GLP-1 weight-loss care by video in Texas

Texas lets a doctor treat you by telemedicine only with a full Texas medical license. The separate out-of-state telemedicine license Texas used to issue is closed to new doctors. 22 TAC 175.1

For a new patient, Texas sets a floor for the first visit: a live video visit, or your records reviewed together with a live phone call. Dr. Saremi's first visit is a 30-minute live video visit. If you agree, Texas law also has the doctor send a report of the visit to your primary care doctor within 72 hours. Texas Occupations Code 111.005

GLP-1 medications are not controlled substances, so no extra federal registration is involved. Your Texas pharmacy fills the prescription like any other.

1. A free 15-minute consult. You ask your questions and hear what your own monthly total would be before you commit to anything.
2. A 30-minute first visit by video. Labs and your full history set your baseline. Dr. Saremi reads every number himself and writes your plan.
3. A 15-minute check-in by video every month. Your dose is adjusted from what your numbers show.
4. Messaging on weekdays, with a same-day reply. In Texas that's noon to 7 pm Central time (11 am to 6 pm in El Paso).

You need to be in Texas, or another state where he's licensed, at the time of each visit. He holds medical licenses in California, Arizona, Georgia, Illinois and Texas, and a Florida telehealth registration.

Membership: $249 a month on the Essential plan, or $224 a month if you pay for the year. It covers your visits with Dr. Saremi, your care plan and messaging him directly. HSA and FSA cards are accepted.

Medication is not included. Your prescription is filled and billed by the pharmacy. Dr. Saremi prescribes brand-name, FDA-approved GLP-1s only, never compounded versions.

If you pay the manufacturer's self-pay price, these are the published monthly prices as of October 2026:

• Wegovy pen: $349 ($199 for a new patient's first two fills at the two starting doses, through December 31, 2026). NovoCare
• Zepbound: $299 at 2.5 mg, $399 at 5 mg, and $449 at 7.5 to 15 mg if you refill within 45 days. Lilly
• Wegovy pill: $149 to $299, depending on the dose. NovoCare

So a month on the Essential plan with a Wegovy pen at the self-pay price comes to $598. With Zepbound it runs from $548 to $698, depending on the dose. Labs and other tests are billed separately, only when you need them.

Every visit is with Dr. Adonis Saremi himself. He is board-certified in Internal Medicine, Obesity Medicine and Clinical Informatics, trained in internal medicine at UC San Diego, and was the Chief Medical Officer of Noom. Between visits you message him directly, not a portal or a care coordinator.

His offices are in La Jolla and Newport Beach, California. Patients outside California see him by video.