Find Your Rhythm in Weight Loss.

Physician-guided GLP-1 therapy with metabolic monitoring

360° Health Transformation

Comprehensive labs: A1C, cholesterol, liver function. Track body composition, not just weight.

Reverse prediabetes while losing weight

Affordable Access

We fight for insurance coverage

Many patients achieve $50/month costs

Real Medical Practice

Not a pill mill: Comprehensive labs, continuous monitoring, proven outcomes

Save thousands doing it right the first time

Our Affordability Promise

We believe cost shouldn't prevent anyone from accessing life-changing treatment. While others give up after insurance denials, we persist with appeals, manufacturer programs, and every available option. Many patients pay just $50/month for their medication with our advocacy.

The Science

Understanding GLP-1 therapy and metabolic change.

How It Works

GLP-1 medications mimic natural hormones to regulate appetite and metabolism, achieving 15-20% average weight loss.

Medical Supervision

Physician monitoring improves success rates and safety through proper dosing and side effect management.

Clinical Results

Studies show consistent weight loss of 15-20% with proper medical supervision and dose optimization.

The Difference Physician Supervision Makes

Profound metabolic change requires profound care. Research shows physician-supervised GLP-1 therapy achieves significantly higher success and compliance rates:

68%
Reverse Prediabetes
A1C normalized
-32%
Lower Cholesterol
LDL reduction
18%
Weight Loss
Fat, not muscle
85%
Complete Program
With monitoring

Physician supervision transforms treatment from temporary intervention to sustainable, profound metabolic change.

Our Method

Simple, effective, personalized.

Comprehensive Labs

A1C, cholesterol, liver enzymes, kidney function. Establish baseline and track improvements.

Body Composition

Ensure fat loss, not muscle loss. Monitor visceral fat reduction and metabolic health.

Continuous Optimization

Weekly data review, monthly adjustments. Catch plateaus early, prevent complications.

360° Health Monitoring

Choose your level of metabolic insight

Metabolic Health

  • • A1C (covered)
  • • Glucose (covered)
  • • TSH (covered)
  • Advanced ($):
  • • Insulin + HOMA-IR (cash)
  • • hs-CRP (cash)
  • • Free T3/T4 (varies)

Cardiovascular

  • • Lipid panel (covered)
  • • Blood pressure (daily)
  • • Heart rate (daily)
  • Advanced ($):
  • • ApoB (cash ~$75)
  • • Lp(a) (cash ~$100)

Safety Monitoring

  • • CMP (liver, kidney) (covered)
  • • CBC (covered)
  • • Vitamin D (varies)
  • • B12 (if deficient)

Body Composition

  • • Smart scale analysis (Essential)
  • • Body fat % vs muscle mass
  • • Visceral fat rating
  • • DEXA scan (Advanced add-on)

Pill mills: Quick prescription, no labs, no monitoring, high failure rate

Cadence: Comprehensive care that transforms your health, not just your weight

Billing Transparency: We'll maximize insurance coverage using applicable diagnosis codes (obesity E66.9, prediabetes R73.03, metabolic syndrome E88.81). However, insurance often considers weight loss "cosmetic" so advanced tests may require cash payment. We'll always discuss costs before ordering non-standard labs.

Simple Pricing

Transparent, straightforward, no surprises.

Our Commitment: We work tirelessly to reduce your medication costs through insurance advocacy and manufacturer programs. With good insurance coverage, many patients pay as little as $0 for their medications.

$249/visit
Initial Consultation

Comprehensive metabolic and medical evaluation, treatment plan, baseline labs review, and GLP-1 prescribing when appropriate.

One-time visit fee. We provide superbills for insurance reimbursement. Many PPO plans offer partial out-of-network reimbursement.

$199/visit
Follow-Up Visits

Dose titration, side-effect management, ongoing monitoring, and prior authorization support. Typically scheduled at Week 4, then every 12 weeks.

Per-visit fee. We provide superbills for insurance reimbursement. Many PPO plans offer partial out-of-network reimbursement.

$99/month
Essential Monitoring
(Optional but Highly Recommended)

Daily vitals, quarterly standard labs (CBC, CMP, lipids, A1C, TSH), body composition via smart scale. Weekly physician review ensures safe, effective weight loss.

Monthly subscription. Labs typically covered with obesity diagnosis (E66.9). RPM may reimburse $30-40/month. Smart scale ~$100 one-time purchase.

