WESTOVER HILLS CLINIC Center for Internal Medicine & Chronic Care
Texas Medical Board Telehealth Compliant • Clinical Monographs

Evidence-Based Pharmacotherapy & Chronic Disease Management

Founded in 2008 by Dr. Caroline Hernandez, Westover Hills Clinic provides peer-reviewed clinical monographs, dosing protocols, and verified telehealth prescription access for patients across South Texas and nationwide.

Est. 2008

15+ Years Clinical Practice in San Antonio, TX

USP Bioequivalent

FDA Bioequivalence & WHO-GMP Certified Standards

Internal Medicine

Board-Certified Physician Medical Review

Express Telehealth

Secure Doorstep Delivery with Licensed Oversight

Metabolic Health & GLP-1 Receptor Agonists

Next-generation incretin mimetics and insulin sensitizers for Type 2 Diabetes management, glycemic stabilization, and cardiometabolic weight reduction.

Ozempic Prescription
GLP-1 Receptor Agonist

Ozempic

Semaglutide Injection (0.25mg / 0.5mg / 1mg / 2mg)

Subcutaneous weekly GLP-1 analog with 94% structural homology to native incretin. Delivers robust HbA1c reduction (avg -1.5% to -1.8%) alongside significant cardiovascular risk attenuation in adults with Type 2 Diabetes.

Half-Life: ~168 hours (7 days)
Mechanism: Glucose-dependent insulin secretion
Indication: T2D, ASCVD risk reduction, weight management
Dosing Guide
Mounjaro Prescription
Dual GIP / GLP-1 Co-Agonist

Mounjaro

Tirzepatide Injection (2.5mg – 15mg)

First-in-class twincretin activating both GIP and GLP-1 receptors simultaneously. Demonstrates unmatched metabolic efficacy with up to 22.5% sustained body weight reduction and superior glycemic normalization in clinical trials.

Half-Life: ~5 days
Mechanism: Dual GIP & GLP-1 receptor agonism
Indication: Intensive glycemic control & metabolic syndrome
Dosing Guide
Rybelsus Prescription
Oral Peptide GLP-1

Rybelsus

Oral Semaglutide (3mg / 7mg / 14mg)

Breakthrough oral peptide formulation engineered with SNAC absorption technology to survive gastric enzymatic degradation. Delivers the systemic benefits of semaglutide without weekly injections.

Administration: Morning fasting with 4oz water
Carrier: Salcaprozate sodium (SNAC)
Indication: Non-injectable incretin therapy
Dosing Guide
Metformin HCl Prescription
Biguanide Sensitizer

Metformin HCl

Extended Release (500mg / 850mg / 1000mg)

Gold-standard first-line pharmacotherapy for metabolic dysfunction. Suppresses hepatic gluconeogenesis via AMPK pathway stimulation, improves peripheral insulin sensitivity, and exhibits cardioprotective longevity benefits.

Elimination: Renal tubular secretion (unchanged)
Mechanism: AMPK activation & complex I inhibition
Indication: Insulin resistance, prediabetes, T2D
Dosing Guide

Cardiovascular & Lipidology Therapeutics

Targeted lipid-lowering statins and vascular tone modulators for atherosclerotic plaque stabilization, stroke prevention, and hypertension management.

Lipitor Prescription
HMG-CoA Reductase Inhibitor

Lipitor

Atorvastatin Calcium (10mg / 20mg / 40mg / 80mg)

High-potency lipophilic statin with proven plaque stabilization and pleiotropic vascular anti-inflammatory effects. Reduces circulating LDL-C by 39% to 60% with extensive cardiovascular mortality outcome trials.

Metabolism: Hepatic via CYP3A4
Half-Life: 14 hrs (metabolite activity 20–30 hrs)
Indication: Primary hyperlipidemia & ASCVD secondary prevention
Dosing Guide
Crestor Prescription
Hydrophilic Statin

Crestor

Rosuvastatin Calcium (5mg / 10mg / 20mg / 40mg)

Most potent statin per milligram with high hydrophilicity and minimal CYP3A4 metabolism, drastically lowering drug-drug interaction potential. First-line therapy for familial hypercholesterolemia.

Bioavailability: ~20%, low myopathy risk profile
Half-Life: ~19 hours
Indication: Dyslipidemia, atherosclerosis deceleration
Dosing Guide
Norvasc Prescription
Calcium Channel Blocker

Norvasc

Amlodipine Besylate (2.5mg / 5mg / 10mg)

Long-acting dihydropyridine L-type calcium channel blocker. Selectively relaxes vascular smooth muscle, reducing systemic vascular resistance and afterload without causing reflex tachycardia.

