Services
Weight and metabolic health, inside primary care
You get the medication along with the nutrition work and follow-up that make the results last. We prescribe and manage GLP-1 medication as part of primary care, with nutritional counseling alongside it. We check on side effects early, then on tolerance and progress once you have settled, and adjust from there.
We are not a weight-loss clinic and we do not want to be. Weight is one part of a whole medical picture, and treating it in isolation is how people end up on a medication without monitoring.
Who this is for
Who this helps
- You are considering a GLP-1 and want it managed by your own physician.
- You have been told to lose weight and given no plan for how.
- You have lost and regained the same twenty pounds several times.
- You are prediabetic and want to know what is genuinely reversible.
- You are already on a GLP-1 and want it managed as part of your primary care.
What it involves
How this works
The medication and the counseling together
GLP-1s work considerably better alongside real nutritional work, and the physician doing that work is the one who knows your labs.
We schedule the follow-up
We check in early for side effects, and again once you have settled, for tolerance and progress. We call you rather than waiting for you to report a problem.
We look for the reason first
Thyroid, sleep, medication effects, insulin resistance. If something is driving the weight, treating that is better than treating the number.
Escalation that makes sense
If lifestyle changes are not moving your weight, we say so and change the approach rather than leaving you to keep trying the same thing.
Side by side
Exactly what is different at Naples Concierge Health
| The usual experience | What we do |
|---|---|
| A prescription and a follow-up in three months. | We check on side effects early, and on tolerance and progress once you have settled. |
| The medication alone. | The medication with nutritional work, from the physician who knows your labs. |
| The weight gets treated as the problem rather than as a symptom. | Thyroid, sleep, medication effects and insulin resistance checked first. |
| A weight-loss clinic that does not see the rest of your health. | Your primary practice, with your whole chart in front of it. |
| You are told to try harder. | If the plan is not working, we change the approach and say so. |
In more detail
What you should know
We look for the reason before we treat the number
Weight is a symptom as often as it is a cause. An untreated thyroid, poor sleep, obstructive sleep apnea, a medication with weight gain as a known effect, insulin resistance, and significant stress all make weight loss substantially harder. Each of them is treatable in its own right.
Starting with the driver rather than the number sometimes solves the problem without a weight-loss medication at all. And where medication is still the right call, treating the underlying issue first makes it work considerably better.
A weight-loss program that does not have your labs cannot do this, because it is not looking at your thyroid, your sleep study, or your medication list.
How we manage a GLP-1
Starting is the easy part; the follow-up is what makes it work and what makes it safe. We check in early for side effects, again once you have settled for tolerance and progress, and then as the dose changes.
We do the nutritional work alongside the medication. These medications reduce appetite, and eating far too little while losing muscle is a real risk, so we monitor protein intake and strength. We treat protein intake and resistance training as part of the treatment.
We also talk about the end of it before the beginning: what happens when you stop, what maintenance looks like, and how to avoid regaining what you lost. That conversation determines whether the results last, so we have it at the start.
What we will not do
We will not prescribe a GLP-1 to someone who should not be on one, and we will not prescribe on request without an evaluation. That is not caution for its own sake. These are real medications with real effects, and prescribing them as a product rather than a treatment is how people get hurt.
Where we are not the answer
We are not a standalone weight-loss program, and we will not prescribe a GLP-1 to someone who should not be on one. If that is what you are looking for, we are not the right practice.
Questions
What people ask
Will you prescribe a GLP-1 if I ask for it?
If it is clinically appropriate after a real evaluation, yes. If it is not, we will tell you why and what we would do instead. Prescribing on request is not medicine.
Is the medication covered by membership?
The visits, the management, and the counseling are. The medication itself goes through your pharmacy benefit like any prescription.
What happens when I stop the medication?
Weight is commonly regained without a maintenance plan, and you deserve to know that at the start rather than discover it later. What protects against it is the work alongside the medication: the eating pattern, the resistance training, the muscle you kept.
Will I lose muscle?
It is a real risk with rapid weight loss and it is why protein intake and resistance training are part of the plan rather than an afterthought. Losing weight while losing strength is not the outcome anyone should want.
Do I have to be a certain weight to qualify?
There are clinical criteria, and they are a starting point rather than the whole conversation. What matters more is your full metabolic picture and whether medication is the right tool for your situation.
This page is general health information, not medical advice, and reading it does not create a physician-patient relationship with Naples Concierge Health or any of its physicians. Talk to a qualified clinician about your own health. If this is an emergency, call 911.
Start here
What is your medical care missing?
A short conversation with our member liaison about the care you have now: who follows up, who keeps your care coordinated, and where the gaps are. We will tell you if there are no gaps.