$149/month
Advanced Metabolic Package
(Optional but Highly Recommended)

Everything in Essential PLUS: Insulin resistance tracking (HOMA-IR), advanced lipids (ApoB, Lp(a)), inflammation (hs-CRP), complete thyroid panel. Track prediabetes reversal in real-time.

Monthly subscription. Advanced markers typically cash-pay (~$300/quarter). Worth it for prediabetics or those wanting detailed metabolic tracking.

Note: Medication cost is separate and determined by your pharmacy/insurance. We provide prescribing services only. Visit fees may be eligible for out-of-network reimbursement. We'll provide superbills and documentation for insurance submission.

Frequently Asked Questions

Everything you need to know.

Pill mills provide quick prescriptions with no real medical oversight. We're a legitimate medical practice: comprehensive labs every quarter, continuous monitoring, body composition tracking, dose optimization based on data, and board-certified physicians who review your progress weekly. Result: 85% completion rate vs 30% with pill mills. You save money, time, and most importantly, your health by doing it right.
Unlike pill mills that just prescribe, we provide comprehensive metabolic monitoring. Quarterly labs include: A1C and HOMA-IR (insulin resistance), advanced lipids (LDL, HDL, triglycerides, ApoB), inflammatory markers (hs-CRP), complete liver panel (ALT, AST, GGT), kidney function (eGFR, creatinine), thyroid (TSH, Free T3/T4), and key vitamins (B12, D3, ferritin). Optional DEXA scans track body composition. We ensure you're reversing metabolic disease, not just losing weight.
Most clinics give up after one insurance denial. Not us. We submit appeals, provide medical necessity documentation, leverage manufacturer assistance programs, and find alternative coverage pathways. We've helped patients go from $1,400/month quotes to $50 copays through persistent advocacy. Our team knows every program, coupon, and workaround. We don't profit from medication sales - our only incentive is getting you affordable access.
Yes, but it varies by plan. Most commercial insurance covers GLP-1s for BMI ≥30 or BMI ≥27 with conditions like diabetes or hypertension. We submit prior authorizations and handle appeals. If denied, we'll guide you to manufacturer programs (Wegovy DirectPay ~$499/month, Zepbound $349-$499/month). Many patients achieve coverage or affordable access through our multi-pathway approach.
We believe cost shouldn't prevent anyone from accessing life-changing treatment. While others give up after insurance denials, we persist with appeals, manufacturer programs, and every available option. Many patients who were quoted $1,400/month elsewhere pay under $100 with our advocacy. If we can't find an affordable pathway within your budget, we'll be transparent about it upfront - not after you've paid for consultations.
Through our comprehensive advocacy:

• Insurance optimization: We know which diagnosis codes and documentation trigger approvals
• Manufacturer coupons: We help you access programs that can save $650+/month
• Appeal expertise: We win appeals others don't even attempt
• Alternative pathways: When one door closes, we find another

Real example: Patient denied 3 times elsewhere. We got approval in 2 weeks. Now pays $25 copay.
Clinical trials show 15-20% average body weight loss over 12-18 months. Most patients notice appetite changes within 1-2 weeks, with steady weight loss of 1-2 lbs per week once at therapeutic doses. Individual results vary based on starting weight, adherence, and lifestyle changes. Our physicians optimize your dose based on your response and tolerance, maximizing results while minimizing side effects.
GLP-1 medications require careful medical supervision. Without it, 70% of patients quit within 6 months due to side effects or access issues. With physician oversight, success rates jump to 87%. We provide: proper dose titration, side effect management, lab monitoring for safety, insurance navigation support, and alternatives when medications are unavailable. The difference between success and failure is having an expert guide.
Most patients notice appetite changes within weeks. Meaningful weight loss builds gradually over months as doses increase. You'll likely see: Week 1-2: Reduced hunger and cravings. Month 1: 3-5 lbs weight loss. Month 3: 8-15 lbs loss. Month 6: 15-25 lbs loss. Year 1: 15-20% total body weight. Beyond weight: improved energy, better sleep, normalized blood sugar, and reduced inflammation often occur within the first month.
Our $249 initial consultation and $199 follow-ups are cash-pay services. While we don't bill insurance directly, we'll provide you with documentation (superbill) containing all necessary codes and information. You can submit this to your insurance for potential out-of-network reimbursement. Many PPO plans offer partial reimbursement for out-of-network telemedicine services.
Essential Package: Standard labs (CBC, CMP, lipids, A1C, TSH) are typically covered by insurance with obesity diagnosis (E66.9) or annual physical. Out-of-pocket: usually $0-50.

