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The Top Choice for Semaglutide in John’s Island, SC

Unless you've been living under a rock, you know that modern Americans are much fatter than they were just a few decades ago. Take one look around a shopping center or strip mall and it seems that half the people present are struggling with obesity. Recent data from the CDC supports those observations - more than 39% of adults in the United States were considered obese from 2015-2016. That number is up from 33.7 percent in 2007-2008.

Perhaps more alarming is the fact that severe obesity is on the rise as well. The same report from the CDC tells us that nearly 8% of Americans were severely obese from 2015-2016, which is up from 5.7% in 2007-2008. When you read between the lines, those statistics mean that almost 4 in 10 adults are obese in the U.S., and almost 1 in 13 are severely obese.

Unfortunately, "fixing" obesity isn't something that can be done overnight. There is no quick fix that is also safe and non-surgical. The obesity problem in the U.S. is only getting worse as more adults and children choose the ease and convenience of fast food sugar-packed products over healthy eating, exercise, and positive lifestyle choices.

Semaglutide Weight Loss John’s Island, SC

Besides the challenges of being overweight, like clothes that don't fit and hurtful comments, the health risks are much more serious. Obesity can endanger your life, and those who rely on you may lose you earlier than expected. Over time, the likelihood of developing severe and life-altering health problems grows.

The good news is that a new medication called semaglutide in John’s Island, SC, is available for people struggling with obesity. This game-changing treatment approaches obesity as a chronic metabolic disease rather than a problem that can be solved through willpower alone.

At VIP Cosmetic Surgery, we now ioffer semaglutide as part of our custom weight loss program. If you've been struggling with obesity and have tried other diets with little to no success, don't lose hope. With the help of our medical and nutritional providers, you can lose weight, keep it off, and take meaningful steps toward better health.

Discover the New You with Semaglutide Weight Loss from VIP Cosmetic Surgery

Our weight loss program with semaglutide starts with a comprehensive consultation and evaluation process. During this phase, we will determine the ideal semaglutide dosage for you and provide personalized nutrition and exercise guidelines. Once we have a better understanding of your body and your weight loss goals, you'll begin receiving regular injections of semaglutide in John’s Island, SC.

It's your responsibility to incorporate lifestyle changes, specifically in your diet and exercise, to reach your weight loss goals. However, we'll be there every step of the way and conduct regular check-ins to help you stay on course. We'll also closely monitor your progress and overall health to ensure that your weight loss is safe and sustainable. The purpose of our semaglutide weight loss program is to offer a comprehensive weight loss treatment that helps you achieve natural, long-lasting results. That's the VIP Cosmetic Surgery difference.

Patients who sign up for our semaglutide weight loss program benefit from the following:

Personalized Nutrition Plan

For semaglutide to have the biggest impact on your weight, you've got to make changes to your diet. When you eat nutrient-dense, whole foods that support weight loss and healthy living, you're setting yourself up for long-term weight loss. Our nutrition plans are comprehensive and customized to your needs and lifestyle. That way, when you're ready to make real changes in your life, we'll be there with a nutrition plan you can follow to make the journey easier and more sustainable.

Monthly Virtual Consultation with Dr. Farr

One of the biggest reasons why people fail to achieve their weight loss goals is because they try to do it all on their own. When you sign up for VIP Cosmetic Surgery's semaglutide program, you benefit from monthly check-ins with Dr. Farr to see how your progress is going. During this meeting, you can talk to the doctor about your progress and what hurdles you're still trying to overcome. The doctor will give you advice and guidance based on his experience and - perhaps most importantly - help keep you on track so that you can lose weight and keep it off for good.

Periodic Blood Testing

Our practitioners will provide tests to ensure that your body is healthy, hydrated, and well-fed. By checking your hydration and nutrition levels, we can help ensure you're losing weight in a healthy manner and not starving yourself. By maintaining optimal health throughout your weight loss journey, you're giving yourself the best shot at long-term weight loss.

How Does Semaglutide in John’s Island, SC Work So Well?

For individuals working to lose weight and stay healthy, sticking to a consistent diet and exercise routine can be tough. Between work obligations and important tasks like picking your kids up from school, there just doesn't seem to be enough time in the day to eat healthy foods. After all, McDonald's is on the way home, and your little ones are screaming for food.

Fortunately, many busy people find semaglutide to be a valuable tool in their weight loss journey. This FDA-approved injection, used for treating both diabetes and obesity, functions by activating GLP-1 receptors in the brain to aid in weight loss and promote long-term health.

