The questions people actually ask
The questions people actually ask
Will I have to be on this medication forever?
The honest answer depends on where you’re starting from. If you’re starting with obesity or severe obesity, I won’t promise you a finish line. In the manufacturers’ own trials, people who stopped abruptly regained most of what they lost within a year, and I’d be lying if I told you otherwise. If you’re closer to the middle, twenty or thirty pounds, there can be a pathway off, and I’ve had members make it: we stretch the dose out gradually, then stop, and keep watching. Either way, you don’t stay at full intensity forever: when you hit your goal, you step down to a Maintenance plan. What I promise is the truth about which case you’re in, starting at the consult.
What does it actually cost, all-in?
Membership is $249, $499, or $999 a month depending on tier, and that includes your visits, labs, care plan, and direct access to me. GLP-1 medication is not included and is billed separately; the price depends on which medication and dose you need, so we’ll walk through your exact all-in number on the consult before you commit to anything.
What states do you serve?
I’m licensed in California, Texas, Florida, Illinois, Arizona, and Georgia. All visits are telemedicine, with in-person options in the San Diego area.
How do I get the medication?
You get it from a licensed pharmacy, not from me. I write the prescription and it’s filled and billed there. I prescribe brand-name, FDA-approved GLP-1s only. I don’t prescribe compounded versions: with a brand-name pen you know exactly what’s in it and exactly what dose you took, and that’s the whole basis for titrating against your labs.
Are the labs covered by insurance?
Labs are included in your membership, so you’ll never see a separate lab bill from us. We don’t route them through insurance, which is what lets us order the panels I actually want rather than what a payer approves.
How quickly can I actually reach you?
That depends on your plan. Essential members message me on weekdays, 10am to 5pm PT. Premium and Longevity members reach me seven days a week, after hours included. That is part of what those tiers buy. Either way you get a same-day reply, and either way you are messaging me, not a portal and not a care coordinator.
Why see you instead of my regular doctor?
Your PCP is important, and I work alongside them, not instead of them. The difference is time and focus: a typical primary care visit is about 15 minutes covering everything; our visits are 30 to 60 minutes about your metabolic health specifically: dosing, labs, body composition, and what’s actually changing. And between visits, you message me directly, not a portal.