Weight Loss / Obesity Optimization Program

 

I take a diagnostic, individualized, internal medicine approach to weight loss-not a “GLP-1” clinic model. My goal is to correct the reasons people gain weight and restore metabolic health sustainably.

Why Weight Loss Matters More Than Ever

 

Obesity is not a failure of willpower.

It is a biological, hormonal, metabolic condition that responds best to medical treatment — not shame, fads, or starvation cycles.

 

Weight loss improves:

  • Blood pressure

  • Blood sugar

  • Inflammation

  • Joint pain

  • Sleep

  • Longevity and healthspan

 

Every pound you lose works for you for years.

What Makes My Program Different

 

Most clinics hand out a GLP-1 prescription and hope for the best.

I provide supervised, medically accountable weight loss, designed specifically for people who want a smart, efficient, safe path that respects their time and biology.

 

My program includes:

 

1. Medical Evaluation & Lab Work

  • Full metabolic panel

  • HbA1c and fasting insulin

  • Lipids, ApoB (apolipoprotein B)

  • Thyroid panel

  • Vitamin D

  • Inflammatory markers

  • Body composition analysis

 

I treat causes, not just weight.

2. GLP-1 Therapy (Semaglutide, Tirzepatide)

 

Modern, highly effective, appetite-regulating medications:

  • Reduce cravings

  • Slow gastric emptying

  • Improve insulin resistance

  • Produce 10–22% body-weight reduction on average

 

Proper dosing matters.

I titrate carefully to avoid nausea, fatigue, and muscle loss.

3. Protecting Muscle Mass (Critical in patients >40)

 

Weight loss without muscle protection leads to:

  • Frailty

  • Fatigue

  • Sagging skin

  • Lower metabolic rate

  • Injury risk

 

You will receive:

  • A simple, evidence-based strength plan

  • Protein targets individualized to your age & goals

  • Supplementation guidance (creatine, collagen, vitamin D, electrolytes)

4. Addressing the Hidden Drivers of Weight Gain

 

These include:

  • Stress cortisol

  • Sleep disruption & OSA

  • Perimenopause/andropause

  • “Rebound hunger” cycles

  • Mindless evening calories

  • The microbiome & ultraprocessed foods

 

One visit with me often identifies causes people have missed for years.

5. A Practical Eating Framework (Not a Diet)

  • No starvation

  • No insane restrictions

  • No counting every calorie

  • No shame

 

I teach you the “Rule of 4” metabolic eating pattern:

  1. Protein

  2. Produce

  3. Smart carbohydrates (timed)

  4. Healthy fats

 

Plus strategic fasting windows when appropriate — not mandatory.

6. Personalized Plans for Real Life

 

This program works for:

  • Busy professionals

  • Parents

  • People who dislike cooking

  • Emotional/stress eaters

  • Carb-cravers

  • Night grazers

  • Post-menopause weight gain

  • People who failed commercial programs

7. Long-Term Weight Stabilization

 

The real enemy is weight regain, not weight loss.

 

I will help you:

  • Rebuild metabolism

  • Protect lean mass

  • Avoid GLP-1 rebound

  • Maintain sustainable patterns

  • Recognize relapse triggers early

Who Is This Program For?

 

Anyone who wants:

  • Medical supervision

  • Faster results

  • Fewer complications

  • A doctor who understands obesity biology

  • A plan built for real-world living

  • Tools that actually work

Pricing

 

Members

 

These prices are added on top of membership tier:

  • Initial Evaluation: $0 (included in membership)

  • GLP-1 Monthly Program Fee: $45–$95 (based on injectables & lab requirements)

  • Medication Cost: At wholesale pricing (typically $60–$140/month depending on drug)

Non-Members

 

  • Initial Evaluation: $195

  • Monthly Program: $125

  • GLP-1 Medication: At wholesale cost (passed directly through)

  • Optional Add-Ons:

– Muscle-preservation training plan: $45

– Nutrition plan: $25

– Follow-up labs: wholesale

What Patients Can Expect

  • Rapid reduction in appetite

  • Better control over evening calories

  • Improved sleep

  • Reduced blood pressure & glucose

  • Increased stamina & confidence

  • A plan that finally works

Your Physician’s Message

 

I want you healthy.

