
Tirzepatide for Weight Loss in San Antonio & Boerne
Tirzepatide is a once-weekly injection that works on two appetite hormones at once, making it one of the most effective weight loss medications available today. At Alamo Primary Care, tirzepatide is prescribed only after a full medical evaluation and labs, with every dose step managed by the primary care team that knows your health history.
- Dual GIP + GLP-1
- Labs before you start
- Dose steps managed in-house
- Westover Hills & Boerne
What Is Tirzepatide?
Tirzepatide is the first dual GIP and GLP-1 receptor agonist, a medication that mimics two natural gut hormones involved in appetite and blood sugar. It’s the active ingredient in Zepbound, which is FDA-approved for chronic weight management and for moderate to severe obstructive sleep apnea in adults with obesity, and Mounjaro, which is approved for type 2 diabetes. Your provider will explain which form and dose is right for you.
How Tirzepatide Works: Two Hormones, One Weekly Shot
This dual action is why tirzepatide often produces greater average weight loss than single-hormone medications.
- GLP-1 actionReduces appetite, slows digestion, and helps you feel full sooner
- GIP actionWorks alongside GLP-1 to further improve appetite control and how your body handles blood sugar and fat
- Steadier blood sugarSupports insulin release when blood sugar rises
- Less food noiseMany patients report fewer cravings and less constant thinking about food
Tirzepatide Results
In the SURMOUNT-1 clinical trial, adults taking the highest dose of tirzepatide (15 mg) alongside lifestyle changes lost about 20% of their body weight on average over 72 weeks. In a head-to-head trial, tirzepatide led to greater average weight loss than semaglutide. Results vary from person to person.
At Alamo Primary Care, we track your progress with monthly visits and InBody body composition scans, so you can see that the weight coming off is fat, not muscle.
Common Side Effects
Most side effects are digestive and tend to ease over time.
- Nausea
- Diarrhea or constipation
- Indigestion or bloating
- Decreased appetite
- Mild injection-site reactions
Tips that help: eat smaller, slower meals, stop at the first sign of fullness, prioritize protein, limit greasy foods, and stay well hydrated. Contact us right away for severe stomach pain, persistent vomiting, or signs of an allergic reaction.

Your Tirzepatide Journey at Alamo Primary Care
- 01
Consultation and labs
Medical history, current medications, and a baseline panel (BMP, CBC, TSH, lipid panel, A1c).
- 02
Choosing the right medication
Your provider confirms whether tirzepatide or semaglutide fits you best.
- 03
Prescription sent
Your prescription for tirzepatide is sent to the pharmacy, and we show you how to give the weekly injection.
- 04
Monthly dose reviews
Weight, InBody results, and side effects guide each step up.
- 05
Maintenance planning
Nutrition, strength, and habit support to protect your results.
Tirzepatide vs. Semaglutide
| Tirzepatide | Semaglutide | |
|---|---|---|
| Hormones targeted | GIP + GLP-1 | GLP-1 |
| Dosing | Once weekly | Once weekly |
| Average weight loss in trials | About 20% (15 mg, 72 weeks) | About 15% (2.4 mg, 68 weeks) |
Both are effective. Your provider will recommend the one that best fits your health history, goals, tolerance, and coverage.
Why Get Tirzepatide at Alamo Primary Care?
- Prescribed by your primary care teamNot an anonymous online service
- Labs and eligibility reviewBefore your first dose
- Every dose step managed in personAt Westover Hills or Boerne, with telemedicine check-ins available
- InBody trackingTo protect muscle while you lose fat
- Support after you reach your goalSo results last
Cost and Insurance
Call 210-571-1338 and our team will help you check coverage and compare options.
- We accept most insurance plans for visits and labs (copay and deductible apply)
- Coverage for tirzepatide varies by plan; some cover Zepbound for weight management or sleep apnea, others require prior authorization or don’t cover it
- Cash-pay options are available

Book your tirzepatide consultation
Westover Hills, San Antonio: 12047 Potranco Rd Ste 105 · Mon–Thu 7–5, Fri 7–3. Boerne: 1411 S Main St · Mon–Fri 8–5. Serving Alamo Ranch, Helotes, Fair Oaks Ranch, and Kendall County.
Google Reviews
Alamo Primary Care
We are thrilled with our first visit here. Everything moved very quickly and efficiently, as they seem to have a very effective team of employees. The appointment lasted approximately 1 hour, and that included new patient intake forms, vitals, seeing the doctor and getting labs done. I love how fast the process went, while also feeling seen, heard and feeling like our concerns were valid and taken seriously. The receptionists were all very friendly, inviting and helpful, including Delilah, who checked us out and set our next appointment. Finding a new primary care provider can be quite overwhelming and time consuming, but not here, and the services offered go above and beyond anything we expected. We look forward to future visits with this practice.
Alamo Primary Care has the BEST staff! From the moment I walked in, I had such a great experience as a new patient. I’m especially thankful they were able to get me in for a same day appointment. Im finally feeling like I’m getting the answers I’ve been looking for. Highly recommend!
