Alliance Physical Medicine

**Initial Consultation and Medical History**: Your first 60-90 minute appointment includes a comprehensive review of your weight history, previous attempts at weight loss, current medications, and health conditions. The provider will discuss your goals and examine any physical limitations that might affect your treatment plan.

**Comprehensive Medical Evaluation**: Laboratory work includes complete metabolic panel, lipid profile, thyroid function, and hormone assessment. Body composition analysis measures muscle mass, fat distribution, and metabolic rate to establish baseline measurements and identify underlying medical contributors to weight gain.

**Personalized Treatment Plan Development**: Based on your lab results and physical assessment, the team creates a customized plan that may include prescription medications, nutritional guidelines, exercise recommendations, and any necessary referrals to specialists. Plans account for your work schedule, family commitments, and physical capabilities.

**Treatment Initiation and Education**: If medications like GLP-1 agonists are prescribed, you'll receive detailed instructions on administration, side effect management, and monitoring requirements. The dietitian provides meal planning guidance, and the sports medicine team designs an appropriate exercise program.

**Regular Monitoring and Plan Adjustments**: Follow-up appointments every 2-4 weeks during the initial phase allow for medication adjustments, progress tracking, and problem-solving. Lab work is repeated quarterly to monitor metabolic changes and medication effects.

**Long-term Maintenance and Support**: Once weight goals are achieved, the focus shifts to maintenance strategies, including ongoing monitoring, lifestyle coaching, and medication management to prevent weight regain and maintain metabolic improvements.