Priorities
Weight that won’t come off
Weight that stalls or keeps coming back, and a medically supervised option for people who qualify.
Free consultation
The short version
For many people, weight comes off with diet and exercise for a while and then stalls, or it returns. The usual advice to eat less and move more isn’t wrong, but for a lot of people it’s incomplete.
Why it happens
Why weight loss can stall
When you eat less, your body pushes back. Hunger gets louder, fullness fades sooner, and that's a big part of why weight often returns. GLP-1 medications act on those signals directly, working alongside the changes you're already making.
The brain manages hunger
Hormones and the brain areas that control hunger and fullness drive appetite. A GLP-1 medication works on those areas, so you feel less hungry.
Meals satisfy for longer
It slows how quickly the stomach empties, so a smaller meal keeps you full for longer.
Plan for the long term
The trial results come from continued use with support, and weight often comes back after stopping, so we plan with that in mind.
Sources: Cleveland Clinic, GLP-1 agonists
Your options
How we'd approach it
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Step 1We'd start with
Medical weight loss
Free consultation
About Medical weight lossThis is a once-weekly injection of semaglutide or tirzepatide, prescribed and monitored by our nurse practitioners for adults with a BMI of 30 or more, or 27 or more with a weight-related condition. Every plan starts with a consultation and bloodwork, before any prescription.
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Step 2If you need a little more
Morpheus8 Body for skin left behind
From $1,700
About Morpheus8 Body for skin left behindIf you lose a significant amount, skin that has been stretched for years doesn't always follow. We address that separately, at a later visit.
Side by side
Your options side by side
The weight comes first. Tightening any loose skin is a separate step, once your weight has settled.
We'd start with
Medical weight loss
Free consultation
- Best for
- Adults with a BMI of 30 or more, or 27 or more with a weight-related condition, after a medical evaluation
- Appointment
- 30-minute consult, then short check-ins on a set cadence
- Downtime
- None, but nausea is common in the first weeks of each dose step
- First results
- Appetite change within days, weight change within the first month
- Sessions
- Weekly injections, ongoing, with dose steps every four weeks or longer
Later, if you need it
Morpheus8 Body
From $1,700
- Best for
- Loose skin that remains once your weight is stable
- Appointment
- Numbing 45 to 60 minutes, then 30 to 60 minutes of treatment by area
- Downtime
- 3 to 7 days of redness, grid marks, and tenderness under clothes
- First results
- A few weeks
- Sessions
- Usually 3, spaced 4 to 6 weeks apart
Prices are starting prices from our menu. Your provider will confirm the plan and total cost at your consult. Individual results vary.
What to expect
Your first months of medical weight loss
Appetite usually changes within days. Weight comes off gradually as the dose steps up, and our nurse practitioners check in at every step.
Week 1
Your first injection, together in the room. Appetite drops within days, and nausea is possible.
Weeks 2 to 4
Still on the lowest dose, and weight starts moving. We'll check in before the first step up.
Months 2 to 4
Dose steps every four weeks or longer. This is the steepest part of the curve, and when gut effects tend to cluster.
Months 5 to 12
Maintenance dose. Loss continues, more slowly. Focus on protein and resistance training for muscle.
Month 12 and beyond
The curve flattens, and we'll plan maintenance with you: lower dose, longer interval, or continue.
Timeline for medical weight loss, from our treatment page. Individual results vary.
Our reasoning
Who medical weight loss is right for
We’ll go over your height, weight, and BMI, your medical history, current medications, and bloodwork. To make sure it’s a safe fit, we’ll also check for a personal or family history of medullary thyroid carcinoma, MEN2, pancreatitis, pregnancy or planning it, and a few others the prescribing information lists.
In the STEP 1 trial, semaglutide 2.4 mg averaged 14.9 percent of body weight at 68 weeks against 2.4 percent on placebo, per Wilding and colleagues in the New England Journal of Medicine. In SURMOUNT-1, tirzepatide averaged up to 20.9 percent at 72 weeks, per Jastreboff and colleagues. Those are trial averages achieved with structured support. Individual results vary, sometimes widely.
Nausea is a common side effect, and it’s usually worst when the dose steps up. For most people it settles, which is why we increase the dose gradually.
Your questions, answered
Is this Ozempic?
It's the same drug family. Ozempic and Wegovy are both semaglutide, and Mounjaro and Zepbound are both tirzepatide. The brand names differ mainly by what they are approved for and how they are dosed. We'll decide what to prescribe at your consultation, not before it.
Do I qualify?
The starting point is a BMI of 30 or more, or 27 or more with a weight-related condition such as high blood pressure, type 2 diabetes or sleep apnea. Bloodwork and your history decide the rest. If you're not a candidate, we'll go over other ways we can help.
What happens to my face and my skin?
Faces do change with significant weight loss, an effect sometimes called Ozempic face. If volume loss in your cheeks bothers you afterward, that has its own page. We recommend reaching a stable weight first and then assessing any changes in your face.
Will you keep prescribing if it is not working?
No. If you're not responding after a fair trial at an adequate dose, we'll stop treatment, since continuing would add cost without benefit.
How does tirzepatide work?
Tirzepatide acts on two hormone pathways involved in appetite and blood sugar. It helps you feel less hungry and fuller for longer, so eating less feels much more manageable. Like semaglutide, it requires a prescription after a medical evaluation.
What if I stop the medication?
Weight regain after stopping is common, because the underlying hunger signals return. If you'd like to stop, we'll plan a step-down together and talk through the habits and support that help you hold on to your progress.