I want you confident.

I want you present for your family — not exhausted, hurting, or discouraged.

 

This isn’t vanity medicine.

This is longevity medicine — rebuilding your health from the inside out.

Let me present the other benefits of weight loss. Some of these from weight loss and some from GLP-1 the cornerstone of the therapy.

 

Strong / Established benefits (beyond weight loss)

 

 

 

1. 

Type 2 diabetes & insulin resistance 

  • ↓ A1c (often 1.5–2.5% with tirzepatide)

  • ↓ fasting insulin & HOMA-IR

  • Improves early beta-cell stress (not regeneration, but unloading)

  

Mechanism: glucose-dependent insulin secretion, ↓ glucagon, ↓ hepatic gluconeogenesis.

  

2. 

Cardiovascular risk

 

  • ↓ MACE (established for liraglutide, semaglutide, dulaglutide)

  • ↓ BP (≈5–10 mmHg systolic)

  • ↓ triglycerides, modest LDL improvement

  • ↓ visceral & epicardial fat

 

 This is now considered class-level CV protection, not just a diabetes effect.

 

 3. 

Non-alcoholic fatty liver disease (MASLD / MASH)

 

  • ↓ liver fat (often dramatic on MRI-PDFF)

  • ↓ ALT/AST

  • Improves steatohepatitis; fibrosis signal emerging

 

 

One of the most common “unexpected wins” in practice.

 

 

 

 

4. 

Obstructive sleep apnea

 

 

  • ↓ AHI

  • ↓ neck/visceral fat

  • Improved sleep quality and daytime function

  

Tirzepatide now has direct OSA trial data, not just weight-mediated inference.

  

5. 

Polycystic ovary syndrome (PCOS)

 

 

  • ↓ insulin resistance

  • ↓ androgen levels

  • Improved ovulation and menstrual regularity

  • Helps infertility indirectly

  

Often more effective than metformin alone.

 

 

✅ Strong neurobehavioral effects (this is the frontier)

 

 6. 

Appetite, cravings & food noise

 

 

  • ↓ hedonic eating

  • ↓ binge-eating behavior

  • ↓ late-night snacking

  • Improved portion control without “white-knuckle dieting”

 

 

Patients often describe this as “mental quiet.”

  

7. 

Alcohol use

  

  • ↓ craving

  • ↓ reward response

  • ↓ binge frequency

 

 

This is one of the most reproducible off-label behavioral effects and aligns with animal + human neuroimaging data.

 

 8. 

Other addictive / compulsive behaviors

 (emerging)

  

Signals for reduction in:

 

  • Tobacco use

  • Gambling

  • Impulse shopping

  • Possibly some substance-use disorders

 

 (Data still evolving, but dopamine/reward pathway modulation is plausible and consistent.)

  

✅ Musculoskeletal & functional gains

 

9. 

Osteoarthritis symptoms

  

  • ↓ knee/hip pain

  • ↑ mobility

  • ↓ inflammatory load

  

Important caveat: protect lean mass with protein + resistance training.

 

 10. 

Mobility & frailty risk

  

  • ↑ walking endurance

  • ↓ joint load

  • Improved function in previously exercise-limited patients

  

In older adults, pair with:

 

  • Resistance training

  • Protein ≥1.0–1.2 g/kg/day

Cardiometabolic “secondary” conditions

 

 11. 

Hypertension

 

 

  • Independent BP-lowering effect

  • Reduced need for meds in many patients

 

 12. 

Hypertriglyceridemia

  

  • Often dramatic TG reductions

  • Helpful in metabolic syndrome and pancreatitis-risk patients

 

13. 

Inflammatory state

 

  • ↓ CRP

  • ↓ systemic low-grade inflammation

  • Likely contributes to multi-system improvements

 

Not the magic bullet, but more salient improvements by one drug in multi-systems than I have seen from any other drug. Some of these benefits reported here have been elusive for any meaningful treatments beforehand. No therapy in modern medicine has benefitted so many systems at 9nce-not even close.  Like everything in medicine, there is a benefit:risk ratio. The multi-system benefits of GLP-1’s are extraordinary.