Holistic Medical Weight Optimization Program

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? 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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Medications

We use a combination of Semaglutide (weekly injection) and Lipo C (twice-monthly injection) which are scientifically-proven to assist 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. A Lipo-C injection will be given at every visit (total of 7).

Step 3: 30-minute check in every two-weeks for six visits – includes body composition, review of nutrition, movement, medications and supplements, and Lipo-C injection.

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® whenever you want it for 12-weeks (up to twice a week, so we don’t damage your muscles) for a hugely discounted price.

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.

Unfortunately, this is a very expensive drug ($1500 or more per month from a regular pharmacy) which is only covered by insurance for some diabetic patients or those with multiple risk factors. We can source generic Semaglutide though a trusted compounding pharmacy for a dramatically lower price of $300 a month.

Semaglutide dose instructions:

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

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.

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 Peptides

“Peptides” are simply short chains of amino acids (short chain proteins) of up to 40 amino acids which act as signaling substances to restore our body to optimal function. Science is exploding with studies about using specific peptides to help our own body to produce hormones (or other proteins) that may be suboptimal due to age, genetics, injury or other factors. For example, semaglutide discussed above is in the family of peptides, as are many other substances that we are familiar with including insulin.

While multiple peptides are now available for human use for various indications, two of the best studied and most effective to help with weight management are called Iparmorelin and CJC-1295. Both peptides increase our own body’s production of growth hormone which is one of the critical hormones that decreases with age. When used together, Ipamorelin/CJC-1295 is reported to help with increasing lean body mass (which allows us to burn more calories at rest) as well as promoting REM (dream state) and deep wave restorative sleep, which in turn helps to lower fat storing stress hormones. Many people also report improved mood and energy. Elevating growth hormone levels may also have other anti-aging effects and slow down the senolytic (aging) process of our cells. While human studies are largely small and anecdotal, more studies are being reported every year with positive results, and these peptides have been safely used for many years without any reports of side effects (other than occasional redness at the injection site). In fact they work so well for improving performance, that they are now on the list of banned substances for competitive athletes.

Iparmorelin/CJC-1295 is given in a daily (or up to twice daily) subcutaneous injection, which requires dedication! It should be given on an empty stomach, ideally before exercise, so works well with an intermittent fasting program if you are exercising in the morning. If using it night and morning, ideally administer it 2 hours after eating right at bedtime, which again works well with an intermittent fasting program. To prevent the growth hormone receptors from getting “resistant” we recommend using it 5 days out of 7 (for example Monday-Friday and take the weekends off). It needs to be kept refrigerated, so when traveling, buy a diabetic travel kit from Amazon for under $20 to keep it cool.

Iparmorelin/CJC-1295 is an optional add-on to the weight loss program that you may want to consider for best results.

Two other very popular and effective peptides are called Selank and Semax. Developed and studied for many years in Russia, these particular peptides work at the level of the brain, and have been extensively studied for treatment of anxiety, depression and ADD, amongst others. Initially developed to treat brain injury after stroke, or in other cases of brain injury or dementia, they are now being studied to help healthy brains as well, especially in the field of anti-aging and slowing down senolytic changes that lead to brain fog and memory loss. Delivered together by once daily nasal spray, they may significantly improve mood, focus, concentration and memory. No significant side effects have been reported. So what does that have to do with weight loss? In my experience, a positive mindset may be the single most important factor for success, so improving mood, focus concentration may be extremely helpful for keeping you on course. Selank and Semax are other optional add-ons to the weight loss program that you may want to consider. Again, they work so well for improving performance, that they are now on the list of banned substances for competitive athletes.

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.

The five-day system is $225 either directly from our office or though the Biote website. Prolon is vegan, gluten free and lactose free.

Learn about Lipo-C Injections

Lipotropic injections are growing in popularity, thanks to their posible positive effects on weight loss.

