Losing weight is hard. Our doctors can help.
Losing weight can be difficult and frustrating. Excess weight affects your participation in the quality of lifestyle and health you deserve. With the help of our GLP-1 semaglutide formulation compounded to your needs you can achieve your goals and unlock your potential life in so many ways.
With the support of our care team and guidance from our doctors, patients in Charleston and throughout West Virginia can reach their weight loss goals and maintain them long-term.

Three Simple Steps for Losing Weight
How to Get a Semaglutide Prescription in Charleston, WV
Book a Visit With Our Doctor for a Consultation
Book an appointment with our physician and fill out a brief online form to help docotor get to know you, your medical background and weight loss goals.
Meet with the Doctor
At the appointment your doctor will partner with you to recommend and prescribe the most effective treatments and lifestyle changes tailored to your goals, providing personalized guidance to ensure you use the medications safely and successfully for weight loss and overall health.
Receive Your Medication and Meal Planning
Next, your medications will be shipped directly to your home. You will also receive guidance on meal planning while taking the GLP-1. Your physician and care team will offer continuous supervision and support throughout your treatment.

Included With Our Medical Weight Loss Program

Expert physician guidance and meal planning

Medication shipped to your residence with directions for administering

Ongoing care team support to maintain your progress
Our Medical Weight Loss Doctors
Losing weight can be difficult and frustrating! Achieving and maintaining weight loss with GLP-1 goes beyond just taking medication. It also involves making lifestyle changes, including adjustments to eating habits and exercise.
With the support of our care team and guidance from our doctors, patients can reach their weight loss goals and maintain them long-term.
The Sanctuary Wellness Institute works with expert medical wellness physicians to offer compassionate, informative, and effective care, allowing us to provide an exceptional teleWellness experience for patients in Charleston and throughout West Virginia.
West Virginia patients are cared for by Dr. Megan Horsham, our dedicated medical provider and weight loss specialist. With years of experience, she expertly tailors medications to support each patient’s unique journey.

Dr. Megan Horsham, MD
Learn MoreIt was a great and fast appointment and Dr. Horsham ensured to answer all my questions and concerns.
Craig S.
I have had a great experience with Dr. Horsham and would highly recommend! I especially love the convenience of teledoc for follow-up appointments.
Dora K.
Place is wonderful! Jenni at the front desk is absolutely awesome! Very informative and well educated… Dr. Horsham has helped me greatly! She’s the lady to see!!!️
Rich R.
By Appointment Only
Address
300 Capitol St Suite 407
Charleston, WV 25301
Phone: (304) 337-5230
Monday | 9:00 AM – 5:00 PM |
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Tuesday | 9:00 AM – 5:00 PM |
Wednesday | 9:00 AM – 5:00 PM |
Thursday | 9:00 AM – 5:00 PM |
Friday | 9:00 AM – 5:00 PM |
Saturday | 10:00 AM – 2:00 PM |
Sunday | Closed |
Directions to Our Charleston, WV Office
Head southeast on I-79 S 2.0 mi Use the right lane to merge onto I-77 S 1.5 mi Use the right lane to take exit 101 for I-64 W/US-119 S toward Huntington 0.2 mi Take the 58c exit toward US 60/Washington St/Civic Ctr 0.2 mi Merge onto US-119 S 0.1 mi Slight left onto US-119 S/Pennsylvania S 0.2 mi Turn left onto US-60 E/Lee St Destination will be on the left
Head southeast on MacCorkle Ave SE toward 47th St SE 82 ft Turn right at the 1st cross street onto 47th St SE 174 ft Turn right toward 46th St SE 459 ft Turn right onto 46th St SE 174 ft Turn left onto MacCorkle Ave SE/McCorkle Ave 0.9 mi Turn right onto 36th St SE Pass by Subway (on the left) 0.2 mi Continue onto 36th St Southeast Bridge 0.2 mi Use the right lane to take the ramp onto I-64 W/I-77 N 1.9 mi Take exit 100 to merge onto Leon Sullivan Way 0.6 mi Turn right onto Washington St E 0.3 mi Turn left onto Summers St 358 ft Turn left at the 1st cross street onto Lee St Destination will be on the left 446 ft
Take E St to US-60 E/MacCorkle Ave SW 24 sec (341 ft) Head northeast toward E St 161 ft Turn right at the 1st cross street onto E St 180 ft Turn left at the 1st cross street onto US-60 E/MacCorkle Ave SW 2 min (0.7 mi) Get on I-64 E 2 min (0.6 mi) Turn right onto A St/Montrose Dr 0.2 mi Use the left lane to continue on Montrose Dr 0.1 mi Turn left to merge onto I-64 E toward Charleston 0.3 mi Continue on I-64 E. Drive to US-60 E/Lee St W in Charleston 5 min (3.1 mi) Merge onto I-64 E 2.2 mi Take exit 58C for US-60 toward Lee St 0.3 mi Turn right onto US-60 E/Lee St W Parts of this road may be closed at certain times or days Destination will be on the left 0.7 mi
Semaglutide Weight Loss Dosage Chart
Weekly Injections Dosage Plan
Your weight loss doctor will make a dosage plan based on your medical history and overall health after your teleWellness consultation. Typically, patients are started on a lower dosage and as your doctor receives feedback on your progress they may increase your dosage.

