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Medical Weight Optimization

GLP-1 Therapy, Done the Way Medicine Intended.

Physician-guided weight loss with semaglutide or tirzepatide — paired with nutrition, body composition tracking, and the clinical support that prevents the muscle loss, plateaus, and rebound that derail most patients.

Next Health physician-guided medical weight optimization

Programs From

$499 / month

Average Weight Loss

10–30% in clinical studies

Supervision

In-person physician evaluation

Included

Monthly InBody + Nutritionist

Why Physician-Guided Matters

"It's Not the Medication. It's What Surrounds the Medication."

GLP-1 medications have changed what's possible in weight management. They are also the most over-prescribed and under-supported medications in consumer healthcare today.

The risks are not in the molecule — they're in the absence of guidance. Patients on GLP-1s without medical supervision routinely lose 20–40% of their weight loss as lean muscle. They plateau at the wrong dose because no one is watching. They quit when side effects feel unmanageable, when small protocol adjustments would have solved the problem. They reach their goal weight and regain it within twelve months because no one built a tapering plan.

Our weight optimization program is built around the supporting infrastructure: a nutritionist who designs your protein and fiber intake to preserve muscle. Monthly InBody scans to verify you're losing fat, not lean mass. A continuous glucose monitor during the ramp phase so your metabolism becomes visible. Peptide pairing when clinically appropriate. And a physician who is monitoring it all, every month.

The medication accelerates the work. We design the work.

The Next Health Medical Team

Medical Weight Optimization Program

Choose Your Protocol

Two Proven Medications. One Standard of Care.

Both programs include the full Next Health clinical infrastructure — in-person provider consults, monthly InBody scans, nutritionist support, CGM access during ramp, and wellness technology. Your provider will help you choose the right protocol based on your goals, biology, and history.

Established · GLP-1 Receptor Agonist

Semaglutide Program

Proven 10–30% weight loss with the GLP-1 standard.

$499 / month

  • Once-weekly injection starting at 0.25 mg, titrated under provider guidance
  • Mimics natural GLP-1 — increases satiety, slows gastric emptying, regulates blood sugar
  • Proven in large-scale studies to result in 10–30% body weight reduction
  • Includes the full Next Health clinical program — see comparison below
Higher Average Weight Loss

Dual Action · GLP-1 + GIP Receptor Agonist

Tirzepatide Program

Dual-receptor therapy with higher average weight loss in studies.

$799 / month

  • Once-weekly injection starting at 2.5 mg, titrated under provider guidance
  • Activates both GLP-1 and GIP receptors — satiety plus direct visceral fat lipolysis
  • Studies show higher average weight loss than semaglutide in head-to-head trials
  • Includes the full Next Health clinical program — see comparison below
Program FeaturesSemaglutideTirzepatide
Monthly Investment$499 / month$799 / month
Mechanism of ActionMimics GLP-1 hormone — increases satiety, slows gastric emptyingMimics GLP-1 and GIP receptors — satiety plus visceral fat lipolysis
Average Weight Loss (clinical studies)10–30%Higher average than semaglutide in head-to-head studies
Starting Dose & Frequency0.25 mg / week, titrated as tolerated2.5 mg / week, titrated as tolerated
INCLUDED IN BOTH PROGRAMS
Cost of the medication
Initial 60-minute in-person provider consultation
Monthly provider check-ins
Monthly InBody composition scans
Annual Next Health Baseline biomarker panel
Two vitamin shots per month (B12, lipotropic, or comparable)
Annual Visia facial scan
10 wellness technology sessions per month
20% off all other Next Health services
CGM access during ramp phase (when clinically appropriate)
Nutritionist pairing (muscle preservation protocol)

Not sure which is right for you? Schedule a 20-minute consultation — your provider will recommend the protocol that best fits your goals and history.

The Science of Sustainable Weight Loss

Four Pillars That Determine Whether GLP-1 Therapy Succeeds or Stalls.

GLP-1 medications work. What determines long-term outcomes is what surrounds them. Every Next Health weight optimization patient receives all four pillars — they are not optional, they are the program.

01

Muscle Preservation Through Nutrition

20–40% of weight lost on unsupervised GLP-1 therapy is lean muscle mass. Our nutritionist designs a high-protein, high-fiber, micronutrient-dense plan that protects your muscle while the medication drives fat loss. Without this, you're not losing weight — you're losing yourself.

