Dra. Shaira Simundac - Online Consult

22/08/2026

07/08/2026

🎀 SVELTA SHOT REMINDER 🎀

No side effects ≠ no effect.
More side effects ≠ better results.
Cravings ≠ medication failure. 🤍

One of the most common questions I get is: “Doc, bakit bumabalik ang cravings ko? Gumagana pa ba?”

Remember: you don’t need to feel sick for tirzepatide to work. The goal isn’t zero appetite, zero cravings, or feeling nauseous after every dose. What matters is your overall progress over time—better appetite control, improved portion control, sustained weight trends, and healthier habits.

Cravings can naturally fluctuate with sleep, stress, hormones, food triggers, activity, and how much you’re eating. As medication levels change between weekly doses, some patients may also notice differences in hunger or cravings.

🚨 Please don’t chase higher doses just because:
• You don’t feel side effects
• You can still eat
• You’re hungry sometimes
• Cravings return
• Someone else is losing weight faster

Tirzepatide is a tool—not the entire journey. 🫶🏻
Use the opportunity to build habits that support long-term results: prioritize protein and balanced nutrition, stay hydrated, stay active, get enough sleep, and remain consistent.

✨ The goal is not to feel sick.
✨ The goal is safe, healthy, and sustainable progress.

Always follow your prescribed treatment plan and consult your healthcare provider before making changes to your dose.

Save this post for your next “Is my tirzepatide still working?” moment. 💗

Posters by Pao 🩵

06/08/2026

𝗕𝗜𝗥 𝗘𝗫𝗣𝗔𝗡𝗗𝗦 𝗟𝗜𝗦𝗧 𝗢𝗙 𝗩𝗔𝗧-𝗘𝗫𝗘𝗠𝗣𝗧 𝗠𝗘𝗗𝗜𝗖𝗜𝗡𝗘𝗦 𝗧𝗢 𝗘𝗔𝗦𝗘 𝗛𝗘𝗔𝗟𝗧𝗛𝗖𝗔𝗥𝗘 𝗖𝗢𝗦𝗧𝗦 𝗙𝗢𝗥 𝗙𝗜𝗟𝗜𝗣𝗜𝗡𝗢𝗦

As part of the government’s continuing efforts to make healthcare more accessible and affordable, the Bureau of Internal Revenue (BIR) has issued Revenue Memorandum Circular (RMC) No. 87-2026, publishing the updated list of Value-Added Tax (VAT)-exempt medicines endorsed by the Food and Drug Administration (FDA) pursuant to Republic Act No. 10963 (TRAIN Law) and Republic Act No. 11534 (CREATE Act).

The issuance supports President Ferdinand R. Marcos Jr.’s directive during his 2026 State of the Nation Address (SONA) to expand access to quality healthcare by reducing the cost of essential medicines.

BIR Commissioner Charlito Martin R. Mendoza emphasized the Bureau’s commitment to implementing tax policies that directly improve the lives of Filipinos.

“The Bureau remains steadfast in implementing tax policies that directly benefit our people. By expanding the list of VAT-exempt medicines, we are helping make essential healthcare more affordable while supporting the President’s vision of a healthier and more resilient Philippines,” Commissioner Mendoza said.

With the latest update, the number of VAT-exempt medicines has increased to 2,277, including 14 newly added medicines. The expanded coverage helps reduce out-of-pocket medical expenses, particularly for Filipinos undergoing long-term treatment for chronic and life-threatening illnesses.

The updated list now covers medicines used in the treatment of:

* Cancer – 708 medicines

* Hypertension – 537 medicines

* Diabetes – 331 medicines

* Mental Illness – 300 medicines

* High Cholesterol – 172 medicines

* Kidney Disease – 152 medicines

* Tuberculosis – 77 medicines

Every peso saved through the VAT exemption helps families continue treatment, purchase essential medicines, and better manage their daily needs.

By making healthcare more affordable, the government also supports better treatment outcomes and improves the quality of life of millions of Filipinos.

While the Bureau continues to fulfill its mandate of generating revenues for national development, it likewise ensures that the tax system delivers meaningful and tangible benefits to the Filipino people.

