Medical Weight Loss in Spokane & Liberty Lake — Semaglutide and Tirzepatide From $175/mo

Semaglutide targets GLP-1 receptors. Tirzepatide targets both GLP-1 and GIP. In published trials, semaglutide averaged about 15–17% total body weight reduction and tirzepatide about 20–22%.

Semaglutide is often the right starting point and has cardiovascular outcome data in patients with established disease. Tirzepatide tends to suit patients with insulin resistance or prediabetes, or those who didn’t respond well to semaglutide. You’re not locked into your first choice — switching is a normal part of treatment.

At Prime Body Solutions in Liberty Lake, compounded semaglutide is $175 per month and compounded tirzepatide is $250 per month, with the medication included. That covers physician oversight, dose adjustments, body composition analysis, unlimited visits, and direct text access to Dr. Belkoff.

Pricing reflects the starting dose; higher doses may carry additional medication cost as you titrate up. We tell you before that happens, not after. No contracts — cancel any time.

For the medication, sometimes. If you’d like to try a brand-name GLP-1 through your plan, Dr. Belkoff will prescribe it and manage your care for a $99 monthly fee, with the prescription sent to your pharmacy and the drug cost set by your plan and copay.

Be aware that most plans still exclude weight loss medication. Denials are more common than approvals, and approval often requires documentation, prior authorization, and weeks of waiting. If your plan covers it, that route is usually cheapest. If it doesn’t, the compounded programs cost less and start immediately.

Not always. Most patients can begin treatment at their first visit. Whether lab work is recommended before starting depends on your medical history, current medications, and what we find during your evaluation.

When labs are ordered, we draw them through our contracted cash rate with Quest Diagnostics rather than billing insurance — in most cases that comes out lower than what you’d pay through a plan once deductibles are counted, with no claim and no surprise bill later. Recent labs from another provider can often be used instead.

Published trials reported average total body weight reductions of roughly 15–17% with semaglutide and 20–22% with tirzepatide over 68 to 72 weeks. Those are trial averages, not a promise about your result.

Sustainable loss generally runs one to two pounds per week. Faster than that usually means you’re losing muscle along with fat, which is why we track body composition rather than scale weight alone. Your starting weight, medical history, adherence, protein intake, and activity all move the number.

You will lose some lean mass on any weight loss protocol — that’s normal. The question is how much, and that’s largely within your control.

Adequate protein and resistance training are what protect muscle, and both are part of every program here. We measure body composition monthly rather than just weighing you, so if lean mass starts dropping faster than it should, we catch it and adjust. This is the single biggest difference between physician-managed treatment and a mail-order pen.

Under physician supervision, they’re generally well tolerated. The most common side effects are nausea, constipation, diarrhea, reflux, and fatigue, and they’re most likely during dose increases. Starting low and titrating slowly is the single best way to avoid them, which is exactly how we dose.

These medications are not for everyone. We do not prescribe them to patients with a personal or family history of medullary thyroid carcinoma or MEN2, during pregnancy or breastfeeding, or where a history of pancreatitis or certain GI conditions makes them inappropriate. That screening happens at your first visit.

A free consultation with Dr. Belkoff, in person at our Liberty Lake clinic or by telehealth. We go through your goals, your medical history, your current medications, and every past attempt that didn’t stick.

You leave knowing which medication fits, what it costs, what the first 90 days look like, and whether lab work is needed. Most patients can start treatment that same visit — and the nutrition, meal planning, and training side starts that day too, not later.

There’s no mandatory meal plan and nothing to buy from us. But this is not a medication-only program. Nutrition planning, meal planning, protein targets, and resistance training start on day one, built around what you actually eat and how you actually live.

The medication makes that work possible. When appetite quiets down, the habits that felt impossible for years become achievable — and those habits are what hold the result. Medication without them is a rental, not a change.

Plateaus are expected, not a failure. They usually mean one of three things: you’ve reached the ceiling of your current dose, protein or training has slipped, or something metabolic needs a closer look.

Dr. Belkoff reviews progress at every check-in and adjusts — a dose increase, a change in medication, or a shift in the nutrition side. Switching from semaglutide to tirzepatide is common when a response stalls, and it’s a normal part of treatment rather than starting over.

Stopping the medication does not automatically mean the weight comes back. What determines that is whether anything actually changed underneath it.

If the medication was the entire plan — appetite suppressed, nothing else different — then yes, appetite returns and so does the weight. That’s what happens at clinics that mail you a pen and check in by email.

We run it differently. From day one we work on your relationship with food — meal planning, nutrition planning, protein targets, resistance training, and the habits that make those sustainable. The medication opens a window where that work is finally possible instead of a daily fight. Patients who use that window build something that holds without the drug.

Patients who don’t do those things regain. We’ll tell you that honestly at your first visit. Some patients stay on a maintenance dose long term, and that’s a legitimate choice too — there are no contracts either way.

Yes. Dr. Belkoff is licensed in both Washington and Idaho, so patients in Post Falls, Coeur d’Alene, and Hayden can be treated without driving over for every visit.

We recommend an in-person first visit when possible so we can complete a body composition analysis, but follow-ups can be handled by telehealth, and medication ships to your door.

Prime Body Solutions is at 2110 N Molter Rd, Suite 119, Liberty Lake, WA 99019 — about five minutes off I-90. Roughly 10 minutes from Spokane Valley, 20 minutes from Spokane, 10 minutes from Post Falls, and 25 minutes from Coeur d’Alene.

Call or text (509) 601-4700 to reach our team directly.