Medical Weight Loss in Powell, Ohio

FDA-approved GLP-1 medications prescribed by a provider who lost 75 pounds on the same protocol. In-clinic or telehealth across Ohio.

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Services & Pricing

Semaglutide Follow-up Appointment: No Charge
Medication monitoring
Free Consultation
Discuss your goals with our team at no cost.
Lipomino Injection
Fat-burning injection
Tirzepatide Follow-up Appointment: No Charge
Medication monitoring
Liraglutide/Pramlintide Follow-up Appointment: No Charge
Medication monitoring
Weight Loss - SLM+ Appetite Suppressant Capsules: Follow-up
Prescription refill
Virtual Weight Loss Consultation (Online Only)
Telehealth consultation

Prescription Weight Loss That Actually Works

A capped GLP-1 weight-loss injection pen resting on black linen beside a glass of water in a warm, gold-lit Confidence Lab treatment room, illustrating the sema

Medical weight loss at The Confidence Lab uses FDA-approved GLP-1 receptor agonists, semaglutide and tirzepatide, to reduce appetite, slow gastric emptying, and help your body release stored fat. These are the same medications behind the names Ozempic, Wegovy, Mounjaro, and Zepbound, prescribed at clinical doses and monitored by Anna Castellanos, MSN, APRN, FNP-C.

Anna lost 75 pounds on the same GLP-1 protocol she now prescribes. That firsthand experience shapes every plan she builds. She knows the plateaus, the side effects, and the emotional weight that comes with the physical weight, so she meets you where you actually are. Your plan includes monthly check-ins, dose adjustments based on how you respond, and direct access to your prescribing provider between visits.

Available in-clinic at our Powell location or by telehealth anywhere in Ohio. No referral needed, and no long-term contracts.

Weight Loss Programs and Pricing

See full pricing and book any service below. VIP members save on every treatment.

Add-On Price What It Does for You
B-12 Injection Add-On From $39 Energy support that offsets the fatigue common during a caloric deficit on GLP-1 therapy.
Lipo-Mino Injection Add-On $59 Lipotropic amino-acid blend that supports fat metabolism alongside your weight-loss program.

How GLP-1 Medications Work

GLP-1 receptor agonists mimic a hormone your body already makes, called glucagon-like peptide-1; given as a weekly injection, they work in four ways:

Hunger

They signal your brain’s appetite center to ease hunger between meals

Fullness

They slow gastric emptying, so you feel full longer after eating

Insulin Sensitivity

They improve insulin sensitivity, helping your body process glucose more efficiently

Cravings

They quiet cravings, especially for high-calorie, high-sugar foods

Which Medication Targets What

Semaglutide, the active ingredient in Ozempic and Wegovy, targets the GLP-1 receptor. Tirzepatide, in Mounjaro and Zepbound, targets both the GLP-1 and GIP receptors. That dual action can mean greater weight reduction for some clients.

What Clinical Trials Show

In clinical trials, average weight loss was 15 to 20 percent of body weight with semaglutide and 20 to 25 percent with tirzepatide over 68 to 72 weeks. Your own results depend on your starting weight, how you tolerate the dose, your eating, and your activity.

Before, During, and After Treatment

Here is exactly what to expect at each stage of your visit, so you can arrive prepared and know what happens before, during, and after your treatment.

Before

Your free consultation covers medical history review, current medications, and goal setting. Your provider reviews contraindications (personal or family history of medullary thyroid carcinoma, MEN 2 syndrome, pancreatitis). If eligible, your first injection can happen the same day or medication can be shipped for telehealth clients. No blood work required to start, though baseline labs are recommended.

During

Weekly self-administered subcutaneous injection (abdomen, thigh, or upper arm, we teach you at your first visit). Monthly provider check-ins via in-person or telehealth. Dose adjustments based on weight loss pace, side effect tolerance, and how you feel. Direct messaging access to Anna for questions between visits. Optional add-ons: B12 injections, Lipo-Mino shots, IV hydration for energy support.

After

When you reach your goal weight, Anna works with you on a maintenance plan. Options include staying on a lower maintenance dose, gradual taper with lifestyle coaching, or discontinuation with regular follow-up weigh-ins. There is no penalty for adjusting your plan. The goal is sustainable weight management, not dependency on medication.

What to Expect: Weight Loss Timeline

Medical weight-loss results and follow-up at The Confidence Lab
Weeks 1-4

Starting dose (semaglutide 0.25mg or tirzepatide 2.5mg). Appetite reduction begins. Most clients notice decreased hunger within the first week. Mild GI side effects are common and typically resolve.

Weeks 5-12

Dose titration phase. Weight loss becomes visible, most clients lose 5-10% of starting weight by week 12. Energy levels stabilize. Cravings for processed foods decrease significantly.

Weeks 13-24

Therapeutic dose reached for most clients. Consistent weekly weight loss of 1-2 pounds. Clothing sizes changing. Blood sugar and cholesterol markers often improve.

Weeks 25-52

Maintenance titration. Total weight loss of 15-25% of starting weight for most clients. Monthly check-ins continue. Discussion of long-term maintenance strategy begins.

