Weight Loss Injections with Zepbound in the Washington DC Area: Reston, VA and Chevy Chase, MD

Physician-led weight loss with brand-name Zepbound, by Dr. Alexandra Snodgrass and Dr. Shervin Naderi.

$250Per month
Brand-nameNever compounded
WeeklyAt-home injection
VirtualOr in office

Physician-Led Medical Weight Loss
Brand-Name Zepbound Only
100,000+ Procedures Performed
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Who Leads the Weight Loss Program?

Weight loss at The Naderi Center is a physician-led program, with the same doctors you would trust with your face.

Dr. Alexandra Snodgrass, board-certified dermatologist who prescribes Zepbound in Reston, VA and Chevy Chase, MD

Dr. Alexandra Snodgrass

Board-Certified Dermatologist

Dr. Snodgrass sees most weight loss patients at The Naderi Center. She completed her dermatology residency at the University of Florida and is a diplomate of the American Board of Dermatology. She sees weight loss patients in Reston, in Chevy Chase and by video.

Meet Dr. Snodgrass
Dr. Shervin Naderi, double board-certified facial plastic surgeon

Dr. Shervin Naderi, MD, FACS

Double Board-Certified Facial Plastic Surgeon

Dr. Naderi also prescribes Zepbound and takes it himself. When weight loss leaves the face hollow or the skin loose, he offers fat transfer, facelift and neck lift surgery, so every option is under one roof.

Meet Dr. Naderi

Dr. Naderi Uses Zepbound Himself

Dr. Naderi does not just prescribe Zepbound. He takes it himself and shares his own weight loss journey openly, so patients can see what it is really like.

Dr. Naderi on his own Zepbound journey
Dr. Naderi answers two common Zepbound questions

What the Weight Loss Program Offers

A physician-led program built around brand-name Zepbound, with monthly follow-up and support for the changes weight loss brings to your face.

What Is Zepbound?

Zepbound (tirzepatide) is an FDA-approved, once-weekly injection for long-term weight management in adults. It acts on two hormones that control appetite and blood sugar, GIP and GLP-1, so you feel full sooner and stay full longer. It works best alongside healthier eating and regular activity. Zepbound is the same medicine as Mounjaro, which Lilly makes for type 2 diabetes.

The Naderi Center prescribes brand-name Zepbound only. We do not use compounded semaglutide or tirzepatide. The program is led by Dr. Alexandra Snodgrass and Dr. Shervin Naderi, with visits in Reston, in Chevy Chase or by video.

The program at a glance
MedicationBrand-name Zepbound (tirzepatide)
How it is takenOne injection a week, at home
Led byDr. Snodgrass and Dr. Naderi
VisitsReston, Chevy Chase or virtual
Program fee$250 per month
Medication costBought separately through Lilly
Smiling woman in workout clothes after medical weight loss

How Does Zepbound Work?

Zepbound mimics two hormones your gut releases after a meal, GIP and GLP-1. Together they quiet hunger, slow how fast the stomach empties and help the body manage blood sugar.

How Zepbound works Zepbound (tirzepatide) activates GLP-1 and GIP receptors. In the hypothalamus it lowers hunger, in the stomach it slows emptying so fullness lasts longer, in the pancreas it releases insulin when blood sugar rises, and with fewer calories the body uses stored fat, leading to weight loss. How Zepbound Works One weekly injection of tirzepatide activates two fullness-hormone receptors GLP-1 GIP 1 2 3 4 HYPOTHALAMUS Less hunger Turns down appetite signals in the brain GLP-1GIP STOMACH Fuller, longer Food leaves the stomach more slowly GLP-1 PANCREAS Steady blood sugar Insulin is released when blood sugar rises GLP-1GIP FAT TISSUE Fat stores shrink With fewer calories, the body burns stored fat Eat less without fighting hunger 15 to 21% average weight loss at 72 weeks (SURMOUNT-1)

Why brand-name only

Brand-name Zepbound is made by Eli Lilly and approved by the FDA, so every dose is the medication that was tested in clinical trials. Compounded versions are not FDA approved, and their strength and quality can vary. The Naderi Center has always prescribed brand-name Zepbound only, never compounded.

