Medical Weight Loss Telehealth Tennessee
Medically supervised weight management including FDA-approved medications, personalized treatment plans, and ongoing monitoring via telehealth — Wegovy, Zepbound, Foundayo, Saxenda, and Contrave.
If you've been thinking about weight loss medications but the landscape feels overwhelming — compounding pharmacies, no follow-up, providers you've never met — Garrett Health Services offers a different path. We provide real medical weight loss care with FDA-approved medications only, real labs, and a single provider who knows your chart from week one through year one.
Medical Weight Loss is priced simply: one Month 1 Consultation Visit ($150) that includes your consultation, first month of services, lab orders and review. From month 2 forward, it's a flat $99/month for ongoing visits, messaging, and monitoring, for as long as you're in the program.
Based out of Cookeville, TN, we serve the Upper Cumberland region, as well as patients located across the state of Tennessee.
Common Reasons Patients Schedule a Weight Loss Visit:
You meet FDA criteria (BMI ≥ 30, or ≥ 27 with a weight-related condition) and want to start a GLP-1
You're already on a GLP-1 and need a Tennessee-licensed provider for refills and monitoring
You've been using a compounded GLP-1 and want to transition to an FDA-approved option
You have type 2 diabetes or prediabetes and want metabolic-focused care
Oral medication options interest you — including Foundayo (orforglipron), the newest FDA-approved oral GLP-1 with no food or water restrictions
You've tried weight loss before and want a structured, monitored program
You travel for work and need predictable telehealth access
You're rural and prefer at-home care and services to manage your weight loss journey
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Month 1 — Consultation ($150): Book your Weight Loss Consultation - a 45-minute visit covering your history, screening, and medication discussion
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 or Quest location near you. Provider reviews results and writes your initial Rx when you're cleared to start.
Messaging is included for any ongoing questions or concerns.
Month 2 and forward — $99/month: Monthly check-ins for titration, dose adjustment, side-effect management, and ongoing refills, for as long as you're in the program
Quarterly labs and annual full-panel review at 12 months — lab fees billed separately (pricing varies depending on monitoring needs)
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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
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Full medical and weight history review
Eligibility screening including MTC/MEN2 personal and family history (required — hard stop for GLP-1s)
Labs ordered based on your individual history and goals — commonly includes panels like CBC, CMP, hemoglobin A1c, and thyroid function, tailored to you. Billed separately from your visit fee.
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 Visits- lab review, tolerance check, dose titration, ongoing Rx
Quarterly labs and monthly check-ins thereafter, annual full-panel review
Coordination with your primary care provider or specialists as needed
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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)
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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.
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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.
Transparent Pricing
Pay for the intensity of care you actually need.
Medical Weight Loss is priced simply: one consultation to get started, then a flat monthly rate for as long as you're in the program
New patients
Month 1 Consultation
Consultation only - labs billed seperately
$150 One-time
45-minute Weight Loss Consultation
Baseline lab panel ordered and reviewed
History & eligibility screening
Informed consent walkthrough
Initial prescription when cleared
Month 2+
Monthly Care
$99/mo
Monthly maintenance check-in
Dose titration & side-effect management
Ongoing refills
Async messaging
Lab review
Annual full-panel review (included at month 12)
Lab Fees
Labs are ordered individually based on your history and goals — not a fixed package. Because every patient's panel is different, cost is confirmed and billed separately after your visit, once we know exactly what's needed. Draw sites available statewide, with an at-home option for rural patients.
Cash pay only. Due at time of appointment, then re-occurring. A $50 deposit is required at booking and applied toward your visit cost; remaining balance due at time of appointment. HSA/FSA accepted. We do not bill insurance for visits. All labs — baseline and follow-up — are billed separately, individualized to your needs.
A note about medication costs:Approximate self-pay as of 2026 - Wegovy injectable $349-399/mo, Wegovy oral tablet $149-299/mo depending on dose, Zepbound $299-449/mo depending on dose, Foundayo ~$149/mo, Saxenda ~$500-900/mo, Qsymia ~$100-280/mo, Contrave ~$60-100/mo.
You're welcome to use your own insurance at the pharmacy for any of these medications — coverage varies by plan, and I'll complete prior authorization paperwork if your pharmacy requests it.
Medicare Part D members may qualify for the Medicare GLP-1 Bridge program - a temporary federal program (July 1, 2026 – December 31, 2027) offering a flat $50/month copay specifically for Wegovy, Zepbound (KwikPen only), or Foundayo when prescribed for weight management and clinical/plan eligibility criteria are met. This program does not apply to Saxenda, Qsymia, or Contrave.
Skyelar Garrett, APRN
Tennessee-Licensed Nurse Practitioner
Multiple clinical backgrounds including acute care, critical care, and cardiology. She holds an active DEA registration and prescribes the full slate of FDA-approved weight loss medications, including controlled substances under physician-collaborative oversight as required by Tennessee law. Skyelar Garrett practices under a Collaborative Practice Agreement with Kenneth Macleod Rice, MD, as required under Tennessee law.
About Your Provider
Ready to Get Started?
Weight loss medications are powerful tools, but they require careful selection, real labs, and ongoing monitoring to be both safe and effective. This service is designed for patients who want a medically supervised program — not a one-time prescription.
Medications are prescribed based on clinical evaluation, eligibility, and informed consent. Compounded GLP-1 formulations are not prescribed through this service. Not all patients will be candidates; we screen carefully and discuss alternatives when needed.
If you are experiencing severe abdominal pain, signs of an allergic reaction, or any life-threatening concern — call 911 or go to your nearest emergency room immediately.
Book your initial medical weight loss consultation today! Or if you have specific questions, fill out a quick, secure form, and we will give you a free call. No obligation.