Lose Weight with Medical Support
Weight Loss Program
Physician-supervised weight management with an individualized plan, education, coaching, and follow-through.
Physician-Led Weight Management
Dr. Tess Garcia is board-certified in Obesity Medicine and provides individualized, physician-led care. The program combines medical evaluation, counseling, nutrition and movement education, coaching, and long-term planning. Recommendations depend on each person’s concerns, goals, history, and clinical assessment. Results vary.
What Makes Our Program Different
Medical Expertise
Board-certified Obesity Medicine physician, not just a prescriber. Dr. Tess treats the whole person, not just the number on the scale.
6-, 12-, or 18-Month Plan
At the $200 initial physician consultation, you will discuss your concerns, complete a BSA assessment, and create an individualized 6-, 12-, or 18-month plan. If you enroll, the ongoing program is $299 per month total: $99 for Direct Primary Care membership plus $200 for weight management.
Support and Follow-Through
Education, coaching, accountability, and regular physician counseling help patients work through their individualized plan over time.
How Medical Weight Loss Works
Medical weight management combines physician supervision, evidence-based medications, lifestyle coaching, and ongoing support to help you achieve sustainable weight loss.
This isn’t another fad diet or quick fix. This is a comprehensive medical approach that addresses:
- Metabolic factors that make weight loss difficult
- Hormonal imbalances affecting your weight
- Medication side effects that cause weight gain
- Eating behaviors and emotional triggers
- Lifestyle factors impacting your success
- Medical conditions like diabetes, PCOS, thyroid disorders
You’re not alone in this journey. You have a board-certified Obesity Medicine physician guiding every step.
Clear Program Pricing
Simple, Transparent Pricing
$299/month
AFTER THE $200 INITIAL CONSULTATION
What the $299 monthly program includes:
- Physician counseling every other week
- BSA assessment and progress review
- Individualized 6-, 12-, or 18-month plan
- Education in nutrition and movement
- Coaching, accountability, and follow-through
- Two B12 injections each month
- B12 injections before or after a counseling appointment
- Plan review and adjustments with your doctor
- $99 Direct Primary Care membership included in the $299 total
- $200 weight-management component included in the $299 total
- Progress review during physician counseling
- Ongoing coaching and education
- Follow-through with your plan
- Long-term planning and accountability
$299 per month total: $99 for Direct Primary Care membership plus $200 for the weight-management program. This includes physician counseling every other week, an individualized 6-, 12-, or 18-month plan, education in nutrition and movement, coaching, accountability, follow-through, and two B12 injections each month before or after a counseling appointment. The one-time $200 initial physician consultation is separate. Medications, labs, and supplements are not included.
Is This Program Right for You?
Our medical weight management program may be right if you:
- Have a BMI of 27+ with weight-related health conditions (diabetes, high blood pressure, sleep apnea)
- Have a BMI of 30+ regardless of health conditions
- Have tried diet and exercise without lasting success
- Are committed to making lifestyle changes (not just taking medication)
- Want medical supervision and support
- Are ready to invest in your health
- Can attend regular follow-up appointments
You May NOT Be a Candidate If:
- History of medullary thyroid cancer or MEN2 syndrome
- Currently pregnant or breastfeeding
- History of pancreatitis
- Severe gastrointestinal disease
- Active eating disorder without treatment
- Unrealistic weight loss expectations
Not sure if you qualify? Schedule a consultation—Dr. Tess will evaluate your individual situation.
Frequently Asked Questions
Medical Weight Management Questions Answered
Q: Do I have to take medication?
A: No. Medication is not required for every patient. The doctor creates an individualized plan based on your concerns, goals, health history, and clinical assessment. Medications, labs, and supplements are not included in the consultation or monthly program fee.
Q: What are the side effects of GLP-1 medications?
A: Common side effects include nausea, diarrhea, constipation, and decreased appetite (which is actually the desired effect). Most side effects are mild and improve over time. Dr. Tess starts with low doses and monitors you closely to minimize side effects.
Q: Will I gain the weight back at the end of the program?
A: Weight regain is possible if you return to previous eating habits. That’s why our program focuses on sustainable lifestyle changes. We work on building habits that last beyond medication use.
Q: How quickly will I see results?
A: Weight loss typically begins in the first 2-4 weeks. Remember: healthy, sustainable weight loss is 1-2 lbs per week, not rapid drops.
Q: Can I do this program if I have diabetes?
A: Yes! In fact, GLP-1 medications were originally developed for diabetes management. They improve blood sugar control while promoting weight loss. Dr. Tess will coordinate with your diabetes care if needed.
Q: What if I'm already a DPC member?
A: Since you are already paying $99 for your DPC membership, if you choose to join the weight management program, the cost will be only $200.
Q: Do you offer virtual visits?
A: Virtual visits are possible; however, it has been Dr. Tess’s experience that virtual visits for weight management are less effective and she would prefer to keep them to a minimum. Further, your biweekly visits coincide with your biweekly body composition analyses, something that is impossible to do with a virtual visit.
Q: What happens in the first appointment?
A: You will first meet with Gigi who will be your lifestyle coach. She will then pass you on to Dr. Tess who will perform a complete health and mental health history. She will explain to you how our weight management program works, which will include an explanation of the biophysics behind obesity and weight loss. She will order a panel of lab test which you will need to have done before your appointment with her in 2 weeks. It is unlikely that you will receive any medication at the first visit.
Q: Can I stay on these medications long-term?
A: For some patients, long-term use is appropriate for weight maintenance, especially if obesity is a chronic medical condition. For others, we transition off medication once healthy habits are established. Dr. Tess creates an individualized plan.
Prescription of medication requires that a doctor-patient relationship be in place. Therefore, Dr. Tess requires a patient to be enrolled in a membership to receive prescription medicine. Whether it is our regular DPC membership or the weight management program depends on your focus. If you are still trying to lose more weight, you would be in the weight management program.
Q: What if the medication doesn't work for me?
A: This is the reason Dr. Tess has not pinned the success of this program on GLP-1A’s. She has seen too many patients fail to lose weight on them. Her opinion on these failures is that the patient is depending on the medication to take away their appetite and do the weight loss for them without making the nutritional and dietary changes that are the backbone of this program.
Q: Do you provide nutrition meal plans?
A: Yes! We provide nutrition guidance and eating recommendations tailored to your lifestyle, preferences, and goals. We focus on sustainable changes, not restrictive diets.
Q: Will I feel hungry all the time?
A: Actually, no! GLP-1 medications significantly reduce hunger and cravings. Most patients report feeling satisfied with smaller portions and having less interest in food. This is how the medication helps—it makes healthy eating easier, not harder.
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