Read why we never prescribed compounded weight loss injections, even during the shortage.

Starting low, going slow

Zepbound starts at a low dose of 2.5 mg a week. The dose is raised in steps, usually every 4 weeks, only as you tolerate it. Going slowly keeps side effects like nausea easier to manage.

Zepbound vs. Ozempic, Wegovy and Compounded Versions

These are the three options patients ask about most. Ozempic is the same medication as Wegovy, approved for type 2 diabetes. In the only head-to-head trial, people taking Zepbound lost more weight than people taking Wegovy.

Comparison of brand-name Zepbound, Wegovy and compounded weight loss injections
ZepboundWegovyCompounded
Made byEli LillyNovo NordiskCompounding pharmacies
Active ingredientTirzepatideSemaglutideVaries by pharmacy
Hormones it acts onTwo: GIP and GLP-1One: GLP-1Varies
FDA approved for weight lossYesYesNo
Average weight loss in the head-to-head trial (72 weeks)20.2 percent13.7 percentNot tested
Prescribed at The Naderi CenterYesNoNo

Source: Aronne LJ, et al. Tirzepatide as compared with semaglutide for the treatment of obesity (SURMOUNT-5). New England Journal of Medicine. 2025;393:26-36. 751 adults with obesity, highest tolerated weekly dose of each medication.

Who Is a Good Candidate for Zepbound?

Zepbound is approved for adults with

  • A BMI of 30 or higher
  • A BMI of 27 or higher plus a weight-related condition, such as high blood pressure, high cholesterol or type 2 diabetes
  • Obesity along with moderate to severe obstructive sleep apnea, a use the FDA approved in December 2024
  • A willingness to pair the medication with healthier eating and regular activity

Zepbound is not for you if you

  • Have a personal or family history of medullary thyroid cancer or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)
  • Are pregnant or trying to become pregnant
  • Have had a serious allergic reaction to tirzepatide

Your doctor reviews your full medical history, including any pancreatitis, gallbladder, kidney or stomach problems, before prescribing.

How Does the Weight Loss Program Work?

The program is run by Dr. Snodgrass and Dr. Naderi, and every visit can be in person in Reston or Chevy Chase, or by video.

  1. Consultation

    Your doctor reviews your health history, medications and goals, and tells you whether Zepbound is right for you. Lab work is ordered only if your history calls for it.

  2. Your prescription

    If Zepbound fits, you buy the medication directly through Lilly. You learn how to give yourself the weekly injection at home, starting at the lowest dose.

  3. Monthly follow-ups

    Each month you check in, in person or by telehealth. Your doctor tracks your progress, helps with any side effects and decides when to raise your dose.

  4. Keeping it off

    Once you reach your goal, your doctor helps you plan the long term, including the right maintenance dose and habits that protect your results.

How Much Weight Can You Lose on Zepbound?

In the main clinical trial of tirzepatide in adults with obesity, people taking it lost an average of 15 to 21 percent of their body weight over 72 weeks, depending on the dose, compared with about 3 percent on placebo. Everyone in the trial also followed a reduced-calorie diet and exercise plan.

Average weight loss at 72 weeks

  • 5 mg a week: about 15 percent
  • 10 mg a week: about 19.5 percent
  • 15 mg a week: about 21 percent
  • Placebo: about 3 percent

What that means for you

Results vary from person to person. Most of the loss happens gradually over the first year, and weight tends to come back if the medication is stopped without a plan. Your doctor sets realistic goals with you at the start.

Source: Jastreboff AM, et al. Tirzepatide once weekly for the treatment of obesity (SURMOUNT-1). New England Journal of Medicine. 2022;387:205-216.

