Sustainable, achievable weight loss

Scale Down is a telemedicine weight loss program serving clients exclusively in Massachusetts, New Hampshire, and Maine. Visits are available online as well as in person.

Get started in the comfort of your own home

1. Free Phone Consultation

A free 15 minute consultation by phone to review what we can offer you.
We will briefly review your medical history and your weight loss goals to see what the best approach would be.
Call or text us at 603-600-0700

Make Appointment Now!

2. Initial Telemedicine Visit

We will send a link to our HIPPA compliant patient portal and have you fill out some paperwork.
We will order lab work that can be done through your insurance or another lab for an additional fee.
Initial telemedicine visit to review history and lab results. We will create a personalized plan for you.

3. What We Offer

Experienced Nurse Practitioner
Weekly telehealth or in person visits
Behavioral/Nutritional Counseling
Supplement Optimization
Medication Management
Prior Authorizations
Obesity Phenotype Tesing via Phenomix Science

Experience

Nurse Practitioner

Scale Down is led by Jennifer Limongiello, a board certified Nurse Practitioner in Family Practice as well as Psychiatric Mental Health, with a doctoral degree in Public Health. Jen has been an RN for over 35 years and a Nurse Practitioner for the last 26 years. Jennifer understands first hand the difficulty of losing weight and keeping it off. Now, she is passionate about helping others do the same.

FDA APPROVED

Medication and Supplements to assist your weight loss journey

We offer many medications and supplements including but not limited to:
Bupropion/Naltrexone
Phentermine
Phentermine with Topiramate
Semaglutide
Tirzapetide
Stimulant free supplements
Bella supplements
If you meet the insurance criteria, we will do a Prior Authorization to see if you are covered
10% discount off Full Script supplements

Patient Centered Care

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.

What do we offer?

The initial 15 minute phone call is free.
The initial 1 hour consultation via telemedicine
Labwork is required to develop the initial plan.
At the initial consult, you will meet with our NP and discuss your medical history and review your labwork results. We will develop a personalized plan to meet your goals.
We have various plans available depending on the medications and services/insurance.

Ongoing Support

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.

You can do it!

Changing Behaviors

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.

Introducing the NP Edge, LLC

Now offering other services including mental health (med management/therapy), Bioidentical Hormone Replacement Therapy (Men/Women), and other services. Check us out at www.thenpedge.com

Articles & Resources

Check here for helpful information, resources, and our blog. See FAQs below this section.

Scale Down is a telemedicine weight loss program serving clients exclusively in Massachusetts, New Hampshire and Maine. We offer in person visits in NH.