How does online medical weight loss work?+
You complete a secure intake, upload any recent laboratory results or records, and meet me for a 1:1 telehealth visit. We review your history, symptoms, and what's already been tried, then build a plan together. If medication is appropriate, the prescription is sent to a partner pharmacy and shipped to you, and we adjust the dose based on how you actually respond.
Can a nurse practitioner prescribe weight loss medication online?+
Yes. As a licensed Family Nurse Practitioner, I can evaluate and prescribe GLP-1 medication through telehealth in the states where I'm licensed, when treatment is clinically appropriate for you.
Can I get GLP-1 medication through telehealth?+
Yes. If treatment is clinically appropriate for you, I can prescribe GLP-1 therapy through a secure telehealth visit and send the prescription to a partner pharmacy for direct shipment. This is available in the states where I'm licensed to provide telehealth care.
How quickly can I start?+
Most patients are seen within a few business days of completing intake. If medication is prescribed, it typically ships from the partner pharmacy within about a week of your visit.
How is the right medication chosen?+
There is more than one GLP-1 option, and they differ in how they work, how they're tolerated, and what they cost. Which one is appropriate depends on your medical history, side-effect tolerance, other medications, and access. We decide together during your visit.
Do I have to be on medication to join?+
No. Medication is one tool among many. When appropriate, treatment plans may include medication, nutrition guidance, lifestyle recommendations, and ongoing support.
Do I need labs before getting started?+
Not always. Many patients do not need new laboratory testing before starting care. If testing would meaningfully affect treatment decisions, I'll let you know.
How much does the program cost?+
Plans start at $169 per month. Your exact monthly fee depends on the medication and dose prescribed and is confirmed before you start. Prepaying 3 or 6 months lowers the effective monthly rate.
What's included in the monthly fee?+
Your program fee includes the initial medical weight-loss evaluation, prescribed GLP-1 medication when clinically appropriate, injection supplies, standard pharmacy shipping, follow-up visits, direct messaging about your active treatment plan, ongoing dose adjustments, side-effect management, nutrition and lifestyle guidance, and ongoing weight and treatment-response monitoring. Laboratory testing is not routinely required; when clinically indicated, it is billed separately.
Can I add hormone therapy or TRT to my weight-loss program?+
Yes, if clinically appropriate. If the second program includes medication — such as HRT Complete or TRT Complete — you pay that program fee; medication and shipping are already built into that price. If you prefer clinical management only with medication sourced through your own pharmacy or insurance, you can add that program at the Essentials rate. Either way, a second program takes $20 per month off when it includes medication, or $10 per month off for an Essentials program.
How often are follow-up visits?+
Most patients check in monthly during the first few months while we titrate and track progress, then move to less frequent visits as things stabilize. You can message me directly between visits for questions about your active treatment plan.
What is direct messaging for?+
Messaging is included for questions about your active weight-loss plan — dose adjustments, refill requests, side effects, and how you're responding. I typically respond within 48 business hours; weekends and observed holidays do not count. Messaging is not for new medical concerns, urgent symptoms, or prescriptions outside your program. Those require a scheduled visit.
Do you accept insurance?+
No. Lighthouse is a cash-pay practice, which keeps pricing transparent and removes prior authorizations and insurance denials. You'll always know your cost upfront.
Do you accept HSA/FSA cards?+
Yes. HSA and FSA cards are accepted for program fees and, in most cases, for medication and labs as well. If your plan requires a receipt or letter of medical necessity, just ask.
I'm already on a GLP-1 medication. Can I transfer my care?+
Yes. Patients currently using GLP-1 medications must provide documentation showing their name, medication, current dose, and most recent fill date so treatment can be continued safely and appropriately.
Will I stay on my current dose?+
Not always. Recommendations depend on treatment history, current dose, response, and how long you've been off medication. For safety reasons, some patients may need a lower dose or a restart of therapy.
What if I've been off my medication?+
Patients who have been off medication for an extended period may need to restart at a lower dose for safety reasons.
What if I don't know my current dose?+
Many patients aren't sure. A prescription label, pharmacy receipt, medication packaging, or patient portal screenshot showing the medication name and dose is usually sufficient.
Do you bill insurance for weight-loss medication?+
No. When medication is part of your plan, it's filled through trusted partner pharmacies — not local retail pharmacies. This means no prior authorizations, no insurance denials, and no months-long fights with your plan. Pricing is transparent and you'll know the cost upfront.
What happens if I plateau?+
Plateaus are common and often manageable. Depending on your situation, I may review nutrition, activity, sleep, medication response, and relevant laboratory data before making adjustments.
Do you offer a referral program?+
Existing patients receive a $25 account credit when a referred patient completes their first visit. Credits apply to future services and have no cash value.