20.9%
How much is lost, on average
Mean body-weight reduction with tirzepatide 15 mg at 72 weeks. For a 100 kg person that is roughly 21 kg.
Source: SURMOUNT-1, NEJM 2022
Modern medicine. Personal attention.
Better health, so you live better.
Weight management, metabolic health and general medicine, evaluated and followed by a physician.
- Managua
- Matagalpa
- Fully bilingual care
- MINSA reg. 93378
Physician-led care
Dr. Salvador Terán
Physician and Surgeon · MINSA registration 93378
Why Consultorio San Judas Tadeo
A named physician
Every evaluation, prescription and treatment adjustment is made under medical judgement.
Two physical locations
Managua and Matagalpa, by appointment.
Fully bilingual care
Your consultation in English or Spanish, directly with the physician.
Digital patient tools
Access to digital tools that support your progress between visits.
Areas of care
Start where you need to.
Five pathways of care. The first step is understanding where you are today.
A comprehensive approach
This is not only about losing weight.
It is about how you feel, how you move, and how you look after your health.
Excess weight can relate to many factors at once: appetite, diet, body composition, metabolism, physical activity, sleep, medication and lifestyle. That is why care begins by understanding the person, before deciding how to treat the weight.
- Appetite
- Diet
- Body composition
- Metabolism
- Physical activity
- Sleep
- Medication
- Lifestyle
How it works
A plan built around you.
- 01
Understanding you
Clinical history, background, medication, habits and goals.
- 02
Assessing you
Clinical and morphofunctional assessment, plus further testing when needed.
- 03
Designing your strategy
We select the right tools for your particular situation.
- 04
Following through
We monitor your progress and adjust as you go.
Evidence-based
Weight medicine has changed.
Medications acting on the GLP-1 and GIP pathways are a new generation of tools for weight and metabolic management. These are the published figures, with their source, and also what those figures do not say.
These figures are average results from clinical trials and are not a promise of individual outcome. Results vary between patients.
We do not sell a dose. We support a process.
We measure more than your weight
Know more than your weight.
The scale tells only part of the story. Throughout follow-up we assess a range of indicators to understand how your body is responding and to guide treatment decisions.
Assessment techniques are selected according to each patient’s clinical needs. A single body composition measurement is not a diagnosis.
Digital tools
Your progress does not stop at the clinic door.
Access to digital tools that support your progress between one consultation and the next.
Included with your programme
- Nutrition plan and daily macros
- Weight progress charts
- History of visits and doses
- Meal logging and food scanning
- 24/7 access
Open My Nutrition Appapp.sanjudasmed.com
Home 
Macros 
Scanner 
My Plan 
My Health 
Prescriptions 
Blog
Real app screens, shown with sample data.
Treatments
Medication is a tool, not the plan.
These are the forms medication can take inside the programme. Which one applies, if any, is decided at the assessment.
Weekly injection
Tirzepatide
Given once weekly. It acts on the GIP and GLP-1 pathways, and the dose is escalated gradually according to clinical response and tolerability.
Compounded formulation
Compounded GLP-1
Prepared by a compounding pharmacy against an individual prescription. Which option applies to you is clarified during the consultation.
Where indicated
Other medication
Not every plan is built around a GLP-1. Depending on the case, treatment may involve other medicines, or none at all.
Two options, one medical decision.
A brand-name medicine is the product registered by its manufacturer. A compounded formulation is prepared by a pharmacy against an individual prescription; it is not the brand-name product. Which one applies to you, at what dose and on what schedule, is decided during the consultation.
This practice is in Nicaragua and is regulated by MINSA, not by the FDA. Medicines available here may differ in presentation and availability from those in your home country, and nothing is dispensed without an in-person medical assessment.
None of these options is provided without a prior medical assessment.
Ask what applies to meComprehensive support
Choose the programme that matches your stage.
Treatment, medical follow-up and nutritional support in a single monthly fee.
Both programmes include
- 4 monthly doses
- 1 follow-up consultation per month
- Personalised nutrition plan
- Access to the patient app
- Preferential laboratory pricing
Equilibra
Steps 1–3 · 2.5 a 7.5 mgDesigned for the early stages of treatment and for gradual escalation according to clinical response and tolerability.
US$160/ month
Equilibra+
Steps 4–6 · 10 a 15 mgFor patients who, after medical follow-up, need to continue at higher stages.
US$200/ month
Treatment by dose
Supervision and administration according to your stage of treatment.
Start
2.5 mg
US$40
Adapt
5 mg
US$50
Progress
7.5 mg
US$60
Consolidate
10 mg
US$70
Optimise
12.5 mg
US$80
Full
15 mg
US$90
Not every patient needs to go through all six stages.
