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Medical Weight Loss · Physician-guided
Weight loss with a physician, not a program.
Supervised, realistic plans built around your history, your hormones and your life — including GLP-1 medications when they're appropriate. First visit in our Gonzales office, follow-ups by video across Louisiana.
Weight and hormones are connected — we look at both, not just the scale.
1 · Our approach
What makes it medical
Weight has causes, and if the reason it isn’t moving is thyroid, hormones or sleep, no amount of discipline fixes it. That is not a willpower problem — it is a medical one, and it is worth having someone actually look.
2 · The medications
Where GLP-1s actually fit
Most people arrive having already read about semaglutide or tirzepatide, so it is worth being clear about what they are. Both work on gut hormone pathways that influence appetite and how full you feel. They are not the same medication: semaglutide acts on one of those pathways, tirzepatide on two, and they differ in dosing and in how people tolerate them.
Which one suits a particular person — or whether either of them does — is a clinical decision that comes after an evaluation. It is not something to choose from a website, and it is the part that a subscription service quietly skips.
Medication is also one tool in a plan rather than the plan itself. It works alongside what you eat, how you sleep and what your hormones are doing, and it needs monitoring while you are on it.
When medication is not the answer
Sometimes the honest answer is that a prescription isn’t what you need. We would rather tell you that than write one — and it costs you nothing to find out.
Something treatable is driving it. Thyroid, hormones or sleep can be the whole story — and those get treated directly.
It isn’t the right fit for you. That is a real answer, and you will get it kindly and plainly.
The timing isn’t right. Sometimes there is something else going on that is worth sorting out first, and we will happily say so.
Evaluation first. If a GLP-1 is not the right tool, we say so.
3 · What to expect
A clear, supervised path
- A conversation firstBook a free consultation, or just ring the office. Your goals, your history, and whether our approach fits — no obligation either way.
- A form and a short visitYou fill in your history at home, then meet your provider. If bloodwork would help, it is drawn here, at LabCorp (our preferred lab), or at any lab you choose.
- Your planNutrition, medication when appropriate, and hormone care if it turns out to be part of the story.
- Check-ins that matterRegular follow-up — in office or by video — to adjust and keep momentum.
Anywhere in Louisiana
After your first visit in Gonzales, follow-ups work well by secure video, with labs drawn at LabCorp (our preferred lab) or any lab you choose. You do not have to live in Gonzales to be looked after properly. How telehealth works →
If hormones are the story
Weight that arrived with menopause, or that will not shift alongside fatigue and low mood, is often a hormone conversation rather than a calorie one. Hormone therapy →
Find out what is actually in the way.
Start with a free consultation. We look for the cause before we reach for a prescription — and we will tell you if medication is not what you need.
4 · Common questions
Questions about medical weight loss
How do I get started?
Book a free consultation if you would like to talk it through first, or simply ring the office at (225) 647-2294. You fill in your history at home rather than sitting in a waiting room with a clipboard, and then you meet your provider.
Do you prescribe GLP-1 medications?
When they are appropriate for you — decided in conversation with your provider, with monitoring and follow-up in place. Bloodwork is not usually required before starting, though your provider may want it depending on your history. If a GLP-1 is not the right tool for you, we say so.
Are semaglutide and tirzepatide the same thing?
No. They are two different medications people often hear about together. Semaglutide acts on one gut hormone pathway; tirzepatide acts on two. They differ in how they are dosed and in how people tolerate them. Which medication suits a particular person — or whether one suits them at all — is a clinical decision made with your provider, not something to pick from a website.
Do I need labs before starting?
Not usually. Most people start with their history and a conversation with their provider, and we decide about bloodwork from there. Where something is worth ruling out — thyroid, hormones, metabolic markers — we check, because weight has causes. Recent labs from elsewhere often count, so you may not need new ones at all.
What if medication isn't right for me?
Then we tell you, and we work on what will help instead. Medication is one tool in a plan, not the plan itself — and for some people the thing actually driving the weight is thyroid, hormones, sleep or something else entirely.
Do you look at hormones too?
Yes, and it is one of the main reasons to do this with a physician's practice rather than a weight program. Menopause and low testosterone both change how weight behaves. We treat the whole picture rather than the scale in isolation.
Can I do the program by telehealth?
Mostly. Your first visit is in person at our Gonzales office; after that, follow-ups work well by secure video anywhere in Louisiana, with labs at LabCorp (our preferred lab) or any lab you choose.
How is it different from an online weight loss service?
You have a provider who knows your history, looks at the whole picture rather than the scale alone, and follows up personally — not a subscription form. Hormones, thyroid and sleep are part of your plan, because for a lot of people they are part of the problem.
How is it paid for?
Medical weight loss is a cash-pay service. Costs are laid out plainly during your free consultation before you commit.
Related: Hormone Therapy · Peptide Therapy · Louisiana Telehealth
5 · Further reading
From our Education Center.
Written by our clinicians, reviewed by Dr. Adams, sources cited.