Weight & metabolic health
Medical weight loss
We treat weight as a medical issue, not a willpower problem. That means looking for the things that make weight hard to shift — thyroid, blood sugar, sleep, medications you already take — and building a plan around your actual life. Options are discussed openly, including whether medication is appropriate for you.
Come in if you have
- You have tried to lose weight and it keeps coming back
- Your doctor has mentioned prediabetes, fatty liver, or high blood pressure
- You are tired all the time, or your weight changed without you changing anything
- You want to know whether weight-loss medication is a reasonable option for you
- You are on a medication that may be causing weight gain
What happens at your visit
- We talk about your history — what you have tried, what happened, and what got in the way. Not to judge it, to understand it.
- We check the medical contributors — thyroid, A1C, cholesterol, liver, and any medications that drive weight up.
- We discuss the realistic options, including diet and activity changes, and whether medication makes sense for your situation.
- We follow up. This is a long-term plan with review appointments, not a prescription handed over once.
Weight is medical, and we treat it that way
Most people arriving at a weight appointment have already been told to eat less and move more, usually more than once. If that had been enough, you would not need us.
There are real medical reasons weight is harder for some people than others — thyroid function, insulin resistance, sleep apnea, chronic pain that limits movement, and a long list of common medications that cause weight gain as a side effect. Those are worth checking before anyone concludes the problem is effort.
What we actually do
We start by looking for the contributors. Blood work covers thyroid, A1C, cholesterol and liver function. We review every medication you take, because some of the most commonly prescribed drugs make weight loss substantially harder.
Then we talk about options honestly, including what each one realistically achieves and what it costs. Medication is one of those options. It is not right for everyone, and it works best alongside changes to eating and activity rather than instead of them.
No lectures
You will not be lectured here, and you will not be weighed in a hallway.
If you have been putting off this appointment because of how previous ones went, that is common and it is a reasonable thing to be wary of. Tell us at the start and we will handle the visit differently.
The follow-up matters more than the first visit
Weight plans fail when nobody checks in. We schedule reviews, adjust what is not working, and take seriously the possibility that a plan is wrong rather than that you failed it.
Common questions
- Do you prescribe weight-loss injections?
- We discuss medication as one option among several, when it is medically appropriate for you. That decision depends on your health history, your other conditions, and what your insurance covers. It is a conversation, not something we can promise in advance of seeing you.
- Will my insurance cover this?
- Coverage for weight management varies a lot between plans, and it often differs for visits versus medication. Call the office and we will check your specific plan before your appointment so you are not surprised.
- Do I have to be weighed every visit?
- We do track weight, because it tells us whether the plan is working. If being weighed is difficult for you, tell us — we can turn the scale around, skip announcing the number, or record it without discussing it.
- Is this a quick fix?
- No, and we will not pretend otherwise. Weight that comes off quickly usually comes back. What we aim for is a change you can sustain, with medical support behind it.
This page explains how we care for this condition at our office. It is general information, not medical advice for your specific situation — please talk to us about your own care.
Ready to get this looked at?
Call us or send a request and we will get you in — often the same or next day.