Beyond 52 Weeks

Ongoing maintenance or gradual taper based on individual goals. Some clients maintain on lower doses long-term; others transition off medication with lifestyle support.

Is Medical Weight Loss Right for You?

Consider an alternative if…

A health-conscious woman in her forties looking ahead optimistically in a warm, gold-accented Confidence Lab interior, representing ideal candidates for a medic

Personal or family history of medullary thyroid carcinoma or MEN 2 syndrome

History of pancreatitis

Currently pregnant or planning pregnancy within 2 months

Under 18 years of age

Meet Your Providers

Anna Castellanos, Co-Owner & Board-Certified Family Nurse Practitioner - The Confidence Lab

Anna Castellanos

Co-Owner & Board-Certified Family Nurse Practitioner

Anna lost 75 pounds on the same GLP-1 protocol she now prescribes, so she understands the nausea at dose increases, the plateaus, and the emotional side of changing your body. She built the weight-loss program around that lived experience, adjusting doses and checking in monthly.

Ashley Williamson, Co-Owner & Board-Certified Family Nurse Practitioner - The Confidence Lab

Ashley Williamson

Co-Owner & Board-Certified Family Nurse Practitioner

Ashley is a board-certified Family Nurse Practitioner and co-owner of The Confidence Lab. She brings a detail-oriented, whole-person approach to metabolic health and ongoing care.

Semaglutide vs. Tirzepatide: How They Compare

Feature Semaglutide Tirzepatide
Brand names Ozempic, Wegovy Mounjaro, Zepbound
Mechanism GLP-1 receptor agonist Dual GIP + GLP-1 receptor agonist
Administration Weekly subcutaneous injection Weekly subcutaneous injection
Starting dose 0.25 mg 2.5 mg
Maximum dose 2.4 mg 15 mg
Average weight loss (clinical trials) 15-20% of body weight 20-25% of body weight
Time to therapeutic dose 16-20 weeks 16-20 weeks
Common side effects Nausea, constipation, diarrhea Nausea, diarrhea, decreased appetite
Available at The Confidence Lab Yes, in-clinic and telehealth Yes, in-clinic and telehealth
Free consultation Yes Yes

Pro Tips for GLP-1 Weight Loss Success

Hydrate aggressively

GLP-1 medications slow digestion. Drinking 80-100 oz of water daily reduces nausea and constipation, the two most common early side effects.

Eat protein first

With a smaller appetite, every meal matters more. Aim for 25-30g protein per meal to preserve muscle mass during rapid weight loss.

Time your injection consistently

Pick the same day and time each week. Many clients inject Friday evening so any GI side effects resolve over the weekend.

Move, but don’t overdo it

Walking 30 minutes daily supports weight loss without the caloric demands of intense exercise that can increase nausea on GLP-1 medications.

Track your measurements, not just the scale

GLP-1 weight loss often shows in inches before pounds, especially in the first month when water retention fluctuates.

Report side effects early

Nausea, vomiting, or constipation lasting more than 3 days often resolves with a dose hold or slower titration. Message Anna directly rather than waiting for your monthly check-in.

Plan for maintenance before you hit goal weight

Start discussing your maintenance strategy around the 70% mark of your weight loss goal. Abrupt discontinuation without a plan increases regain risk.

Telehealth Weight Loss, Available Across Ohio

Live in Columbus, Cincinnati, Cleveland, Dayton, or anywhere else in Ohio? Medical weight loss at The Confidence Lab is available by secure video visit. Same protocols, your own board-certified provider, the same monthly check-ins, without the drive to Powell.

How telehealth works:

Book your free consultation online

Meet your provider, Anna or Ashley, by secure video

If you are eligible, your medication ships directly to your home

Monthly follow-ups by telehealth or in person, your choice

Direct messaging access between visits

Ohio residents only. A valid Ohio address is required for medication delivery.

Services That Complement Weight Loss

Weight loss works best as part of a broader plan. These services pair well with your program at The Confidence Lab.

  • IV Hydration & Wellness: Combat dehydration and fatigue during a caloric deficit; Energy and Recovery drips are popular.
  • Vitamin Injections: B-12 and Lipo-Mino injections support energy and fat metabolism while on GLP-1 medication.
  • Functional Medicine: Root-cause hormone testing (DUTCH) can surface metabolic factors affecting your response.
  • Laser Skin Treatments: Refresh skin tone and texture after significant weight loss so your skin matches how you feel.