Onset: Gradual, sustained 24-hr BP coverage
Half-Life: 30–50 hours
Indication: Essential hypertension & chronic stable angina
Dosing Guide
Colchicine Prescription
Cardiovascular Anti-inflammatory

Colchicine

Colcrys Oral (0.6mg / 0.5mg)

Microtubule disruptor and NLRP3 inflammasome inhibitor. Prescribed for both acute microcrystalline gout termination and recent FDA-approved low-dose cardiovascular plaque stabilization (LoDoCo2 protocol).

Mechanism: Inhibits neutrophil chemotaxis & activation
Indication: Gout flares, familial Mediterranean fever, CAD
Dosing Guide

Respiratory, Gastrointestinal & Endocrine Guidance

Essential therapies for bronchodilation, gastric acid suppression, and thyroid hormone replacement.

Ventolin HFA Prescription
Selective Beta-2 Agonist

Ventolin HFA

Albuterol Sulfate Inhalation Aerosol (90mcg/actuation)

Rapid-acting rescue bronchodilator for prompt relief of bronchospasm in reversible obstructive airway disease and exercise-induced asthma. Onset within 5 minutes.

Onset: 5–15 minutes
Duration: 4–6 hours
Indication: Acute asthma exacerbation & COPD bronchospasm
Dosing Guide
Nexium Prescription
Proton Pump Inhibitor

Nexium

Esomeprazole Magnesium (20mg / 40mg)

Potent S-isomer of omeprazole that irreversibly blocks H+/K+ ATPase enzyme systems in gastric parietal cells, providing extended, profound 24-hour intragastric acid suppression.

Healing Rate: Superior mucosal healing in erosive esophagitis
Indication: GERD, peptic ulcer healing, Barrett's esophagus
Dosing Guide
Synthroid Prescription
Synthetic T4 Hormone

Synthroid

Levothyroxine Sodium (25mcg – 200mcg)

Narrow therapeutic index bioidentical L-thyroxine replacement. Converts peripherally to active triiodothyronine (T3) to regulate cellular basal metabolic rate, cardiac output, and lipid metabolism.

Monitoring: Serum TSH target 0.5–2.5 mIU/L
Administration: 30–60 min prior to morning meal
Indication: Primary, secondary & tertiary hypothyroidism
Dosing Guide
Celebrex Prescription
Selective COX-2 NSAID

Celebrex

Celecoxib Capsules (100mg / 200mg / 400mg)

Targeted anti-inflammatory inhibiting COX-2 enzyme without interfering with protective gastroprotective COX-1 prostaglandins, significantly reducing upper GI bleeding complications.

Selectivity: ~30-fold COX-2 over COX-1 selectivity
Indication: Osteoarthritis, rheumatoid arthritis, ankylosing spondylitis
Dosing Guide
Dr. Caroline Hernandez, MD

Dr. Caroline Hernandez, MD

Founding Medical Director • Internal Medicine

Board Certification: American Board of Internal Medicine (ABIM)
Practice Establishment: Founded 2008 in San Antonio, TX
Hospital Affiliations: CHRISTUS Santa Rosa Hospital Westover Hills
Clinical Focus: Cardiometabolic Syndrome, Adult Preventive Care, Dyslipidemia

A Legacy of Internal Medicine in San Antonio, Texas

Established in 2008 at 1911 Rogers Road, Westover Hills Clinic has served the medical needs of Bexar County and South Texas families for over fifteen years. Under the direction of Dr. Caroline Hernandez, the practice focused on comprehensive primary care, metabolic disease mitigation, cardiovascular risk assessment, and adult preventive wellness.

In 2026, Westover Hills Clinic expanded its educational charter to provide open-access clinical pharmacotherapy monographs, comparative drug interaction databases, and verified telehealth continuity for long-term chronic prescription therapies.

Clinical Verification Notice: All monographs published through the Westover Hills Clinic portal are compiled using peer-reviewed literature, FDA prescribing labels, and clinical guidelines established by the American Diabetes Association (ADA), American College of Cardiology (ACC), and American Thyroid Association (ATA).
Westover Hills Clinic Plaza, San Antonio TX
📍 Westover Hills Medical Plaza • 1911 Rogers Rd, San Antonio, TX Main Facility