Michael Piña Opens Up About His Weight Loss Journey and His Struggles to Get his Body in Shape

Growing up, Michael often cared for his two brothers and sister while their mother was at work. It was here where Michael first began to use food to cope with his situation.  Michael’s mother would prepare dinner for when they arrived home after school. Michael had to make sure his siblings ate and would have an extra serving for himself. This overeating was Michael’s way of coping. 

“Food has always been a coping mechanism for me. It has helped me fix a feeling with another feeling.”

Michael’s mother would try to get some walks with him whenever she had the chance. She would take Michael early in the morning to run some laps. Michael faced constant bullying because of his size, being a young man. Michael felt he was different from all the other kids because of his appearance. 

At 16,  Michael enrolled as a candidate for a Gastric Bypass, a relatively new procedure for younger patients. The doctors were choosing over 300+ candidates. Michael and the other candidates had to get informed, go to therapy, attend group counseling sessions, and lose 10% of their body weight to be eligible. 

“Being skinny was everything that I wanted.”

Michael met with many challenges but persevered, overcoming everything he was through. Michael wanted to be skinny more than anything, which was his main goal. Michael exceeded the doctors’ expectations and was one of the seven chosen candidates for a Gastric Bypass. 

“I absolutely crushed every challenge they put me through so that I would be one of the seven chosen candidates for this new study known as The Gastric Bypass.”

Michael was 17 when he had the Gastric Bypass; by this point, he weighed about 340 pounds during his senior year of high school—hitting this target weight made Michael eligible to get the surgery. But it wasn’t without its challenges; Michael had to follow a strict diet. However, Michael felt as if he was too young and naive and didn’t use the surgery as the tool to aid his weight loss journey as he thought he should have. 

“I remember how hard it was to be around my friends and family and not be able to eat the things they could.”

After high school and the Gastric Bypass, Michael maintained a steady weight and saw drastic results. During college, he held a stable weight in the lower 200s. But by the end of college, Michael had returned to eating snacks and food that didn’t carry any nutritional value. Michael would eat at varying times during the day and thus started gaining weight. 

After Michael finished college, he was still struggling with his eating habits. The stress due to daily activities took a toll on his relationships, job, and financial burdens. Food was a means to vent frustrations, and it made him happy when feeling sad, using food as a reward, thus surpassing the maximum weight before the Gastric Bypass. 

Michael began changing his eating habits and getting rid of junk food. He focused and started slowly introducing “treats” to train his self-control while at the same time practicing discipline. Michael wasn’t ready to throw in the towel. He dedicated time to fitness and his newfound hobby, dancing. This was Michael’s wake-up call if he wanted to do what he loved.

“This was a very physical and emotional process, changing behaviors and switching up what seemed to be comfortable for an opportunity to change my habits.” 

With cardio alone, Michael dropped to 310 pounds, so he began working with two trainers, which helped him learn the importance of weight and resistance training. He did what he loved to do, which was to dance. Michael found encouragement with his dancing group while at the same time facing the challenges of his excess weight. 

In January 2022, Michael had the chance to perform on stage with his team. With his confidence restored, Michael continued his journey as the pandemic hit. A bit of fear started to settle as Michael moved from Boston to Los Angeles, where he continued on hikes, made home workouts, and signed up for virtual classes during the pandemic. Through much hard work and consistency, around June 2021, he hit his target weight of 195.

Michael’s weight fluctuated a bit. As he lost the extra pounds, he noticed that he had saggy skin, to the point where wearing shorts showed the excess skin in his calf and inner thighs. Michael was proud of his achievements, but he felt they didn’t quite show all his work on his body. Michael started searching for a doctor, and he needed a surgeon to see the full picture of what his body needed. Michael broadened his search by browsing the web and on social media for a renowned and experienced surgeon. 

Michael found Dr. Carlos Castañeda. After seeing the results of his previous patients, Michael checked to see if the facility was safe and took the necessary precautions, as well as the ratings and reviews from patients. Dr. Castañeda laid out the whole process of his plan for him. Because Dr. Castañeda was so honest with everything, he helped Michael level his expectations. He truly felt Dr. Castañeda had the same vision for Michael as he did about his body. Doctor Castañeda gave Michael a reasonable quote, with all amenities included, compared to other clinics previously and doctors with whom he had consulted. Since Michael was now living in Los Angeles, he just had to travel across the border for his surgery.

Michael saw the safety, cleanliness, and care at VIDA Bariatrics in Tijuana, Mexico. He was set to have his surgery done at VIDA. Dr. Castañeda planned two procedures for Michael, the first on June 16, 2022, which would be an Arm Lift and an Extended Tummy Tuck. While the second procedure would be on August 11, 2022, covering a Thigh Lift and a Mastectomy. 

