New Patient Forms

The clinicians at Legacy Medical Clinic
bring nearly 25 years of experience
delivering medical services in the Rio
Grande Valley. They are dedicated to
offering high-quality healthcare services
to their patients.

Your Health is
Our Priority

Meet Our Clinicians

Dr. Donna Joule, MD

Dr. Donna Joule, MD is a family
medicine specialist in Edinburg, TX and
has over 35 years of experience in the
medical field. She graduated from The
University of Oklahoma / Health
Sciences Center in 1988. She is affiliated
with medical facilities Doctors Hospital
at Renaissance and Driscoll Children’s
Hospital. She is accepting new patients.

Julianna Luera, PA-C

Physician assistant

Born and raised in the Rio Grande
Valley, Julianna graduated from
UTRGV in 2017 and has been
practicing family medicine since. She
is the mother to four amazing children
that keep both her heart and schedule
full. Her hobbies include weight
training, biking, kayaking and thrift
store shopping. Fun fact about her is
that she was a kindergarten teacher
before pursuing a medical degree.
Her over ten years of training in the
classroom has helped her become an
effective communicator and problem
solver. She prides herself in being
open and honest with patients. She
truly believes that following the
golden rule of “do unto others as you
would have them do unto you”, brings
brighter days and fuller hearts.
Blessings to all!

Leroy Moreno, PA

Physician assistant

As Administrator, Leroy Moreno is a
dedicated and experienced Physician
Assistant who has been serving his
community in family practice since his
graduation from the University of Texas
Medical Branch at Galveston in 1999.
With over two decades of commitment
to providing comprehensive healthcare,
Leroy has become a trusted figure in his
field. His extensive experience allows
him to offer a wide range of medical
services, from preventive care to
managing chronic conditions. Known for
his compassionate approach and
dedication to patient education, Leroy
ensures that his patients receive the
highest quality of care tailored to their
individual needs.

Services

• BOTOX® Cosmetic and
  JUVÉDERM® filler treatments
  are available in our clinic. Third-
  party financing is available for
  these procedures! Click here
  to apply.

Cosmetic
Treatments

See results with The Look of 3SM—a BOTOX® Cosmetic treatment
of 3 areas, 64 Units, at least 3 times a year.*

Cosmetic treatments

*Treatments should be spaced at least 90 days apart. Real patients treated for the appearance of moderate to severe
forehead lines, lateral canthal lines, and glabellar lines. Results may vary.

LEGACY

MEDICAL CLINIC

Call our office today to start your Botox
Cosmetic In-Office treatment!

956-348-2918

• Legacy Medical Clinic provides weight loss solutions that fit your
  lifestyle and weight loss goals. Consultations to discuss your needs
  and goals, measurement tracking, diet recommendations, and
  progress charting are part of our program.

• Injectable medicine for the purpose of weight loss are part of our
  weight loss solution and are administered in-clinic or in the privacy of
  your own home, depending on your preference.

• Continue reading to learn about your weight loss medicine options.

• Semaglutide mimics the action
  of the GLP-1 hormone, which
  regulates appetite and food
  intake. By slowing gastric
  emptying and enhancing
  feelings of fullness, it helps
  reduce overall caloric intake
• 
  

• Tirzepatide targets both GIP
  and GLP-1 receptors, enhancing
  insulin secretion, slowing
  gastric emptying, and reducing
  appetite. This dual action
  offers a unique approach
  compared to single-action
  treatments like semaglutide
• 
  

Semaglutide:

• Mimics GLP-1 hormone action
• Slows gastric emptying
• Enhances feelings of fullness
• 
  

Tirzepatide:

• Targets both GIP and GLP-1
  receptors
• Enhances insulin secretion.
• Slows gastric emptying.
• Reduces appetite through a
  dual mechanism
• 
  

Semaglutide:

• Weight Loss: In clinical trials,
  patients using Semaglutide
  experience an average weight
  loss of 15-20% of their initial
  body weight
• Diabetes Management: It also
  offers the added benefit of
  improving glycemic control in
  individuals with type 2 diabetes

Tirzepatide:

• Weight Loss: Clinical trials show
  Tirzepatide can lead to a 20-
  25% weight loss, making it a
  strong competitor to
  Semaglutide
• Enhanced Efficacy: Its dual
  mechanism might provide
  better glycaemic control and
  weight loss than single-action
  treatment
• 
  

Semaglutide:

Common Side Effects:

• Nausea
• Vomiting
• Diarrhea
• Constipation
• Abdominal pain

Less Common Side Effects:

• Headache
• Fatigue
• Dizziness
• Hypoglycemia (especially in
  individuals with type 2 diabetes)
• Pancreatitis (rare but serious)

Tirzepatide:

Common Side Effects:

• Nausea
• Vomiting
• Diarrhea
• Constipation
• Abdominal pain

Less Common Side Effects:

• Decreased appetite
• Dyspepsia (indigestions)
• Injection site reactions
• Hypoglycemia (more common
  when combined with insulin or
  sulfonylureas)
• Pancreatitis (rare but serious)
• 
  

Semaglutide:

• Administered via injection
• Dosage and frequency tailored to
  individual treatment plan

Tirzepatide:

• Administered via injection
• Dosage and frequency adjusted
  based on individual needs
•