02

Longitudinal Body Composition Tracking

The bathroom scale lies. Monthly InBody scans show exactly what's happening — visceral fat, subcutaneous fat, lean muscle, water — so we can adjust protocol mid-flight before a problem becomes a setback. You can't manage what you can't measure.

03

CGM-Driven Metabolic Visibility

A continuous glucose monitor during the ramp phase makes your metabolism visible in real time. You see which foods spike your glucose, how stress and sleep affect your numbers, and where your habits are quietly working against you. Most programs ask you to guess. We give you the data.

04

Peptide Stacking for Recovery and Preservation

For appropriate patients, our medical team can pair GLP-1 therapy with complementary peptides — supporting muscle preservation, recovery, and metabolic resilience. This is the kind of nuanced integration that requires actual physicians, not telehealth checkboxes.

This is the work. The medication is what accelerates it.

The Next Health Clinical Framework

Four Steps. One Standard. Every Patient.

Every patient follows the same evidence-based framework — but every protocol is personalized. The framework is rigorous and consistent. The plan is yours alone.

Step 1

Intake Visit

A 60-minute in-person consultation with a Next Health medical provider. Full medical history, current medications, contraindication screening, goals discussion, and initial education about GLP-1 mechanism and side effects. No prescription is written until the full evaluation is complete.

Step 2

Biomarker Testing & Body Composition Baseline

Next Health Baseline blood panel (50+ biomarkers) plus your initial InBody composition scan. This is the data your provider uses to personalize your protocol — including whether semaglutide or tirzepatide is the right starting point for you.

Step 3

Begin Medical Intervention

Your provider reviews your results with you and writes your personalized prescription. Your CGM is initiated during ramp (when clinically appropriate). Your nutritionist is paired with you to build your protein, fiber, and supplementation plan. Your first injection is administered with full training.

Step 4

Monthly Visit at Next Health

Every month, you return for an in-person visit. A new InBody scan, body composition review, and personalized session on nutrition, sleep, exercise, and habit change — plus your monthly lipotropic injection, included wellness technology session, and titration adjustment if needed. This is not telehealth. This is medical care.

Transparent Safety Disclosure

What You Should Know Before You Begin.

GLP-1 medications are well-studied and well-tolerated by most patients — and they are not for everyone. Here's an honest overview of the safety profile we discuss with every patient before prescribing.

Common Side Effects (Usually Temporary)

Most patients experience some GI side effects during dose titration that improve as the body adjusts. These can typically be managed by slowing titration or temporarily reducing the dose:

  • ·Nausea and vomiting
  • ·Reflux
  • ·Constipation or diarrhea
  • ·Bloating or abdominal pain
  • ·Hypoglycemia (especially when combined with other glucose-lowering medications)
  • ·Injection site reaction or rash

Rare Potential Long-Term Effects

These are rare but warrant awareness and ongoing monitoring:

  • ·Gastroparesis (delayed gastric emptying)
  • ·Gallbladder issues
  • ·Muscle loss (when not paired with strength training and adequate protein — exactly why our program includes nutritionist support and InBody tracking)
  • ·Nutrient deficiencies (when not paired with appropriate supplementation — which our program addresses)

Contraindications — Do Not Use If

GLP-1 medications are not appropriate for everyone. Do not use semaglutide or tirzepatide if:

  • ·You or a family member have ever had medullary thyroid cancer
  • ·You have Multiple Endocrine Neoplasia Type 2 (MEN2) syndrome

Tell Your Provider If You Have

  • ·A history of GI surgery
  • ·History of pancreatitis
  • ·Gallbladder or kidney issues
  • ·Are pregnant, planning to become pregnant, or breastfeeding

For Members

Weight optimization patients who are also Next Health members receive their monthly visit, wellness tech, and program benefits integrated with member pricing. Explore Optimize 4.0 and Premier 4.0 →

Is This Program Right For You?

Five Patient Profiles Who Thrive in Medical Weight Optimization.

The Plateau Breaker

You've done the work — clean eating, consistent training — and still cannot move the last 20–40 pounds. Medical intervention paired with our infrastructure breaks through what diet and exercise alone cannot.

