Weight Loss

Many people struggle with weight during their lifetime. Overweight and obesity are epidemic in the United States.  For some, it has been a lifelong struggle beginning in childhood. For others, it is a struggle that begins later in life due to various medical issues, life habits, or change in hormone levels over time. Obesity is a risk factor for various conditions, including diabetes, hypertension, high cholesterol, heart disease, arthritis, and even certain type of cancers.  The best ways to manage weight loss need to be individualized for each person. Often, it requires a multi-step approach to tackle underlying issues and begin to change lifestyle habits.

Evaluation

The first step in your evaluation will be a medical consultation to get a full medical history. An updated physical exam and appropriate lab work (blood tests) are part of this important step in the process.

Lifestyle Changes

During follow-up visits, we will review diet and exercise habits.  Discuss options for optimizing your outcome and review progress

 

Medications

Medical Weight Management with GLP-1 & Dual GIP/GLP-1 Medications

At Goldson Medical Associates, we are committed to helping patients achieve safe, effective, and sustainable weight management.
Our priority: We always begin by exploring FDA-approved medications through your insurance. This includes submitting prior authorizations and working with your insurance plan to maximize coverage. Whenever possible, we want you to have access to brand medications that have undergone full FDA review.

When Compounded Medications May Be Considered

Currently, the brand-name versions of semaglutide and tirzepatide are not legally available as generics. However, in limited circumstances, a compounded formulation may be considered when:

  • A patient has an allergy or intolerance to inactive ingredients in the commercial product
  • There are supply shortages or access barriers
  • Individualized dosing or delivery options are medically necessary

These compounded formulations are prepared by licensed compounding pharmacies in compliance with state and federal regulations.

Potential Benefits

Whether prescribed in brand or compounded form, medications in this class may:

  • Support Weight Loss by reducing appetite and increasing satiety
  • Improve Blood Sugar Control in patients with prediabetes or type 2 diabetes
  • Enhance Metabolic Health by lowering cholesterol, blood pressure, and triglycerides
  • Offer Individualized Care when compounded dosing is appropriate

Our Approach

  1. Insurance First – We check for coverage of brand-name medications and handle prior authorizations whenever possible.
  2. Compounded Option Only if Needed – If brand therapy cannot be accessed, we may discuss compounded formulations prepared by trusted pharmacies.
  3. Ongoing Support – All patients receive ongoing medical supervision, nutrition guidance, and lifestyle support to ensure the best results.

Disclaimer: Compounded medications are not FDA-approved. The safety and effectiveness of compounded semaglutide or tirzepatide have not been reviewed by the FDA. These formulations are considered only when patient needs cannot be met with commercially available medications.

 

Surgery

Surgical options for weight loss have improved and expanded over the years.  We are able to discuss treatment options and refer to bariatric surgery.  The best surgical option  for an individual is determined by the performing surgeon.

https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/english_bmi_calculator/bmi_calculator.html