Dose and treatment progression are determined individually, under medical assessment. Not every patient needs to reach higher doses.
Prices in US dollars. Valid as of August 2026. Subject to change.
Not sure which programme fits your case?
Book a consultation and we will guide you.
Understand your treatment
Tirzepatide: one tool inside comprehensive care.
Tirzepatide acts on two metabolic signals, GIP and GLP-1. Their combined action can support appetite control, increase satiety and improve various metabolic parameters in appropriately selected patients. It is given once weekly.
Read the patient guide
Educational material. It is not a medical prescription and does not replace a professional assessment. Published in Spanish.
Adults with obesity or overweight where there is a medical indication. It may be particularly relevant for people with difficulty controlling appetite, metabolic abnormalities, type 2 diabetes, or excess weight associated with risk factors.
Treatment usually begins at a low dose so the body can adapt; later adjustments depend on each person’s response and tolerability.
The best dose is not always the highest. The right dose is the one that meets clinical goals with acceptable tolerability.
Tirzepatide requires medical assessment and prescription. Situations that require specific evaluation:
- Personal or family history of medullary thyroid carcinoma
- MEN-2 syndrome
- Pregnancy, breastfeeding, or plans to become pregnant
- Previous pancreatitis
- Gastroparesis
- Severe gastrointestinal disease
- Known allergy to tirzepatide or its components
If you use insulin or other glucose-lowering medication, medical adjustments may be required.
The most common effects are gastrointestinal: nausea, constipation, diarrhoea, fullness, reflux, belching, vomiting, marked reduction in appetite, fatigue or mild dizziness. Gradual escalation gives the body time to adapt.
Always tell the medical team about new or persistent effects.
These figures are average results from clinical trials and are not a promise of individual outcome. Results vary between patients.
Beyond weight
A medical practice, not a single service.
General medicine
Medical care when you need it.
General consultation and follow-up, with the same clinical judgement and the same physician who leads the weight programmes.
- General medical consultation
- Preventive evaluation
- Follow-up of chronic conditions
- Treatment review and adjustment
Women’s health
Prevention and gynecological evaluation.
Evaluation and preventive services in women’s health, with a clinical and discreet approach.
- Gynecological consultation
- Pap smear with video colposcopy
- Vaginal testing
- VIA (visual inspection with acetic acid)
- Cervical procedures
- HPV-related prevention
Availability of each procedure is confirmed at the consultation.
Who sees you
There is a physician behind every plan.
Dr. Salvador Terán
Physician and Surgeon
- Credentials
- MINSA registration 93378
- Trained at
- UNAN-LeónAmerican College
Clinical approach
Every evaluation, prescription and treatment adjustment is made under medical judgement.
Treatment adapts to the patient, not the other way around: the strategy is defined after understanding each person’s history, background and goals.
Patient education is part of treatment. Understanding why something is prescribed improves both adherence and safety.
International patients
Visiting Nicaragua?
Do not let travel interrupt your care.
Bilingual medical care for visitors, foreign residents and travellers. You can contact us before you travel to arrange your consultation and arrive with the appointment already booked.
Fully bilingual consultation
Your consultation takes place in English or Spanish, directly with the physician.
Arrange it before you travel
Message us on WhatsApp to book your evaluation ahead of time.
The same range of care
Weight management, metabolic health, general medicine and women’s health.
All prescriptions and treatments require an in-person medical assessment. No medication is guaranteed in advance of that assessment.
Where we are
Two locations, one standard of care.
Frequently asked
What patients ask most.
Do I need an evaluation before starting?
Yes. Every strategy begins with an individual clinical assessment.
Does everyone need medication?
No. Treatment depends on each patient’s situation.
Do you work with tirzepatide?
Yes, where there is a medical indication and the patient has been appropriately evaluated.
Do I have to reach 15 mg?
No. Not everyone requires the maximum dose. Progression is defined by response and tolerability.
What is the difference between Equilibra and treatment by dose?
Equilibra combines doses, medical follow-up, nutrition, the app and other benefits in one monthly fee. Treatment by dose offers more payment flexibility and individual administration.
What does the patient app include?
Nutrition plan, goals, weight tracking, history of visits and doses, and meal logging.
How much weight can I lose?
This varies from person to person. It is defined with you during the evaluation and follow-up. We do not offer guaranteed results.
Do you see patients in English?
Yes. Consultations can be held in English or Spanish.
Do you see patients in both Managua and Matagalpa?
Yes, at both locations, by appointment.
Treatment starts by understanding your body, not by choosing a dose.
Book a consultation and let us work out together which strategy may be right for you.