Frequently Asked Questions

How much does medical weight loss cost at The Confidence Lab?
Pricing for GLP-1 weight loss programs is discussed during your free consultation because it depends on medication type (semaglutide vs. tirzepatide), dose level, and whether you choose in-clinic or telehealth visits. The consultation itself is always free with no obligation to start.
Is the weight loss consultation really free?
Yes. Your initial 30-minute consultation is completely free. Your board-certified provider reviews your medical history, discusses your goals, explains both medication options, and determines eligibility, no payment required and no pressure to start same-day.
What is the difference between semaglutide and tirzepatide?
Semaglutide (Ozempic/Wegovy) targets the GLP-1 receptor. Tirzepatide (Mounjaro/Zepbound) targets both GLP-1 and GIP receptors. Clinical trials show tirzepatide produces slightly greater average weight loss (20-25% vs 15-20% of body weight), but individual response varies. Anna helps you choose based on your health history and goals.
How much weight can I expect to lose?
Clinical trials show average weight loss of 15-20% of body weight with semaglutide and 20-25% with tirzepatide over 68-72 weeks. Individual results depend on starting weight, adherence, dietary changes, and activity level. Anna lost 75 pounds personally using semaglutide.
Do you offer telehealth for weight loss?
Yes. Medical weight loss via telehealth is available to anyone with a valid Ohio address. Same provider (Anna Castellanos), same protocols, same monthly check-ins, medication ships directly to your home. Book your free telehealth consultation online.
What are the side effects of GLP-1 medications?
The most common side effects are nausea, constipation, and diarrhea, typically mild and most common during dose increases. These usually resolve within 1-2 weeks at each new dose level. Serious side effects are rare. Anna adjusts your titration schedule if side effects are persistent.
Do I need blood work before starting?
Blood work is not required to start GLP-1 medication, but baseline labs (metabolic panel, A1C, thyroid) are recommended. Anna can order labs during your consultation or you can bring recent results from your primary care provider.
How long do I need to stay on the medication?
Treatment duration is individualized. Most clients reach their goal weight within 9-15 months. Some choose to stay on a lower maintenance dose long-term; others taper off with lifestyle support. Anna discusses your maintenance plan well before you hit your goal weight.
Can I do this program if I live outside Powell?
Yes. In-clinic visits are available at our Powell, Ohio location (4038 Powell Rd). Telehealth visits are available statewide across Ohio, Columbus, Cincinnati, Cleveland, Dayton, Toledo, Akron, and everywhere in between. You need a valid Ohio address for medication delivery.
Who prescribes the medication?
Anna Castellanos, MSN, APRN, FNP-C, co-owner of The Confidence Lab and a board-certified Family Nurse Practitioner. Anna leads The Confidence Lab's weight loss program, from initial consultation through maintenance. She lost 75 pounds on the same protocol she prescribes.
Do I inject myself?
Yes. GLP-1 medications are self-administered with a small subcutaneous injection once a week. Anna teaches you the technique at your first visit, using the abdomen, thigh, or upper arm. Most clients say it is painless, since the needle is very small.
Will my insurance cover GLP-1 medications?
Most insurance plans do not cover GLP-1 medications for weight loss (they may cover them for type 2 diabetes). The Confidence Lab uses compounded semaglutide and tirzepatide, which are significantly less expensive than brand-name versions. Pricing is discussed during your free consultation.
What happens if I stop taking the medication?
Weight regain is possible if medication is discontinued without a maintenance plan. This is why Anna starts maintenance planning before you reach your goal weight. Options include staying on a lower dose, gradual taper with dietary coaching, or periodic medication cycles.
How often do I need to come in for appointments?
Monthly check-ins (in-person or telehealth) are standard. Between visits, you have direct messaging access to Anna for questions about side effects, dose timing, or anything else. The first few months may include more frequent touch points during dose titration.
Can I combine weight loss medication with other treatments?
Yes. Many weight loss clients add B12 injections for energy support, Lipo-Mino injections for fat metabolism, or IV hydration for dehydration during caloric deficit. Anna can recommend complementary treatments based on your symptoms and goals.
Who is a good candidate for medical weight loss?
There is no fixed cutoff we advertise. Your provider assesses fit during your free consultation.
How is The Confidence Lab different from online weight loss clinics?
Your program is led by a board-certified provider, not an algorithm. Anna built it after losing 75 pounds on the same medication she prescribes, so she understands the experience firsthand, and your monthly check-ins are with your prescribing provider, not a nurse line or a chatbot.
Do you prescribe Ozempic or Wegovy specifically?
The Confidence Lab uses compounded semaglutide (the same active ingredient as Ozempic and Wegovy) and compounded tirzepatide (same as Mounjaro and Zepbound). Compounded versions are more affordable and avoid the supply shortages that affect brand-name products.

Medical Weight Loss Near You

The Confidence Lab
4038 Powell Rd Powell, OH 43065
(614) 219-9983

Proudly serving: Powell, Dublin, Columbus, Westerville, Worthington, Delaware, Lewis Center, Upper Arlington, Hilliard, New Albany, Grandview Heights, Plain City, Marysville, Telehealth Ohio

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Free Guide: GLP-1 Weight Loss, What to Expect in Your First 90 Days

Here is what to expect, stage by stage, so you know how your results develop and what is normal along the way.

Medical Weight Loss Guide

GLP-1 options, what to expect, and how our providers create personalized weight loss plans.

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Start Your Weight Loss Journey

Book a free consultation with Anna Castellanos, a board-certified provider who lost 75 pounds on the same protocol she prescribes. In-clinic in Powell or telehealth across Ohio.

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