Holistic Medical Weight Optimization Program

Learn about our medically managed, 12-week comprehensive weight management program. No more failed New year’s resolutions! This program is recommended for anyone who has 15-50+ pounds to lose, or more than 10% body fat to lose based on body composition.

Gaining fat (especially around the middle) is the #1 complaint that we hear in our office in midlife. It happens to almost every woman (and most men) as a result of a complex combination of hormonal and lifestyle changes, but the good news is it CAN be reversed.

So what can we do about this situation, which often leaves us feeling scared, frustrated and out of control? When we keep trying things that used to work and see no results, we can feel defeated and often give up. Our friends, family and even our doctors may tell us “this is just the way it is,” but the truth is that YOU CAN lose the weight and be healthy, self-confident, strong, and improve your longevity and quality of life.

It seems that our hormones are fighting against us to keep us fat, and in fact they are, but this can all be addressed with modern science to help you to succeed in your goals.

Did you know that the one thing that humans living to 100-years old have most in common is low body fat and high muscle mass? To live a long and healthy second half of life, our goal is to help women maintain a body fat of 20-30%, and for men 10-20%, and YOU CAN DO IT!

This is much more complex than simply calories in/calories out. If it were that simple, we would all be successful already! We succeed together by using a combination of healthy nutrition (yes, you can eat, we will not make you starve, and you can eat grocery store foods), manageable exercise, hormone optimization, as well as the latest FDA-approved medications which help to lower insulin, decrease appetite and shrink fat cells.

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Our Six Pillars for Success

Nutrition

No one likes to be on a “diet,” which to me sounds scary and restrictive. Thinking about consuming the ideal nutrition to meet your goals feels more positive, and therefore is more likely to succeed.

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Movement

Notice that I didn’t use the word “exercise” which generates fear and anxiety for many people. We all know that movement burns calories and builds muscle and is a vital part of your journey. Are you willing to commit to a minimum of 30-minutes of movement five-days a week?

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Hormones

Multiple hormone changes occur in midlife that can cause us to gain weight. Insulin resistance (a common change that happens with aging) elevates our insulin, which is a fat-storing hormone.

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Mindset

Our mindset can make or break any commitment, and nowhere is this truer than with weight loss. Perhaps you have tried and “failed” multiple times and truly don’t believe that you can succeed.

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Medication

Semaglutide (weekly injection) which is scientifically proven to help with weight loss.

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Accountability / Support

This is a 12-week program, and making that commitment upfront dramatically improves your chances of success.

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What To Expect On Your Three-Month Weight Loss Journey

Step 1: Pre-visit lab draw (may be run through your insurance) to assess hormones and general wellness, including diabetes and lipid screening. If you are a new patient and you have not previously had a dedicated hormone consult,  we will schedule that first (prior to scheduling your first weight-loss consultation) since hormone balance is foundational to success.


Step 2: Initial one-hour consultation to evaluate your body composition, goals and nutrition plan. Based on your personal needs, we will recommend the latest and safest hormonal support, weight-loss medications and supplements to help you to succeed and will design a nutrition and movement plan that will work with your lifestyle. With your permission, we recommend starting with BEFORE pictures and taking pictures every two-weeks to document your success.

Step 3: 30-minute check in every two-weeks for six visits – includes body composition, review of nutrition, movement, medications and supplements. To help your energy, we offer a complimentary B12 injection at each biweekly visit. 

Step 4: If your journey continues past 12 weeks, 30-minute check in every two to four-weeks as needed until we reach your goal.


Step 5: Access to TruSculpt Flex® for a hugely discounted price.

Remote visits for patients who live in Texas

We are now able to offer this program, exactly as described above for patients who live in Texas, remotely!  To be in the program we require that you have an InBody H20N body composition scale (order on Amazon), and a home blood pressure cuff. 

Step 1- Contact us to make a hormone optimization appointment, and we will order a complete set of labs for you.

Step 2- Your initial telemedicine visit will last a full hour and will go over all of your labs and create a plan to optimize hormones, vitamins and general health and wellness, and make sure that you are a good candidate for Semaglutide.

Step 3- After your initial visit, we will order your Semaglutide (this will be delivered to your home and takes approximately two weeks). 

Step 4- Next we will set up your first weight loss visit, which will be another telemedicine visit lasting a full hour, setting up your individualized plan for success. At this visit, we will teach you how to self-administer your medication and discuss dosing guidelines.

