First State Med Spa

About First State Med Spa

What is First State Med Spa?

First State Med Spa is a med spa at 1300 N Franklin Street in Wilmington, DE 19806, and it has been open since 2011. Most of what it offers is aesthetic work: Botox, dermal fillers, laser and IPL treatments, microneedling, chemical peels, vein treatment, and body sculpting, including SmartLipo. Supervised medical weight loss and hormone replacement therapy (HRT) are two of its other services, along with IV therapy and PRP and exosomes.

Dr. Nadiv Shapira, M.D., and Vicky Tubens-Lowa, N.P., are the named prescribers, and the weight loss page directs readers to one of them for a consultation. The program may include lifestyle counseling, nutrition support, and therapies for appetite and metabolic function, but the practice does not name the weight loss medications it uses. For hormones, it names estrogen, progesterone, and testosterone, but it does not name a prescriber for HRT. It states: "We do not offer compounded versions of any FDA-approved weight loss drugs that are currently available commercially." Hours are 9 to 5 Monday, Tuesday, Thursday, and Friday, and 10 to 7 on Wednesday. Google lists a 4.7 rating from 147 reviews.

What does it cost?

It does not publish prices for medical weight loss or hormone therapy. It gives no consultation fee, does not say whether it accepts insurance, and does not say whether medication is included in any program. It mentions memberships and an appointment cancellation policy, but it does not publish the terms of either.

The only price it shows is a new-client offer of $199 for 20 units of Tox. That is an aesthetic treatment, not weight loss or hormone therapy. Ask for every price in writing before you book, including the consultation, each visit, and the medication.

What should you ask before you book?

Ask which of the two named clinicians would write a weight loss prescription, and who would handle hormone therapy, since no prescriber is named for HRT. Ask which weight loss medication you would take and whether it is brand-name, and how that fits with the compounding statement above. Ask whether the monthly fee includes the medication, and what follow-up visits and lab work cost. Ask whether any part of the program can be done by telehealth, since the practice does not say.

Ask how cancellation and membership terms work. Ask whether your medical history fits the conditions the program names as reasons not to use it: medullary thyroid cancer, gallbladder disease, pancreatitis, or multiple endocrine neoplasia syndrome type 2.

Who is it a good fit for?

This is a good fit if you want medical weight loss or hormone therapy from a practice that also offers cosmetic work, and you are willing to get prices and terms in writing before you commit. It is a weaker fit if you need published prices or insurance answers before you call.

Sources: firststatemedspa.com, firststatemedspa.com/medical-weight-loss, firststatemedspa.com/wellness-and-rejuvenation-medicine/hormone-replacement-therapy-hrt, firststatemedspa.com/from-body-contouring-to-weight-loss-how-we-offer-a-holistic-solution

Services Offered

Location