Stephen Castorino, MD - Advanced Health and Endocine

Weight Loss Clinic in Las Vegas, Nevada

Call (702) 368-2244653 N Town Center Dr, Ste 202, Las Vegas, NV 89144

4 (49 reviews)

About Stephen Castorino, MD - Advanced Health and Endocine

Treatment at Stephen Castorino, MD - Advanced Health and Endocine

Dr. Stephen Castorino leads Advanced Health and Endocrine in Las Vegas, bringing endocrinology expertise to weight loss care that most general weight loss clinics simply can't provide. Endocrinologists specialize in hormones and metabolic conditions, and that background matters when weight loss isn't responding to standard approaches. Thyroid disorders, insulin resistance, adrenal dysfunction, and polycystic ovary syndrome are among the hormonal conditions that can make losing weight significantly harder than it should be.

The practice holds a four-star rating and attracts patients who've often spent years trying programs that didn't account for their underlying biology. Dr. Castorino takes a diagnostic-first approach. Before recommending a treatment path, he works to understand what's actually driving the weight issue at a physiological level. That rigor takes more time upfront, but it consistently leads to better outcomes for patients whose weight challenges have a hormonal or metabolic root cause.

Services Offered

Advanced Health and Endocrine offers weight loss services with a strong emphasis on metabolic and hormonal evaluation. The intake process includes comprehensive blood work and a thorough endocrinological assessment designed to identify any hormonal conditions contributing to weight gain or preventing weight loss. This level of diagnostic depth is something that sets the practice apart from general weight loss programs. For patients with diagnosed hormonal conditions, treatment often involves managing the underlying disorder and implementing a structured weight loss plan simultaneously. Thyroid conditions, insulin resistance, and other metabolic issues are addressed directly rather than treated as separate concerns. Dr. Castorino manages prescription weight loss medications and evaluates whether patients are candidates for GLP-1 receptor agonists and other newer pharmacological options. These are prescribed with close monitoring, and dosing is adjusted based on ongoing lab results and clinical assessments. Nutritional counseling, personalized dietary planning, and lifestyle guidance are integrated into the program to support the medical treatment. Patients also receive education about their specific conditions so they can make informed decisions about their care. Follow-up appointments track both metabolic markers and weight progress at the same time.

Endocrinologists

Weight Loss Centers

Treatment Options

Endocrinology-Informed Weight Management

A physician-led program that evaluates and treats hormonal and metabolic conditions as part of a comprehensive weight loss plan. Ideal for patients with thyroid issues, insulin resistance, or metabolic syndrome whose weight hasn't responded to standard approaches due to underlying biological factors.

6 to 12 months$300 to $600 per month

Metabolic and Hormonal Lab Evaluation

Comprehensive blood work and clinical review assessing thyroid function, insulin levels, blood glucose, cortisol, and other metabolic markers. Provides a detailed biological picture of what may be contributing to weight gain or making weight loss difficult, establishing a foundation for targeted treatment.

1 to 2 visits$200 to $500 depending on panel

GLP-1 Receptor Agonist Therapy

Prescription of GLP-1 medications such as semaglutide or tirzepatide for qualifying patients. Includes full medical assessment, careful dosing management, and regular follow-up to evaluate effectiveness. Particularly well-suited for patients with type 2 diabetes or significant insulin resistance alongside their weight loss goals.

Ongoing, typically 6 to 18 months$200 to $600 per month

Thyroid Condition Management

Diagnosis and ongoing management of hypothyroidism and other thyroid disorders that contribute to weight gain, fatigue, and metabolic slowdown. Treatment is coordinated with weight loss goals so both issues are addressed in an integrated way rather than handled as entirely separate concerns.

Ongoing as clinically requiredVaries by insurance and treatment plan

What to Expect

Your first appointment with Dr. Castorino begins with a detailed medical consultation covering your full health history, current symptoms, and prior treatments. If you have existing lab work, bring it. It'll save time and give the doctor useful baseline data. If you don't have recent results, blood work will typically be ordered to assess thyroid function, blood sugar, insulin levels, and other relevant markers.

Once the diagnostic picture is clearer, Dr. Castorino develops a treatment plan that addresses any hormonal or metabolic conditions alongside your weight loss goals. These two things are often closely linked, and treating them together tends to produce better results than addressing them separately.

Follow-up appointments include both lab reviews and weight progress checks. How often you come in depends on your condition and what's being treated. Patients with more complex medical situations may be seen more frequently at the start. The clinic's methodical, thorough approach is something patients who've been dismissed elsewhere often describe as genuinely refreshing.

Why Choose Stephen Castorino, MD - Advanced Health and Endocine

Most weight loss clinics aren't equipped to diagnose and treat the underlying hormonal and metabolic conditions that cause weight gain. Dr. Castorino's endocrinology background fills that gap. If you've tried multiple programs without lasting results, and especially if you have or suspect a thyroid condition, diabetes, or other hormonal issue, this is a different kind of practice.

The diagnostic-first approach means you'll understand what's actually happening in your body before any treatment begins. That clarity is valuable on its own. It helps patients make sense of why previous programs didn't work and sets realistic expectations for what this one can achieve.

Dr. Castorino's four-star rating reflects a practice that's medically rigorous without sacrificing patient care. Reviews note that he takes time to explain diagnoses clearly, answers questions thoroughly, and doesn't rush appointments. For patients who've been brushed off by other doctors when raising questions about hormones and weight, that thorough, respectful engagement tends to be exactly what they needed.

