Medical weight-loss care that looks at more than the number on the scale.
Weight management is rarely as simple as eating less and exercising more. I look at appetite, food noise, insulin resistance, sleep, hormones, medications, lifestyle, and what you've already tried before deciding what treatment makes sense. Your plan may include nutrition and lifestyle changes, metabolic evaluation, and weight-management medication — including GLP-1 or dual GIP/GLP-1 therapy when clinically appropriate.
This may be a good fit if you:
You do not need to know which medication you want — or whether you need medication at all — before scheduling. We'll look at what you've already tried, what may be contributing, and what makes sense to do next.
Not sure?Find your starting pointHave had difficulty losing weight despite making changes to nutrition or activity
Deal with persistent hunger, cravings, or food noise
Have insulin resistance, prediabetes, PCOS, fatty liver, or other metabolic concerns
Noticed significant weight or body-composition changes with age, menopause, medications, or changes in your health
Have used weight-loss medication before and need ongoing management
Have lost weight before but struggled to maintain it
Some people are physically hungry. Others describe thinking about food all day — even when they aren't hungry.
That difference matters.
Appetite, cravings, eating patterns, and food noise are part of what I ask about because they can affect both treatment choice and how well a plan actually works.
The highest dose is not automatically the best dose.
Some patients respond well at lower doses. Others need gradual increases. I look at appetite control, weight response, side effects, nutrition, and how you're feeling before deciding whether a dose needs to change.
Current obesity guidance similarly recommends individualizing medication dose and titration based on effectiveness and tolerability rather than assuming everyone should reach the maximum approved dose.
Weight loss should not come at the expense of strength and nutrition.
Protein intake, resistance training, hydration, and preserving lean mass are part of the plan — especially when weight is coming off quickly.
Reaching a goal weight isn't where the conversation ends.
For many patients, obesity requires long-term management. Some remain on medication. Some eventually reduce or stop it. If treatment changes, we make that decision based on your response and have a plan for what comes next.
Weight regain after stopping obesity pharmacotherapy is common, which is why current guidelines treat maintenance as part of ongoing care.
Insulin resistance, prediabetes, and other metabolic conditions can affect weight, hunger, and treatment response.
PCOS, perimenopause, menopause, and other hormonal changes can affect appetite, sleep, body composition, and metabolic health. That does not mean every weight problem is hormonal. It means hormones are one part of the picture when they're relevant.
Poor sleep and chronic stress can affect hunger, cravings, energy, and the ability to maintain routines.
Some medications can contribute to weight gain or make weight harder to manage. Your medication history is part of the evaluation.
Body composition matters too. Preserving muscle and staying physically active become increasingly important for metabolic health and long-term weight maintenance.
The goal isn't to blame one hormone, one food, or one lab result. It's to figure out what's actually relevant in your case.
When medication is appropriate, treatment may include GLP-1 or dual GIP/GLP-1 therapy along with nutrition, activity, and ongoing medical management.
Some medications act primarily through GLP-1 pathways, while others act through both GIP and GLP-1 pathways. Which option is appropriate depends on your medical history, previous treatment, response, tolerability, and goals.
You do not need to choose a medication before your appointment. We'll discuss your options and decide together what is appropriate.
We'll review your weight history, what you've tried, current medications, medical conditions, appetite, eating patterns, activity, sleep, and any recent labs.
Your plan may include nutrition changes, protein goals, resistance training, metabolic evaluation, medication, or a combination. Not every patient needs the same plan.
We look at more than pounds lost. Appetite, side effects, nutrition, strength, weight trend, and how you're tolerating treatment all matter when deciding whether anything needs to change.
Weight maintenance is part of the plan from the beginning. We'll talk about what long-term treatment could look like rather than waiting until you've reached your goal.
Starts at $169/month. Your exact monthly price depends on the medication and dose prescribed and is confirmed before treatment begins.
HSA / FSA cards accepted
Step 2 · ongoing care
An individualized treatment program. Medication options and exact pricing depend on the prescribed treatment, dose, clinical appropriateness, and availability.
Monthly
From $169
per month · cancel anytime
·Billed separately
Already on a GLP-1 medication?
Transfer your weight-management care
Transfer patients are welcome. Please have documentation showing your current medication, dose, and most recent prescription or fill date. I'll review how long you've been taking it, how you've responded, side effects, and whether continuing the same dose is appropriate. If you've been off medication for a period of time, you may need to restart at a lower dose for safety. Your program price is based on the medication and dose prescribed and will be confirmed before you start.
Program pricing varies by medication and dose. If your treatment moves into a different pricing tier, your monthly price may change. Any change is confirmed before it takes effect.
Don't see your question? Reach out — you'll get a reply directly from Mallory. Messages are typically answered within 2 business days.
Ask a questionYour first visit is a telehealth medical evaluation. We'll review your history, previous weight-loss efforts, current medications, health conditions, goals, and whether medication is appropriate. Ongoing follow-up, brief treatment-related messaging, and treatment adjustments are included in the program.
Yes, when you are medically eligible and the treatment is clinically appropriate. Scheduling a visit does not guarantee that medication will be prescribed.
No. Medication is one treatment option, not a requirement.
Not everyone needs the same testing. I'll review any recent labs you already have and order additional testing when clinically indicated.
Programs start at $169/month. Your exact price depends on the medication and dose prescribed and is confirmed before you start.
Medical care, prescribed weight-management medication when appropriate, supplies when applicable, standard shipping, follow-up, messaging, treatment adjustments, and side-effect management are included. Labs are separate.
It depends on where you are in treatment. Patients starting or changing medication may need more frequent follow-up. Stable patients may not need a full video visit every month, but ongoing monitoring remains part of your program.
Yes. You'll need documentation of your current medication, dose, and most recent prescription or fill.
No. Dose increases are based on your response and tolerance — not simply the number of weeks you've been on treatment.
A plateau does not automatically mean you need a higher dose. We'll look at appetite, nutrition, activity, sleep, medication dose, side effects, and your overall progress before deciding whether anything should change.
Lighthouse is a cash-pay practice and does not bill insurance for the weight-management program. HSA/FSA cards are accepted.
Ready when you are
We'll review what you've tried, what has made weight difficult to manage, and whether nutrition changes, metabolic evaluation, medication, additional testing, or a combination makes sense.
From the journal
Metabolic · 8 min
GLP-1s aren't a shortcut and they're not a miracle. They're a hormonal tool with a specific mechanism, a real safety profile, and a dosing strategy that matters more than the brand on the vial.
Read →
Metabolic · 7 min
Brand names get the attention. What actually matters is mechanism, dosing flexibility, side-effect profile, and what you're trying to treat.
Read →
Metabolic · 6 min
Some lean mass loss is normal with any meaningful weight loss. The GLP-1-specific risk is real but manageable — protein targeting, resistance training, and pace of loss do most of the work.
Read →
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