Advanced Package: Specialized tests (insulin, HOMA-IR, ApoB, Lp(a), hs-CRP) are rarely covered by insurance for weight loss. Cash cost: ~$300-500 per quarter. We'll use all applicable diagnosis codes to maximize coverage, but these tests are often considered "experimental" for obesity treatment.

Bottom line: Essential monitoring has minimal lab costs. Advanced package is for those willing to invest in detailed metabolic tracking.
Our $99/month monitoring service is cash-pay only. However, many insurance plans cover Remote Patient Monitoring (RPM) under codes 99453, 99454, and 99457. We'll provide documentation with appropriate RPM codes that you can submit for reimbursement. Coverage varies by plan, but Medicare and many commercial insurers reimburse $50-120/month for qualifying RPM services.
The $149 Advanced Package is ideal if you have prediabetes, insulin resistance, or family history of diabetes/heart disease. It includes insulin testing with HOMA-IR calculation to track insulin resistance reversal, plus advanced cardiovascular markers (ApoB, Lp(a)) that better predict risk than standard cholesterol. Most patients see dramatic improvements in these markers within 3-6 months. The extra $50/month often saves thousands by optimizing your metabolic health faster.
For our monitoring program, you'll need FDA-cleared devices that sync with our system. We recommend:

• Withings Body+ Smart Scale (~$100)
• Withings BPM Connect Blood Pressure Monitor (~$100)

These can be purchased on Amazon or directly from Withings. The devices connect via WiFi/Bluetooth to automatically send your readings to your physician. If you already have compatible smart devices, we may be able to use those. The $99/month monitoring fee covers our medical oversight and real-time analysis of your data, not the devices themselves.
You'll need to purchase the Withings devices directly (~$200 total). Some insurance plans, FSA, and HSA accounts may cover these FDA-cleared medical devices with a letter of medical necessity, which we can provide. Check with your specific plan about durable medical equipment (DME) coverage for remote monitoring devices.
Week 2: Online check-in
Week 4: Short visit
Every 12 weeks: Ongoing visits

You'll also receive a titration calendar, side-effect guide, and secure messaging for questions.
A prior authorization (PA) is paperwork your insurance requires before covering medication. We submit this electronically through CoverMyMeds with details from your visit. Reviews usually take 3–5 business days.
You still have options:

Manufacturer programs: Wegovy® DirectPay (~$499/month), Zepbound™ DirectPay ($349–$499/month).

GoodRx coupons: Sometimes reduce pharmacy prices, though manufacturer programs are usually cheaper and more reliable.
If your pharmacy doesn't have your medication:

• Ask them to check nearby locations.
• Request a prescription transfer.
• Sometimes lower-dose pens may be available temporarily — only with our guidance.
Often yes. We may request recent labs (A1c, metabolic panel, cholesterol, ± thyroid tests) before starting and periodically while on treatment.
Yes. On request, we'll send a summary to your PCP so they stay in the loop. We complement, not replace, your primary care.
If within a few days, take it when you remember and continue weekly from that new day. If much longer, message us before restarting. Never double up.
No. It's not recommended if you have:

• Personal/family history of medullary thyroid cancer or MEN2
• Prior pancreatitis
• Are pregnant or breastfeeding

We carefully screen your history to ensure safety.
Most patients notice appetite changes within weeks. Meaningful weight loss builds gradually over months as doses increase. Clinical trials show average losses of 15–22% over 12–18 months with lifestyle support.
No. Visits are cash-pay: $149 initial consult, $149 follow-up. HSA/FSA cards accepted. We provide receipts you may submit for possible out-of-network reimbursement.
No medical therapy can guarantee outcomes or stock. What we do guarantee is evidence-based care, physician oversight, and multiple access pathways (insurance, manufacturer programs, retail pharmacies) to maximize your chances of success.

Important Note: We provide prescribing services only. We do not sell or ship medications. Dispensing and pricing are handled by your pharmacy and/or insurance.

Start Your Journey

A quick 3-step eligibility check to ensure your safety and success.

1
BMI Check
2
Basic Info
3
Safety

Calculate Your BMI

We treat patients with BMI ≥ 30