Physician-prescribed weight loss.

GLP-1 stands for glucagon-like peptide-1, a hormone your own gut releases after you eat. It signals fullness to your brain, slows how quickly your stomach empties, and helps regulate blood sugar. GLP-1 medications are a class of prescription drugs that act on that same receptor, which is why people on them commonly report feeling satisfied sooner and thinking about food less. They are prescription medicine, not a supplement, and whether one is appropriate for you is a decision your physician makes after reviewing your history, your exam, and your bloodwork.

Three concrete differences. First, bloodwork is required before anything is prescribed or shipped, where most online programs prescribe from a questionnaire alone. Second, a board-certified physician reads your chart and makes the prescribing decision. Our practice runs under a named medical director rather than an anonymous prescriber network, and there is no scoring algorithm approving applicants in the background. Third, our nursing team is made up of hospital-trained ER and critical care RNs who answer your messages while you are on protocol. We also decline people. A service that approves everyone is not screening anyone.

Because your labs change the decision. They establish your baseline, they surface thyroid, kidney, liver, and blood sugar findings that can make a given therapy inappropriate or change the starting dose, and they give your physician something objective to measure against at your next draw. Skipping labs is what makes a four-minute approval possible, and it is exactly the corner we are not willing to cut. We order the panel for you and it is billed at direct lab cost.

Your first month is refunded in full. Some applicants are declined because a finding on their labs or in their history makes therapy inappropriate, and some are referred elsewhere because a different level of care is genuinely the right answer. The physician will tell you why. Not everyone qualifies, and that is the point of screening rather than a failure of it — we would rather return the money than ship a protocol your chart does not support.

No. Your telehealth physician evaluation is included in your membership, with providers available 6am to 7pm PT, seven days a week. The review is real work — a physician reads your intake and your labs before anything is prescribed — and it can end in a decline. If it does, your first month is refunded in full, so the screening costs you nothing.

The Metabolic program starts at $199 per month, all-inclusive: your physician supervision, your telehealth evaluation, the protocol he prescribes with the medication included, your home kit, your RN-recorded training video, nurse messaging, and ongoing monitoring. Your exact price is set by the dose band your physician prescribes: Low-Dose is $199 per month and High-Dose is $299 per month. Which band you are on is a clinical decision, not a menu choice. Bloodwork is the one thing billed separately, at direct lab cost. There is a three-month initial commitment, then you continue month-to-month.

We will not give you a number, and you should be skeptical of anyone who does. Your first weeks are spent at a deliberately low starting dose while your physician confirms you tolerate it, and dose increases are made on evidence rather than on a calendar. What is reasonable to expect early is a change in appetite signals rather than a change on the scale. Your physician will set expectations with you directly, based on your history and your labs.

Most protocols in this program are self-administered at home with a very small subcutaneous needle. Your kit arrives with everything you need including sharps disposal, and one of our nurses records a training video walking through technique, timing, storage, and what to do if something does not look right. If you are still uneasy after watching it, message the nursing team and they will walk you through your first dose.

Yes to HSA and FSA cards, and Klarna 4-pay is available at checkout if you would rather spread the first payment. Whether your specific expense is eligible under your plan is between you and your plan administrator, and we can provide an itemized receipt.

No. The program is telehealth and ships nationwide. We are licensed to treat patients in essentially all fifty states, and your bloodwork is drawn at a lab near you. Our physical location in Newport Beach is where the practice is based, not a place you need to visit.

There is a three-month initial commitment, which is the clinical runway a protocol needs to titrate to an effective dose and be judged fairly. After that you continue month-to-month and can cancel anytime. We would rather tell you about the three months now than surprise you with it later.

Some prescribed preparations in this program are compounded to order by a licensed 503A compounding pharmacy in the United States. Compounded preparations are customized for an individual patient and are not individually reviewed or approved by the FDA. Your pharmacy is licensed and inspected, your preparation is made against your physician’s prescription, and a Certificate of Analysis is available. Your physician will explain exactly what he is prescribing and why during your review.