We came in to establish care with my new PCP, Dr. Vishal, and his staff were absolutely wonderful! Everyone was so informative, patient, and thorough throughout the entire process. I’m so happy that I made the change and feel confident knowing I’m in such great hands. Thank you, Dr. Vishal and team, for making us feel so welcomed and cared for!
I’ve had a great experience with Alamo Primary Care. Everyone in the office has always been friendly, welcoming, and willing to help. The front desk ladies are always kind and make everything easy, whether it’s scheduling appointments or answering questions. The doctor takes the time to listen and explain things without making you feel rushed, and the PA has been just as helpful and knowledgeable. It’s nice to go to a doctor’s office where you feel like they actually care about their patients. Highly recommend!
My senior mother had an appointment there today and let me know how well every member of your staff treated her from beginning to end. I appreciate your professionalism, empathy and amazing bedside manner. I’m happy to know she felt comfortable and in good hands. Highly recommend! Respectfully, patients daughter.
I had an excellent experience with this doctor and their entire office staff. From the moment I walked in, I was greeted warmly and treated with kindness and professionalism. The front desk team was efficient and helpful, making the check-in process smooth and stress-free. The doctor took the time to listen carefully to my concerns, explained everything clearly, and made sure I felt comfortable with the treatment plan. I never felt rushed, and it was clear that they genuinely care about their patients’ well-being.
I had a very positive experience at this primary care office. The staff was friendly, professional, and made me feel comfortable from the moment I walked in. Dr. Vishal Nemargommula took time to listen carefully to my concerns, answered my questions thoroughly, and never made me feel rushed. He was very kind, professional and easy to talk to. I especially appreciated how respectful and understanding everyone was during my visit. The office was clean, organized, and the overall atmosphere was welcoming.
This was my first time at this location and I was pleasantly surprised at every turn of this appointment. The front staff were incredibly welcoming and equally as funny. I’m a nervous talker so they humored me and it helped me calm down a lot. The doctor was punctual and very thorough for a first time visit which was a pleasant surprise. He had several follow up questions about each of my concerns and gathered more information as well as educated me more than any physician I’ve seen on a first visit. Excellent first impression and visit.
I cannot say enough good things about my experience with Dr. Vishal. From the moment I walked in, I felt comfortable from the check in with the ladies up front to the medical assistants in the back! He talked to me, not at me. He listened to my concerns, asked thoughtful questions, and made me feel validated. He came highly recommended and I never felt one ounce of regret. It’s such a relief to finally have a primary care doctor who makes you feel seen and heard. 10/10 recommend!
Very nice customer service it was a very pleasant visit of what I was dreading to be bad news. Every single nurse had a great attitude and made me feel very comfortable and welcomed. I’m glad I found this place and it’s only 5 minutes away from me. Plus they do IV therapy!!! Also the receptionist were awesome Andrea, Jen, Delilah were so nice to my kids they gave them Christmas light up necklaces because my kids asked for stickers. Great people
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Frequently Asked Questions
Where can I get tirzepatide in San Antonio, TX?
Alamo Primary Care prescribes tirzepatide for weight loss at its Westover Hills clinic, 12047 Potranco Rd, San Antonio, TX 78253. Treatment begins with a medical evaluation and labs, followed by gradual dose increases and monthly follow-ups with InBody body composition tracking.
Where can I get tirzepatide in Boerne, TX?
Alamo Primary Care offers tirzepatide at 1411 S Main Street, Boerne, TX 78006, open Monday to Friday, 8 am to 5 pm. Patients from Boerne, Fair Oaks Ranch, and Kendall County receive provider-prescribed tirzepatide with lab monitoring and monthly dose reviews.
How much weight can you lose on tirzepatide?
In the SURMOUNT-1 trial, adults taking tirzepatide 15 mg with lifestyle changes lost about 20 percent of their body weight on average over 72 weeks. Results vary based on dose, diet, activity, and health conditions.
Is tirzepatide better than semaglutide?
In a head-to-head trial, tirzepatide produced greater average weight loss than semaglutide, likely because it targets two hormones instead of one. However, the best choice depends on your health history, side effects, and coverage. Alamo Primary Care helps San Antonio and Boerne patients choose between them.
How quickly does tirzepatide work?
Many people notice reduced appetite within the first week or two. Weight loss typically becomes noticeable in the first month and increases as the dose is raised every four weeks. Alamo Primary Care reviews progress at monthly visits.
What are the side effects of tirzepatide?
The most common side effects are nausea, diarrhea, constipation, indigestion, and reduced appetite, usually strongest after starting or increasing the dose. Starting at 2.5 mg and stepping up slowly helps. Alamo Primary Care monitors side effects at every visit.
Can tirzepatide help with sleep apnea?
Yes. Zepbound (tirzepatide) is FDA-approved to treat moderate to severe obstructive sleep apnea in adults with obesity. Alamo Primary Care can evaluate whether tirzepatide is appropriate for San Antonio and Boerne patients with sleep apnea and excess weight.

