Please email 15minfreeconsult@scaledownmedicalweightloss.com. 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.

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 3 FDA approved medications:‍

• Semaglutide- weekly injection brand name is Wegovy
• Bupropion/Naltrexone- oral medications brand name is Contrave
• We also have Bella Products, Tirzapetide, other weight loss medications and supplements 

You will pay just for the initial consultation, $100.00 and no further commitment.

You can stop your package at any time, there are no contracts. Medications like phentermine or bupropion/naltrexone are purchased on a monthly basis usually up to 3 months. Semaglutide packages depends on dosing. 

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. Now that Wegovy is back in stock, so we can offer a plan that gives you a prescription to use your own insurance to pay for it. Even with prior approval forms filled out, they sometimes do not cover so there is no way to know ahead of time. We discuss this during our visit. 

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. If you have a high deductible, a lot of times it is cheaper to purchase from another lab. Lab work is usually under $100.00 and supplies mailed to your home, then you bring them to a lab or you can opt for a home draw. 

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. Sometimes people do everything right to lose weight and they still have trouble losing. This can be from underlying iron deficiency, thyroid dysfunction, hormonal dysfunction, insulin resistance, etc. Lab work can tell us a lot of information.

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 full 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.

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.