GLP-1 Medical Weight Loss Clinic: St. George, Utah
Semaglutide & Tirzepatide treatment with real physician oversight
Starts at ~$80 – $135/month*
Same-day or next-day appointments available
*Starting monthly estimate applies to clinically appropriate compounded medication during titration, when prescribed. Actual cost varies by dose and refill timing. Compounded medications are not FDA-approved or generic equivalents; brand medications are priced separately. See full pricing guide.
*Starting monthly estimate applies to clinically appropriate compounded medication during titration, when prescribed. Actual cost varies by dose and refill timing. Compounded medications are not FDA-approved or generic equivalents; brand medications are priced separately. See full pricing guide.
Losing Weight Shouldn’t Feel So Hard
Many of our patients come to us after years of frustration. You have not failed—your body may simply need a different approach.
GLP-1 medications can make weight loss more achievable, while Potere Health MD provides the medical guidance and support to help you succeed.
GLP-1 medications, including semaglutide and tirzepatide, help reduce hunger, control cravings, and help you feel full longer. They have transformed weight loss by making it easier to follow a healthier diet without the constant struggle of hunger.
Related: Learn more about GLP-1 weight loss
Meet Jessica
The Potere Difference: Evidence-Based Care with Individualized Treatment Plans
Direct Physician Care
Managed by the same doctor throughout treatment, providing individualized dosing based on your response, including microdosing where appropriate.
Evidence-Based Rx Treatment
FDA-approved medications containing semaglutide or tirzepatide, or patient-specific compounded* options when clinically appropriate.
Verified Medication Quality
Compounded medications from licensed U.S. pharmacy (LegitScript certified) & include third party testing (Certificate of Analysis) for purity and potency.
Transparent Pricing
Know exactly how much you will pay. No subscriptions or hidden fees.
*Compounded semaglutide and tirzepatide are not FDA-approved, are not generic versions of FDA-approved drugs like Ozempic, Wegovy, Mounjaro, or Zepbound, and are not reviewed by FDA for safety, effectiveness, or quality. When appropriate, they are prescribed only after individualized medical evaluation and filled by a licensed U.S. compounding pharmacy. FDA-approved brand options may also be discussed.
Meet Your St. George Medical Weight Loss Doctor: Dr. Joshua Silva, MD
About the Doctor
Dr. Joshua Silva, MD is the physician and medical director of Potere Health MD, a physician-led GLP-1 medical weight loss clinic serving St. George, Cedar City, Holladay/Salt Lake City, and Utah telehealth patients.
Dr. Silva completed residency training in Occupational Medicine, a specialty focused on prevention, workplace health, and injury recovery. Over more than a decade in clinical practice, he saw how excess weight and metabolic dysfunction can affect physical function, recovery, mobility, energy, and long-term disease risk.
That experience led him to build Potere Health MD around evidence-based medical weight management, including semaglutide and tirzepatide options when clinically appropriate. His approach emphasizes individualized dosing, structured follow-up, side-effect management, nutrition guidance, and long-term maintenance.
Weight management is not cosmetic. It is preventive medicine.
“My goal is to help patients understand their options clearly, feel medically supported, and pursue weight loss through an individualized plan — not a one-size-fits-all program.”
— Dr. Joshua Silva, MD
How Our GLP-1 Treatment Works
Complimentary Consultation
STEP
1
Meet with Dr. Silva (in-person or virtual) to review your goals and determine if treatment is appropriate.
Receive Your Medication
STEP
2
If appropriate, medication is prescribed — pick up locally or delivered to your home.
Ongoing Support
STEP
3
Physician guidance for dose adjustments, side-effect management, and long-term success
Potere Health MD is more that just a prescription
We provide the right medication and tailored support so you can lose weight safely, conveniently, and effectively.
Ongoing care by Dr. Silva
In-person or 100% online
Twice-weekly and microdosing available
Same day medication pickup
Side effect support
Third party testing of compounded medications
LegitScript-certified pharmacy partners
Real Patients — Real Experiences
Chris’s Amazing Journey with Physician-Led GLP-1 Weight Loss
Overcome GLP-1 Side Effects with Personalized Care: Katie's Story
How Trish Used Nutrition to Maximize GLP-1 Weight Loss
Managing Weight Loss with Type 1 Diabetes: Korinne’s Experience with Potere Health MD
Patient stories reflect individual experiences and do not guarantee results. Weight loss varies by medical history, medication, dose, nutrition, activity, adherence, and side effects. Results with compounded medications may differ from clinical trial averages for FDA-approved medications. Patients were compensaated for sharing their experiences.
Ready to Start Physician-Led GLP-1 Weight Loss?
If you're considering semaglutide or tirzepatide for weight loss, the next step is a complimentary consultation with Dr. Silva to determine if treatment is appropriate for you.