They’re a fantastic tool to accompany a healthy diet and movement regimen.

Even though they don’t directly cause weight loss, they may indirectly boost it by speeding up the fat-burning process in your body.

Lipo-C injections consist of:

  • MIC (a combination of Methionine, Inositol, and Choline), which are all lipotropic nutrients. They are thought to decrease fat deposits and speed up metabolism, therefore enhancing the healthy liver. Methionine is an essential amino acid, and it is involved in the breakdown of fat. It is also an antioxidant, and it protects your body from free radicals. It also promotes healthy skin, hair, and nails. Since your body cannot produce it, you can take it in the form of supplements, injections, or methionine-rich foods. Choline, on the other hand, is a lipotropic amino acid. It can lower cholesterol deposits by breaking down accumulated fats in the liver. Choline is also thought to improve your mental performance and enhance cerebrovascular blood flow. Lastly, Inositol works at a cellular level and may aid fat metabolism and nerve transmission.
  • L-Carnitine is an amino acid that helps your body turn fat into energy, and it may also increase endurance and muscle recovery during workouts.
  • B Vitamin complex is thought to help your body handle stress, increase your energy, and optimize cardiovascular health. It may also improve brain function and boost antioxidant protection from free radicals.

Investment in Yourself

(New pricing as of Jan 1 2023)

What’s Included?

  • Initial one-hour consultation and evaluation: with Dr. Susan $450 or with Brandi, Hollie, Candace, or Megan $250.
  • Six bi-weekly 30-minute check-in visits with Brandi, Hollie, Candace, or Megan $750 total.
  • 3-month supply of Semaglutide $900.
  • Lipo-C injection at every visit (7 total) $300.
  • Total 12-week investment: $2,200-2,400 depending on initial provider choice (does not including labs, supplements, hormones, or additional visits).
  • Email access to our clinical team at any time if you have questions or need help.
  • While the weight loss program is a 12-week commitment, we understand you might need time to gather information and decide. Feel free to schedule the initial consultation and see how it feels, then if you commit to the program, we will deduct that fee from the program cost.

Optional Add-Ons:

  • Consider this incredible add-on, especially if you struggle with strength training! For our weight loss patients only, we are offering unlimited TruSculpt Flex for one body part (up to twice a week for 10 treatments) for the massively discounted price of $1500. And if you want to add a second body part at the same time, the additional cost is only $500. Individual treatments are $150 each-you could use up to 20 treatments- so this is a HUGE savings. Even if you only used half that many, it would still be a big savings.
  • Consider adding additional peptides:
    Ipamorelin/CJC-1295 - $400 for 60 doses or $700 for 120 doses (use once or twice daily)
    Selank and Semax- $200 each for 30 day supply; $300 each for 60 day supply (recommended to use both together).
  • Once you have lost the weight, treat yourself to skin tightening with Morpheus-8 radiofrequency micro needling- the best product currently on the market for non-surgical skin tightening. Morpheus-8 along with platelet rich plasma (PRP) or umbilical cord derived growth factors (“Vittipure”) gives unparalleled skin tightening results. For best results, 3 treatments a month apart is recommended, and we can treat 1-2 body parts at a time, depending on area. This is a somewhat uncomfortable procedure that requires an hour of local anesthetic prior to treatment (Morpheus-8 punctures the skin to a depth of up to 4 mm to stimulate collagen production) and leaves the treated area looking “sunburned” for 7-10 days, but otherwise has no downtime. Cost depends on areas treated and choice of PRP or Vittipure. Talk to the front desk to schedule!

Think about this: How much would you pay if I could guarantee that you will reach your goal weight and learn the habits that will allow you to stay there for the rest of your life? Here’s the truth: if you follow this plan, which is 100% within your control (meaning you CAN do it, you are in the driver’s seat), you WILL be successful. You are worth it. Think about the other things that you invest money in. What better to invest in than your own health, longevity and quality of life!