Scale Down is a telemedicine weight loss program serving clients exclusively in Massachusetts & New Hampshire and now Maine
At Scale Down your weight loss journey starts with:
If you are interested:
If you decide to choose a weight loss package, each package includes:
Scale Down is led by Jennifer Limongiello, PhD, FNP-BC, a board certified Nurse Practitioner with a doctoral degree in Public Health. She has been a RN for over 35 years and a Nurse Practitioner for the last 25 years. Jennifer understands first hand the difficulty of losing weight and keeping it off. Now, she is trying to help others do the same.
This is patient centered care offered at an affordable price while taking the time to listen to the client and develop a realistic, sustainable plan for weight loss. We look at the whole patient to try to uncover the root of the problem. This is done by assessing your overall health, eating behaviors, sleep patterns, and much more. Lab work can uncover metabolic and endocrine dysfunction. All of this information helps to offer you the best strategy.
We are accountable to so many people and things in our life. Our lives are so busy with family, jobs, pets, etc. Sometimes we need to be accountable to someone else before we can be accountable for ourselves. Scale Down understands this and is here to help you. Telemedicine visits and frequent contact helps keep you on track.
We now have limited in person appointments available in our Danvers offce.
NEW YEAR IMPROVED YOU
Do you get hungry all the time? Do you feel like you know where all the food is in your kitchen at all times? Are there foods that you can't eat just one or two, you have to eat the whole package? Do you crave sugar and carbs? Do you feel like you never get full? Do you feel like you eat when you are driving, watching tv, or doing work? Do you plan out what you will eat, or just eat on the fly? Medications can help, changing behaviors slowly can ensure that you can manage this after you lose the weight, after you stop the medications.
CASH PAY Versus INSURANCE
We have a variety of packages available. If you qualify for weight loss medications, we can see if your insurance will cover first. If not, we also can obtain medication from other pharmacies that compound generic forms. We will discuss all of this with you during your free telephone consult.
We currently accept Blue Cross Blue Shield, Tufts, and Harvard Pilgrim for weight management. We will try to obtain preauthorization for medications through your insurance. We have had good luck through BCBS, Tufts, Harvard Pilgrim, and MGH Brigham. Mass Health now covers weightloss medications if authorize.
Check here for helpful information, resources, and our blog. See FAQs below this section.
Please click on the "schedule" button and it will lead you to a scheduling site or text us at 603-600-0700. Let us know what is a good time to set up a 15 minute phone call with you. After that, if you are interested, we wll invite you to the patient portal which is a HIPPA compliant electronic medical record. Here you will be asked to sign some consent forms, practice policies, and a patient intake form. We will order lab work. Next we will set up a 1 hour telemedicine visit and go from there. Currently, we can only accept patients that live in MA, NH, or Maine.
No. After the initial consultation and lab work, it will be determined what medications/supplements would be safe and beneficial to you, but you are the one that ultimately decides. We do offer a package without any medications.
We offer so much more than medications. We offer nutritional counseling, behavioral counseling, and support through the weight loss process.
We offer 5 FDA approved medications:
You will pay just for the initial consultation, and no further commitment.
Packages are available for 5 weeks for compounding medications.
For brand name medications, prescription is renewed monthly.
There are no contracts to sign and you can stop at any time.
We work with state regulated compound pharmacies throughout the U.S. that can offer a better price for medications and supplements and in turn can pass the savings on to you. They legally can make any medication that is on the FDA shortage list (which has been Semaglutide, Tirzepatide, and Liraglutide).
We can also do a prior authorization with your insurance to see if they will cover Wegovy (if available), Saxenda (if available), Zepbound and other medications.
We can give you the medical lab order to bring to your lab and they can bill your insurance. Coverage depends on your individual insurance and you are responsible for any fees that the insurance doesn't pay. Currently we have an account with Quest Labs. If you have a high deductible insurance, we can order your labs from a cash pay lab at reasonable prices even as low as 100.00 or less. They are drawn at LabCorp. Sometimes recent labwork will suffice.
In order to help you on your weight loss journey, it is important to know if you have underlying prediabetes or metabolic syndrome. This allows us to recommend the safest medications and supplements if needed. This also allows us to see things improve over time after weight loss i.e. cholesterol levels, blood sugar, etc.
While relatively safe, weight loss can cause other issues. We want to make sure you are aware of these issues. We also want to make sure that you are medically stable to proceed with weightloss. On the other hand, obesity can cause so many health problems as well. Because some of the supplements are not FDA approved, we want to make sure you are a fully informed consumer.
Compounding pharmacies are allowed under the U.S. Food, Drugs, and Cosmetic Act. They are required to use only FDA regulated facilities and manufacturers to compound medications. They are subject to FDA and State Board Pharmacy inspections. If the drug is currently experiencing a shortage, the FDA looks to the compounding pharmacies to fill the gap. They also can make custom formulas that might not be offered by brand name drug manufacturers. They require a prescription just like the local pharmacy.
Please check with your employer and benefits but you should be able to use FSA or HSA for payments. We can also give you a Superbill that you can submit to your insurance company for possible payment.
Scale Down is a telemedicine weight loss program serving clients exclusively in Massachusetts, New Hampshire and now Maine.
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