Insurance & Pricing

Endocrinology services are often covered by insurance when there's a diagnosed condition like hypothyroidism, type 2 diabetes, or metabolic syndrome. Patients seeing Dr. Castorino for a documented hormonal condition may have more coverage available than those seeking general weight loss services. Verifying your coverage before your first visit is worth the effort.

Weight loss components of the treatment program may be partially covered depending on your insurance plan and specific diagnoses. Out-of-pocket costs vary based on which services your plan includes and whether medications are covered. Lab work costs should also be factored into your overall treatment budget.

First-Time Patient Tips

Prepare for your first appointment by gathering any existing medical records related to weight, metabolism, or hormonal conditions. Prior lab results are especially useful, particularly thyroid panels, blood sugar readings, and any hormone testing you've had done. If you've been diagnosed with any conditions before, bring the documentation. Dr. Castorino will build on what's already been established rather than starting from scratch unnecessarily.

Be honest about symptoms you've noticed, even if they seem unrelated to weight. Fatigue, temperature sensitivity, irregular cycles, and other symptoms that feel minor can be significant diagnostic clues for an endocrinologist. Don't filter what you share.

Understand that endocrinology-based weight management often takes time to show results, especially if a hormonal condition needs to be treated and stabilized first. Weight loss may be slower early on than you expect. Addressing the underlying cause tends to make long-term success more achievable than programs that ignored it.

Pros & Cons

Advantages

Dr. Castorino's endocrinology background allows him to diagnose and treat hormonal causes of weight gain that general weight loss clinics miss.
The diagnostic-first approach ensures treatment is based on what's actually happening in your body, not a generic protocol.
Patients with insurance coverage for endocrinology services may find this clinic more cost-effective than general weight loss programs.

Things to Consider

Results may be slower initially while underlying hormonal conditions are being stabilized before weight loss can accelerate.
The specialty focus makes this a stronger fit for patients with hormonal factors than for those dealing with straightforward diet-related weight gain.

Service Area

Advanced Health and Endocrine serves patients in Las Vegas and throughout the Clark County area. The clinic draws patients from Henderson, Summerlin, North Las Vegas, and surrounding communities who are specifically looking for endocrinology-informed weight management. Some patients come from further across Nevada given how few endocrinologists also offer focused weight loss programs. If you're in the greater Las Vegas metro area and dealing with a hormonal or metabolic condition affecting your weight, the clinic is worth contacting.

Interior of Stephen Castorino, MD - Advanced Health and Endocine

Local Insight

Las Vegas has high rates of lifestyle-related metabolic conditions, driven in part by a workforce with significant shift work, high-stress employment, and dietary patterns common to a city built around hospitality and entertainment. Metabolic syndrome, insulin resistance, and type 2 diabetes are all notable concerns in Clark County. For patients in this environment, having access to an endocrinologist who also specializes in weight management is a meaningful clinical advantage.

Frequently Asked Questions

Why would I see an endocrinologist for weight loss?

Hormonal and metabolic conditions are common contributors to weight gain and can make standard weight loss approaches much less effective. An endocrinologist can identify and treat these underlying conditions as part of a weight loss plan. Patients who haven't succeeded elsewhere often find that addressing the hormonal component makes a significant difference.

What conditions does Dr. Castorino treat?

The practice treats a range of endocrine and metabolic conditions including hypothyroidism, type 2 diabetes, insulin resistance, metabolic syndrome, and polycystic ovary syndrome. Weight management is integrated into treatment where appropriate. Dr. Castorino also sees patients without a prior diagnosis who want a thorough evaluation.

Does Dr. Castorino prescribe GLP-1 medications?

Yes, qualifying patients may receive prescriptions for GLP-1 receptor agonists such as semaglutide as part of a supervised treatment plan. Eligibility is assessed through a clinical evaluation. Ongoing monitoring ensures the medication is working effectively and that dosing is appropriate.

Will my insurance cover endocrinology-based weight management?

Insurance typically covers endocrinology visits when there's a diagnosed condition being managed. Coverage for the weight loss component varies by plan. Patients should contact their insurer before the first appointment to understand what's covered and what documentation may be required.

How long before I see weight loss results?

If an underlying hormonal condition is present, it often needs to be stabilized before significant weight loss occurs. This can mean slower initial results compared to purely diet-based programs. Once the hormonal situation is better controlled, most patients start to see more consistent progress.

What should I bring to my first appointment?

Bring any prior lab work, a list of current medications and supplements, and documentation of previous diagnoses. Thyroid test results, blood sugar readings, and hormone panels are particularly useful. The more information the doctor has at the start, the more efficiently your care can move forward.

Can the clinic help if I have both diabetes and obesity?

Yes. Managing both conditions simultaneously is a core part of what Dr. Castorino does. Treatment for insulin resistance and type 2 diabetes is closely connected to weight management, and addressing them together tends to produce better outcomes than treating each one in isolation.

Does Dr. Castorino see patients for weight loss even without a known hormonal condition?

Yes. Patients who suspect an undiagnosed hormonal component to their weight struggles are welcome to come in for an evaluation. The diagnostic process may reveal conditions that weren't previously identified, or it may rule them out and help redirect treatment toward other approaches.