Most of the program happens at home

Bellava’s semaglutide program is medically supervised, and the supervision happens at regular check-ins in Bedford Hills. Most of the days in between, though, are spent at home, working to a plan the doctors have written for you. This page is about those days: what you go home with, what to pay attention to, and what the next check-in is for.

What you leave the first visit with

It starts with a consultation with Bellava’s doctors about your goals, your medical history and the way you live, followed by a health baseline of vital signs, a body composition analysis and, if they are needed, lab tests. From that you receive:

A dosing schedule that starts low, so your body can adjust, and climbs in gradual steps.
An injection plan written for you rather than taken from a template.
Guidance on eating and moving, because the program is designed around habits that last, not quick fixes.

Between check-ins

Pay attention to your appetite. Semaglutide is an FDA-approved medication that mimics GLP-1, a hormone that helps the body regulate appetite and blood sugar. It makes you feel full sooner and slows digestion, so the intended effect is eating less without running short of energy or focus.

Expect a period of adjustment. Mild nausea or bloating can appear in the early weeks and usually fades quickly. Tell the team about it, since your comfort is one of the things the doctors keep track of, along with the dose and your progress.

Keep at the habits. The nutrition and movement guidance is what the program leans on to help results hold once treatment ends.

What each check-in is for

At each visit the doctors fine-tune the dose, look at how you are getting on and confirm the plan is still safe and right for you. Plans differ in length: some patients use semaglutide for a set period to reach a goal, while others continue on a lower dose under medical guidance.

Because the visits recur, distance counts. From New Castle Town Hall on South Greeley Avenue it is about 14 minutes without traffic, most of it northbound on the Saw Mill River Parkway, and Bellava describes its Bedford Hills office as private and discreet.

Who should not start it

Semaglutide is not recommended during pregnancy or breastfeeding, or for anyone with a personal or family history of medullary thyroid carcinoma (MTC) or MEN2. Bellava considers it best suited to adults with a BMI of 27 or more who have not managed to lose weight through diet and exercise alone, or who have a weight-related condition such as prediabetes or high cholesterol. Your health history is reviewed in full before anything is prescribed.

New Castle patients ask

Will I need blood tests? Lab work is part of the baseline where your history calls for it; vital signs and a body composition analysis are taken for everyone.

What happens when I stop? The program is built around lasting changes in how you eat and move, and the regular check-ins and coaching are there to lower the risk of the weight returning.

How do I begin? Press Book Now to schedule a consultation online, or read the main weight-loss injections page first.

Weight-Loss Injections for New Castle, NY