Michael kept in contact with Dr. Castañedas’s team and spoke out about his questions and concerns about the surgery. The team at VIDA offered to pick up Michael in San Diego and drive across the border on the day of the surgery. Michael was worried about his absence from work, but the VIDA team helped with all the paperwork so he could have some time off from work for the procedure. 

Michael arrived at VIDA and met with some Covid safety protocols on the day of the surgery. Afterward, he met with his patient’s care specialist, who helped set up everything before the surgery. Michael felt a certain ease when at VIDA despite the rush of emotions. After all, he had thoroughly researched the clinic and constantly communicated with the VIDA team since the beginning. 

“Waking up after a tummy tuck and arm lift, I thought, would be extremely painful. I was so wrong. The team really did a great job my pain was well managed without overdoing it.”

After the surgery, the nurses at VIDA took great care of Michael. They gave him further instructions on managing the pain following the procedure while at the recovery center inside VIDA, where Michael was brought in to rest. Michael stayed at the recovery boutique, where he had care and attention from the nursing team, as they never left Michael alone. When Michael could stand up by himself, there was a nurse to help him walk around. Michael had access to the clinic’s rooftop, where he made his walks and watched the sun fall. 

A nurse accompanied Michael during his walks, ensuring he didn’t overextend or go too far from his bed. Whenever Michael would feel dizzy, a nurse would help him stay calm and reassure him. What Michael appreciated was the team of nurses; their experience and care helped Michael feel comfortable while recovering from the procedure. Michael still has more to tell us about his story, as he has more to talk about the surgeries, his recovery, his second round of surgeries, and what he’s expecting in the near future.

Semaglutide Cost in Mexico

In Mexico, one pen of Ozempic costs between $70 and $100 USD (1,400 to 2,000 pesos). Ozempic is offered in Mexico as a pre-filled pen with 1 mg of semaglutide in each dose.

Depending on where you get the drug, semaglutide prices can change in Mexico. You might occasionally be able to find savings or coupons to assist in lowering the cost of the prescription. Moreover, it’s crucial to verify with your insurance provider to see if semaglutide costs are covered by your insurance plan.

It is important to mention that semaglutide is substantially less expensive in Mexico than in other countries, such as the United States, where a single Ozempic pen can cost over $900 USD. Because of this, patients looking for more affordable access to prescription drugs like these may find Mexico a prime location for medical tourism.

Semaglutide as a Type 2 Diabetes Medication

Semaglutide is approved for use in adults with type 2 diabetes. This medication can be used as a stand-alone therapy or in combination with other diabetes medications, such as metformin. You must have a confirmed diagnosis of type 2 diabetes and be under a doctor’s care to be eligible for semaglutide as a treatment for type 2 diabetes.

To determine whether semaglutide is the best treatment for you, your healthcare provider will consider your blood sugar levels, A1C levels, and other variables.

Semaglutide for Obesity

For adults with a body mass index (BMI) of 30 or higher or a BMI of 27 or higher with at least one weight-related condition, such as high blood pressure or type 2 diabetes, semaglutide has also been approved for the treatment of obesity and can help patients lose weight.

How Semaglutide Can Improve Blood Sugar Control

Semaglutide is a promising medication for improving blood sugar control in people with diabetes. It functions by imitating GLP-1’s actions, which lower blood sugar and encourage weight loss. It has been demonstrated that semaglutide works well for enhancing blood sugar regulation, lowering the risk of cardiovascular disease, and encouraging weight loss.

Semaglutide mirrors the actions of GLP-1, a hormone produced in the stomach naturally. By stimulating the production of insulin, which aids in removing glucose from the bloodstream and storing it in the liver and muscle tissue, GLP-1 helps to manage blood sugar levels. Furthermore, it inhibits the hormone glucagon’s secretion, which signals the liver to create more glucose.

Semaglutide has been found in numerous studies to improve type 2 diabetic patients’ blood sugar management dramatically. Research on semaglutide has revealed a lower risk of hypoglycemia (low blood sugar) than other diabetic treatments, such as insulin. This is because semaglutide only promotes insulin secretion in response to elevated blood sugar levels, whereas insulin can generate dangerously low blood sugar levels if supplied in excess.

The U.S. Food and Drug Administration (FDA) has given semaglutide the go-ahead to treat type 2 diabetes and obesity. It is quickly rising to the top of its class as a diabetes medicine due to its effective blood sugar-controlling capabilities.

Is There a Substitute for Semaglutide?

If you consider taking semaglutide, you may wonder whether substitutes are available. Other medications may be substitutes for semaglutide in treating type 2 diabetes and obesity. Other GLP-1 receptor agonists are among these medications, in addition to drugs from various medication classes.

