Most people who come to us for weight loss have already tried. They have counted calories, joined a gym, cut out a food group, lost some of it and found it again. That history is not a character failing, and we do not treat it as one.
What we do instead is look at why your body is holding on to weight. Thyroid and sex hormones, blood sugar and insulin, sleep, stress, medication, family history and body composition all pull in the same direction or against each other, and a plan that ignores them tends to stop working the moment life gets busy. We start with measurements rather than assumptions.
BMI on its own is a crude measure. It says nothing about muscle, nothing about hormones and nothing about why the last attempt stalled.
Thyroid, hormones, blood sugar and the markers that explain a stubborn plateau.
Muscle and fat looked at separately, so progress is not judged on one number.
Short sleep and sustained stress both work against fat loss, and both are treatable.
Mealtimes, your relationship with food, and what has and has not worked before.
Some common prescriptions make weight loss harder. It is worth knowing which.
Fitting into something, moving without pain, or a number your doctor has asked for.
Semaglutide and tirzepatide belong to a class of medicines that were developed for type 2 diabetes and are now also prescribed for weight management. They act on the hormones that regulate appetite and how quickly the stomach empties, which is why many people taking them describe feeling full sooner and thinking about food less.
They are prescription medicines, not supplements. Nausea, reflux, constipation and diarrhea are common in the first weeks, dosing is stepped up slowly for that reason, and there are histories — certain thyroid cancers, pancreatitis, pregnancy — that rule them out. We go through all of that with you before anything is prescribed, and we tell you what it costs.
They also are not the whole plan. Weight tends to return when the medicine stops unless the things underneath it have changed, so we work on protein, resistance training and sleep alongside the prescription rather than instead of it. If medication is not right for you, we will say so and build the plan without it.
We stay current with the research and the technology so that every patient is offered care we would want for our own families, with a plan built around your medical history and your goals.
When you become our patient you are treated like family. You are never a number, and you will always be told plainly what a treatment can and cannot do for you.
Modern, evidence-based methods and high-quality products.
We review your full history and build the plan around you.
We will not give you a number before we have met you. Results differ widely depending on where you are starting from, what is driving the weight, which approach you are on and how long you stay with it. What we will do is measure, review and tell you plainly whether the plan is working.
No. Plenty of our patients do well without it. Medication is one option among several, and whether it is appropriate depends on your health history, your measurements and what you want. We will tell you honestly if we do not think it is the right tool for you.
It is common to regain weight after stopping an appetite-regulating medicine, which is exactly why we work on eating, muscle and sleep at the same time. We would rather you finish the program with habits that hold than with a number that does not.
Coverage varies a great deal by plan and by what is being treated, and several of these medicines are not covered for weight management alone. We will tell you what the treatment costs before you commit to anything.
Usually monthly at the start, so the dose and the plan can be adjusted while things are changing, then less often once you are steady. Injections that need to be given in clinic are scheduled around those visits.
Yes. Weight loss management sits naturally alongside hormone optimization, B12 or MIC-Lipo injections and IV hydration, and many patients use more than one. We will tell you which combination is worth the money and which is not.
Call the clinic and we will arrange the bloodwork and a conversation about what is actually driving the weight.