In more simple terms, semaglutide imitates glucagon in the body, signaling to the brain that you're full and don't need to eat more. When you take semaglutide and try to overeat, your body sends a message that says, "That's enough." In essence, it makes you feel full, so you're less likely to binge eat, especially at night when food tends to sit in your stomach.

Semaglutide also slows down digestion, reducing unnecessary snacking throughout the day. By minimizing glucose spikes after meals, it lowers inflammation, which is a crucial step in optimizing your overall health. Moreover, Semaglutide assists in insulin secretion by the pancreas regulates glucose levels in the body and even possesses anti-aging and longevity properties. If you're struggling with weight loss, treatments such as semaglutide can make a substantial difference for you.

In summary, semaglutide helps you lose weight in a few different ways, including:

Weight Loss Near Me John’s Island, SC
  • Semaglutide helps to curb your appetite and say no to unhealthy cravings for food. The average patient taking semaglutide consumes about 30% less food than they would without the treatment.
  • Semaglutide slows down the amount of food your stomach empties after you eat. This process helps you feel like you're full for longer periods of time.
  • Semaglutide helps lower your blood glucose levels without causing those levels to drop too low.

Clinical Evidence Supporting Semaglutide in John’s Island, SC

At VIP Cosmetic Surgery, one of the most frequently asked questions our providers receive from curious weight loss patients is whether or not semaglutide is supported by clinical trials. As it turns out, many trials have been conducted measuring the efficacy of semaglutide for weight loss, and the results are very promising.

Weight Loss Solutions Near Me John’s Island, SC

Better Than Placebo

Semaglutide is designed for individuals with a body mass index (BMI) of 30 or higher who are attempting to shed at least 10% of their total body weight without success with other methods. Clinical trials involving over 1,900 obese adults who were unable to lose five percent of their body weight after a year of treatment with other medications demonstrated that semaglutide increased average weight loss from 2% to 20% over a treatment period of just over one year compared to a placebo.

Semaglutide Near Me John’s Island, SC

Average of 31LBS Lost

In a different trial involving 1,387 patients with obesity (but not type 2 diabetes), participants were randomly assigned to different doses of semaglutide: 0.5 mg, 1 mg, or placebo for 104 weeks. The group that took the higher dose of semaglutide lost an average of 31 pounds, while those on the lower dose lost an average of 11 pounds.

GLP-1 Medical Weight Loss John’s Island, SC

Data from STEP

According to the NCBI, the Semaglutide Treatment Effect in People With Obesity (STEP) trials have shown the efficacy of semaglutide, as well. In large randomized controlled trials, patients who received 2.4 milligrams of semaglutide lost a mean of 6% of their weight after 12 weeks and 12% of their weight after 28 weeks.

So, what do all these statistics mean for you? If you're looking to shed some pounds, it's worth giving semaglutide injections a shot. This type of treatment isn't a miracle drug, but it can significantly boost your chances of weight loss success. That's why, at VIP Cosmetic Surgery, we have incorporated semaglutide as a fresh treatment option for individuals grappling with obesity, especially those who have exhausted other remedies and are seeking something new.

FAQs About Semaglutide for Weight Loss

As is the case with promising therapies like semaglutide, people considering the drug have a lot of questions about whether it's right for them. Keep reading to get answers to some of the most common questions relating to semaglutide.

If you're an adult dealing with obesity, excessive weight, or weight-related medical conditions such as high cholesterol or high blood pressure, semaglutide injections could be a suitable option for you. To qualify for semaglutide weight loss services at VIP Cosmetic Surgery, you must meet the BMI range criteria established by the FDA. If you're unsure whether semaglutide injections are the right choice for you, we recommend scheduling a consultation with one of our weight loss practitioners today.

Our doctors and practitioners often hear from patients asking whether semaglutide is safe for long-term use. It's natural to have concerns about a medication that impacts your body. Simply put, as long as you meet the criteria, it is safe to take this weight-loss medication. Even patients with endocrine, kidney, heart, and liver conditions can safely use semaglutide. As of June 4, 2021, the Food & Drug Administration has given the green light for semaglutide injections (2.4mg once weekly) for chronic weight management in adults with obesity and at least one weight-related condition.

Weight loss medications such as semaglutide may cause people to regain weight once the treatment is stopped. According to a clinical trial featured in Practice Update, participants regained 11.6% of their lost body weight within a year of discontinuing semaglutide medication and lifestyle intervention. Researchers suggest that this weight gain could be linked to the reversal of the cardiovascular benefits associated with semaglutide treatment, including stable blood sugar levels and blood pressure.

