The Trim Texan

Weight Loss Clinic in San Antonio, Texas

Call (210) 793-584918834 Stone Oak Pkwy, Ste 104A, San Antonio, TX 78258

About The Trim Texan

The Trim Texan is a weight loss clinic based in San Antonio, Texas, built around one idea: that lasting results come from programs designed around the person, not a generic plan handed to everyone who walks in. The team works with clients to figure out what's actually getting in the way of progress, whether that's hormones, habits, metabolism, or something else entirely.

San Antonio has one of the higher obesity rates in Texas, and the clinic takes that seriously. They're not here to sell a quick fix. They combine medically supervised approaches with practical lifestyle coaching, so clients leave with tools they can actually use long-term. The staff is straightforward about what works and what doesn't, which tends to be refreshing for people who've tried other programs before.

Services Offered

The Trim Texan offers a structured weight loss program that starts with a full intake assessment, including body composition analysis and a review of the client's health history. From there, they build a plan that typically includes prescription weight loss medications where appropriate, nutritional guidance, and regular check-ins to track progress and adjust as needed. Medication management is a core part of what they do. The clinic stays current on FDA-approved options, including newer GLP-1 receptor agonists like semaglutide and tirzepatide, and will work with clients to find something that fits their health profile and budget. They don't push medications on everyone, though. For clients who prefer a non-pharmaceutical route, they offer structured meal planning, metabolic coaching, and behavioral support. Follow-up appointments are built into every program. The team tracks weight, body measurements, and other markers over time, and they're willing to change course if something isn't working. They also offer telehealth visits for established clients, which makes it easier to stay consistent without rearranging your schedule every week.

Weight Loss Centers

Treatment Options

GLP-1 Medication Program

Medically supervised use of semaglutide or tirzepatide, paired with nutritional coaching and regular provider check-ins to monitor progress and manage side effects.

3 to 12 months depending on goals$150 to $400 per month depending on medication

Non-Pharmaceutical Weight Loss Plan

Structured program using metabolic testing, personalized meal planning, and behavioral coaching for clients who prefer to avoid medication.

3 to 6 months$75 to $150 per month

Body Composition Analysis

Detailed scan that breaks down fat mass, lean mass, and visceral fat to establish a baseline and track changes more accurately than scale weight alone.

Single session, repeated at follow-ups$50 to $75 per session

Telehealth Follow-Up Program

Remote check-ins for established clients to review progress, adjust medications or plans, and maintain accountability without coming into the office.

Ongoing monthly visits$60 to $100 per visit

What to Expect

Getting started is straightforward. New clients book an initial consultation, which runs about 45 to 60 minutes. During that visit, the provider goes through health history, current medications, previous weight loss attempts, and goals. They'll also do a body composition scan and basic labs if not done recently.

After the intake, the client gets a written program outline that covers the recommended approach, any medications being considered, dietary changes, and a timeline with realistic milestones. Most clients have their first follow-up within two to four weeks.

From there, appointments are scheduled monthly or more frequently depending on how the program is going. The team communicates between visits via a patient portal, so questions don't have to wait until the next appointment. Clients are encouraged to track their intake and activity using whatever method works for them, and that data gets reviewed at each visit.

Why Choose The Trim Texan

The clinic's approach is grounded in medicine, not marketing. They don't promise a specific number of pounds in a specific number of weeks, because that's not how bodies work. What they do promise is a plan built on real clinical data and regular oversight.

For people who've tried gym memberships, meal delivery kits, or commercial diet programs without lasting results, a medically supervised approach changes the equation. Having a provider who can adjust medications, check labs, and actually track what's happening biologically makes a real difference, especially for people with underlying conditions affecting their metabolism.

The team is also direct. If something isn't working, they'll say so. If a client needs a referral to another specialist, they'll make it. That kind of straightforward communication is something clients who've bounced around from program to program tend to appreciate. It saves time and keeps the focus on actually making progress.

