Medical Weight Loss Built Around Your Health
Weight is about more than willpower. We look at your health history, labs, sleep, medications and daily life, then build a plan with you that may include changes to food and activity and, when appropriate, prescription medication. Visits are by telehealth for patients located in Utah.
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What Medical Weight Loss Includes
Medical weight loss is weight care led by a medical provider. It starts with understanding why weight has been hard to change for you, which can involve genetics, hormones, sleep, stress, medications, other health conditions and the realities of a busy life. It is not a crash diet or a one-size-fits-all program.
Weight care is one of the main areas of focus at Sagebrooke Family Medicine. Brooke Tuttle, FNP-C, is a board-certified family nurse practitioner who has practiced family medicine since 2017. Because weight is connected to blood pressure, blood sugar, cholesterol, joint pain, sleep and mood, she cares for it as part of your whole health rather than as a separate program.
Much of medical weight loss works well by telehealth: reviewing your history, ordering labs at a local lab, talking through food, activity and sleep, starting and adjusting medication when it is appropriate, and regular check-ins. A home scale and, if you have one, a blood pressure cuff help us track progress between visits. Sagebrooke starts as a telehealth practice, and an in-person clinic is planned in Cache County, Utah. When you need an in-person exam or test, we will help you arrange it.
This care may help if
- You have tried to lose weight on your own and keep running into the same walls
- Your weight is affecting your blood pressure, blood sugar, cholesterol, joints or sleep
- You have prediabetes, type 2 diabetes, PCOS or sleep apnea and want weight to be part of the plan
- You want to know whether a prescription weight loss medication is an option for you
- You already take a weight loss medication and want steady follow-up
- You gained weight after pregnancy, with a new medication or with age, and want a plan that fits your life now
- You want support that does not rely on shame or quick fixes
What to Expect
- A telehealth visit to review your weight history, health conditions, medications, sleep and goals
- Labs at a local lab to look for conditions that affect weight and health, such as thyroid problems, prediabetes and high cholesterol
- Practical guidance on nutrition, activity and sleep that fits your schedule
- Prescription medication when appropriate, which may include GLP-1 medications, depending on your health history and insurance coverage
- Regular check-ins to track progress, manage side effects and adjust the plan
Our Approach to Medical Weight Loss
A Full Evaluation
We start with your story: weight history, past attempts, eating patterns, activity, sleep, stress, medications and family history. Labs at a local lab check for thyroid problems, blood sugar changes, cholesterol and other factors that affect weight and health.
A Plan Built for You
Together we choose realistic steps around nutrition, movement and sleep. When appropriate, we talk through prescription options, including GLP-1 medications, with their benefits, side effects and coverage, so you can decide with confidence.
Steady Follow-Up
Weight care works best over time. Regular telehealth check-ins let us review progress, handle side effects, adjust doses and keep your blood pressure, blood sugar and cholesterol in view along the way.
Benefits
Care for the Whole Person
Weight is treated as part of your overall health, alongside blood pressure, blood sugar, cholesterol, mood and sleep.
Medication When It Fits
Prescription options, including GLP-1 medications, are considered when they are appropriate for your health history, with honest talk about side effects and coverage.
Visits From Home
Most check-ins happen by video, so follow-up fits around work, school and family.
No Shame, No Gimmicks
We focus on health and habits you can keep, without crash diets or promises about a number on the scale.
How Care Usually Unfolds
First Visit
A telehealth visit to talk through your weight history, health, medications and goals. We order labs at a local lab and agree on first steps.
Weeks 2 to 4
We review your lab results and finalize the plan. If you start a medication, we go over how to take it, common side effects and what to watch for.
Months 1 to 3
Regular check-ins to see how you are doing, adjust doses when needed, and build habits around food, movement and sleep. Progress looks different for everyone.
Long Term
Keeping weight off is its own stage. We keep following up, watch related conditions such as blood pressure and blood sugar, and adjust the plan as your life changes.
About weight loss medications
Prescription medication can be a helpful part of weight care for some people. Options depend on your health history, your other medications and your insurance coverage. They may include GLP-1 medications, such as semaglutide, or related medications such as tirzepatide, as well as other medications taken by mouth. Some of these are weekly injections you give yourself at home, and we walk you through how to use them.
These medications are not right for everyone. Some are not recommended for people with certain personal or family histories, such as a rare type of thyroid cancer, or during pregnancy or while trying to become pregnant. Common side effects include nausea, constipation and changes in appetite. We review your history before prescribing, start at a low dose when appropriate, and follow up regularly.
Insurance coverage for weight loss medications varies widely. Some plans do not cover them, and others require prior authorization. We will help you understand your options, and checking with your insurer about coverage is a good first step.
Weight care alongside other conditions
Weight often travels with prediabetes, type 2 diabetes, high blood pressure, high cholesterol, PCOS, sleep apnea, joint pain and acid reflux. Even modest weight loss can improve some of these, and as things change, medications for blood pressure or blood sugar may need to be adjusted. Because we care for these conditions together, your plan stays connected.
Common Questions About Medical Weight Loss
Can medical weight loss be done by telehealth?
Yes, for most people. We can review your history, order labs at a local lab, talk through nutrition and activity, prescribe medication when appropriate, and follow up by video. You need to be located in Utah at the time of each visit. A home scale helps, and if anything needs an in-person exam or test, we will help you arrange it.
Will I be prescribed a GLP-1 medication?
Not automatically. GLP-1 medications can be a good option for some people, but they are not right for everyone. Whether a medication makes sense depends on your health history, other conditions and medications, your goals and your insurance coverage. We talk through the options, including not using medication, and decide together.
How much weight will I lose?
Every body responds differently, so we do not promise a number. We focus on steady, healthy progress and on changes that matter for your health, such as blood pressure, blood sugar, energy, sleep and how you feel day to day.
What labs will I need?
Often labs that look at blood sugar, cholesterol, thyroid function, and kidney and liver function, plus others based on your history. Labs are done at a local lab, and we review the results with you.
What happens if I stop a weight loss medication?
Many people regain some weight after stopping these medications. That is why we plan for the long term, including habits around food, movement and sleep, and talk through what continuing or stopping would look like for you before you make a change.
Does insurance cover medical weight loss?
Sagebrooke Family Medicine is an insurance-based practice, and we are in the process of joining insurance plans. What you pay depends on your plan, including any copay, deductible or coinsurance. Contact the practice to check whether your plan is accepted, and check with your insurer about coverage for medications, labs and imaging.
Related Services
Condition
Obesity and Weight Management
What drives weight gain, and the treatments that can help.
Condition
Prediabetes
Early blood sugar changes and the steps that can make a difference.
Condition
Type 2 Diabetes
Blood sugar, A1C and a plan that fits daily life.
Condition
Polycystic Ovary Syndrome (PCOS)
Irregular cycles, weight and blood sugar, with a long-term plan.
Service
Chronic Disease Management
Ongoing care for blood pressure, cholesterol, diabetes and more.
Service
Men's Health
Weight loss, testosterone, heart health and more for men and dads.
Ready to Talk About Weight Care?
Reach out through our contact page to ask a question, check whether your insurance plan is accepted, or request a telehealth appointment.
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