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Lose weight and keep it off
A structured, physician-led weight loss program built on detailed labs, body composition and metabolic testing, with close follow-up.
“Weight is rarely just about willpower. My job is to find out what your body is really doing, and build a plan you can live with for the long term.”
Dr. Sagar Verma, MD
Founder and Medical Director
Management
A structured, physician-led program built on labs, body composition and metabolic testing, with weekly or every-two-week follow-ups.
Where: Warrenton & Culpeper
Assessment tool
The InBody scale shows your skeletal muscle mass, body fat mass, visceral fat and body water.
Where: Warrenton & Culpeper
Assessment tool
A breathing test with the PNOE or KORR ReeVue that measures how many calories your body burns at rest. Come fasting.
Where: Warrenton & Culpeper
Treatment · GLP-1s · Phentermine · Bontril · Contrave
GLP-1s such as Zepbound® or Wegovy® when covered by insurance, plus other FDA-approved options like phentermine, Bontril® and Contrave®.
Where: Warrenton & Culpeper
Program
A 3- or 6-month holistic program combining medical care, nutrition coaching and regular check-ins.
Where: Warrenton & Culpeper
About weight-loss medications. Prescription medications are only prescribed after a consultation when a physician decides they are appropriate for you. When we prescribe an FDA-approved medication, it is the brand-name product. Any compounded medication is prepared by a licensed U.S. pharmacy for you specifically; compounded drugs are not FDA-approved and are not the same as brand-name products. Individual results vary. Medical disclaimer.
1
We review your history, goals and any labs, and talk through options, costs and risks.
2
If a treatment is right for you, you get a written plan with timing and follow-ups.
3
Regular check-ins so your physician can adjust the plan as you go.
Our program
Insurance
May be covered if you qualify
Wellness check
About 45 minutes
Follow-ups
Weekly or every two weeks
The basics
It is weight loss supervised by a medical provider and built on real data about your body: your labs, your body composition and how fast your metabolism burns energy.
Instead of a one-size diet, we look for the reasons you gained weight and why it has been hard to lose. Then we build a plan that may include nutrition, lifestyle changes and, when appropriate, FDA-approved medication. A structured program with close follow-up is one of the most effective ways to lose weight and keep it off.
Labs, body composition and metabolic testing.
A plan for your metabolism and medical history.
Regular weigh-ins so you are never on your own.
How it works
From your first call to ongoing follow-up.
Day 1
We confirm whether you qualify and book your wellness check. Your lab slip is sent to you.
About 45 min
Body composition, metabolic testing, vitals and measurements.
Next visit
Your provider reviews all your data and a detailed history to find what is driving your weight.
Same visit
Nutrition and lifestyle, medication if right for you, and support options built around your body.
Ongoing
Regular weigh-ins and check-ins, weekly or every two weeks, with labs as needed.
Step 1 · Your first call
Anyone who wants help with weight can join. Whether insurance helps pay depends on your BMI and health.
Insurance may cover
or
such as high blood pressure, diabetes or high cholesterol
Self-pay
You can still join the program as a self-pay patient.
Coverage depends on your insurance plan. We check your benefits when you call.
Your BMI is 33.9. You may meet the insurance criteria.
Example values shown. This stays on your screen and is not saved or sent.
After your call, we book your wellness check and send you a lab slip, so your blood work is done before your visit.
Step 2 · Wellness check · About 45 minutes
A
Your lab work includes:
CBC CMP Lipid profile Hemoglobin A1C Fasting insulin B12 & folic acid Vitamin D Thyroid labs
We can also check advanced labs as needed.
Already have recent labs? Bring them. Otherwise we order ours.
B
A special InBody scale shows what your weight is made of:
C
A simple breathing test with the PNOE or KORR ReeVue measures your basal metabolic rate (BMR): how many calories your body burns at rest.
Come fasting for this test.
D
We check your blood pressure and other vitals and take body measurements, so we can track progress beyond the scale.
Step 3 · Provider visit
Your provider goes over all the data from your wellness check, your labs and a detailed history form.
Step 4 · Your plan
Your plan is built around your metabolism, your fat mass and your medical issues. You choose with your provider.