For more information, you may access:

Revenue Memorandum Circular No. 87-2026
https://bir-cdn.bir.gov.ph/BIR/pdf/RMC%20No.%2087-2026_redacted.pdf

Updated Full List of VAT-Exempt Medicines (Annex A)
https://bir-cdn.bir.gov.ph/BIR/pdf/RMC%2087-2026%20Annex%20A%20(6).pdf

27/07/2026

🌟 THE SVELTA SPOTLIGHT 🌟
“Your progress deserves to be celebrated.” 🤍

This week’s transformation is a beautiful reminder that consistency truly pays off. ✨

🎉 Amazing Results in just over 3 months:
⚖️ Weight: 75 kg ➜ 61 kg (14 kg lost)
📏 Waist: 36 inches ➜ 26 inches (10 inches lost)

More than the numbers, this journey represents renewed confidence, healthier habits, and a commitment to becoming the best version of yourself.

Every milestone is earned through dedication, proper medical guidance, and trusting the process. There are no shortcuts—only consistent effort and the courage to keep going.

Congratulations on this incredible achievement! We are so proud to be part of your journey. 💚

📸 Every week, we’ll feature one of our amazing patients who has been consistently showing up, staying committed, and achieving their health goals.

✨ You could be our next featured success story!

Keep taking your weekly progress photos and measurements—you never know whose story will inspire someone else to begin their own transformation.

Shared with the patient’s consent.

🌟 Who’s next on The Svelta Spotlight?
Start your journey today, stay committed, and your transformation could inspire hundreds.

📩 Message us to book your consultation and take the first step toward a healthier you.

23/07/2026

Extreme restriction is one of the biggest reasons people struggle with long-term weight loss.

Skipping meals.
Starving yourself.
Removing entire food groups.

These approaches are difficult to sustain and may lead to:
❌ Binge eating
❌ Weight regain
❌ Poor relationship with food

Sustainable weight loss focuses on:
✔ Balance
✔ Moderation
✔ Consistency
✔ Long-term habits

Because healthy weight management should improve your quality of life—not make it miserable.

✨ Sustainable will always beat extreme.

📩 Message me if you’re ready for a safer, more realistic approach to weight loss.

18/07/2026

One of the goals of medically guided weight loss is not just reducing weight temporarily.

It’s helping patients build healthier habits that they can realistically maintain long-term.

As appetite becomes more regulated, patients often find it easier to:
✔ Choose healthier meals
✔ Avoid overeating
✔ Stay mindful with portions
✔ Maintain routines

This is why sustainable weight loss is not simply “motivation.”

It’s creating an environment where healthier decisions become easier and more manageable.

✨ Small consistent habits create long-term transformation.

📩 Message me to learn how guided medical support may help you build healthier, sustainable routines safely.

13/07/2026

🌟 THE SVELTA SPOTLIGHT 🌟

“Your progress deserves to be celebrated.” 🤍

Congratulations to this week’s featured patient! 🎉

From 74 kg to 68 kg in just 2 months—that’s a 6 kg weight loss and an incredible 12-inch reduction in waist circumference (44” ➜ 32”)! 👏✨

This transformation wasn’t built overnight. It was achieved through consistency, commitment, healthier lifestyle choices, and proper medical guidance. Every small step taken each week has led to remarkable progress.

We celebrate more than just the number on the scale—we celebrate confidence, discipline, better health, and every milestone along the way. 💚

📸 Every week, we’ll feature one of our amazing patients who has been consistently showing up, staying committed, and achieving their health goals.

✨ You could be our next featured success story!

Keep taking your weekly progress photos and measurements—you never know whose story will inspire someone else to start their own journey. 🤍

Posted with the patient’s consent.

🌟 Who’s next on The Svelta Spotlight?
Keep showing up, trust the process, and your transformation could inspire hundreds.

Ready to start your own journey? Send us a message today and let’s take the first step together. 💚

11/07/2026

GLP-1 medications, like Ozempic, are effective for weight loss. Just watch out for these common nutrient deficiencies while you're losing weight on a GLP-1. See link below ⬇️