This data underscores the importance of continued medication and ongoing treatment for obesity as a chronic health condition to effectively manage its impact on quality of life and heart health. The key takeaway here is that due to its nature as a weight loss treatment, it's best to take regularly over time for the best results.

That length of time will vary depending on factors such as:

  • Your Long-Term Weight Loss Goals
  • Your Starting Weight When Beginning Semaglutide Therapy
  • How Your Body Reacts to Semaglutide

Starting Semaglutide in John’s Island, SC? Follow These Tips to Maximize Your Weight Loss Results

There's no question about it - semaglutide is making waves in the medical community. Thousands of obese men and women in the U.S. are using the treatment to get a handle on their weight and live healthy lives. With its ability to reduce blood sugar levels and facilitate weight loss, it makes sense that patients are looking for ways to get the most out of their regimen.

Keep reading to learn a few of the best tips to maximize your journey with semaglutide.

Guidance

1. Follow Guidance from Your Physician

Before you start taking semaglutide or make any changes to your treatment plan, make sure to discuss it with your healthcare provider who prescribes semaglutide. They will evaluate your specific needs, determine the right dosage for you, and give you important instructions on how to use the medication properly. At VIP Cosmetic Surgery, our weight loss practitioners work one-on-one with every patient who takes semaglutide to ensure they're staying healthy, hydrated, and committed to our semaglutide program.

Blood

2. Keep An Eye on Your Blood Sugar

Make sure to keep a close eye on your blood sugar levels as recommended by your semaglutide provider. While semaglutide can assist in reducing blood sugar levels, it's important to regularly monitor your progress and make any necessary adjustments. When you begin a weight loss program at VIP Cosmetic Surgery, you can rest easy knowing we check your blood sugar levels periodically.

Exercise

3. Exercise Regularly

Regular physical activity can boost the effects of semaglutide. It's best to aim for at least 30 minutes of moderate exercise 3-4 times a week to support weight loss and overall health improvements.

Patient

4. Be Patient. Results Happen Over Time.

It's important to understand that results may not happen right away and could take some time to become noticeable. Try to be patient as you follow your treatment plan, maintain consistency with lifestyle changes, and have confidence that positive results will come gradually.

Diet

5. Stick to a Nutrient-Dense and Healthy Diet

To maximize the effectiveness of semaglutide, it's very beneficial to eat a well-rounded diet abundant in fruits, vegetables, lean proteins, and whole grains. Always try to choose nutrient-rich options over high-calorie, high-fat foods. That way, you can achieve your weight loss objectives quicker. When you work with weight loss experts like the doctors at VIP Cosmetic Surgery, you'll have access to customized nutrition plans that will help expedite your weight loss and keep off the pounds once you reach your goals.

Semaglutide

6. Follow Up with Your Semaglutide Provider

Make sure to set up regular follow-up appointments with your healthcare provider to track your progress, make any necessary changes to your treatment plan, and talk about any concerns or questions you might have. At VIP Cosmetic Surgery, follow-ups and check-ins are built into our semaglutide program, giving you one less thing to worry about as you lose weight.

Your New Life at a Healthy Weight Begins at VIP Cosmetic Surgery

Are you striving to reach a healthy weight and live a more fulfilling life? Are you eager to have a positive impact on yourself and your loved ones? Take the first step toward better health by contacting VIP Cosmetic Surgery. Our experienced, compassionate practitioners will collaborate with you to identify your weight-loss goals. Once we know more about you and your body, we'll create a custom plan and provide the cutting-edge strategies and treatments you need to see real results. If you're ready to make a meaningful change, we're ready to guide you on the path to success.

Medical Weight Loss With Tirzepatide John’s Island, SC

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11 Hottest New Restaurants in Charleston, November 2024

More often than not, tipsters, readers, friends, and family of Eater have one question: Where should I eat right now? What are the new restaurants? What's everyone talking about? While the Eater 18 is a crucial resource covering old standbys and neighborhood essentials across the city, it is not a chronicle of the "it" places of the moment. Enter the Eater Heatmap, which will change continually to highlight the spots crowds...

More often than not, tipsters, readers, friends, and family of Eater have one question: Where should I eat right now? What are the new restaurants? What's everyone talking about? While the Eater 18 is a crucial resource covering old standbys and neighborhood essentials across the city, it is not a chronicle of the "it" places of the moment. Enter the Eater Heatmap, which will change continually to highlight the spots crowds are flocking to at the moment or generating a big buzz. Folks are asking, "Have you been yet?" Try one of these newbies today.

