Cadence Health | Real Medicine. Real Results. | Medical Weight Loss in Minnesota

Why Cadence Health

A Medical Practice. Not a Prescription Factory.

Most telehealth weight-loss companies optimize for volume. We optimize for outcomes.

	Typical Telehealth	Cadence Health
Your Provider	Rotating NPs & PAs	Board-certified MD, every visit
Medications	Compounded generics	FDA-approved brand-name only
Lab Monitoring	None or optional add-on	Physician-ordered & interpreted (low-cost labs)
Side Effects	Automated message, days to respond	Direct physician messaging
Dose Adjustments	Generic protocol	Personalized to your lab results
Nutrition Support	None	Registered dietitian referral, insurance-covered
Relationship	Different provider each time	Same doctor who knows your history

Ask your telehealth company: Is my medication FDA-approved? Will I see the same doctor every visit? Are my labs being reviewed by a physician?

Your Physician

Meet Dr. Sahni

Nishant Sahni, MD, MS

Board-Certified Internal Medicine

Mayo Clinic Faculty University of Minnesota Faculty 20+ Years Immunology MS — UT Southwestern

"After 20 years as a hospitalist, I've seen the true cost of metabolic disease — not just the medical bills, but the lost decades with family and the dreams unfulfilled. I started Cadence Health because GLP-1 medications are transformative, but only when paired with real physician oversight. This isn't about losing 30 pounds. It's about gaining 10 healthy years."

Dr. Sahni personally manages every patient — ordering labs, interpreting results, adjusting doses, and answering questions. No rotating providers. No call centers. One physician who knows your history, your labs, and your goals.

How It Works

From Evaluation to Results

A medical process, not a subscription box.

Medical Evaluation

Complete a health questionnaire. Dr. Sahni reviews your history and orders baseline labs (A1c, metabolic panel, lipids, thyroid).

Personalized Treatment

Video consultation with Dr. Sahni to discuss your results, choose the right medication, and create your titration plan.

Ongoing Physician Care

Regular check-ins, lab reviews, dose optimization, side-effect management, and a registered dietitian referral — covered by your insurance. Your medication ships direct from the manufacturer.

Medications

FDA-Approved. Manufacturer-Direct.

We prescribe only brand-name medications — the same drugs used in landmark clinical trials. No compounded generics. No shortcuts.

Novo Nordisk

Wegovy®

(semaglutide)

$199 – $349/month

Ships via NovoCare pharmacy

Eli Lilly

Zepbound®

(tirzepatide)

$299 – $449/month

Ships via LillyDirect pharmacy

We do not prescribe, recommend, or use compounded semaglutide or tirzepatide. Your medication comes directly from the manufacturer — guaranteed.

Important Safety Information Semaglutide and tirzepatide have a boxed warning regarding thyroid C-cell tumors observed in animal studies. These medications are contraindicated in patients with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2). Do not use if you are pregnant or planning to become pregnant. Tell your doctor about all medical conditions and medications. Common side effects include nausea, diarrhea, vomiting, and constipation. See full prescribing information for Wegovy and Zepbound.

Pricing

Transparent Pricing. No Surprises.

One membership. No hidden fees. Cancel anytime.

Monthly Membership

$99/month

Everything except the medication itself

Video consultations with Dr. Sahni
Lab ordering & physician interpretation (lab draw fees ~$17-25)
Personalized dose titration
Side-effect management
Direct physician messaging
Medication prescription (Rx)
Nutrition support — registered dietitian referral, insurance-covered

Example total monthly cost:

$99 membership + $199 Wegovy (starting dose) = $298/month

Compare: Hims $199-269/mo for compounded generics with no lab monitoring

Check Eligibility

FAQ

Common Questions

FDA-approved Wegovy and Zepbound are manufactured to pharmaceutical-grade standards and backed by rigorous clinical trials. Compounded versions are mixed by third-party pharmacies without FDA oversight for safety, purity, or potency. The FDA has found impurity levels up to 86% in some compounded products and has issued over 100 warning letters. Cadence Health prescribes only FDA-approved, brand-name medications shipped directly from the manufacturer.

GLP-1 medications affect multiple organ systems — metabolism, cardiovascular function, pancreas, kidneys, and thyroid. Proper management requires ordering and interpreting labs, titrating doses based on individual response, and proactively managing side effects. A board-certified Internal Medicine physician has the training and clinical experience to manage these effects safely. At Cadence Health, Dr. Sahni personally manages every patient — not a rotating roster of providers.

Our $99/month membership is a cash-pay service. For the medications themselves, coverage varies by plan. Many insurers now cover Wegovy and Zepbound with prior authorization. If your insurance covers the medication, your cost may be as low as $25/month with a savings card. If not covered, the manufacturer cash-pay programs (NovoCare for Wegovy, LillyDirect for Zepbound) offer significantly reduced pricing — often 60-70% off list price.

Clinical trials demonstrate 15-22% body weight loss over 12-18 months with proper medical supervision (STEP and SURMOUNT trials). Most patients notice appetite changes within the first few weeks, with steady progress as doses are titrated up. Individual results vary based on starting weight, medication choice, adherence, and lifestyle factors. Dr. Sahni will optimize your treatment based on your individual response and lab results.

We order comprehensive baseline and follow-up labs including: A1c and fasting glucose (diabetes prevention), comprehensive metabolic panel (kidney and liver function), lipid panel (cardiovascular risk), and TSH (thyroid — important for GLP-1 safety). Additional markers like hsCRP, HOMA-IR, and body composition may be tracked based on your individual risk factors. All labs are ordered by Dr. Sahni and personally interpreted — not just flagged by an algorithm.

Yes. Every patient receives a GLP-1 nutrition guide focused on high-protein intake to preserve muscle mass during weight loss. We also refer you to a registered dietitian through our partner network — and for most patients, these visits are covered by insurance at no out-of-pocket cost. Nutrition counseling is critical during GLP-1 therapy to optimize results, prevent muscle loss, and build sustainable habits for after you reach your goal weight.

GLP-1 medications are FDA-approved for adults with BMI ≥ 30, or BMI ≥ 27 with at least one weight-related condition (prediabetes, high blood pressure, high cholesterol, sleep apnea). You must be a Minnesota resident (we'll expand to additional states via IMLC). Cadence Health is not appropriate for patients with a personal or family history of medullary thyroid cancer or MEN2 syndrome, or those who are pregnant or planning pregnancy.

Real Medicine.Real Results.