Questions, answered

Yes, medical weight loss always starts with a consultation. This isn't a formality: GLP-1 medications like semaglutide and tirzepatide affect your whole body, so your provider needs to understand your full health history before building a safe, effective plan for you.

The consult and maintenance visit prices cover your provider visit, plan, and monitoring. Medication itself is prescribed separately based on what you need, and your provider will walk through exact costs with you before you start, so there are no surprises.

That's exactly what the consultation is for. Some people aren't a fit for GLP-1 medications due to health history, and your provider will tell you honestly if that's the case, and talk through other options like Low Dose Naltrexone or coaching-based support instead.

That's absolutely something we offer. If you're already getting semaglutide or tirzepatide from another provider but aren't getting real guidance on nutrition, side effects, or how to adjust as you go, you can work with us for coaching support alone; no new prescription required.

Felina Sno Wellness is a cash-pay practice, so we don't bill insurance directly. Many clients use FSA/HSA, credit, debit, or cash.

Every medication affects people differently, and your provider will walk through likely side effects, what's normal, and what to watch for, before you ever start. Ongoing monthly visits mean you're never managing changes on your own, and Felina has been specializing in weight loss for years, with an in-depth understanding of how to optimize medication for weight loss, how to avoid side effects, and how to use lifestyle changes to sustain the results.

Weight-loss visits can be done virtually or in person, whichever fits your life better. Many clients start in person for the initial consult, then continue with virtual monthly check-ins. In-person visits tend to allow for more accountability, with monthly weigh-ins and measurements.

Your care is led by an APRN with over 25 years of clinical experience, including acute and psychiatric care, not a call-center provider you'll never meet twice. You'll have direct access to the same provider at every visit, someone who actually knows your history and adjusts your plan as your life changes. You'll also have monthly accountability check-ins, weight and measurement checks, counseling, and lifestyle, nutrition, and exercise guidance.

This varies by person, medication, dose, and starting point, so your provider will set realistic expectations with you at your consult rather than promising a number. What's consistent is the monthly check-in structure, so your plan keeps adjusting as you go, rather than leaving you on your own between visits.

AquafirmeXS is the advanced treatment platform behind our signature healing facial and our hair restoration protocol. It's a holistic skincare treatment using plant-based stem cells to rejuvenate, hydrate, and improve your skin overall, with protocols customized to your specific goals. The treatment uses a carbon dioxide reaction to exfoliate and drive oxygen into your skin, drawing out impurities while delivering plant-based exosomes that heal from the inside out. We then apply a highly concentrated stem cell serum, driven deep into the skin with a warm ultrasound massage, for a treatment that's both relaxing and restorative. Your provider will recommend the protocol that suits you best.

Most skincare only sits on the surface. AquaFirme is different because it uses plant-based stem cells that are biomimetic to human stem cells, meaning they're designed to mimic the way our own cells communicate and repair. That's what allows it to carry real repair signals deep into the skin, boosting your own collagen and hyaluronic acid production rather than just hydrating on the surface. If you've tried serums and facials that felt nice for a day but faded fast, this is built to actually change how your skin recovers and rebuilds over time.

This treatment pairs two steps in one visit. First, AquaFirme increases blood flow and clears out your scalp's pores, creating the ideal environment for absorption. Then we apply a medical-grade concentration of Derive and use ultrasound to drive it deep into the scalp rather than letting it sit on the surface. Your treatment includes a take-home Derive serum, applied to your scalp twice daily, which continues supporting your results between visits.

Derive is a plant-based, biomimetic serum, meaning it mimics the signals human hair follicles naturally use. It's formulated specifically for scalp and follicle needs rather than general skin, which is why it pairs with AquaFirme for hair, while EXO|E is used for our facial treatments instead. Derive is also available on its own as an at-home serum if you're not ready for the full in-office treatment, though results build more slowly without the in-clinic step.

Results depend on the individual and how much follicle activity is still present in the treated area. For some clients, this means visible regrowth over time. For others, especially where thinning has progressed further, the goal is to strengthen and protect the follicles that are still active, slowing further loss. Your provider will give you an honest picture of what's realistic for your scalp at your consult.

Not at this time. Felina Sno Wellness is a cash-pay practice; many clients use FSA/HSA, credit, debit, or cash.

We ask for as much notice as you can give, ideally 24 hours, by phone or text, so we can offer the time to someone else. There is currently no cancellation fee.

Felina Sno Wellness is at 256 N 115th St, Suite 6, Omaha, NE 68154. We see clients by appointment.