The weight comes off.
We make sure everything
else stays.
GLP-1 medications are the most significant advance in weight management in a generation. But prescribing them and walking away isn't a program — it's a prescription. At Le Sommet, Joan Shelley, NP wraps a complete clinical program around your GLP-1 journey: managing the medication, preserving your muscle, and protecting your hair throughout your treatment.
GLP-1 Medications Are Powerful. But They Don't Work Alone.
Semaglutide, tirzepatide, and other GLP-1 receptor agonists represent a genuine breakthrough — producing average weight loss of 15–22% of body weight in clinical trials, with meaningful improvements in metabolic health markers across the board. For many patients, they make possible what years of effort could not.
But the explosion in GLP-1 prescribing has created a troubling pattern: telehealth services and quick-turn clinics that prescribe the medication, check in monthly, and call it a program. What they're not managing is what happens to the rest of the body during rapid weight loss.
Studies show that 25–40% of weight lost on GLP-1 medications can come from lean muscle mass rather than fat — particularly in patients who aren't eating adequate protein or engaging in resistance training. Hair loss affects a significant number of GLP-1 users, typically appearing 3–6 months into the program. Nutritional deficiencies compound both problems. A program that doesn't address these consequences isn't protecting your health — it's just reducing a number.
Up to 25–40% of total weight loss on GLP-1 medications can come from lean muscle mass. This reduces metabolic rate, functional strength, and long-term weight maintenance — and is almost never addressed in standard GLP-1 programs.
Telogen effluvium — hair shedding triggered by the physiological stress of rapid weight loss — affects many GLP-1 patients, typically emerging 3–6 months into treatment. Most providers don't mention it until it's already happening.
GLP-1 medications dramatically reduce appetite and slow gastric emptying, making it easy to fall short of protein, vitamins, and minerals needed to maintain muscle, hair, energy, and metabolic function — even while losing weight.
Without a strategy for the body composition changes happening during weight loss — and a plan for what comes after — many patients see significant weight regain when they eventually discontinue GLP-1 therapy. The muscle that was lost doesn't come back on its own.
Three Pillars. One Complete Program.
Every patient in the Le Sommet GLP-1 program receives all three pillars — because managing weight while protecting the body that carries it is the only way to do this responsibly.
Joan Shelley, NP manages every aspect of your GLP-1 medication — candidacy evaluation, baseline labs, prescription, dose titration, and ongoing monitoring. This is not a telehealth form and a shipping address. It is a supervised clinical relationship with a licensed advanced practice provider who knows your health history, tracks your progress, and adjusts your protocol in response to what your body is actually doing.
We work with FDA-approved GLP-1 medications and conduct the lab work and clinical oversight that responsible prescribing requires. Medication alone is not the program — it is the foundation of a program that includes monitoring and support throughout treatment.
As weight comes off, we work actively to ensure it comes from fat — not from the muscle that drives your metabolism, supports your joints, and defines how you feel in your body. We do this through two parallel strategies.
EMSCULPT NEO® delivers supramaximal electromagnetic contractions to targeted muscle groups — building and maintaining muscle mass at clinical depth, even in patients whose caloric restriction would otherwise accelerate muscle loss. IV nutrition therapy provides the protein, vitamins, and minerals that GLP-1-reduced appetite makes difficult to obtain through food alone — bypassing the GI slowdown GLP-1 medications cause and delivering nutrients directly into the bloodstream where they're needed.
Telogen effluvium — hair loss triggered by the physiological stress of rapid weight loss — is a real and common side effect that most providers don't discuss until it's already distressing. For patients who experience it, scalp microneedling with PRP is our primary intervention.
The microneedling creates controlled micro-channels in the scalp, stimulating blood flow and signaling follicle activity. Platelet-Rich Plasma from your own blood — concentrated with growth factors that directly support hair follicle health — is applied immediately into those channels, reaching the follicle at the depth where it matters. The combination has the strongest evidence base of any non-pharmaceutical hair restoration intervention. We begin this protocol proactively for patients at higher risk, rather than waiting for significant loss to occur.
Go Deeper on Either Side Effect
The science of why rapid weight loss causes muscle loss, what it means for your long-term health and metabolism, and exactly how EMSCULPT NEO® and IV nutrition work together to protect and rebuild lean body mass throughout your program.
Read the full page →What telogen effluvium is, why GLP-1 medications trigger it, and how scalp microneedling with Platelet-Rich Plasma addresses the underlying follicle disruption to support regrowth and slow further loss.
Read the full page →"A GLP-1 prescription without a comprehensive plan for what happens to the rest of the body isn't a weight loss program. It's the beginning of one."
Is the Le Sommet GLP-1 Program Right for You?
You want the medication managed by someone who will actually monitor you — not just process a form. You want labs, adjustments, and a real clinical relationship with a licensed prescriber who understands the full picture.
You started a GLP-1 program elsewhere and are now experiencing muscle weakness, reduced stamina, or visible hair loss. We can add the muscle preservation and hair protection pillars to your existing program without requiring you to change prescribers.
The number on the scale is not the only thing that matters. You want to lose fat while keeping — or building — the muscle that makes you feel capable, energetic, and physically confident. That requires an active strategy, not just medication.
How the Program Works
A comprehensive consultation with Joan Shelley, NP covering your health history, weight history, current medications, goals, and concerns. Baseline labs are ordered to assess metabolic markers, thyroid function, kidney and liver health, and nutritional status before any medication is prescribed. We use this visit to understand the whole picture — not just the weight.
If GLP-1 therapy is appropriate, Joan will prescribe your medication at the clinically recommended starting dose and walk you through the titration schedule. We simultaneously build your muscle preservation and hair protection plan — identifying which EMSCULPT NEO® muscle groups to prioritize, establishing your IV nutrition schedule, and assessing whether proactive scalp treatment is indicated based on your risk profile.
As your GLP-1 dose titrates upward and weight loss accelerates, your EMSCULPT NEO® sessions run concurrently — building muscle at the same time the medication is changing your caloric intake. IV nutrition sessions are scheduled monthly or as needed based on labs and how you're feeling. Scalp microneedling with PRP begins if and when hair loss indicators appear, or earlier for higher-risk patients.
Regular check-ins with Joan to assess progress, review how your body is responding, and adjust dose and protocol accordingly. Follow-up labs at clinically appropriate intervals. We watch not just the scale but your energy, muscle strength, hair health, and overall wellbeing — and we adjust the program in response to what we see.
Joan Shelley, NP brings clinical depth and a genuine commitment to patient outcomes to every program she oversees at Le Sommet. The GLP-1 Weight Loss Program is her clinical domain — and her approach reflects her belief that meaningful weight management requires treating the whole patient, not just the number on the scale. She manages every aspect of the medical pillar: evaluation, prescribing, lab monitoring, and the ongoing adjustments that responsible GLP-1 therapy demands.
Frequently Asked Questions
Which GLP-1 medications do you prescribe?
I'm already on a GLP-1 from another provider. Can I join just the muscle or hair portions of the program?
How much weight loss can I expect?
Does insurance cover GLP-1 medications or the program services?
What happens when I want to stop the GLP-1 medication?
Lose the weight.
Keep everything else.
Schedule your GLP-1 program consultation with Joan Shelley, NP. We'll review your history, discuss your goals, and build a plan that treats the whole picture — not just the scale.
GLP-1 medications require a prescription and are dispensed following a clinical evaluation and review of labs. Le Sommet prescribes FDA-approved medications only. Individual weight loss results vary. This program is not appropriate for patients with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. All candidacy determinations are made by Joan Shelley, NP following clinical assessment.
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