Zepbound for Men

Men tend to carry more of their weight as fat around the abdomen, which is linked to higher health risks. Zepbound is prescribed to men on the same FDA criteria, with the same monthly program, and visits can be in person or virtual to fit a busy schedule.

What men often ask about

  • Losing fat while keeping muscle: eat enough protein and keep strength training
  • Fitting visits around work: monthly follow-ups can be done by video
  • Brand-name medication only, never compounded

More for men at The Naderi Center

What Happens to Your Face When You Lose Weight? (Zepbound Face)

When you lose a lot of weight, the face loses volume too. The cheeks, temples and under-eye area can look hollow, and the skin can sag. This is sometimes called “Ozempic face” or “Zepbound face.” Because The Naderi Center is a facial plastic surgery and cosmetic dermatology practice, we can help with that as well.

Timing matters. Many patients wait until their weight levels off before treating the face, so further weight loss does not undo the result. Dr. Snodgrass and Dr. Naderi can plan this with you during the program, so your face keeps up with your body.

Non-surgical options

  • Filler to restore volume in the cheeks and temples
  • Sculptra to rebuild collagen gradually
  • PRF for thin skin under the eyes

Surgical options with Dr. Naderi

Read our guide to preventing “Ozempic face”.

Dr. Snodgrass on Zepbound

Watch Dr. Snodgrass explain how Zepbound works and what to expect from the program.

Dr. Alexandra Snodgrass holding a box of Zepbound at The Naderi Center

How Much Does the Weight Loss Program Cost?

The program fee at The Naderi Center is $250 per month. Brand-name Zepbound is bought separately, directly through Lilly.

Included in the $250 monthly fee

  • Your monthly visit with your doctor, in person or by video
  • Dose adjustments and help with side effects
  • A plan for keeping the weight off

Paid separately

  • Brand-name Zepbound, bought directly through Lilly
  • Lab work, if your medical history calls for it
  • The program is not covered by insurance
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What Are the Side Effects of Zepbound?

The most common side effects affect the stomach and are usually mild. They tend to show up when the dose goes up and ease as your body adjusts.

Common

  • Nausea, diarrhea, vomiting or constipation
  • Stomach pain, indigestion or feeling full quickly
  • Redness or itching where you inject
  • Tiredness

Eating smaller meals, stopping when you feel full and drinking plenty of water help.

Important safety information

  • Zepbound carries a boxed warning about thyroid C-cell tumors, seen in rodent studies
  • Rare but serious problems include pancreatitis, gallbladder problems and kidney problems from dehydration
  • Low blood sugar is more likely if you also take insulin or a sulfonylurea
  • Birth control pills may work less well for 4 weeks after starting Zepbound and after each dose increase, so a backup or non-pill method is advised

Call us right away for severe stomach pain that does not go away. Call 911 for trouble breathing or swelling of the face or throat.

Medical Weight Loss in Reston, VA and Chevy Chase, MD

Dr. Snodgrass and Dr. Naderi see weight loss patients at both offices of The Naderi Center, and every visit can also be done by video. Patients come from Washington DC, from Northern Virginia, including McLean, Great Falls, Vienna, Arlington, Alexandria, Herndon and Ashburn, and from Maryland, including Bethesda and Potomac.

Weight Loss Injection FAQs

Brand-name Zepbound (tirzepatide) only. The Naderi Center does not prescribe compounded semaglutide or tirzepatide.

Board-certified dermatologist Dr. Alexandra Snodgrass sees most weight loss patients, and double board-certified facial plastic surgeon Dr. Shervin Naderi also prescribes Zepbound. Visits are at both offices of The Naderi Center, in Reston, Virginia and Chevy Chase, Maryland, or by video.

Yes. Dr. Naderi takes Zepbound himself and has shared his own weight loss journey openly on Instagram, so patients can see what the medication is really like.

