Down 1–2 lbs a week, with a provider watching.

The quiz screens for the basics — BMI, health history, medications, and conditions that would make GLP-1 therapy a poor fit. It takes about a minute and doesn't ask for payment information.

Passing the quiz isn't a prescription. It means it's worth having the conversation. The actual decision happens at your visit, after Lyan reviews your history and, where indicated, your labs.

Lyan Love McCullough, our Nurse Practitioner. She handles consultations, treatment planning, dosing, and follow-ups — so you work with the same provider from your first visit onward, under protocols set and supervised by our medical director, Dr. Gidon Akler, MD.

1. Weight, vitals, and a review of your health history and current medications.
2. Labs when clinically indicated.
3. A conversation about your goal and a realistic timeline to get there.
4. If treatment is appropriate, a prescription and hands-on injection training.
5. Your follow-up scheduled before you walk out.

Plan on about an hour for the first visit. Follow-ups are much shorter.

No. Our program is self-pay, which is part of why we can see you this week instead of after a prior-authorization fight. You'll get the full cost before you commit to anything.

If you'd rather pay monthly, we work with Cherry and CareCredit.

Most patients settle into roughly one to two pounds a week once they're past the starting doses. Published clinical trials of GLP-1 medications report average total body weight reductions in the range of 10–20% over about a year when combined with diet and activity changes.

That's an average across thousands of people, not a guarantee for you. Starting weight, medication, dose tolerance, other health conditions, and consistency all move the number.

The common ones are gastrointestinal: nausea, constipation, diarrhea, reflux, and fatigue — usually worst in the first week or two after a dose increase, and usually manageable with timing, hydration, and eating adjustments.

Serious risks exist too, including pancreatitis and gallbladder problems. GLP-1 medications carry a boxed warning about thyroid C-cell tumors and should not be used if you or a family member has a history of medullary thyroid carcinoma or MEN 2. Read our full GLP-1 safety information, and your provider will go through all of it with you before prescribing.

Yes, and that's the point. Dose changes, side effect management, and progress tracking all need a clinician looking at you, not a form. Visits are short and scheduled around your titration schedule rather than a rigid calendar.

You can stop at any time — there's no contract and no membership to cancel. We'd ask you to tell us first so we can taper you sensibly and talk about maintenance, because appetite usually returns when the medication stops.

655 Euclid Ave #210, National City, CA 91950 — easy freeway access from Chula Vista, Bonita, Imperial Beach, and South San Diego. We're open Monday through Friday, 8:00 AM to 6:00 PM. Call (619) 765-4141 or contact us and we'll find you a time.