The FDA has approved several additional GLP-1 receptor agonists for managing type 2 diabetes and obesity. These medications function similarly to semaglutide by imitating GLP-1’s physiological effects. Other GLP-1 receptor agonists include, for instance:

  • Exenatide (Byetta, Bydureon)
  • Liraglutide (Victoza, Saxenda)
  • Dulaglutide (Trulicity)
  • Albiglutide (Tanzeum)

Other Classes of Medications

There are additional kinds of medications that can be used in place of semaglutide in the treatment of type 2 diabetes and obesity in addition to GLP-1 receptor agonists. These medications could have various side effect profiles and different ways of working. Semaglutide can be replaced with various types of medicines from the following classes:

  • DPP-4 inhibitors, such as sitagliptin (Januvia) and linagliptin (Tradjenta)
  • SGLT2 inhibitors, such as canagliflozin (Invokana) and empagliflozin (Jardiance)
  • Insulin, such as long-acting insulin glargine (Lantus) and rapid-acting insulin lispro (Humalog)

Obtaining Prescription Drugs

You must consult with a certified healthcare professional before a prescription for semaglutide can be written. This could be a general practitioner, an endocrinologist, or another expert.

As with all prescription drugs, your healthcare provider will decide if semaglutide is an appropriate treatment option for you based on the findings of the consultation and any diagnostic testing. There are some medical problems or medications that may interact with semaglutide, making it possible that the medication may not be suitable for everyone.

If your doctor decides that semaglutide is the best treatment for you, they will prescribe it.

How Do You Get a Semaglutide Injection?

Semaglutide is a medication used to treat type 2 diabetes. It is typically prescribed as a part of a thorough treatment plan that includes dietary and activity adjustments. It is administered via injection. Semaglutide is a prescription-only medication.

Thus, to get the injection, you must have a current prescription from a doctor. The suitability of semaglutide as a medication for your type 2 diabetes will be determined after your healthcare professional assesses your medical history. In that case, they will provide a prescription and specify how to take the medication.

You can buy semaglutide from a pharmacy once you have a prescription. The medication is offered in pre-filled injection pens with various dosages. You will receive instructions from the pharmacist on safely keeping the medication.

Obtaining a prescription from a doctor, buying semaglutide injection from a pharmacy, setting up an injection pen, and delivering the injection in accordance with the manufacturer’s instructions are all required. It’s critical to store the medication correctly, keep track of your reaction, and attend follow-up meetings with your doctor.

Where Is Semaglutide Injected?

Semaglutide is injected subcutaneously, which refers to the tissue layer immediately below the skin. To prevent skin reactions like lumps or bumps, the injection site should be changed. The abdomen, thigh, or upper arm are the suggested injection locations for semaglutide.

The area around the belly button should be avoided while injecting semaglutide into the abdomen, and a different location should be used each time. Choose an area of the thigh 4 inches above the knee and 4 inches below the hip for the injection. Choose a location on the back of the arm, between the shoulder and the elbow, for the upper arm.

It’s crucial to remember that semaglutide shouldn’t be injected into a muscle. This is because injecting into a muscle can result in the medication’s unexpected absorption, which can be uncomfortable. Semaglutide should not be injected into delicate, bruised, or reddened skin regions.

The injection site should be thoroughly cleaned with alcohol and allowed to dry before administering semaglutide. Use a disposable pen or syringe to inject the medication. Remember to follow the manufacturer’s instructions if you’re using a disposable pen. Use a fresh, sterile needle every time you inject if you are using a syringe.

To prevent skin reactions, it’s crucial to avoid injecting into muscles and to use a different injection location each time. Be sure to speak with your doctor or pharmacist if you have any concerns about where to inject semaglutide or how to use the medication. You can use semaglutide to safely and successfully treat your diabetes if you use the right injection procedures.

Is There a Pill Version of Semaglutide?

The United States Food and Drug Administration (FDA) recently approved a new version of semaglutide to treat obesity. Instead of the injectable form previously authorized, this new formulation comes in the shape of a pill that can be taken orally.

Wegovy is the trade name for the semaglutide oral medication. Adults with a body mass index (BMI) of 30 or higher or a BMI of 27 or higher who have at least one weight-related disease, such as high blood pressure or type 2 diabetes, are the core demographic for this medication. A daily dose of 14 milligrams, taken with or without food, is advised.

Approving semaglutide’s oral form represents a significant advancement in treating obesity. Previously, only appetite suppressants or medications that prevent nutrients from being absorbed were used to treat obesity. The oral version of semaglutide, known as Wegovy, is a recent and potential breakthrough in treating obesity. With the approval of Wegovy, those who struggle with obesity now have a new, reliable option.

Do You Need a Prescription for Semaglutide?