The Metabolic-Health Patient

Elevated visceral fat, pre-diabetic markers, fatty liver, or other metabolic syndrome indicators where weight loss is medically urgent. GLP-1 therapy plus our biomarker tracking targets the dysfunction directly.

The Returning Patient

You lost weight previously — on a diet, a program, or even on a GLP-1 elsewhere — and regained. You need the supporting infrastructure that prevents the rebound that derailed you last time.

The First-Time Patient

New to GLP-1 therapy and want a medically rigorous starting point — not a prescription via questionnaire. A physician who has met you, evaluated your biomarkers, and built a personalized protocol.

The Longevity-Oriented Patient

Not significantly overweight, but want to optimize visceral fat, metabolic health, and inflammation markers as part of a longevity protocol. GLP-1 therapy at carefully managed doses, discussed in consultation.

Your Weight Optimization Journey

From Day One to Your Goal Weight.

1

Month 1

Your Journey Begins

Meet your provider for your intake visit. Complete your InBody scan and Baseline biomarker panel. Receive your personalized protocol. Begin your CGM during ramp. Your nutritionist designs your protein and fiber plan. First injection administered with full training.

2

Months 2–3

Initial Results

Significant reductions in body fat begin to register on monthly InBody scans. Eating habits stabilize as appetite signals normalize. Sleep and energy improve as visceral fat declines. You build the behavioral skills that will protect your results long-term.

3

Months 4–6

Momentum

Positive changes in energy, body composition, and metabolic markers compound. Wellness technology — cryotherapy in particular — provides recovery support as training intensity increases. Your provider adjusts protocol monthly based on data, not symptoms alone.

4

Months 6–12+

A New Baseline

Significant improvement in metabolic health markers — fasting insulin, HbA1c, ALT, inflammatory markers, lipid panel. Before-and-after InBody scans show clear, sustainable body composition changes. Tapering plan, when appropriate, begins under provider guidance.

What We Expect From You

The Medication Does Half the Work. You Do the Other Half.

Successful patients consistently do these ten things. This is not a list of demands — it is the honest distillation of what works. Your provider will support you through every one.

01

Use this time to change your relationship with food, not just your weight

02

Have a specific goal in mind — weight, body composition, or biomarker target

03

Monitor yourself closely — track meals, sleep, training, mood

04

Check in monthly without exception — InBody, provider visit, plan adjustment

05

Increase protein intake to the level your nutritionist recommends

06

Increase fiber intake daily — non-negotiable for GI tolerability and gut health

07

Start your supplement program and stay consistent with it

08

Begin a strength training program — protect your muscle while losing fat

09

Use your CGM during ramp — make your metabolism visible

10

Read two books on metabolic health, nutrition, or behavior change

Frequently Asked Questions

Answers Before You Begin.

The medication may be the same. Everything around it is different. Telehealth GLP-1 brands prescribe based on a questionnaire. Next Health requires an in-person physician evaluation, comprehensive baseline biomarker testing, monthly InBody composition tracking, nutritionist pairing, CGM access, and ongoing medical supervision. The medication is roughly 30% of what determines whether you reach your goal and keep the weight off. The other 70% is the supporting infrastructure.

How Next Health Compares

The Difference Is What Surrounds the Medication.

Anyone with a license can ship you a vial. Only physician-guided care prevents muscle loss, plateaus, and rebound.

CapabilityNext HealthTelehealth-Only GLP-1Primary Care
Comprehensive baseline biomarker panel before startingLimited
In-person physician evaluation before prescribing
Monthly InBody composition tracking (muscle vs. fat)
Nutritionist pairing for muscle-preservation protocol
CGM access for real-time metabolic feedback
Peptide stacking for muscle preservation and recovery
Wellness technology access (cryotherapy, infrared, HBOT)
Tapering protocol when reaching goal weightVariable

Next Health is the only program in this category that combines in-person physician care, longitudinal body composition tracking, integrated nutrition, and wellness technology under one clinical roof.

Ready to Begin?

Lose the Weight. Keep the Muscle. Become a New Baseline.

Schedule your 60-minute intake consultation with a Next Health medical provider. We'll review your goals, your history, and help you choose the protocol that fits your biology.