Medical Weight Management
A medically supervised program built on identifying and addressing the factors contributing to weight gain, rather than on willpower.
Overview
The starting point at this practice is that obesity is a chronic, complex medical condition — not simply a matter of overeating or willpower. Metabolic factors such as insulin resistance and chronic inflammation can contribute to weight gain, and may in turn be influenced by nutrition, physical activity, sleep, stress, genetics, medications and other health conditions.
The medically supervised weight-management program here focuses on identifying and addressing those contributing factors. When suitable, GLP-1-based medications may be incorporated into a personalized treatment plan to improve metabolic health, help regulate appetite and encourage lasting weight loss.
Alongside that sits a view about pace. Healthy weight loss should be gradual, individualized and professionally monitored. Rapid or poorly supervised weight loss can increase the risk of nutritional deficiencies, loss of muscle mass, fatigue, hair loss, gallbladder problems and other complications — which is why supervision is not an optional extra here. Patients using GLP-1-based therapy are also monitored for side effects from the medication, which can include stomach issues and rare but serious problems.
The goal is not simply to help you lose weight. It is to help you improve your metabolic health, preserve strength and nutrition, and develop a sustainable approach to long-term wellness.
What we look at
Metabolic factors such as insulin resistance and chronic inflammation can contribute to weight gain, and may themselves be influenced by a great deal else. The assessment covers all of it.
- Insulin resistance and metabolic health
- Chronic inflammation
- Nutrition and dietary patterns
- Physical activity
- Sleep
- Stress
- Genetics
- Medications that may contribute to weight gain
- Other health conditions in the picture
Obesity is approached as a chronic, complex medical condition — not as a matter of overeating or willpower.
How the care works
Find the contributing factors
A medical assessment that looks for what is actually driving weight gain in your case, including conditions and medications that make it harder.
Build a plan around them
An individualized treatment plan addressing the factors the assessment identified, rather than a program applied uniformly to everyone.
Consider medication where suitable
When appropriate, GLP-1-based medications may be incorporated into a personalized plan to support metabolic health, help regulate appetite and encourage sustainable weight loss.
Monitor properly
Ongoing supervision, including monitoring patients using GLP-1-based therapy for side effects, which can include stomach issues and rare but serious problems.
This may be the right fit if
- You have lost weight before and regained it, more than once
- You suspect something metabolic is going on and want it investigated
- You are on medications that may be making weight harder to manage
- You want medical supervision rather than a commercial program
- You want to protect muscle and nutrition while losing weight
- You would rather go slowly and keep the result
What a visit looks like
The assessment
History, current health, medications, and the everyday factors — nutrition, activity, sleep, stress — that bear on metabolic health, with laboratory testing as appropriate.
The plan
An individualized approach agreed with you, with a clear account of what each part is meant to do.
Follow-up
Regular review, adjustment, and monitoring for both progress and adverse effects.
- 30+years in healthcareTessy Kadavil, DNP, FNP
- 5.0from 23 Google reviewsVerified on the practice’s Google Business Profile
- CertifiedDementia Person-Centered Care ProviderAlongside certification for buprenorphine therapy
- Mon–Fri8:00am – 5:00pmMedical Center district, San Antonio
Questions about medical weight management
How is this different from a diet program?
It is medical care. The starting point is that obesity is a chronic, complex medical condition rather than a matter of willpower, so the work is identifying and addressing the contributing factors — metabolic health, nutrition, activity, sleep, stress, genetics, medications and other health conditions.
Are medications part of the plan?
They may be. When suitable, GLP-1-based medications can be incorporated into a personalized treatment plan. Whether that is appropriate for you is a clinical decision made together, after an assessment.
How quickly would I lose weight?
The practice takes the view that healthy weight loss should be gradual, individualized and professionally monitored. Rapid or poorly supervised weight loss can increase the risk of nutritional deficiencies, loss of muscle mass, fatigue, hair loss, gallbladder problems and other complications.
Talk it through first
Call the office, describe what is going on, and find out whether medical weight management is the right place to start.
Monday – Friday, 8:00am – 5:00pm · Medical Center district, San Antonio