzepatide or Semaglutide injections, monthly check-ins, and personalized diet & exercise guidance, all under one roof at Monarch Cosmetic MD.

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Board Certified Providers In-Office or Home Injections Monthly Check-Ins Diet & Exercise Coaching

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Enter your details and our team will reach out to book your consultation and discuss your candidacy.

No obligation Medical evaluation Mon-Fri 8:30-5
Feet on a weighing scale wrapped with a measuring tape, symbolizing medically supervised weight management

What Is Tirzepatide?

Tirzepatide, the generic form of Mounjaro and Zepbound, is a dual GLP-1 and GIP medication. It mimics the action of both hormones to promote a feeling of satiety, reduce hunger and food consumption, and improve insulin sensitivity so your body uses glucose for energy instead of storing it as fat.

In clinical trials, Tirzepatide led to loss of up to 21% of initial body weight over 72 weeks. Individual results vary, which is why our program pairs the medication with real medical supervision.

  1. Board Certified Provider Consultation

    A medical evaluation of your health history, goals, and candidacy, plus check-ins based on your program length.

  2. Weekly Injections

    Tirzepatide or Semaglutide, in-office or at home, once weekly on the same day each week.

  3. Monthly Weigh-Ins

    In-office progress tracking so your therapy and dosage stay on target.

  4. Diet & Exercise Guidance

    Dosages balanced with nutrition and exercise coaching for optimal, sustainable results.

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Patient Resources

Your Weight, Health & Lifestyle Questionnaire

Completing this confidential questionnaire before your consultation helps your Board Certified Provider personalize your program from day one. All questions are optional.

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Download the questionnaire now, or enter your details and our team will email the forms and program information to you.

Download Questionnaire (PDF)

We only collect your contact details here. Your completed questionnaire is confidential and shared directly with your provider at your visit.

The Monarch Program

Everything your weight management journey needs, included

This is not just a prescription. It is a supervised medical program built around you.

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Board Certified Providers

Provider consultations and check-ins throughout your program, never medication alone.

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Tirzepatide & Semaglutide

Once-weekly injections, in-office or conveniently at home, with dosing personalized to you.

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Monthly Weigh-Ins

Regular in-office tracking keeps your progress at a healthy 1-2 lbs per week.

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Diet & Exercise Coaching

High-protein, high-fiber nutrition guidance and activity plans that protect muscle mass.

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Tried every diet and the scale
still will not move?

You are not out of willpower. Hunger and satiety are hormonal, and that is exactly where Tirzepatide works. Our medical team builds a plan around your body: medication, monitoring, nutrition, and movement, together.

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Board Certified Providers Personalized Dosing Muscle-Protecting Approach Local In Granite Bay
Tirzepatide & Semaglutide

We offer both. Which is right for you?

Both are effective GLP-1 medications available in our program. Here is how they compared in studies. Your Board Certified Provider will recommend the right fit for your body and goals.

Tirzepatide

dual GLP-1 + GIP · generic of Mounjaro / Zepbound Available in our program

✓ 24% more weight loss achieved at comparable doses in studies

✓ Participants experienced less muscle mass loss, up to half the amount compared to Semaglutide

✓ Acts on 2 receptors for more efficacious appetite suppression with fewer side effects

Semaglutide

GLP-1 only · Ozempic / Wegovy Also available in our program

✗ Less weight loss achieved at comparable doses

✗ Study participants experienced as high as 40% muscle mass loss

✗ Acts on 1 receptor for appetite suppression, with more side effects

Already on Semaglutide? At your initial consultation you can be switched to an equivalent dose of Tirzepatide based on your current dose and symptoms.

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Weight Management Near Me? Right Here.

Welcome to Monarch Cosmetic MD, your trusted local med spa.

Our expert medical team brings 40+ years of experience in advanced medical and aesthetic care. Your weight management program is fully supervised by Board Certified Providers: candidacy screening, personalized dosing, side-effect support, and nutrition guidance built around a high-protein, high-fiber approach that protects lean muscle.

A clean, welcoming boutique setting, minutes from Roseville, Folsom, Loomis, Auburn & Sacramento at 8727 Auburn Folsom Road, Granite Bay.

Let's chat → (916) 918 8007
Woman with a healthy, confident glow, the goal of a supervised weight management program
Testimonials

The best work we can do is make people proud to share

Real reviews from Monarch Cosmetic MD patients.

"

Patty and her staff are amazing! I highly recommend Monarch to the highest level of competence and care.

- Mariza DZ
"

The treatment room was clean and organized, with beautiful decor. I'm very impressed with Monarch Cosmetic. I will be returning for all my regular maintenance treatments.

- Michelle S.
"

I had an amazing experience. I was so nervous... I'm so happy with the results.

- Cheryl A.
Good to Know

Tirzepatide FAQs

How much weight loss can I expect?
Clinical trials have shown that individuals using Tirzepatide can achieve significant weight reduction, with many participants experiencing a loss of 5-15% of their initial body weight, and up to 21% over 72 weeks in trials. Individual results vary, and your medical team will set realistic goals with you.
How fast will I see results?
Many individuals start to see weight loss within the first few weeks, with continued progress over several months. A steady rate of 1-2 lbs per week is common and desired. Losing more than 2 lbs per week consistently can indicate loss of lean muscle instead of fat, which is exactly why our program includes monthly weigh-ins and protein-focused nutrition guidance.
Am I a candidate for Tirzepatide?
Tirzepatide is generally recommended for adults with a BMI of 30 or more, or a BMI of 27 or higher with weight-related health conditions such as diabetes or high blood pressure. It is not appropriate for pregnant or breastfeeding women, or those with a history of severe gastrointestinal disorders, pancreatitis, thyroid cancer, MEN 1 or MEN 2, or severe kidney disease. Your MD/NP consultation determines candidacy safely.
How long is the program?
Treatment can range from a few months to a year or longer, depending on your individual needs and goals. Your program length is set at your consultation and adjusted at your check-ins.
Do I need to change my diet and exercise?
Absolutely, and we help. Incorporating exercise and a high-protein, high-fiber diet while on Tirzepatide is the most effective way to achieve optimal results, and it protects your muscle mass. Nutrition and activity guidance is built into the Monarch program.
What about side effects?
The most common side effects are digestive (nausea, and sometimes vomiting, diarrhea, or constipation), especially when starting or increasing dosage. Our medical team actively manages these with dosing strategy, hydration and food guidance, and check-ins, so you are never navigating them alone.
Can I switch from Semaglutide (Ozempic/Wegovy)?
Yes. At your initial consultation you will be switched to an equivalent dose of Tirzepatide based on your current dose and symptoms while on Semaglutide.
How do the injections work?
The medication is administered once weekly, on the same day each week, at any time of day, with or without meals. Injections can be done conveniently in-office or at home, and we teach you the simple technique. If a dose is missed, it can be taken up to 2 days late; after that, skip it and return to your schedule.
Have More Questions? Book a Consultation
Your Journey Starts Here

Ready for a weight management plan that finally works with your body?

Book your free weight management consultation at Monarch Cosmetic MD. We will evaluate your candidacy, answer every question, and build your personalized program together.

Let's chat → (916) 918 8007

Mon-Fri, 8:30am - 5:00pm · 8727 Auburn Folsom Road, Granite Bay, CA

The welcoming boutique lounge at Monarch Cosmetic MD in Granite Bay

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What happens next

  1. Our team reaches out to book a time that fits your schedule
  2. You get a medical evaluation & personalized program with no obligation
  3. Start your program with weekly injections and ongoing support
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