Weight treated as a chronic disease — because that's what it is.
For most patients who need medication, that means a GLP-1 — prescribed by a physician who monitors your labs, protects your muscle, and has a plan for what happens after the weight comes off.
GLP-1 medication is the center of how we treat weight.
Takes about fifteen seconds. Nothing is sent to us or stored.
We'd rather say it plainly than bury it: for most patients who need medication, we consider an FDA-approved GLP-1 or dual GIP/GLP-1 medication for chronic weight management — Wegovy, Zepbound, or Saxenda. We prescribe weight medications for their FDA-approved weight-management indications, not diabetes-branded versions simply for weight loss.
The other approved options are real and we use them — when a GLP-1 isn't tolerated, isn't obtainable, isn't affordable, or isn't the right fit for your history. They are second-line here, and we'll tell you that rather than presenting a menu as though every option were equivalent.
Medication is still one line in a larger plan. Nothing gets prescribed before an intake visit, a lab panel, and a conversation about what happens after the weight comes off.
FDA-approved, on-label weight medications only. Never compounded.
Compounded semaglutide and tirzepatide are widely available. They are not FDA-approved: they aren't reviewed for potency, purity, or sterility the way the approved product is, they have been associated with dosing errors serious enough to prompt FDA warnings, and the salt forms used in some preparations aren't the same molecule that was studied in the trials.
We don't prescribe them. If an approved weight medication is right for you, we prescribe it and help you get it. If it isn't affordable or isn't obtainable, we'll say so and work through the alternatives — which include several effective approved options that aren't GLP-1s at all.
That's the policy, without exceptions.
Weight medication is also the only medication we prescribe. Side effects of that medication — nausea, reflux, constipation, injection-site reactions, low blood sugar — are managed here. Every other prescription and refill, including blood pressure, cholesterol, diabetes, thyroid, sleep, and mental health medication, stays with your PCP or the appropriate specialist.
The approved toolbox, ranked.
Semaglutide
Wegovy®GLP-1 receptor agonist approved for chronic weight management. Weekly injection.
Tirzepatide
Zepbound®Dual GIP/GLP-1 receptor agonist. Weekly injection, and the largest average weight loss of any approved agent.
Liraglutide
Saxenda®Daily GLP-1 injection, including generic where available — often the affordable route into the class.
Naltrexone / bupropion
Contrave®Oral, non-injectable option when a GLP-1 isn't tolerated, obtainable, or wanted.
Orlistat
Xenical®, Alli®Oral, works in the gut rather than centrally. Modest effect, and we'll say so.
Which of these is right depends on your A1c, your blood pressure, your kidney function, what you've already tried, what your insurance covers, and what side effects you can actually live with. That's a conversation, and it happens at the intake visit.
And why.
- Compounded GLP-1s
Compounded semaglutide and tirzepatide are not FDA-approved, not FDA-reviewed for potency or purity, and have been linked to dosing errors. We prescribe the approved product or we don't prescribe.
- Research peptides and "longevity" injectables
No approval, no outcome data, no place in a prevention practice.
- Testosterone, HGH, and hormone pellets for weight loss
Not an obesity treatment, and the cardiovascular risk math doesn't work.
- HCG, diuretics, and thyroid hormone for weight loss
Ineffective, unsafe, or both.
Four things that separate a weight plan from a prescription.
Medication is a tool, not the plan
The prescription is one line in a plan that also covers protein intake, resistance training, sleep, alcohol, and the medications you're already on that may be working against you.
Protect muscle on the way down
Rapid weight loss costs lean mass and bone. We set a protein target, build a resistance-training plan as specific as the medication plan, and watch for it.
Dose is titrated to response, not to the label
If you're losing steadily and tolerating it, we hold. The goal is the lowest effective dose you can stay on, not the highest one you can survive.
There's a plan for afterward
Weight regain after stopping is the rule, not the exception. You should know that before you start, so we plan for maintenance from the first visit.
Where the money actually goes.
Your membership — $100/mo
$250 for the initial 60-minute medical assessment, then $100 a month for three video visits in the first year, structured check-ins, weight-treatment messaging, medication management, insurance support, and Preventrak access. Medication is separate.
Your medication
Billed by the pharmacy, not by us. We submit prior authorizations, appeal denials, and point you at manufacturer savings programs and cash-pay pricing when coverage isn't there.
Your labs
Drawn at a lab near you and usually billable to your insurance. We'll tell you what the cash price is before you go if you'd rather skip insurance.
We have no financial relationship with any pharmacy or manufacturer, and we don't mark up medication. What we recommend is what we think you need.
Weight care with a wider view.
Your included prevention assessment organizes cardiovascular, kidney, metabolic, and liver risk plus important care gaps. We explain the findings; your PCP remains responsible for treatment outside weight management.
Start with a real evaluation.
A 60-minute intake, a comprehensive panel, and a written plan — before anything is prescribed.
Become a patient