Yes, you do need a prescription for semaglutide. Semaglutide is a prescription-only medication, and patients need legitimate prescriptions from their doctors in order to purchase it. Without a prescription, you cannot buy semaglutide from a reputable pharmacy or online store. Semaglutide is a medication used to treat type 2 diabetes. It’s part of a class of medications known as GLP-1 receptor agonists, which stimulate insulin release in response to high blood sugar levels. To assist in treating type 2 diabetes, semaglutide is typically recommended combined with dietary and exercise modifications.

Semaglutide is a regulated substance that is regulated by government organizations in most nations, including the United States, to ensure that it is used safely and appropriately.

You must visit a healthcare professional, such as a doctor, nurse practitioner, or physician assistant, to get a prescription for semaglutide.

They will review your medical history, perform a physical examination, and request lab tests to analyze your blood sugar levels and other aspects of your health.

Do I Qualify for Semaglutide?

If you’re thinking about taking semaglutide, you might be wondering if you’re eligible for this treatment.

You should first consult your healthcare provider if you’re thinking about taking semaglutide to treat your obesity. To determine if semaglutide is the best treatment for you, your healthcare professional will consider your BMI, weight-related disorders, and other elements.

A few more factors may affect your ability to use semaglutide in addition to these eligibility requirements. For instance, you might be unable to use semaglutide if you have a history of pancreatitis, thyroid cancer, or multiple endocrine neoplasia syndrome type 2. Semaglutide should not be taken if you are expecting or nursing a baby.

You will need a prescription from your doctor, as it’s required to purchase this medication.

What Is the Cost of Semaglutide?

The dosage, the pharmacy you use, and insurance coverage are just a few variables that affect how much semaglutide costs. A 28-day supply of semaglutide (0.5mg or 1mg) costs, on average, $800–$900 at retail as of 2021. Nevertheless, if you have insurance, you could pay much less out-of-pocket.

The cost of semaglutide can be significant, but options are available to help reduce the cost of this medication.

Insurance Coverage

The cost of semaglutide is frequently at least partially covered by insurance policies. Your specific insurance plan and the tier at which semaglutide is covered will determine how much coverage you get. You might be qualified for a patient assistance program provided by the manufacturer or other organizations if semaglutide is not covered by your insurance policy.

Manufacturer Patient Assistance Programs

Semaglutide’s producer, Novo Nordisk, provides patient assistance programs to assist those or without insurance coverage. Via these initiatives, semaglutide may be made available to those who qualify at a discounted or free price.

Other Patient Assistance Programs

Other organizations could help with the expense of semaglutide in addition to the patient assistance programs offered by the manufacturer. A database of patient assistance programs provided by various organizations is, for instance, provided by the Alliance for Prescription Assistance.

How Do I Get Ozempic for $25 a Month?

The United States Food and Drug Administration (FDA) has approved Ozempic (semaglutide) for managing type 2 diabetes. It functions as a glucagon-like peptide-1 receptor agonist by imitating the effects of the GLP-1 hormone in the body. Among other effects, this can cause a rise in insulin secretion, a fall in glucagon secretion, and a decrease in hunger.

If you’re considering taking Ozempic, you might be curious about how to do so for under $25 for a month’s supply.

The manufacturer, Novo Nordisk, offers the $25 monthly Ozempic program. This program is intended to assist people without insurance or whose insurance only partially pays for prescription medicine.

You will need to meet certain qualifying criteria to take part in the program. You must specifically be:

  • Have no insurance or insurance that only partially covers the cost of your medicines.
  • If you reside in the US or one of its territories.
  • Not signed up for Medicaid or any other federal or state health program.

If you meet these eligibility requirements, you can enroll in the $ 25-a-month Ozempic program by visiting the Novo Nordisk website. Once you’ve signed up, you’ll need your doctor to write you an Ozempic prescription. When you visit a pharmacy that accepts your prescription, you can spend $25 for a 28-day supply of Ozempic.

What Is the Cost of Wegovy in Canada?

Semaglutide, the active ingredient in Wegovy, is a medication used to help adults who are overweight or obese maintain their weight. It is an injectable medication that suppresses hunger and heightens feelings of satiety. For semaglutide, certain pharmacies might provide a discount or a lower cost. To discover the cheapest choice, it may be helpful to compare pricing at various pharmacies.

For a one-month supply, semaglutide can cost anywhere from $700 and $1,300 CDN in Canada at the time of writing, depending on the dosage and pharmacy. It’s crucial to remember that many people, especially those without insurance coverage, may find the expense of the prescription to be a major financial hardship.

Depending on the dosage, the pharmacy, and insurance coverage, semaglutide prices in Canada can change. Even though many people may find the prescription cost to be a considerable financial hardship, there are ways to help cover the expense, such as insurance coverage, manufacturer’s coupons, or patient assistance programs and comparing pricing at other pharmacies.

Note that in most circumstances, if you live in the United States, it is illegal to import drugs into the country for personal use.

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