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Maintenance: keep the weight off
Losing weight is the first half. Keeping it off, including coming off medication safely, is the half most programs skip.
Who this is for
- Patients who reached their goal in our program or elsewhere
- Patients stopping or tapering a GLP-1 who want to protect their results
- Anyone who has lost and regained before
What's included
- Quarterly provider visits with body composition
- Taper plan if you are coming off medication, with a weight threshold for restarting
- Dietitian check-ins twice a year
- Health coaching with Kundana Palagiri for habits, stress and sleep
- Priority rebooking if weight starts to climb
How it works
- Review where you are and what helped most.
- Agree on a maintenance range, not a single number, and what we do if you leave it.
- Quarterly visits, with coaching between them.
- You stay a patient of the clinic; if weight returns, you are seen within a week.
Common questions
Do I need a referral?
No. Book online, or call or text us. If your doctor referred you, we send them a summary after your first visit with your permission.
Is this covered by insurance?
The consult and follow-up visits are covered by most plans as medical visits. Medication coverage depends on your plan; use the coverage checker on our insurance page and we verify your exact benefits before you come in.
How fast will I lose weight?
Most patients on a medical program lose 1–2 pounds a week in the first months; medication, when appropriate, often adds to that. We set a target together at the first visit and adjust the plan monthly.
Do you prescribe GLP-1 medication?
When it is medically appropriate, yes. We prescribe FDA-approved anti-obesity medications, handle prior authorization, and monitor you monthly. Medication is one tool in a plan that also includes nutrition and habits.
Can I do visits by video?
Yes. After the first visit, most follow-ups can be by secure video anywhere in Virginia. Body-composition checks are in person.
Is the program safe if I have diabetes or heart disease?
That is exactly who should be in a physician-led program. Dr. Palagiri is board certified in Internal Medicine and Obesity Medicine, and your weight plan is coordinated with your other conditions and medications.
Start with one 30-minute consult.
An insured medical visit with our obesity medicine team, in person or by video.