New to the list:

November 2024: Legami, Chef Loong Dim SumOctober 2024: Linnette’s September 2024: the Archer August 2024: the SelectJuly 2024: Marbled & Fin, MakanJune 2024: Downtown Co-OpMay 2024: Sissy Bar, CoterieApril 2024: Da Toscano Fugazzi, XO Brasserie March 2024: Bodega Mount PleasantFebruary 2024: Cleats, Lowland Dining Room, Palmira BarbecueJanuary 2024: the Harlow, Da Toscano Porchetta ShopDecember 2023: the Quinte, Lowland Tavern, Lost Isle, Costa, BearcatNovember 2023: King BBQOctober 2023: Honeysuckle Rose

For all the latest Charleston dining intel, subscribe to Eater Charleston's newsletter.

Read More

Eater maps are curated by editors and aim to reflect a diversity of neighborhoods, cuisines, and prices. Learn more about our editorial process.

The team from downtown bar Dalila’s opened a fun new spot in Park Circle. Sissy Bar takes inspiration from Southern California, from mezcal drinks to breakfast burritos to a massive barbacoa taco platter. Bring friends to sample all the sharable plates.

Slow-cooked brisket and whole hog meet Puerto Rican flavors at Palmira Barbecue. Pitmaster Hector Garate has been popping up around the Lowcountry for several years, but now he has a permanent address in West Ashley.

The crew from hip breakfast spot Daps opened a sports bar with better food and drinks found at typical sports bars. Find pit beef sandwiches, Thai-flavored hot dogs, green hatch chili wings, and waffle fries.

Herman Ng grew up working in his family’s Chinese restaurant, and now he owns his own with the opening of XO Brasserie. The menu focuses on Cantonese and Sichuan cooking, including XO lobster, mapo tofu, and garlic pepper beef. Don’t miss the fun cocktails or the desserts.

The couple behind Wagener Terrace hangout Berkeley’s recently opened their second restaurant, the Archer. They want it to have the same neighborhood vibes but raise the stakes with a full bar and fine dining-level comfort plates. Chef Paul Farmer (formerly of Three Sirens), puts out plates like duck frites, baked oysters, beef stroganoff, chicken liver mousse, and chilled crab dip.

Legami is a new Italian restaurant boasting a chef brought in from Rome by a family with roots in Turin, Italy. Washington Street Hospitality, which controls three Pasta Beach restaurants in New England, thought the King Street building would be another location for Pasta Beach, but decided to switch it up once they got into the historic building. Chef Andrea Congiusta cooks modern Italian fare with some influences from France. “We took inspiration from the classic fine dining, but we also want to have something fun, something that looks very fancy, and something you can crave,” says Congiusta. Dishes include king crab tagliolini, beef Wellington, and veal Milanese.

Modern steakhouse Marbled & Fin is giving all the other steakhouses a run for their money. The expansive dining room fills nightly with well-heeled customers ready to see and be seen. On the menu, chef Eucepe “Cepe” Puntriano includes all the steakhouse classics plus an emphasis on seafood dishes for non-meat eaters. Look for seafood towers, wedge salads, wagyu beef, bone marrow with oysters, creamed spinach, and more.

D.C.-based Malaysian restaurant Makan now has a second location in the Lowcountry. Chef James Wozniuk wanted the South Carolina location to feature local seafood. The ikan asam pedas, a Malaysian hot and sour fish curry, is a must-try if you like spice. There’s also rendand daging (dry beef curry), curry mee (noodle soup with chicken sausage), and kerabu mangga (mango salad).

Charleston is going crazy for soup dumplings, and newcomer Chef Loong Dim Sum delivers. The restaurant offers four flavors (pork soup, chicken soup, pork tomato soup, and truffle pork soup). The rest of the menu is quite extensive as well, with selections ranging from Sichuan mala chicken, crab rangoon, dan dan noodles, mapo tofu, and more.

The team behind Italian favorite Le Farfalle has an enticing new cafe in Charleston. The focus of Da Toscano Porchetta Shop is the housemade focaccia and everything that can be sandwiched between the airy bread. Chef Michael Toscano serves a filling chorizo and egg sandwich in the morning and a sumptuous porchetta sandwich in the afternoon. There’s also choices like prime rib, roast chicken, marinated eggplant, and so much more.

