Medical Weight Loss
That Actually Works
GLP-1 therapy (semaglutide, tirzepatide) prescribed by a board-certified nurse practitioner. Personalized protocols, ongoing support — 100% online.
Begin Intake FormIt's Not About
Willpower
Chronic dieting lowers your metabolic rate, spikes hunger hormones, and trains your body to hold onto weight. It's not a personal failure — it's biology working against you.
GLP-1 medications like semaglutide and tirzepatide correct this by restoring the hormonal signals that regulate appetite, insulin, and satiety. The result isn't just weight loss — it's a fundamentally different relationship with food.
Under Amber's clinical supervision, your protocol is built around your physiology, lifestyle, and goals — not a one-size-fits-all algorithm.
with semaglutide + lifestyle
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How It Works
From first click to first shipment, the entire process is designed to be simple, fast, and fully supported.
Complete Your Intake
Fill out our comprehensive health questionnaire — weight history, current medications, goals, and lifestyle. Takes about 10 minutes. Fully secure and HIPAA-compliant.
~10 minutesProvider Review & Consult
Amber personally reviews your intake and may schedule a brief video call to discuss your goals and medical history. You'll never feel rushed or like a number.
Video or asyncPrescription & Shipping
If clinically appropriate, your personalized GLP-1 prescription is sent to our licensed compounding pharmacy. Medication ships discreetly, directly to your address.
Arrives in 5–7 daysOngoing Support & Refills
Monthly check-ins with Amber, protocol adjustments as needed, and easy refills through your patient portal. Your progress is tracked and supported every step of the way.
Monthly check-insFour Proven GLP-1 Options
Amber will recommend the right medication based on your health history, goals, and how your body responds. All options are compounded by licensed, FDA-registered pharmacies.
Semaglutide
GLP-1 Receptor Agonist · Weekly Injection
The most clinically studied GLP-1 medication. Reduces appetite, slows gastric emptying, and improves insulin sensitivity. Most patients start here.
- Once-weekly subcutaneous injection
- Weeks 1–4: 0.25 mg · Weeks 5–6: 0.5 mg
- Average 10–15% total body weight loss
- Compounded at licensed pharmacy with B12
Tirzepatide
GLP-1 + GIP Dual Agonist · Weekly Injection
A newer dual-action medication that targets two hormonal pathways simultaneously. Typically produces more significant weight loss than semaglutide alone.
- Once-weekly subcutaneous injection
- Weeks 1–4: 2.5 mg · Weeks 5–6: 5 mg
- Average 15–20% total body weight loss in trials
- Ideal for patients who need stronger response
Orforglipron
Oral GLP-1 · Daily Pill · No Injections
Oral GLP-1 receptor agonist — all the benefits of GLP-1 therapy without needles. Multiple dosing options available. Ideal for injection-averse patients.
- Daily oral tablet — no needles required
- Same mechanism as injectable GLP-1s
- Multiple dosing and supply options
- Ask Amber if you're a candidate
All submissions are encrypted and HIPAA-compliant. Eligibility determined during medical evaluation.
A Realistic Timeline
Honest expectations, not highlight reels. Most patients experience a consistent, steady progression over the first 90 days.
Your Body Is Adapting
Mild nausea is common as your body adjusts to the medication — this is expected and typically resolves by week 3. Appetite begins to decrease. Energy may fluctuate. Starting slowly is key.
The "Quiet" Begins
"Food noise" — the constant mental chatter about eating — begins to quiet. Portion sizes naturally decrease without forced restriction. First noticeable weight loss for most patients.
Consistent, Measurable Loss
Weight loss becomes more consistent. Clothes fit differently. Energy levels typically improve significantly. Average cumulative loss at 8 weeks: 4–10 lbs, depending on starting weight and protocol.
New Setpoint Forming
Your body is settling into a new metabolic pattern. Cumulative loss at 90 days typically ranges from 10–18 lbs. Protocol may be adjusted. Habits formed in this phase tend to stick long-term.
Sustained Results & Maintenance Planning
Continued progress toward your goal weight. Provider discussions begin around maintenance strategy — some patients taper dose, others continue. Long-term success is the goal, not just the number.
Everything You Need
No hidden fees. No surprise add-ons. Here's exactly what's included in your medical weight loss program.
Initial Provider Consultation
A dedicated consultation with Amber to review your health history, goals, and determine the right GLP-1 protocol for your physiology.
Personalized Prescription
A custom prescription tailored to your starting point, with a specific titration schedule designed to minimize side effects and maximize results.
Medication Shipped to Your Door
Your compounded medication is dispensed from a licensed, FDA-registered pharmacy and shipped directly and discreetly to your home.
Monthly Provider Check-Ins
Regular scheduled check-ins with Amber to review your progress, address side effects, and make protocol adjustments as needed.
Direct Messaging Access
Message Amber directly through your secure patient portal with questions between appointments — no call centers, no wait times.
Easy Refills & Dose Adjustments
Refills and protocol adjustments are handled seamlessly through your portal. No repeated intake forms or new consultations for established patients.
Weight Loss FAQ
Do I need labs before starting?
Not always. Many patients can begin after completing the intake questionnaire. Amber may request recent labs for certain health histories. If you need labs, we'll guide you to a nearby LabCorp or Quest — no specialist referral needed.
Are the medications FDA-approved?
The active ingredients (semaglutide, tirzepatide) have FDA approval for weight management. Our compounded versions are prepared by licensed, accredited compounding pharmacies that follow strict pharmaceutical standards.
What if I experience side effects?
Nausea, fatigue, and constipation are common in the first few weeks. These are manageable with the right dosing approach — which is exactly why starting slowly under medical supervision matters. Message Amber directly if you have concerns.
Will I gain the weight back when I stop?
Some patients do regain weight after stopping. That's why we focus on sustainable habits alongside medication — and why our maintenance planning phase is built into every long-term program.
How long will I need to be on medication?
It varies by patient. Some reach their goal weight and taper off successfully. Others benefit from long-term low-dose maintenance. Amber will work with you on a plan that makes sense for your life.
Do you accept insurance?
We are a cash-pay practice. This means no insurance bureaucracy, no surprise bills, and transparent pricing. We can provide a superbill for potential HSA/FSA reimbursement upon request.
What states are you licensed in?
We serve patients nationwide. No matter where you are in the US, you can complete your intake, consult with Amber, and receive your prescription shipped directly to your door.
Is this safe if I have diabetes or prediabetes?
GLP-1 medications were originally developed for type 2 diabetes management and are often ideal for patients with diabetes or prediabetes. Your full medical history is reviewed before any prescription is written.
Amber Tomse
MSN, APRN, FNP-C — Board-Certified Family Nurse Practitioner
Amber approaches weight loss the way it deserves to be treated — as a complex medical condition with hormonal, metabolic, and lifestyle dimensions. She doesn't prescribe and disappear. She monitors, adjusts, and works alongside you for the long haul.
Every patient receives a protocol built specifically for their body — not a template. And every question gets a real answer, from a real clinician who actually knows your case.
How to Inject & What to Expect
New to self-injection? These short videos walk you through everything — technique, what's normal, and what to watch for.
How to Inject
Step-by-step injection tutorial from our compounding pharmacy partner. Covers preparation, injection site, technique, and storage.
▶ Watch VideoWhat to Expect
Understand the first few weeks on GLP-1 therapy — common side effects, what's normal, and how to communicate with your provider.
▶ Watch VideoReady to Begin?
Complete your secure intake form and Amber will personally review your case. Prescriptions issued within 48 hours when clinically appropriate.
🩺 Begin Intake Form