Multi-component care, not a prescription pad.
Effective medical weight management is rarely a single intervention. It is a coordinated program: medical evaluation to understand what is actually driving the weight, medication when appropriate, dietitian support, lifestyle medicine, behavior change support, and ongoing concierge follow-up to adjust the plan as the patient changes.
The practice's program brings all of these into one coordinated path. Members do not have to assemble their own care from a patchwork of providers — the integration is the program.
Program structure
- 1. Initial consultation and comprehensive evaluation
- 2. Bloodwork and metabolic panel
- 3. Personalized program design — medication, dietitian plan, lifestyle integration
- 4. Medication initiation and titration with continuous physician oversight
- 5. Concierge follow-up cadence — frequent enough to actually adjust the plan
- 6. Long-term maintenance and lifestyle integration
GLP-1 and adjunct pharmacotherapy.
The medication landscape for weight management has changed dramatically over the past several years. The GLP-1 receptor agonists (and more recently dual-action GLP-1/GIP agonists) have produced outcomes that are not comparable to anything previously available. The practice's program offers the full range of FDA-approved options, prescribed under physician supervision with appropriate candidacy assessment.
Wegovy
Semaglutide · FDA-approved for weight management
Once-weekly injection. Approved for chronic weight management in adults with obesity or overweight with weight-related comorbidities.
Ozempic
Semaglutide · FDA-approved for type 2 diabetes
Same active ingredient as Wegovy at lower dosing. Used off-label for weight management when clinically appropriate.
Mounjaro
Tirzepatide · FDA-approved for type 2 diabetes
Dual-action GLP-1/GIP agonist. Used off-label for weight management with strong outcome data.
Zepbound
Tirzepatide · FDA-approved for weight management
The on-label weight management formulation of tirzepatide. Currently producing the strongest single-agent weight loss outcomes available.
Qsymia
Phentermine + topiramate · FDA-approved
Combination oral therapy. An alternative for patients who are not candidates for GLP-1 therapy or who prefer non-injectable options.
Phentermine
FDA-approved · Short-term use
Long-established appetite suppressant. Used in shorter cycles, often as part of a combined approach.
Metformin
Adjunct · Insulin sensitization
Used adjunctively in patients with insulin resistance, pre-diabetes, or as part of a metabolic protocol.
All weight-management medications are prescribed under physician supervision after appropriate candidacy assessment. Side effects, contraindications, and monitoring requirements are reviewed at every consultation.
The other half of the equation.
Medication and procedures change the underlying physiology. They do not rewrite the rest of life. The practice's program integrates registered dietitian counseling, plant-based nutrition protocols, behavior change support, and lifestyle medicine as integral components of every member's plan — not as separate appointments to chase down independently.
- — Plant-based nutrition as the foundational approach
- — Registered dietitian sessions integrated into the program
- — Behavior change coaching through the practice
- — Long-term sustainability focus — programs designed to outlast the medication phase
- — Coordinated mental health support when food behavior or body image is part of the picture
Coverage and program structure.
This program accepts both insurance billing and cash-pay concurrently — we are a hybrid practice. GLP-1 medication coverage varies dramatically by plan, plan year, and the specific medication; insurance verification happens during the consultation, and members preferring cash-pay are welcomed equally.
The medical weight loss program is priced separately from concierge membership — members receive coordinated access to the program but the program itself carries its own cost structure based on medication selection and program duration.
Related.
Schedule a weight loss consultation.
The first appointment is a 30-minute medical evaluation to design the right program for your situation.
or call our office line · (949) 404-4444