Charming new hotel the Dunlin offers sweeping views of the Kiawah River, abundant hospitality, and coastal Southern fare in its signature restaurant, Linnette’s. Chef Michael DeCicco puts out dishes like a pressed and pickled watermelon salad, wood-fired oysters, cornmeal-crusted flounder, and a sorghum-benne lacquered steak with charred okra.

The team from downtown bar Dalila’s opened a fun new spot in Park Circle. Sissy Bar takes inspiration from Southern California, from mezcal drinks to breakfast burritos to a massive barbacoa taco platter. Bring friends to sample all the sharable plates.

Slow-cooked brisket and whole hog meet Puerto Rican flavors at Palmira Barbecue. Pitmaster Hector Garate has been popping up around the Lowcountry for several years, but now he has a permanent address in West Ashley.

The crew from hip breakfast spot Daps opened a sports bar with better food and drinks found at typical sports bars. Find pit beef sandwiches, Thai-flavored hot dogs, green hatch chili wings, and waffle fries.

Herman Ng grew up working in his family’s Chinese restaurant, and now he owns his own with the opening of XO Brasserie. The menu focuses on Cantonese and Sichuan cooking, including XO lobster, mapo tofu, and garlic pepper beef. Don’t miss the fun cocktails or the desserts.

The couple behind Wagener Terrace hangout Berkeley’s recently opened their second restaurant, the Archer. They want it to have the same neighborhood vibes but raise the stakes with a full bar and fine dining-level comfort plates. Chef Paul Farmer (formerly of Three Sirens), puts out plates like duck frites, baked oysters, beef stroganoff, chicken liver mousse, and chilled crab dip.

Legami is a new Italian restaurant boasting a chef brought in from Rome by a family with roots in Turin, Italy. Washington Street Hospitality, which controls three Pasta Beach restaurants in New England, thought the King Street building would be another location for Pasta Beach, but decided to switch it up once they got into the historic building. Chef Andrea Congiusta cooks modern Italian fare with some influences from France. “We took inspiration from the classic fine dining, but we also want to have something fun, something that looks very fancy, and something you can crave,” says Congiusta. Dishes include king crab tagliolini, beef Wellington, and veal Milanese.

Modern steakhouse Marbled & Fin is giving all the other steakhouses a run for their money. The expansive dining room fills nightly with well-heeled customers ready to see and be seen. On the menu, chef Eucepe “Cepe” Puntriano includes all the steakhouse classics plus an emphasis on seafood dishes for non-meat eaters. Look for seafood towers, wedge salads, wagyu beef, bone marrow with oysters, creamed spinach, and more.

D.C.-based Malaysian restaurant Makan now has a second location in the Lowcountry. Chef James Wozniuk wanted the South Carolina location to feature local seafood. The ikan asam pedas, a Malaysian hot and sour fish curry, is a must-try if you like spice. There’s also rendand daging (dry beef curry), curry mee (noodle soup with chicken sausage), and kerabu mangga (mango salad).

Charleston is going crazy for soup dumplings, and newcomer Chef Loong Dim Sum delivers. The restaurant offers four flavors (pork soup, chicken soup, pork tomato soup, and truffle pork soup). The rest of the menu is quite extensive as well, with selections ranging from Sichuan mala chicken, crab rangoon, dan dan noodles, mapo tofu, and more.

The team behind Italian favorite Le Farfalle has an enticing new cafe in Charleston. The focus of Da Toscano Porchetta Shop is the housemade focaccia and everything that can be sandwiched between the airy bread. Chef Michael Toscano serves a filling chorizo and egg sandwich in the morning and a sumptuous porchetta sandwich in the afternoon. There’s also choices like prime rib, roast chicken, marinated eggplant, and so much more.

Charming new hotel the Dunlin offers sweeping views of the Kiawah River, abundant hospitality, and coastal Southern fare in its signature restaurant, Linnette’s. Chef Michael DeCicco puts out dishes like a pressed and pickled watermelon salad, wood-fired oysters, cornmeal-crusted flounder, and a sorghum-benne lacquered steak with charred okra.

Johns Island Park fields are expected to be completed in time for St. John’s High School baseball and softball season

JOHNS ISLAND, S.C. (WCBD) – Officials confirmed that the fields at Johns Island Park are on schedule to be completed in time.Charleston County School District (CCSD) is working on this project that is expected to bring new lights, grass, batting cages, and more to the facility. St. John’s High School parents were concerned after delays pushed...

JOHNS ISLAND, S.C. (WCBD) – Officials confirmed that the fields at Johns Island Park are on schedule to be completed in time.