05/07/2026

𝟐𝟔𝟓% 𝐧𝐚 𝐏𝐚𝐠𝐭𝐚𝐚𝐬 𝐧𝐠 𝐊𝐚𝐬𝐨 𝐧𝐠 𝐂𝐎𝐕𝐈𝐃-𝟏𝟗 𝐬𝐚 𝐐𝐂 𝐬𝐚 𝐋𝐨𝐨𝐛 𝐧𝐠 𝐓𝐚𝐭𝐥𝐨𝐧𝐠 𝐋𝐢𝐧𝐠𝐠𝐨; 𝐏𝐢𝐧𝐚𝐢𝐠𝐭𝐢𝐧𝐠 𝐚𝐧𝐠 𝐃𝐢𝐬𝐞𝐚𝐬𝐞 𝐒𝐮𝐫𝐯𝐞𝐢𝐥𝐥𝐚𝐧𝐜𝐞 𝐚𝐭 𝐏𝐮𝐛𝐥𝐢𝐜 𝐇𝐞𝐚𝐥𝐭𝐡 𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐞

Muling nakapagtala ng pagtaas ng mga kaso ng COVID-19 sa Quezon City matapos tumaas ng 265.22% ang bilang ng mga kumpirmadong kaso sa loob lamang ng tatlong linggo, batay sa datos ng Quezon City Epidemiology and Surveillance Division (QCESD).

Mula sa 23 kumpirmadong kaso na naitala sa pagitan ng Mayo 21 hanggang Hunyo 10, umabot ito sa 84 cases mula Hunyo 11 hanggang Hulyo 1, 2026. Dahil dito, umabot na sa 146 ang kabuuang kumpirmadong kaso ng COVID-19 na naitala sa Quezon City ngayong 2026.

Batay sa surveillance data, District 4 ang may pinakamataas na bilang ng kaso (32.71%), kasunod ang District 1 (22.43%). Kabilang sa mga barangay na may pinakamaraming naitalang kaso ang Doña Imelda (11 kaso), na sinundan ng Culiat, Salvacion, Santa Teresita, Santo Cristo, Sauyo, Socorro, at Tandang Sora, na may tig-apat na kaso.

Pinakamataas ang bilang ng kaso sa mga batang labing-apat (14) na taong gulang pababa o 30% ng kabuuang kaso. Sinundan ito ng mga nasa edad 25–29 (16%) at mga senior citizen na 60 (16%) taong gulang pataas. Mas marami ring naitalang kaso sa mga kababaihan, na may 66 cases (62%), kumpara sa mga kalalakihan na may 41 cases (38%).

Patuloy ang case monitoring at disease surveillance upang mabantayan ang sitwasyon at agad na matukoy ang mga posibleng clustering o pagdami ng kaso.

Patuloy na hinihikayat ang publiko na sundin ang mga pangunahing hakbang upang maiwasan ang pagkalat ng COVID-19:

✅Takpan ang bibig at ilong kapag uubo o babahing gamit ang tissue o siko, at itapon nang maayos ang ginamit na tissue.
✅Magsuot ng face mask kung may sintomas ng COVID-19 o respiratory infection.
✅Ugaliing maghugas ng kamay gamit ang sabon at tubig o gumamit ng alcohol-based hand sanitizer.
✅Iwasang hawakan ang mata, ilong, at bibig kung marumi ang mga kamay.
✅Panatilihin ang ligtas na distansya sa iba kung may nararamdamang sintomas.
✅Manatili sa bahay kung may sakit upang maiwasan ang pagkalat ng impeksiyon.

Pinapayuhan din ang mga magulang na agad na ipasuri sa pinakamalapit na health center ang kanilang anak kung nakararanas ng sintomas ng sakit sa paghinga. Para naman sa mga nakatatanda at may mahinang resistensya, mahalagang magpakonsulta agad sa unang senyales ng sakit upang maiwasan ang malubhang komplikasyon.

Mag-self-report sa amin. Maaaring tumawag sa mga sumusunod na QCESD Hotline:
8988-4242 loc 1609
8703-2759
09622747107

Para sa iba pang impormasyon, i-like, i-follow, at magmessage sa aming Official Quezon City Epidemiology & Surveillance Division

25/06/2026

Weight loss becomes much harder when you feel unsupported.

Many patients struggle because they:
❌ Don’t know where to start
❌ Feel overwhelmed
❌ Lose motivation after setbacks
❌ Receive conflicting advice online

That’s why guidance matters.

In medically supervised programs, patients receive:
✔ Monitoring
✔ Follow-up
✔ Education
✔ Support throughout the process

Because sustainable weight loss is not about perfection.

It’s about having the right support system while building healthier habits over time.

✨ Progress becomes easier when someone helps guide the journey with you.

📩 Message me if you’re ready to begin with proper medical guidance and support.