Insurance & Pricing

The Trim Texan accepts some insurance plans for office visits, though coverage for weight loss medications varies significantly by plan and diagnosis. Staff will verify benefits before the first appointment and walk clients through what's likely to be covered.

For clients paying out of pocket, the clinic offers transparent pricing on consultations and follow-up visits. Medication costs depend on the specific prescription and pharmacy used, and the team can discuss compounded alternatives for clients where brand-name GLP-1 costs are a barrier. A pricing estimate is provided at the initial consultation.

First-Time Patient Tips

Before your first visit, it helps to gather any recent lab work, a list of current medications and supplements, and a rough history of previous weight loss attempts and what you tried. The more context the provider has upfront, the more useful that first appointment will be.

Wear comfortable clothes, since you'll likely have body composition measurements taken. Plan for about an hour for the initial visit. Bring questions, even if they feel basic. The team is used to clients who've been told conflicting things by different sources, and they're good at cutting through the noise.

If you're currently on any medications, don't stop taking them before your appointment. The provider will review everything and make recommendations from there. And if you're nervous about starting something new, that's completely normal. Most clients feel more comfortable after the first visit once they have a clear plan in hand.

Pros & Cons

Advantages

Programs are individually tailored rather than based on a single generic protocol.
The team is upfront about medication options, costs, and realistic timelines.
Telehealth availability makes it easier to stay consistent between in-person visits.

Things to Consider

Insurance coverage for weight loss services can be limited, leaving some clients with significant out-of-pocket costs.
As a focused weight loss clinic, they may refer out for more complex medical issues that intersect with weight.

Service Area

The Trim Texan serves clients throughout San Antonio and the surrounding areas, including the North Side, Stone Oak, Alamo Heights, Leon Valley, Converse, and Universal City. They also see clients from nearby communities like Schertz, Cibolo, and New Braunfels who are willing to make the drive. Telehealth appointments are available for Texas residents who can't come in person.

Local Insight

San Antonio is a big city with a lot of options for healthcare, but not all weight loss clinics operate with the same level of medical oversight. The Trim Texan fills a gap for residents who want something more rigorous than a commercial weight loss chain but less intimidating than a hospital-based bariatric program. The city's heat and spread-out layout can also make staying active harder, and the clinic's program accounts for that reality.

Frequently Asked Questions

Do I need a referral to make an appointment?

No referral is needed. You can book directly through the clinic's website or by calling the office. The intake team will ask a few screening questions to make sure the program is a good fit before your first visit.

Do you prescribe semaglutide or tirzepatide?

Yes, the clinic prescribes both where clinically appropriate. Your provider will review your health history and current medications before recommending any prescription. They can also discuss compounded versions if cost is a concern.

How much weight can I expect to lose?

That depends on your starting point, health profile, and how closely you follow the program. The team will give you a realistic target range at your initial consultation rather than a number pulled from a marketing brochure.

What if I've tried medication before and it didn't work?

That's worth discussing in detail at your first visit. Not every medication works for every person, and there are several options with different mechanisms. Your provider will look at what you tried, how long you tried it, and what happened before making a new recommendation.

Is the program safe if I have diabetes or high blood pressure?

The clinic regularly works with clients who have weight-related conditions, including type 2 diabetes and hypertension. Your provider will review your current medications and lab work and coordinate with your primary care doctor as needed.

How often do I need to come in?

Most clients come in once a month after the initial phase. Some programs involve more frequent visits at the start, especially if medications are being adjusted. Telehealth visits are available for follow-ups once you're established.

Do you offer programs without medication?

Yes. Not everyone wants or needs medication to reach their goals. The clinic offers a structured non-pharmaceutical path that includes metabolic coaching, meal planning, and behavioral support.

What happens if I hit a plateau?

Plateaus are common and the team is used to dealing with them. At your next visit, the provider will review what's changed, check labs if needed, and adjust the plan. That might mean changing medications, recalibrating calorie targets, or investigating other factors like thyroid function or sleep.