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Wegovy for weight loss · semaglutide · physician-guided care

Wegovy at Pandora Family Medicine

Dr. Rachel Gougian is a Diplomate of the American Board of Obesity Medicine (D-ABOM) and prescribes Wegovy as part of a real, ongoing care relationship, not a one-time telehealth transaction. No subscription required.

At a glance

  • D-ABOM board-certified obesity medicine physician
  • Wegovy, Ozempic, Mounjaro, Zepbound, phentermine, and Qsymia available
  • $200 initial visit · $150 follow-up
  • No subscription, no monthly program fees
  • Prior authorization assistance included
  • ★ 4.7 Google rating

What Is Wegovy and How Does It Work?

Wegovy is an injectable medication taken once a week. Its active ingredient is semaglutide, which works by mimicking a hormone your body already makes, one that signals fullness, slows digestion, and reduces appetite. At the higher doses used in Wegovy, most people eat significantly less without feeling deprived.

Clinical trials showed an average weight loss of around 15 percent of body weight over 68 weeks. That is a meaningful result, and it is why Wegovy has gotten so much attention. But the medication works best when it is part of a broader plan that includes follow-up, monitoring, and honest conversations about what is and is not working.

That is what Dr. Gougian provides. You are not getting a prescription and a goodbye. You are getting a doctor who tracks your progress, adjusts the plan when needed, and is available for follow-up care.

Who Qualifies for Wegovy?

Wegovy is FDA-approved for adults with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition such as high blood pressure, type 2 diabetes, or high cholesterol. Those are the clinical criteria.

  1. What that means in practice

    You do not need to prove you are sick enough. You do not need to have failed a specific number of diets. If you are carrying weight that is affecting your health or your quality of life, that is a legitimate reason to ask about treatment. Dr. Gougian will have a straightforward conversation with you about whether Wegovy makes sense, and if it does not, whether something else might.

  2. No judgment here

    Weight is complicated. Genetics, hormones, stress, sleep, medications, and life circumstances all play a role. Dr. Gougian approaches weight as a medical issue, not a willpower issue. If you have tried other things before and they did not stick, that is worth talking about, not something to be embarrassed about.

  3. We stay with you after the prescription

    Getting the prescription is just the beginning. Dr. Gougian monitors how your body is responding, adjusts your dose on the standard Wegovy schedule, and checks in on side effects and labs at follow-up visits. This is physician-guided care, not a subscription box that ships and disappears. If something isn't working, we figure out why.

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Wegovy vs. Ozempic: Same Molecule, Different Purpose

This comes up constantly, and it is a fair question. Wegovy and Ozempic contain the same active ingredient: semaglutide. The difference is what they are FDA-approved for and how they are dosed.

Ozempic is approved to treat type 2 diabetes and to reduce cardiovascular risk in people with diabetes. Wegovy is approved specifically for chronic weight management and uses a higher maximum dose. Prescribing Ozempic off-label for weight loss is common and sometimes appropriate, but Wegovy is the version designed and studied for that purpose.

If you came in asking about Ozempic because that is the name you know, that is fine. Dr. Gougian will help you understand which medication fits your situation and why. Mounjaro and Zepbound, which contain tirzepatide, are also available and may be a better fit depending on your health history.

Prior authorization for Wegovy can be a real obstacle. Insurance coverage varies a lot, and some plans require documentation of prior treatments, specific diagnoses, or a BMI threshold before they will approve it. The process is not impossible, but it takes time and attention to get right.

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Serving the Washington, DC Metro Area

Our office is at 6300 Baltimore Ave, University Park, MD 20782, on Route 1 between Hyattsville and College Park, a short drive from Washington, DC and close to Metro’s Green Line.

Before You Book

What is the difference between Wegovy and Ozempic, and which one would I get?

Both contain the same active ingredient, semaglutide, but they are FDA-approved for different purposes. Ozempic is approved for type 2 diabetes management, while Wegovy is approved specifically for weight loss at a higher dose. At Pandora Family Medicine, we prescribe based on what makes sense for your health, not what's easiest to write. Your doctor will talk through the options with you, including Mounjaro, Zepbound, and other medications, so you leave with a plan that actually fits your situation.

Does insurance cover Wegovy, and what happens if they say no?

Coverage for Wegovy varies a lot depending on your plan, and some insurers still exclude weight loss medications outright. We handle prior authorization on your behalf, which means we do the paperwork and communication with your insurance company so you don't have to figure that out alone. If a prior authorization gets denied, we'll talk through your options, whether that's an appeal, a different medication that may have better coverage, or understanding what the out-of-pocket cost would actually look like. We don't charge extra for PA assistance on top of your visit.

What are the most common side effects of Wegovy, and are they something I should be worried about?

Nausea and stomach discomfort are the most common side effects, especially in the first few weeks as your body adjusts to the medication. For most people, these ease up over time, particularly when the dose is increased slowly. The news has covered some concerns about GLP-1 medications, and those are worth an honest conversation, not something to brush past. At Pandora Family Medicine, your doctor will go through your health history with you before prescribing anything, so you have a clear picture of what to expect and when to call us.

More answers on the FAQ page

Schedule Your Weight Loss Consultation

Dr. Gougian sees weight loss patients at our University Park office at 6300 Baltimore Ave, between Hyattsville and College Park. Schedule online or call 301-200-0960.

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