Weight Management Services

Our virtual and in-office weight management services provide weight loss support, offering increased access, flexibility, efficiency, and streamlined communication while reducing barriers that may delay access to care.

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Be Healthy & Well
Weight Management Services

When addressing weight management, it's important to consider a range of factors, including genetic predisposition, metabolism, gender, age, hormone imbalances, sleep patterns, mental health, stress levels, and other medical conditions. Additionally, external factors such as work schedules, financial pressures, societal influences, and environmental cues can significantly affect weight management. There is no one-size-fits-all solution for successful long-term weight loss, and a personalized approach using a combination of strategies and tools may be necessary to achieve sustainable results.

We offer a comprehensive weight management evaluation, which includes a detailed review of your medical and weight history, an analysis of your nutrition and exercise status, and other factors contributing to weight gain. Additionally, laboratory studies and EKG or heart studies may be necessary.

We also provide an initial weight loss plan and ongoing re-evaluation and adjustment of your plan to incorporate the right tools that work for you. We can also initiate and adjust medications to assist with weight loss if needed. Medical records, lab work, and an EKG may be required before prescribing a weight loss medication.

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What To Expect

Initial Visit

Before your first visit, please complete the New Patient forms and if possible one week in advance so that we review your information and learn more about you prior to your visit.
Please logon 15 minutes before your scheduled appointment.
Please obtain your height, weight, blood pressure, and pulse before the visit.
Your initial consultation will last approximately 1 hour. During this time, you will receive a complete evaluation and a teaching session. Together, we will create an individualized weight loss plan..
If indicated labs and an EKG will be ordered for further evaluation.

Follow Up

We understand that you have busy schedules and we respect your time. Normally, we schedule follow-up visits once a month during the active weight loss period. However, we can adjust the frequency of follow-up visits to be more or less often based on your needs. During these visits, we will track your progress, address any challenges you may have faced during the month, and continue to fine-tune your overall health plan. Once you reach your goal weight, we will shift the focus to weight maintenance and space out your follow-up visits further apart.

Cost Per Visit

Please note that we accept insurance. However, some insurance plans do not cover medical weight loss services. Therefore, we offer convenient self pay options. The cost for a new patient consultation and follow-up visits are listed below. We also have a registered dietitian and healthy lifestyle coach who can work with you individually.

New Patient Visits are $180
Follow up Visits are $125
Re-establish Visits are $180 (more than one year since the last visit))
Any visit of more than three years is considered a new patient appointment

Cost of Labs and other Requested Studies

If you've had labs in the last year or an EKG over the previous 90 days, please bring a copy to your first visit or arrange to fax it to our office at (804) 451-4586.

If we ask you to have labs done, we'll give you an order to go to any LabCorp or Quest Diagnostics of your choice. The labs will be billed directly by the lab to your insurance company outside of your clinic visit.

Labs and other Requested Studies Contd.

For patients who want to use appetite suppressants, you'll need an EKG within the last 90 days. If you need one, please make an appointment with your PCP or we can administer the EKG, as well.

Thyroid tests and blood work are required before prescribing any weight loss medications and can be ordered at your initial visit.

If you need more intensive heart studies, like a stress test or heart evaluation, we'll give you an order to schedule this with a cardiologist's office, and it will be billed through your insurance by the cardiologist's office.

What is Semaglutide (Wegovy)?

Semaglutide (Wegovy) is a medication approved for weight management in adults with obesity or overweight with co-existing conditions. It is a GLP-1 receptor agonist, which means it mimics a hormone that helps regulate appetite and glucose metabolism. Key points about Semaglutide (Wegovy): Usage: It is used alongside a reduced-calorie diet and increased physical activity. Administration: Administered as a weekly subcutaneous injection. Effectiveness: Clinical trials have shown significant weight loss in participants. Side Effects: Common side effects can include nausea, diarrhea, and constipation. Medical Evaluation: A healthcare provider assesses overall health, including potential contraindications and any coexisting medical conditions.
What is Bupropion-naltrexone (Contrave)?

Bupropion-naltrexone (Contrave) is a prescription medication designed for weight management in adults. It combines two drugs: bupropion, an antidepressant that can help reduce appetite, and naltrexone, which is used to manage addiction and also affects appetite regulation. Key features of Bupropion-naltrexone (Contrave): Usage: It is prescribed alongside a reduced-calorie diet and increased physical activity. Mechanism: The combination works on the brain’s reward system and appetite control pathways. Administration: Taken orally, typically in a controlled-release form. Effectiveness: Clinical studies have shown moderate weight loss in participants. Side Effects: Common side effects include nausea, constipation, headache, and insomnia.
What is Tirzepatide (Zepbound)?

Tirzepatide (Zepbound) is an injectable medication designed to assist with weight loss, particularly for individuals with obesity or overweight conditions. It mimics the action of two hormones, GLP-1 (glucagon-like peptide-1) and GIP (gastric inhibitory polypeptide), which help regulate blood sugar levels and appetite. Key features of Tirzepatide (Zepbound): Usage: Approved for use alongside a reduced-calorie diet and increased physical activity. Administration: Given as a weekly subcutaneous injection. Effectiveness: Clinical studies have shown significant weight loss in patients. Side Effects: Common side effects include nausea, vomiting, diarrhea, and potential gastrointestinal issues, during the initial phase of treatment.
What is Phentermine-topiramate (Qsymia)?

Phentermine-topiramate (Qsymia) is a prescription medication used for weight management in adults. It combines two components: phentermine, an appetite suppressant, and topiramate, a medication originally used to treat epilepsy and migraines that can also promote weight loss. Key features of Phentermine-topiramate (Qsymia): Usage: Prescribed alongside a reduced-calorie diet and increased physical activity. Mechanism: Phentermine reduces appetite, while topiramate increases feelings of fullness and decreases cravings. Administration: Taken orally, usually in a controlled-release capsule. Effectiveness: Clinical studies have shown significant weight loss among users. Side Effects: Common side effects include dry mouth, constipation, dizziness, and changes in mood.
What medications are typically prescribed for weight loss?

Typical weight loss medications include: Orlistat (Alli, Xenical): Reduces fat absorption in the intestines. Phentermine-topiramate (Qsymia): Suppresses appetite and promotes feelings of fullness. Bupropion-naltrexone (Contrave): Combines an antidepressant with an opioid receptor antagonist to control cravings. Liraglutide (Saxenda): Mimics a hormone that regulates appetite. Semaglutide (Wegovy): Similar to liraglutide, it also helps regulate appetite and is administered as a weekly injection.
What is Liraglutide (Saxenda)?

Liraglutide (Saxenda) is a medication used for weight management in adults with obesity or overweight with co-existing conditions. It is a GLP-1 receptor agonist that mimics a hormone that regulates appetite and food intake. Key features of Liraglutide (Saxenda): Usage: Approved for use alongside a reduced-calorie diet and increased physical activity. Administration: Given as a daily subcutaneous injection. Effectiveness: Clinical studies have shown significant weight loss in patients. Side Effects: Common side effects include nausea, vomiting, diarrhea, and constipation.

Weight Management Service

Our approach to weight loss is multifactorial, taking into account our clients' medical, psychological, emotional, spiritual, and environmental well-being.

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