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Nothing is prescribed until a clinician has read two morning lab draws. How it works

Program · WT

Medical weight management

Labs, a body composition scan, a dietitian and medication when a clinician decides it fits. For many men, weight and testosterone move together, so we look at both.

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In plain words.

Extra weight around the middle can lower testosterone, and low testosterone can make weight harder to lose. Sleep apnea, blood sugar and some medications pull on the same thread. Our weight program starts by measuring all of it.

Then you work with a clinician and a registered dietitian on a plan you can live with. Medication, including GLP-1 medicines, is one tool when a clinician decides it fits you. It is not the whole plan.

What brings men in

  • Weight that crept up over years and will not move
  • A doctor has mentioned blood pressure, blood sugar or fatty liver
  • Snoring, poor sleep or waking up tired
  • Low energy that might be weight, sleep or hormones

What it might also be

We check for these before treating anything.

  • Thyroid problems
  • Sleep apnea
  • Medications such as some antidepressants or steroids
  • Prediabetes or insulin resistance

Candidacy

Decided by your labs and a licensed clinician.

Not by a quiz, and not by what you ask for. These are the questions the clinician works through with you.

It may fit if

  • You want medical support, not a diet plan from an app
  • You are ready for a monthly visit for at least six months
  • You want your testosterone, sugar and liver checked along the way

Not the right call if

  • You have a history of an eating disorder. We refer to a specialist program
  • You or a close family member has had medullary thyroid cancer or MEN2. GLP-1 medicines are not used
  • You want a quick result before an event. We do not do crash plans

How it works here

What happens, and when.

  1. Week 0

    Labs and a scan

    Blood work, blood pressure and a body composition scan, about 45 minutes.

  2. Week 1

    Plan visit

    A clinician and a dietitian go over results and build the plan with you.

  3. Monthly

    Check-ins

    Weight, scan, side effects and medication dose if you take one.

  4. Month 3

    Labs again

    Sugar, cholesterol, liver and testosterone if it was low at the start.

Parts of the plan.

Safety

Side effects and limits, stated plainly.

Stomach side effects
Nausea, constipation, diarrhea and reflux are common in the first weeks of GLP-1 medicines. We start low and raise the dose slowly.
Rare but serious
Pancreatitis, gallbladder problems and low blood sugar (with some diabetes medicines). Severe belly pain needs urgent care.
Muscle loss
Losing weight fast can cost muscle as well as fat. Protein, strength work and body composition scans help us watch for it.
Weight can come back
Many people regain weight after stopping medication. We plan for maintenance from the start.

Monitoring

How we keep an eye on it.

What it costs · Weight program

$179 to $269 per month

Included

  • Monthly clinician visits
  • Dietitian sessions (two in month one, then monthly)
  • Body composition scans at each visit
  • Labs at the start, at month 3 and every 6 months

Not included

  • Medication, billed through your insurance or pharmacy. Prices vary widely by plan
  • Sleep studies, if we refer you for one

Common questions.

All questions
Do you prescribe GLP-1 medicines?

Yes, when a clinician decides one fits your history and labs, and it is not the right fit for everyone. We use FDA-approved products filled by your pharmacy.

Will losing weight raise my testosterone?

For some men it does. That is one reason we often start with weight, sleep and labs before deciding on testosterone therapy.

How much weight will I lose?

We do not promise a number. It depends on your health, your plan and whether medication is part of it. We track body composition, not just the scale.

Other programs

Labs + consult · $189 to $249

Start with a number, not a guess.

Book two morning draws and a 40-minute results visit with a clinician. If treatment does not fit, we say so, and you leave with your results and a plan.

Rather talk first? (918) 555-0143, weekdays 7 a.m. to 5:30 p.m.

Important safety information

Every treatment here is prescribed only after a licensed clinician reviews your history and labs. This is a summary, not medical advice. Questions

GLP-1 medicines
Not used with a personal or family history of medullary thyroid cancer or MEN2. Nausea and constipation are common early. Severe belly pain can signal pancreatitis or gallbladder problems and needs urgent care.
Testosterone therapy
Not for men with normal testosterone, prostate or breast cancer, or a high hematocrit. Can cause infertility that does not always reverse, raise red blood cell counts and PSA, and worsen sleep apnea. Requires blood work at 6 to 8 weeks, 3 to 6 months, 12 months and every 6 to 12 months after. Gel can transfer to others by skin contact. Testosterone is a Schedule III controlled substance.
ED medication
Never take with nitrates or poppers: blood pressure can drop dangerously. Get emergency care for sudden vision or hearing loss, or an erection lasting more than 4 hours. Common side effects are headache, flushing and a stuffy nose.
Finasteride and minoxidil
Finasteride can cause sexual side effects and mood changes, and it halves PSA readings. Minoxidil can cause shedding at first, scalp irritation and, as a tablet, dizziness or fluid retention. Benefits fade after stopping.
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