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.

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 5 FDA approved medications:‍

• Semaglutide- A weekly GLP-1 RA injection. If covered by insurance the brand name is Wegovy or through compound pharmacy as Semaglutide. Ozempic is Semaglutide but marketed for diabetics.
• Liraglutide or Saxenda which is a daily GLP-1 RA injection. This is the same med as Victoza that is marketed for diabetics.
• Bupropion/Naltrexone- oral medications brand name is Contrave if through insurance. 
• Phentermine oral medication given up to 3 months
• Phentermine with Topiramate, brand name Qsymia, given up to 3 months
• Other medications 
• TIrzepatide is avaiilable through compound pharmacy (Mounjaro is brand name which is only FDA approved for Diabetes so far)
• Bella supplements are through compound pharmacy and come in different formulas all with bupropion and topiramate, some with caffeine, metformin, phentermine, and oxytocin.

You will pay just for the initial consultation, 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 but usually every 4-5 weeks.

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. 

We can also do a prior authorization with your insurance to see if they will cover Wegovy (if available) or Saxenda for you.

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. 

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 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.