Step 5- Now we will set up 6 remote visits two weeks apart to help manage your medication dosing, help with any side effects, and celebrate your success as you get closer to your goal. At each, visit we will evaluate your body composition to ensure that you are safely losing fat and maintaining muscle mass. 

Step 6- After 12 weeks,  if you wish to stay in the program, we will visit you remotely monthly and continue prescribing medication until you reach your goal. 

Remote visits for patients who live outside Texas

Since we are only licensed to practice medicine in Texas, we are excited to offer weight optimization coaching and education for patients who live elsewhere. We cannot diagnose or treat a medical condition nor can we prescribe medications outside of Texas. However, we are able to coach you through the weight loss program using 5 of the 6 program pillars with great success! 

To be in the program we require that you have an InBody H20N body composition scale (order on Amazon) and a home blood pressure cuff. 

Step 1- Contact us to make a hormone and wellness  coaching appointment, and we will order a complete set of labs for you.

Step 2- Your initial telemedicine visit will last a full hour and will go over all of your labs and coach you through a plan to optimize hormones, vitamins, and general health and wellness.

Step 3- Next we will set up your first weight loss coaching visit, which will be another telemedicine visit lasting a full hour, educating you about your individualized plan for success.

Step 4- Now, we will set up 6 remote visits two weeks apart to celebrate your success as you get closer to your goal. At each visit, we will evaluate your body composition to ensure that you are safely losing fat and maintaining muscle mass. 

Step 5- After 12 weeks,  if you wish to stay in the coaching program, we will visit you remotely monthly to help you reach your goal 

Learn about Semaglutide

Semaglutide is a weekly FDA approved injection (also known by other names including Ozempic or Wegovy) which has been studied and proven to dramatically help with weight loss. While initially developed to treat diabetes, it was shown to also help non-diabetic patients lose weight. Semaglutide is in the class of “GLP-1 agonists.” GLP- 1 (glucagon-like peptide) is a hormone produced by the small intestine after eating. It has several effects, including delaying gastric (stomach) emptying, which suppresses appetite, makes us feel full earlier, and reduces food cravings. It also increases insulin release from the pancreas and lowers liver glucose output, as well as reducing neuropeptide-Y, a brain neurotransmitter that is related to appetite and cravings. In short, it is a powerful appetite suppressant that helps us to stick to our plan.

Patients start on a low dose for the first month and increase the dose every two to four weeks to reduce side effects. The most common side-effects are nausea, diarrhea, constipation, and reflux (heartburn), but with slowly increasing doses these symptoms can be minimized.

Semaglutide dose instructions:

Semaglutide dosing starts low to minimize side-effects and is gradually increased from 0.25mg (5 units) weekly to a maximum of 2.5 mg weekly (50 units). 

It is very important to measure accurately and do not increase the dosing faster than recommended. You must be seen every two weeks if you are using Semaglutide so that we can monitor side-effects and plan dosage increases.

For maintenance, patients may use 30-50 units weekly, with the 200 unit vial lasting a variable amount of time based on dose.

Learn about Prebiotics and Probiotics

Prebiotics are food for the healthy bacteria in our gut, also known as fiber! It’s hard to get enough fiber in our diet since 30-40 grams daily is recommended. A fiber supplement is a great addition to this plan, and reduces constipation which can be a side effect of the medication. My favorite kind of fiber is called Sunfiber and is available in serval sources including “Thorne Fibermend” which you can order on Amazon or from our office. It tastes great and isn’t gritty, and a scoop full with water in the morning won’t count against your fasting!

Probiotics are live bacteria which help to support a healthy gut biome. While these can be found in yogurt and fermented foods, if we are avoiding dairy, a supplement may be a great idea. “Thorne FloraSport” is one great option, available on Amazon or from our office. Take one daily with your fiber supplement and your gut will be happy! And combined with the rest of the plan above, so will your waistline!

Remember a healthy gut biome is proven in multiple studies ot be associated with improved ability to burn fat as well as reduced inflammatory symptoms across the board.

Learn about Prolon

To get you started and see immediate results, we suggest starting your journey with a five-day “fasting mimicking” nutrition plan, which is also sometimes called “fasting with food.”

Prolon is a five-day meal program including plant-based energy bars, soups, snacks and supplements that have been proven to accelerate fat loss in multiple studies.