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Metabolic Reset: weight loss that treats the condition behind it
For prediabetes, type 2 diabetes, fatty liver, high blood pressure and high cholesterol linked to weight. Internal medicine and obesity medicine in one plan.
Who this is for
- A1c in the prediabetes or diabetes range
- Fatty liver on an ultrasound or labs
- Blood pressure or cholesterol medication that you would like to need less of
- PCOS or insulin resistance
What's included
- Internal medicine consult that reviews every medication you take
- GLP-1 or other medication chosen for both weight and the metabolic condition when appropriate
- Dietitian plan built for blood sugar, not just calories
- Labs every three months with a plain-language report
- Coordination with your endocrinologist or cardiologist if you have one
How it works
- Consult with labs: A1c, lipids, liver, thyroid, kidney function.
- A plan that targets the condition and the weight together, with medications adjusted as you lose.
- Monthly visits; labs at three months to show what changed.
- When numbers are at goal, a maintenance plan and a medication review with your primary care provider.
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.