Weight loss with good nutrition and lifestyle changes alone, guided by your test results.
Zepbound® or Wegovy® when covered by your insurance. Other GLP-1 options are also available; your provider will explain them.
Phentermine, Bontril® and Contrave® for weight management, when appropriate for you.
Doses and goals set around your metabolic rate, body fat and medical history.
About GLP-1 and compounded medications. GLP-1 and other weight-loss medications are prescribed only after a consultation, when your provider decides they are safe and appropriate for you. Zepbound® and Wegovy® are FDA-approved brand-name medications. Compounded medications are prepared by a licensed pharmacy for an individual patient; they are not FDA-approved, the FDA does not review them for safety, effectiveness or quality, and they are not the same as brand-name products. All medications can cause side effects, such as nausea, vomiting, constipation or diarrhea, and are not right for everyone, including people who are pregnant or trying to become pregnant. Individual results vary.
Insurance may cover
Self-pay add-on
Everything in Basic, plus:
Not covered by insurance. Your provider will go over the investment with you.
Program
A complete holistic plan over 3 or 6 months. Your provider can discuss it with you at your visit.
Pricing for the 3- and 6-month programs is discussed with your provider during your consultation.
Extra support
Optional add-ons that may support energy and your weight loss plan.
Methylcobalamin, the active form of vitamin B12. May support energy, especially if your levels are low.
A blend of nutrients that may support fat metabolism as part of your plan.
For patients whose labs show low vitamin D.
An IV drip with L-carnitine that may support energy and fat metabolism during weight loss.
About injections and IV therapy. Vitamin B12, lipotropic and vitamin D injections and IV therapy are supportive add-ons, not stand-alone weight loss treatments. They are given only after a review of your health history and, where appropriate, your lab results. Some of these products are prepared by compounding pharmacies and are not FDA-approved for weight loss. Possible side effects include soreness, bruising or redness at the injection site and, rarely, allergic reactions. Individual results vary.
Step 5 · Staying on track
Every week
Weigh-in with our staff, plus your B12, lipotropic or vitamin D injection if it is part of your plan.
Every 2 weeks
Visit with one of our providers to review progress, medications and side effects.
Every 1–2 months
Body composition analysis on the InBody, to make sure you are losing fat, not muscle.
Every 3 months
Repeat metabolic rate (BMR) test to check how your metabolism is responding.
1
Starts when you first come in. You are seen weekly while you actively lose weight. This phase generally covers losing about 15 to 20 percent of your body weight for patients using medication.
2
Begins when you have reached about 80 percent of your goal. Your body and habits adjust as you close in on your goal weight.
3
Starts once you reach your goal and lasts 12 to 24 months, with a visit once a month. Patients who stay in maintenance for 12 to 24 months tend to be the most successful at keeping the weight off. If you are on medication, your provider will plan with you whether to continue, lower or slowly taper it during maintenance, so you keep your results.
It may, if your BMI is 30 or more, or 27 or more with two weight-related conditions such as high blood pressure, diabetes or high cholesterol. Coverage depends on your plan. If you don’t qualify, you can join as a self-pay patient.
No. Some patients lose weight with nutrition and lifestyle changes alone. Medication is an option your provider will discuss with you.
Come fasting for the metabolic breathing test. Bring a list of your medications and any recent labs.
It varies from person to person. Your provider will set realistic goals based on your body composition and metabolism.
No. Zepbound and Wegovy are FDA-approved brand-name medicines. Compounded medications are prepared by a licensed pharmacy for an individual patient and are not FDA-approved.
About weight-loss medications. Prescription medications are only prescribed after a consultation when a physician decides they are appropriate for you. When we prescribe an FDA-approved medication, it is the brand-name product. Any compounded medication is prepared by a licensed U.S. pharmacy for you specifically; compounded drugs are not FDA-approved and are not the same as brand-name products. Individual results vary. Medical disclaimer.
Peptide therapy
The GLP-1 medicines semaglutide and tirzepatide are peptides. They are part of our medical weight loss program, alongside nutrition, activity and close follow-up.
Related
Specialty Labs All of Weight Loss & Metabolic Health Book a wellness check
Other treatment areas
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