Serving Southern Utah & Washington County
While our primary clinical practice is located in St. George, we actively treat patients seeking evidence-based weight management from surrounding communities. We provide clinically supervised metabolic care and GLP-1 therapies to residents across the region, including Washington, Hurricane, Santa Clara, and Mesquite, NV.
Semaglutide & Tirzepatide FAQs: GLP-1 Weight Loss in St. George, Utah
*Educational Disclosure: The educational information on this page is based on peer-reviewed research and clinical trial data from FDA-approved semaglutide and tirzepatide products (such as Wegovy®, Ozempic®, Zepbound®, and Mounjaro®). Compounded semaglutide and tirzepatide formulations are not FDA-approved and lack the clinical trial data of FDA-approved products. This content is provided for educational purposes and does not guarantee outcomes or replace a personalized medical evaluation.
🎥 In this video… we explain what makes Potere Health MD different — and how physician-guided weight-loss provides individual dosing, side-effect support, and real clinical oversight that many patients do not receive through generic online programs.
Full Video Narration: What Is Potere Health MD? A Physician-Led Approach to Weight Loss in St. George, Utah. Potere Health MD was founded to give patients in St. George and Washington County a better option than high-priced med spas or impersonal online programs. You deserve care that is both affordable and medically credible, without having to choose between the two. “Potere” means power — and our mission is to empower Southern Utah patients with real, evidence-based medicine. Dr. Joshua Silva, MD, combines clinical research with years of hands-on experience to create individualized treatment plans grounded in science, not trends. From our St. George clinic — serving patients from Hurricane, UT to Mesquite, NV and beyond — we provide the same level of support whether you visit in person or meet with us through telehealth anywhere in Utah. Getting started is simple: 1) Schedule a free virtual or in-clinic consultation with Dr. Silva. 2) Complete a short intake so we understand your goals and medical history. 3) Meet with Dr. Silva to design a personalized, safe treatment plan. 4) Receive your medication the same day at our St. George office or have it delivered statewide for free. Stay connected as we monitor your progress and adjust your dose with physician oversight. At Potere Health MD, you’ll never navigate your weight-loss journey alone. We offer research-driven care, real medical supervision, and ongoing support designed to help you achieve meaningful, lasting results. Get in touch to schedule your free consultation in St. George today.
Potere Health MD offers physician-led GLP-1 weight-loss care with personalized dosing, including microdosing or maintenance dosing when appropriate. Unlike many online programs, patients are not left to manage side effects, dose changes, or long-term treatment decisions alone. Care is available in person in St. George, Utah, or fully online by telehealth anywhere in Utah.
🎥 In this video… we explain the biology that makes weight loss so difficult and how treatment helps your body work with you.
Full Video Narration: Why Weight Loss Feels So Hard — The Biology Behind It In St. George, most adults are surprised to learn how much biology influences weight. From Hurricane to Washington City — people work hard to lose weight but often feel like they’re fighting their own bodies. The truth is simple: our bodies evolved for survival, not for modern life. For thousands of years, humans sought out calorie-dense foods, stored extra energy as fat, and overate when food was available. Today, even in active communities like Santa Clara and Ivins, those instincts work against us. Many patients say, “But I hardly eat anything!” Yet research shows most people unintentionally underestimate their calorie intake. A landmark New England Journal of Medicine study found that individuals who believed they had “slow metabolisms” underreported calories by 47%, even though their hormone levels and metabolic function were normal. This is where Potere Health MD can help. Medications like semaglutide and tirzepatide mimic natural hormones that regulate appetite and digestion. They quiet food noise, curb cravings, and make it easier to maintain a calorie deficit. Clinical trials of FDA-approved semaglutide and tirzepatide show average weight loss of 15–21% of total body weight, far beyond what lifestyle changes alone typically achieve (individual results vary and are not guaranteed). And biology isn’t always fair — you can consume more calories in 60 seconds than you can burn in 60 minutes of intense exercise. At Potere Health MD in St. George, we help patients from neighborhoods and communities across the region, including students at Utah Tech University, to use proven medication and physician-guided support to regain control of their health.
Weight loss is hard because your body often fights back when calories drop. Hunger increases, cravings get stronger, metabolism may slow, and “food noise” can make consistency difficult. GLP-1 medications like semaglutide and tirzepatide can help by reducing appetite and making a lower-calorie diet easier to maintain.
🎥 In this video… we explain what makes Potere Health MD different — and how physician-guided weight-loss provides individual dosing, side-effect support, and real clinical oversight that many patients do not receive through generic online programs.
