I’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
Finally, a Real Solution for Weight Loss!
Discover a long-term weight loss solution with The Centre Core Program. Utilizing highly effective medications, Semaglutide and Tirzepatide, this program is designed to help you comfortably lose 2–3 pounds per week under the expert care of The Centre, P.C.’s providers.
Are you ready to take the first step? Schedule your consultation for just $50! Labs are required before starting treatment and after one month of use to optimize your results. Additional fees are required for lab work.

What Are Semaglutide & Tirzepatide?
Semaglutide and Tirzepatide mimic glucagon-like peptide-1 (GLP-1), a hormone naturally produced by your body after eating. These medications:
- Increase satiety: Helping you feel full longer.
- Regulate blood sugar: Reducing cravings.
- Slow digestion: Sustaining feelings of fullness.
Under professional supervision, patients may lose 15–20% of their body weight and maintain results long-term!


Benefits of Semaglutide & Tirzepatide Treatments
- Effective Weight Loss: Lose 2–3 pounds weekly.
- Long-Term Results: Sustain your progress with expert support.
- Convenient Administration: Weekly self-injections fit into any lifestyle.
- Personalized Care: Tailored plans ensure safety and success.
Who Is a Good Candidate?
This program may be ideal for you if you:
- Have a BMI over 27 with related health concerns or over 30 without.
- Struggle with weight management despite diet and exercise.
- Are committed to following a personalized weight loss plan.
Your provider will assess your overall health to determine if this program is a safe option.


The Procedure Process
Initial Consultation
Meet with our provider to discuss your health history, current medications, weight goals, and allergies. Labs will be reviewed to ensure you're ready to begin.
Treatment Plan
Receive a customized plan tailored to your needs. Learn how to administer weekly injections with detailed guidance from our team.
Ongoing Support
Meet monthly with your provider to evaluate progress and adjust your dosage if necessary.
Lifestyle Changes
Implement minor dietary and lifestyle adjustments to maximize results while managing potential side effects.

Recovery and Aftercare
Patients experience minimal downtime with Semaglutide and Tirzepatide. Some side effects, such as nausea or bloating, may occur during dosage adjustments but are typically manageable. Our team provides continuous support to ensure you remain comfortable throughout your journey.Results
Patients report visible weight loss within 4 weeks, with continued results of 2–3 pounds weekly. Over time, many achieve a 15–20% reduction in body weight, enhancing their health and confidence.


Real Patient Testimonials/Reviews
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
I love the centre. Pc. The staff they treat you like they know you forever they explain they make sure what you’re going to do and ext. Doctor Downs is the best. He’s funny but when is about to do his job is he’s very strict and very discipline no doubt. Thank you guys for make me feel happy and look beautiful 😍 God bless all of you 🙏😍
Everyone here is so kind, helpful, talented and caring.I trust highly in them and will always come to them for all my cosmetic concerns and care!!❤️
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!
I recently had a surgical procedure done with Dr. Macias. The staff was absolutely amazing from my consult to surgery everyone was soooo sweet and kind! So very helpful from the front desk to the treatment coordinators to the pre op the whole surgery experience to post op!!
If you are considering on having anything done I highly recommend. I am extremely happy with my results so far and it’s only been a week.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
Ready to Start Your Journey?
Schedule your $50 consultation today! Take the first step toward sustainable weight loss with The Centre, P.C.’s expert care.

Frequently Asked Questions
About Weight Loss Program in Mishawaka, IN
Treatment duration varies based on your goals, but most patients continue until they achieve their desired weight and transition to a maintenance plan.
Yes, minor dietary and activity adjustments enhance results and minimize side effects.
Your provider will review your current medications to ensure there are no conflicts.