The program fee is $250 per month, which covers your monthly visit with your doctor in person or by video. Zepbound is bought separately, directly through Lilly. The program is not covered by insurance.

After your consultation, if Zepbound is right for you, you buy it directly through Lilly. The price of the medication is set by Lilly.

Yes. Your consultation and monthly follow-ups can be in person in Reston or Chevy Chase, or by video.

Not always. Your doctor decides after your consultation, based on your medical history.

Adults with a BMI of 30 or higher, or 27 or higher with a weight-related condition such as high blood pressure, high cholesterol or type 2 diabetes.

People with a personal or family history of medullary thyroid cancer or MEN 2, people who are pregnant or trying to become pregnant, and anyone who has had a serious allergic reaction to tirzepatide.

In the main clinical trial, adults with obesity lost an average of 15 to 21 percent of their body weight over 72 weeks, depending on the dose, compared with about 3 percent on placebo. Results vary.

Weight loss is gradual. The dose starts low and goes up in steps, usually every 4 weeks, and most of the loss happens over the first year.

As one injection under the skin once a week, at home. You are shown how to do it at the start of the program.

Nausea, diarrhea, vomiting, constipation, stomach discomfort and reactions where you inject. They are usually mild and ease as your body adjusts.

Zepbound contains tirzepatide, which acts on two hormones, GIP and GLP-1. Ozempic and Wegovy contain semaglutide, which acts on GLP-1 only. In the only head-to-head trial, people on Zepbound lost an average of 20.2 percent of their body weight at 72 weeks, compared with 13.7 percent on Wegovy. The Naderi Center prescribes Zepbound.

Yes, it is the same medicine. Zepbound and Mounjaro both contain tirzepatide and are both made by Eli Lilly. Mounjaro is FDA approved for type 2 diabetes, and Zepbound is FDA approved for weight loss, so for weight loss The Naderi Center prescribes Zepbound.

In the SURMOUNT-5 trial, which compared the two directly in 751 adults with obesity, people taking Zepbound lost an average of 20.2 percent of their body weight at 72 weeks, compared with 13.7 percent on Wegovy. Results vary by person, and your doctor will tell you what is realistic for you.

Yes. The Naderi Center has always prescribed brand-name Zepbound only and has never prescribed compounded versions. If you took a compounded medication through another provider, bring a list of what you took and your last dose. Your doctor reviews your history and chooses a safe starting dose of brand-name Zepbound, which is FDA approved and made by Lilly.

Yes. In December 2024 the FDA approved Zepbound for adults with obesity who have moderate to severe obstructive sleep apnea. It was the first medication approved for that use.

Weight tends to come back if the medication is stopped without a plan. Your doctor helps you plan for the long term, including when and how to change your dose.

Some of the weight lost on any program can be muscle. Eating enough protein and keeping up strength training help protect it.

It can make birth control pills work less well for 4 weeks after you start and after each dose increase, so a backup or non-pill method is advised during those times.

Losing a lot of weight can leave the face looking hollow, sometimes called Ozempic face. The Naderi Center can restore volume with filler, Sculptra or fat transfer, and Dr. Naderi performs facelifts for loose skin.

Yes. Men are prescribed Zepbound on the same criteria, with the same monthly program, and visits can be virtual.

No. The weight loss program at The Naderi Center is not covered by insurance.

At The Naderi Center in Reston, Virginia and Chevy Chase, Maryland, close to Washington DC, McLean, Great Falls, Vienna, Arlington, Alexandria, Bethesda and Potomac, or by virtual visit.

Maryland

5454 Wisconsin Ave,
Suite 1655
Chevy Chase, MD 20815
(301) 222-2020

Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions

Virginia

1850 Town Center Parkway,
Pavilion II, Suite 551
Reston, VA 20190
(703) 481-0002 

Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions

Medically reviewed by Shervin Naderi, MD, FACS. Dr. Naderi is a double board-certified facial plastic surgeon. Last reviewed .