Full Video Narration: Why Weight Loss Matters — A Health Perspective for St. George Achieving and maintaining a healthy weight is about protecting long-term health, not appearance. In St. George and neighboring communities excess weight increases the risk of type 2 diabetes, high blood pressure, abnormal cholesterol, heart disease, stroke, fatty liver disease, sleep apnea, and chronic joint pain. Obesity also raises the risk of several cancers — including colorectal, liver, kidney, pancreatic, endometrial, ovarian, and post-menopausal breast cancers. The positive news is that even modest weight loss creates measurable improvements. Blood sugar stabilizes, liver fat decreases, blood pressure and cholesterol drop, sleep quality improves, and joint pain often eases. Our Patients from Hurricane to Mesquite, NV frequently notice better energy, mood, and mobility within weeks. These changes aren’t cosmetic; they’re medical. At Potere Health MD in St. George, evidence-based treatments such as semaglutide and tirzepatide help many patients lose 15–21% of their total body weight (when using FDA-approved medications), resulting in meaningful improvements in long-term health.
Weight loss is not just about appearance. Excess weight increases the risk of type 2 diabetes, high blood pressure, heart disease, fatty liver disease, sleep apnea, joint pain, stroke, and some cancers. Even modest weight loss of 5-10% can improve blood sugar, cholesterol, blood pressure, mobility, sleep, and long-term metabolic health.
🎥 In this video… we compare the medications and explain who benefits most from each.
Full Video Narration: We compare the medications and explain who benefits most from each. Many patients in St. George and Hurricane ask which medication is better for weight loss: semaglutide or tirzepatide. Both are powerful, research-backed tools — but they work slightly differently. Semaglutide mimics the hormone GLP-1, which helps regulate appetite by signaling fullness to the brain, slowing stomach emptying, and improving insulin efficiency. It reduces cravings and helps you feel satisfied with less food. Tirzepatide, meanwhile, mimics two natural hormones — GIP and GLP-1. This dual action enhances appetite control, reduces food noise more intensely, and leads to greater overall weight loss. Clinical trials of FDA-approved semaglutide and tirzepatide show the difference clearly: Semaglutide patients lose about 15% of total body weight Tirzepatide patients lose approximately 21% Both medications can cause mild gastrointestinal side effects, but tirzepatide is often better tolerated, with many patients reporting fewer symptoms. So which option is right for you? Tirzepatide provides the most potent results with generally fewer side effects Semaglutide is a highly effective, more affordable alternative — especially when dosing is personalized under medical supervision At Potere Health MD , we help our patients choose the safest and most effective treatment based on their goals and medical history.
Tirzepatide usually produces greater average weight loss than semaglutide with less side effects, but semaglutide is still very effective and often more affordable. The best choice depends on your goals, medical history, budget, side effects, and how your body responds. A physician-guided plan allows the medication and dose to be adjusted over time.
🎥 In this video… we compare the medications and explain who benefits most from each.
Full Video Narration: Side Effects of Semaglutide & Tirzepatide Medications like semaglutide and tirzepatide are extremely effective for weight loss, but side effects can occur — and at Potere Health MD in St. George, you never navigate them alone. We always provide our patients with physician-guided care. Dr. Silva works directly with you to tailor dosing, monitor progress, and manage any symptoms. Weight loss should never come from feeling too sick to eat, exercise, or function normally — if side effects interfere with daily life, they must be addressed. Common symptoms include nausea, heartburn, constipation, diarrhea, and occasional fatigue. These effects are usually temporary and dose-related. Two simple habits reduce most discomfort: Eat regularly. Skipping meals intensifies nausea. Avoid overeating. Smaller, more frequent meals and limiting high-fat foods improve digestion and reduce reflux or bloating. Whether telehealth or in-person, we focus on comfort and sustainability. We start low and increase gradually — adjusting your plan as your body adapts. If symptoms persist, Dr. Silva may divide your weekly dose into two smaller injections, delivering the same total amount in a gentler, more tolerable pattern. He may also recommend over-the-counter or prescription options when needed. Most side effects improve as your body adjusts — and nearly everyone can find a regimen that works with physician supervision. That is the advantage of the individualized, evidence-based care patients trust at Potere Health MD.
The most common side effects are nausea, reflux, constipation, diarrhea, bloating, and fatigue. These symptoms are usually dose-related and often improve with slower dose increases, smaller meals, hydration, and avoiding overeating. You should not feel too sick to eat, work, exercise, or function normally.
🎥 In this video… we explain how to protect muscle and why lean-mass percentage often improves with treatment.
