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MARCELA C. HORNUNG

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MARCELA C. HORNUNG

Nurse Injector | BSN, RN

Originally from Brazil, Marcela is a Registered Nurse with over six years of nursing experience and five years dedicated to aesthetic medicine. After beginning her career in the ICU, she discovered her passion for helping patients build confidence through personalized aesthetic care.

She specializes in creating elegant, natural-looking results that enhance each patient’s unique features while preserving what makes them beautiful. She believes that aesthetics is about more than treatments—it is about education, trust, and helping patients feel like the most confident version of themselves. By combining advanced techniques with a thoughtful, patient-centered approach, she develops customized treatment plans designed to support both immediate results and long-term skin health.

For Marcela, nothing is more rewarding than seeing a patient leave feeling refreshed, confident, and empowered in their own skin.

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LH Lean Program Journey

Screening Process:

In-State (NJ ONLY) Screening Process:

  1. Submit the Patient Inquiry Form

  2. Fax or email a copy of your driver’s license and insurance card (front & back) to lhlean@lhmedspa.com or (973) 735-2645.

  3. A required TSH/thyroid panel and CMP/Comprehensive Metabolic Panel will be ordered by one of our Nurse Practitioners.

    1. These panels can be ordered to Labcorp, Quest OR you can schedule a convenient appointment at our Madison office to have your blood drawn. ($50 draw fee applies)

  4. No insurance?

    1. You may purchase a panel out-of-pocket without an e-script through Labcorp Link

CMP https://www.ondemand.labcorp.com/lab-tests/comprehensive-metabolic-panel

TSH https://www.ondemand.labcorp.com/lab-tests/thyroid-stimulating-hormone-tsh-test

  1. The inquiry form and  labs are reviewed by our APN within 3-5 business days

  2. You will receive an email from LH Lean admin with your candidacy for the LH Lean Program.

Out Of State Screening Process:

  1. Submit the Patient Inquiry Form

  2. Fax or email the required labs (below) and a copy of your driver’s license to lhlean@lhmedspa.com or (973)735-2645.

    1. Required labs: A TSH/thyroid panel and CMP/Comprehensive Metabolic Panel that has been drawn in the last 6 months.

  3. Don’t have recent lab work? Contact your primary provider to request labs.

    1. You may also purchase a panel out-of-pocket without an e-script through Labcorp Link

CMP https://www.ondemand.labcorp.com/lab-tests/comprehensive-metabolic-panel

TSH https://www.ondemand.labcorp.com/lab-tests/thyroid-stimulating-hormone-tsh-test

  1. The inquiry form and labs are reviewed by our APN within 3-5 business days

  2. You will receive an email from LH Lean admin with your candidacy for the LH Lean Program.

Consultation Process:
  • Candidates are scheduled for a 30-minute consultation with an APN to begin a trial period of 4 weeks.
    • Consultation: $125
    • 4 week trial period: $600
  • Consultations consist of a history & physical, body composition analysis, description of the program, and administration of your first injection.
  • Payment for the 4 week trial period will be reconciled at the conclusion of your consultation.
Program Continuation:
  • After the 4-week trial period, you will receive a 12-week supply throughout your journey to mitigate shipping costs and gaps in care.
    • There is a 7-10 day turnaround time from Rx submission to arrival of medication.
    • A Fed-Ex shipping notification will arrive via email 24 hours prior to delivery
  • Medication cannot be returned to the pharmacy; therefore, it is non-refundable.
  • The flexibility of LH Lean allows for the following options:
    • Visit us weekly to discuss symptoms, progress, dosing, and receive your injection from an APN or RN
    • Self-administer your medication weekly at home using dosage guidance from our medical staff
    • Visit us monthly at LH to allow medical staff to draw up your medication for storage at your personal home to allow for self-administration
  • You will meet with an APN in-person or via telehealth on a monthly basis to discuss dosing, symptoms, progress, and treatment recommendations.
    • It is recommended that you visit LH to use our complimentary InBody analysis device during your monthly follow-ups.
  • A comprehensive metabolic panel (CMP) is required every 6 months while participating in the LH Lean Program to evaluate blood sugar, kidney function, electrolytes, and liver function.

**PLEASE COMMUNICATE ANY ELECTIVE OR PLANNED PROCEDURES/SURGERIES TO THE MEDICAL STAFF DURING YOUR VISIT. PER THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS, IT IS RECOMMENDED THAT YOU PAUSE SEMAGLUTIDE INJECTIONS 2 WEEKS PRIOR TO RECEIVING ANESTHESIA.**

Ending Treatment:
  • Many patients remain on a maintenance dose for weeks to months prior to ending treatment.
  • Each dosing plan is customized to each patient’s goals and tolerance
  • It is NOT recommended that you cease treatment without medical guidance, which will include a recommended “weaning off” schedule.
  • Treatment conclusion may occur over a 4, 8, or 12-week period. Allow our medical staff to make recommendations based on your current dosing, timeline, and tolerance.
  • An End-of-Program check-in with an APN will provide guidance for weaning off, maintenance while off the medication, and potential for restarting the program in the future, if desired.

Have concerns throughout the program?

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