Charleston County School District (CCSD) is working on this project that is expected to bring new lights, grass, batting cages, and more to the facility. St. John’s High School parents were concerned after delays pushed back the much needed renovations, but are now breathing sighs of relief.

“Oh, that’s just amazing. I mean we’ve lost sleep over this,” Karen Tetrev, baseball parent at St. John’s High School, said. “The players are going to be so excited, they are working so hard. I mean they do batting in an old tennis court. They just do what they can.”

The park serves as a home base for the high school’s baseball and softball teams, but it is owned by the City of Charleston. The players commute to the facility for pre-season and in-season practice as well as games.

“We’re grateful that the city allows us to use this facility, that’s a great positive seeing as we don’t have place on campus,” Lindsay Jackson, baseball parent at St. John’s High School, said. “But we just feel like them and district might not understand the plight that our student-athletes are having to go through.”

Despite the challenges of having an off-campus field, the student-athletes are still able to play competitively with their peers.

“The boys and the girls are both competitive in their region, like last year – the year before last they won the region,” Jackson said. “That was the first time in 37 years and a lot of the young people on these teams, they came up on the Barrier Island leagues as well. So this is great, we’re really building baseball on Johns Island here but we need to have the facilities.”

As a primary location for these players, the completion date is crucial. Parents said these renovations are expected to bring the high school up to the equivalent of other high schools in the area, fulfilling the promises that were made.

“I think they are just going to be so excited to hear that they are being valued and put as a priority in the community,” Tetrev said. “I think it’s going to make a huge difference to the high school, I think it’ll draw more families, and I think in the long run everyone’s going to be happy we made this happen.”

Charleston County's Mark Clark tax referendum found few pockets of support. Here's where.

The Mark Clark Extension has long been promoted as the best chance to relieve traffic on Johns Island. But the referendum to fund that road failed to win a single precinct on the island.It wasn't an isolated rejection.Voters countywide sent the Charleston...

The Mark Clark Extension has long been promoted as the best chance to relieve traffic on Johns Island. But the referendum to fund that road failed to win a single precinct on the island.

It wasn't an isolated rejection.

Voters countywide sent the Charleston County sales tax referendum down in a crushing defeat, with more than 61 percent opposed.

In many areas — Johns Island, James Island, Mount Pleasant, Seabrook Island, the Charleston peninsula and others — the referendum didn't pass in even one precinct.

Opponents say that should be the end of the Mark Clark Extension, which would carry Interstate 526 from West Ashley to Johns and James islands as a lower-speed parkway.

"The reality is, it was a 526 referendum," said John Zlogar, a cofounder of Rational Roads for Johns Island.

He called the results "just astounding" and said he had hoped the referendum might fail by one or two percentage points, not more than 21.

County Councilman Larry Kobrovsky, who opposed the referendum, said after results were tallied that voters made clear their opposition.

"They said 'no' and 'hell no,' " he said.

Some supporters believe that voters weren't rejecting the road at all, but the proposed sales tax to raise $5.4 billion. The referendum was designed to fund the Mark Clark Extension, but was crafted to avoid any mention of that specific road project.

“My perception is, this was about voting down another tax," said County Councilman Joe Boykin, a Johns Island resident who supports the road plan. “It just means we need back up and find another way to fund it."

Charleston County voters supported two previous transportation sales tax referenda, together adding one percent to the county's sales tax rate. The referendum on the Nov. 5 ballot would have continued one of the half-percent taxes for up to 25 more years, when an existing one expires in 2027.

While the referendum question didn't mention the Mark Clark Extension, it was the only priority project listed in the referendum ordinance and would have consumed the largest share of the money raised.

“One thing that was clear to me last night is that we could do a better job of communicating," said Councilwoman Jenny Honeycutt, who supports the Mark Clark Extension and lives on James Island.

“I would have thought that the people who stood to gain the most would have supported it," she said, referring to residents of Johns and James islands.

Business and real estate groups supported the referendum, along with elected officials from the county, Charleston and North Charleston.

Charleston County needs more than $1.8 billion for it's share of the $2.33 billion project. The state's contribution to the Mark Clark has been capped at $420 million.

“We’re contractually bound to do this, so we’ll have to find a way to finance it," Boykin said. "It’s not going away."

Council Chairman Herb Sass said the referendum results surprised him.

“I thought we had a really good program," he said. "I had an awful lot of people tell me they were voting for it."

In Mount Pleasant, where Sass lives, the referendum failed by a more than two-to-one margin, a difference of more than 20,000 votes.

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