• Month 1 — Bundle ($235): Book your Weight Loss Consultation; the bundle covers your 45-minute consult plus baseline labs

• Complete the secure intake form (auto-sent on booking) — weight history, medical history, medications, MTC/MEN2 family history screening

• Labs are ordered at the end of your consultation and sent to a Labcorp location near you. Provider reviews results and writes your initial Rx when you're cleared to start.

• Messaging is included in the bundle for any ongoing questions or concerns.

• Months 2–6 — Active Management ($135/mo): First follow up will be scheduled 4 weeks from consult date. Monthly check-ins for titration, tolerance, dose adjustment, and side-effect management during the most clinically intensive phase

• Month 7+ — Maintenance ($99/mo): Once you're stable on your dose, monthly maintenance check-ins, lab review, and refills at a reduced rate

• Quarterly labs and annual full-panel review at 12 months — lab fees billed separately. (pricing varies depending on monitoring needs)

• Adults 18+ physically located in Tennessee

• BMI ≥ 30 (obesity), or BMI ≥ 27 with a weight-related condition

• Patients with type 2 diabetes, prediabetes (A1c ≥ 5.7%), hypertension, high cholesterol, or sleep apnea

• Patients transitioning off compounded GLP-1s onto FDA-approved options

• Travel nurses and traveling professionals who need a Tennessee-based prescriber

• Rural patients without easy access to in-person specialty care

• Anyone who wants real medical oversight — not just a prescription

• Full medical and weight history review

• Eligibility screening including MTC/MEN2 personal and family history (required — hard stop for GLP-1s)

• Baseline labs ordered: CBC with differential, comprehensive metabolic panel (CMP), hemoglobin A1c, fasting glucose, fasting lipid panel, TSH, Free T4, and fasting insulin- all included in Month 1 bundle

• Medication discussion — Wegovy, Zepbound, Foundayo, Saxenda, Qsymia, or Contrave — with realistic outcome expectations by agent.

• Informed consent walkthrough; initial prescription written after labs are reviewed and you're cleared to start

• Monitoring Visit at 4–6 weeks (through chosen Ongoing Care Plan)— lab review, tolerance check, dose titration, ongoing Rx

• Quarterly labs and monthly check-ins thereafter through an Ongoing Care Plan; annual full-panel review

• Coordination with your primary care provider or specialists as needed

A few situations rule out GLP-1 therapy or require a different approach. We screen carefully and discuss alternatives if any apply.

• Personal or family history of medullary thyroid cancer (MTC) or MEN2 — GLP-1 contraindication

• Current pregnancy, actively trying to conceive, or breastfeeding

• History of pancreatitis or active gallbladder disease (caution; case-by-case)

• eGFR < 30 mL/min/1.73m² (severe kidney impairment)

• Active or suspected eating disorder — referral to specialist first

• Patients on oral hormonal contraceptives considering Foundayo will need a barrier method or non-oral contraceptive during titration- discussed at consultation

• Current opioid therapy is incompatible with Contrave specifically

• Uncontrolled hypertension or active suicidality (Contrave)

Our clinical protocol authorizes only FDA-approved, branded medications for weight management. Compounded semaglutide and tirzepatide formulations vary in purity, dosing accuracy, and supply chain — we don't take that risk with our patients.

If cost is the concern, we'll work through manufacturer savings programs (NovoCare, LillyDirect), oral options, or the combination oral agents (Qsymia, Contrave) which can be substantially less expensive than injectable GLP-1s.

GLP-1s and other weight loss medications work best alongside real changes to how you eat and move, not instead of them. During your visits, we'll talk about protein intake and eating patterns that support your results, physical activity that helps preserve muscle mass as you lose weight (this matters more than most people realize on these medications), and how to build habits that hold up once you're off the medication or in maintenance. This isn't a lecture and it isn't generic advice handed to every patient - it's part of an ongoing conversation, adjusted to where you actually are.

If you're looking for someone to just write a prescription and disappear, this isn't that. If you want a provider who treats the whole picture, this is designed for you.