Full Video Narration: Does GLP-1/GIP Therapy Cause Muscle Loss? What Patients in St. George & Hurricane Should Know Many patients ask whether semaglutide or tirzepatide causes muscle loss. Let’s look at what the science actually shows. When you lose weight, your body naturally sheds both fat and lean tissue. This isn’t “muscle wasting” — it’s adaptive remodeling, your body’s normal process of adjusting to a lighter weight. Your muscles respond to the load they’re asked to carry. When you weigh more, muscles strengthen to support that weight. As you lose weight, the demand decreases — so your body fine-tunes its muscle mass to match. This is efficient biology, not damage. Research confirms that with semaglutide and tirzepatide, about 70% of weight loss is fat and 30% is lean tissue — the same healthy ratio seen with diet and exercise alone. In fact, your percentage of lean mass actually increases after treatment because you’re losing more fat than muscle. Why does any lean loss occur? Because muscle is metabolically expensive. It burns roughly three times more calories than fat, making it the first place your body trims energy use during a calorie deficit — unless you signal that muscle is still needed. That signal comes from resistance training. Strength or resistance exercises two to three times per week tell your body to preserve muscle while burning fat. Nutrition matters too. Studies show adults who eat around 0.5–1 gram of protein per pound of body weight per day (often 25–40 grams per meal) maintain muscle far more effectively. Of course, if calories or protein drop too low, the body may break down muscle for energy — that’s true of any weight-loss method. So do GLP-1 medications directly cause muscle loss? No — they simply reveal how your body naturally adapts to weight change. With proper protein intake and resistance training, patients can maintain healthy lean mass while losing significant fat.
Semaglutide and tirzepatide do not directly damage muscle. Some lean mass can be lost during any type of weight loss, especially when calories or protein are too low. Eating enough protein and doing strength training 2–3 times per week helps preserve muscle while your body loses fat.
🎥 In this video… we explain why hair shedding happens and what you can do to support healthy hair during GLP-1/GIP therapy.
Full Video Narration: Does Semaglutide or Tirzepatide Cause Hair Loss? What Patients in St. George Should Know Patients often worry that semaglutide or tirzepatide might cause hair loss. The good news is that these medications do NOT damage hair follicles. If hair thinning occurs during treatment, the cause is usually telogen effluvium, a temporary shedding phase triggered by major stressors such as rapid weight loss, illness, or surgery. When weight drops quickly, the body can interpret it as a form of “starvation,” redirecting energy away from hair growth. This pushes more hairs — sometimes 25–50% — from the growth phase into the shedding phase. Even though shedding becomes noticeable, the follicles remain healthy. This means the hair grows back once the body stabilizes and nutrients are adequate. The best strategy to protect hair during weight loss is slow, well-supported progress. Prioritizing lean protein and key nutrients — including iron, zinc, vitamin D, and essential fatty acids — keeps hair growth strong. And yes, biotin supplements are overrated. Unless you’re truly deficient (which is uncommon), biotin will not prevent hair shedding. At Potere Health MD, we use evidence-based, physician-guided treatment plans — not influencer advice. Our approach supports gradual, healthy weight loss for patients across St. George neighborhoods such as Hurricane, Bloomington, and Little Valley and beyond, helping protect your whole body — including your hair.
Semaglutide and tirzepatide do not damage hair follicles. Hair shedding during treatment is usually related to rapid weight loss, low protein intake, or nutrient stress, not medication toxicity. This temporary shedding is called telogen effluvium, and hair usually regrows once weight loss slows and nutrition improves.
🎥 In this video… we explain the full-body benefits of GLP-1/GIP therapy.
Full Video Narration: Beyond Weight Loss — How GLP-1/GIP Medications Improve Health Across the Body Many patients in St. George, including students at Utah Tech University, assume that semaglutide and tirzepatide are only “weight-loss drugs.” But the truth is far more impressive. These medications act on GLP-1 and GIP receptors located throughout the body, not just in the digestive system. GLP-1 receptors exist in the pancreas, brain, heart, blood vessels, lungs, and kidneys, while GIP receptors are found in fat tissue as well. That means the benefits extend well beyond the scale. Some benefits of FDA-approved GLP-1/GIP medications beyond weight loss are supported by emerging research and may vary based on individual health conditions, including: Improve blood sugar regulation, increase insulin sensitivity, and lower A1C Reduce long-term diabetic risks and protect pancreatic function Lower cholesterol, triglycerides, and blood pressure, supporting long-term cardiovascular health Show promising reductions in heart attacks and strokes in early studies Decrease liver fat, improve, and prevent fatty liver disease Help reduce sleep apnea severity, improving nighttime breathing and daily energy Support kidney health, with studies showing slower progression of kidney disease May offer benefits for brain health, inflammation, and cognitive protection, though research is ongoing Weight loss is just the beginning. For patients throughout the St. George region — including Mesquite, NV— GLP-1 and GIP medications support healthier metabolism, stronger cardiovascular function, and overall longevity. These therapies represent one of the most meaningful medical advances for individuals facing excess weight and its complications.
Yes. GLP-1 and GLP-1/GIP medications may improve blood sugar, insulin resistance, A1C, cholesterol, blood pressure, fatty liver disease, sleep apnea, inflammation, and cardiovascular risk in appropriate patients. These benefits vary by medication, dose, health history, and consistency with treatment.