What is Compounded Semaglutide?

Compounded semaglutide is a medication tailored for individual patients and produced at trusted compounding facility. Compounded drugs are required to be tested for strength, sterility, and purity.
Compounding pharmaceuticals is lawful, however they do not require FDA pre-market approval since they are not mass-produced for the general public. They are created in response to specific requests from healthcare providers, meaning the dosing and administration methods may vary from commercially available medications.
Benefits of Maintaining a Healthy Weight
Maintaining a healthy weight can lower your risk of developing conditions like diabetes, hypertension, high cholesterol, and heart disease. Even modest weight loss can significantly improve your quality of life. In this regard, GLP-1 injections can enhance and potentially prolong the lives of individuals dealing with obesity.
Healthspan/Longevity
Supports healthier aging by improving metabolism and reducing disease risk.
Lower Cholesterol
Lowers cholesterol by improving lipid metabolism.
Lower Blood Pressure
Reduces blood pressure by enhancing blood vessel function.
More Energy
Boosts energy by improving glucose use and supporting weight loss.
Less Heart Disease
Lowers heart disease risk by reducing inflammation and cholesterol.
Reduce Diabetes
Improves insulin sensitivity and blood sugar control.

How Semaglutide Shots Work
Semaglutide is administered as a subcutaneous injection once a week. The medication acts as an appetite suppressant by mimicking hormones that interact with your digestive system, which reduces feelings of hunger.
Semaglutide lowers caloric intake by delaying digestion and slowing gastric emptying. This means that food remains in your stomach longer when you take the drug, helping you feel satiated for extended periods and curbing your appetite.
Additionally, semaglutide influences the brain regions that manage cravings and hunger, enabling you to eat smaller meals less frequently.

Potential Side Effects of Semaglutide for Weight Loss
While semaglutide is effective for weight loss, it may cause some side effects as your body adjusts to the medication. These side effects can vary in intensity, and not everyone will experience them. Common side effects include:
- Nausea: One of the most frequently reported side effects, particularly in the first few weeks. Eating smaller meals and avoiding fatty or greasy foods can help reduce nausea.
- Vomiting or Diarrhea: Some individuals may experience gastrointestinal issues like vomiting, diarrhea, or constipation. However, these often lessen as your body adapts.
- Abdominal Pain: Mild to moderate stomach discomfort or bloating can occur, particularly during the initial phase of treatment.
- Heartburn: Acid reflux or heartburn may be triggered in some users, especially after meals.
- Fatigue: Some people report feeling more tired than usual in the early stages of treatment, which typically improves over time.
- Decreased Appetite: While reduced appetite is a desired effect for weight loss, it can sometimes lead to fatigue or weakness if you are not eating enough nutrient-dense foods.
- Dizziness: Lightheadedness may occur, especially if you’re eating less or are adjusting to the medication.
Most side effects are mild and temporary, often improving as your body gets used to the medication. To minimize discomfort, try eating smaller, low-fat meals and drinking plenty of water.
It’s important to talk to your healthcare provider if any side effects become severe or persistent, or if you experience symptoms like intense abdominal pain, signs of pancreatitis, or other serious reactions. Regular check-ins with your provider can help monitor your progress and adjust your dosage if needed.
Who Is a Good Candidate for Semaglutide GLP-1 Injections?
Semaglutide GLP-1 injections are an effective treatment option for individuals seeking to lose weight, but they may not be suitable for everyone. A good candidate for semaglutide includes:
- Adults with Obesity: Those with a body mass index (BMI) of 30 or higher who struggle with excess weight and related health risks may benefit from semaglutide.
- Overweight Individuals with Health Conditions: Adults with a BMI of 27 or higher who also have weight-related conditions such as type 2 diabetes, hypertension, or high cholesterol may be good candidates.
- Those Who Have Tried Other Weight Loss Methods: Semaglutide is typically recommended for people who have attempted to lose weight through diet, exercise, or other methods without achieving significant results.
- Patients Looking to Improve Metabolic Health: Those seeking to improve blood sugar regulation, insulin sensitivity, and reduce their risk of developing conditions like type 2 diabetes may find semaglutide beneficial.
- Motivated to Make Lifestyle Changes: A good candidate is someone who is committed to making long-term lifestyle changes, including healthy eating and regular physical activity, as the medication works best when paired with a balanced diet and exercise.