Let's discuss the medical weight-loss options.
When nutrition and activity alone have not been enough, medical care may help. We review your health history, evaluate relevant contributors, and discuss evidence-based options—including FDA-approved GLP-1 prescription medication for eligible patients. Exact products, risks, alternatives, and costs are reviewed before treatment.
Many factors can shape body weight
Body weight is shaped by biology, health conditions, medicines, sleep, environment, nutrition, activity, and other factors. Evaluation begins with your history and goals; examination and testing are selected when they are clinically useful.
Health conditions and medications
Weight can be influenced by sleep, medications, endocrine disorders, and other health conditions. Evaluation looks for clinically relevant contributors; hormone treatment is not a routine weight-loss intervention.
Nutrition, activity, and environment
Nutrition, activity, sleep, environment, and behavior all influence weight. A long-term plan addresses these factors alongside medication when medication is appropriate.
Targeted assessment
Testing is selected based on your history, symptoms, and treatment choice. A broad hormone or deficiency panel does not by itself identify the cause of weight gain.
A whole program, not just a prescription
The membership combines scheduled follow-up, routine monitoring, nutrition and activity guidance, and between-visit messaging. Medication is prescribed only when appropriate and is priced separately.
- Individual medication evaluation and product-specific counseling
- Targeted testing and monitoring based on the treatment plan
- Personalized nutrition plan built around your real life
- Individualized exercise programming with attention to strength and lean mass
- 8 follow-up visits a year (4 in person, 4 by phone)
- Non-urgent messaging as described in the membership
- Member discounts on supplements & services
More than a number on the scale
The plan focuses on health, function, tolerability, and sustainable behaviors—not only the number on a scale. Response varies by person and by treatment, so goals and monitoring are individualized.
Personalized plans
A plan tailored to your history, goals, and any clinically useful examination or test results. Targeted strategies, not generic templates.
Medical supervision
Ongoing monitoring assesses response, side effects, and dosing so the plan can be adjusted when clinically appropriate.
Evidence-based care
Medication options with established evidence when appropriate, plus a clear explanation of FDA approval status, risks, and alternatives.
Nutritional guidance
Practical education on eating habits and portions, so you can make informed choices long after the program.
More energy
Some people notice better mobility or energy as health changes, but individual response varies and other causes of fatigue may need evaluation.
Better sleep
Weight management may improve some sleep-related conditions. Suspected sleep apnea still needs appropriate diagnosis and treatment.
Happier joints
Reducing excess weight may lessen load on weight-bearing joints for some people; pain and mobility concerns may also need separate care.
Built to last
Long-term planning recognizes obesity as a chronic condition and prepares for continued treatment, a change in treatment, or stopping when appropriate.
Adequate nutrition and resistance activity can help support strength while weight changes. The aim is a medically appropriate plan you can sustain, not the fastest possible change on the scale.
Three steps to a plan that fits you
Initial consultation
- Comprehensive health history review
- Honest conversation about your goals
- Focused physical exam when appropriate
- Baseline testing selected for your health and treatment options
Lab review & treatment plan
- Walk through your results with Dr. Brown
- Review medication and non-medication options
- Discuss product approval status, benefits, risks, alternatives, and cost
Membership care
- 8 follow-up visits per year (4 in person, 4 by phone)
- Routine monitoring included as described in the membership
- Response, side effects, and dosing reviewed over time
- Non-urgent messaging as described in the membership
Know the cost before you start
The new-patient visit is $215, followed by a $109 monthly membership if you enroll. Medication is priced separately. Follow-up timing, membership inclusions, and any additional testing or service charges are discussed before you commit. Program visits are in person at our Gresham and Beaverton clinics, with phone follow-ups as described in the membership.
Medical Weight Loss
New patient visit: $215; medication priced separately
- 8 follow-up visits per year (4 in person, 4 by phone)
- Routine monitoring for the treatment plan
- Individualized diet & exercise plan
- Non-urgent messaging as described in the membership
- Member discounts on supplements & services
A few honest notes on cost
Medication is not included in the membership. Options for eligible patients include FDA-approved medicines for long-term weight management such as Wegovy (semaglutide) and Zepbound (tirzepatide); price varies by the specific product, pharmacy, dose, and coverage. The product name, FDA approval status, expected benefits, material risks, and estimated cost are discussed before a prescription decision. Additional tests or services outside the membership are quoted in advance.
Not sure this is the right fit? Start with a free 15-minute informational phone consult. It is not a medical visit and does not include diagnosis or prescribing. HSA and FSA cards are accepted for eligible expenses.
What to discuss before treatment
Outcomes and side effects vary, and no amount or timetable is guaranteed. These are the questions to discuss when considering treatment.
Which medications are used for medical weight loss?
Options include medicines approved for long-term weight management, such as Wegovy (semaglutide) and Zepbound (tirzepatide), as well as other agents. Phentermine alone is FDA-approved only for short-term use. Compounded versions of semaglutide or tirzepatide are not FDA-approved and are not generic equivalents of approved branded products. The exact product, approval status, expected benefits, risks, and cost are reviewed with you before any prescription decision.
How much weight can I expect to lose?
There is no universal monthly percentage. Results vary by the specific product, dose, treatment duration, health status, side effects, access, and adherence. We review the evidence for the product being considered and set an individualized health goal; no amount of weight loss is guaranteed.
How quickly will I see results?
Timing varies by medication, dose escalation, tolerance, health status, and other factors. Follow-up looks at more than scale weight, including side effects and relevant health measures. No particular week-by-week response is promised.
How long will I need to be on the medication?
Obesity is a chronic disease. Medicines approved for chronic weight management may be continued long term, including indefinitely, while they remain beneficial, tolerated, accessible, and appropriate. Duration is an individual decision made with the prescribing clinician.
Can I stop the medication once I reach my goal weight?
Reaching a goal does not automatically mean treatment should end. Some people continue long-term treatment; others choose or need to stop. There is no universal requirement to taper a GLP-1 medicine. Follow the plan for the specific product and do not change or stop a prescription without speaking with the prescriber.
Will I regain the weight once I stop?
Weight regain is common after weight-management medication is stopped. Nutrition, activity, behavioral support, and follow-up remain important, but they cannot guarantee maintenance. If regain occurs, the clinician can discuss restarting treatment or another evidence-based option.
Are GLP-1 medicines right for everyone?
No. Risks and contraindications vary by product and can include gastrointestinal effects, pancreatitis, gallbladder disease, kidney injury from dehydration, hypoglycemia with some diabetes medicines, and hypersensitivity reactions. Certain products are contraindicated with a personal or family history of medullary thyroid carcinoma or MEN2 and should not be used during pregnancy. Your history and the current prescribing information must be reviewed first.
Ready to discuss a medically supervised plan?
Start with a free 15-minute informational phone consult, or book a new-patient evaluation in Gresham or Beaverton. Treatment is offered only when clinically appropriate.