Home GLP-1 Off-Ramp

Your GLP-1 Off-Ramp Starts Here

This is not just another plan. It is a structured, physician-led program backed by published results. Unlike most people who regain twice the weight twice as fast after stopping medication, our patients taper off GLP-1s and keep the weight off for good.

Peer-Reviewed Research · Published One-Year Results

This program is HSA/FSA eligible.

GLP-1 Off-Ramp program support and healthy lifestyle

Real Results, Proven by Research

Our patients are losing weight and keeping it off, demonstrating that our lifestyle-first approach is outperforming medication alone in long-term success.

43lbs
Avg. Weight Loss
76%
Continued to lose weight after 12 months
1.1%
Avg A1C reduction
13mmHg
Avg Systolic Blood Pressure Reduction
1.9
Avg Medication Deprescription

Related published research

Evidence behind the broader TOWARD care model.

The GLP-1 Off-Ramp is designed around more than a medication decision. Coaching, education, monitoring, and support around appetite and food-related behaviors are part of the broader TOWARD model.

46%improved food addiction symptoms
81%improved binge eating symptoms

These percentages describe 37 participants with paired assessments in a 44-person cohort.

Important distinction: This 2025 observational study evaluated food addiction and binge eating symptoms in an employee wellness cohort. It did not evaluate GLP-1 tapering or medication discontinuation. We include it because it examines the broader support model used across Toward Health care.

Read the Peer-Reviewed Study
Graphical abstract summarizing Toward Health food addiction and binge eating research

What Most Patients Aren’t Told

GLP-1 medications like Ozempic and Wegovy can be powerful tools, but they come with real risks most providers aren’t equipped to manage.

GLP-1 medication and discontinuation considerations

Some people discontinue GLP-1 medication because of side effects, cost, access, or personal preference.

Weight regain can occur after discontinuation, making a structured maintenance plan important.

Weight loss can include lean mass as well as fat; adequate protein and resistance training can help preserve strength.

Long-term treatment decisions are individual and should consider benefits, risks, tolerability, and health goals.

Wegovy carries a boxed warning for thyroid C-cell tumors based on rodent studies; it is unknown whether this risk applies to humans.

We provide a structured, physician-led plan for clinically appropriate tapering and long-term weight maintenance.

How Our Program Works

Enroll in Program
Clinical
Screenings
Lifestyle
Coaching
Medication
Review
Built-In
Off-Ramp
Sustained
Maintenance

What You'll Get

A clear, structured plan to taper off GLP-1s safely and effectively
15 scheduled visits with your medical provider, clinical team, and health coach
Access to our mobile app and private digital community for daily support
Structured low-carb nutrition and movement plans personalized to you
Weekly group coaching sessions to reinforce progress and connection
Lab work and real-time monitoring

Not sure yet? Book a call to ask questions and see if this is a good fit.

Medication Is One Part of Your Metabolic Health

Weight, blood sugar, sleep, stress, nutrition, movement, and medication influence one another. We look at the whole picture so your off-ramp supports sustainable health beyond medication.

Metabolic health tree showing interconnected conditions and health factors
Toward Health multidisciplinary care team

A note from Dr. Tro Kalayjian, Founder

“I used to weigh 350 pounds. Even as a doctor, I couldn’t outthink the cravings, the emotional eating, or the grip ultra-processed food had on me. I tried everything until I finally faced the real problem. It wasn’t just about calories or willpower. I had to confront the addiction, the years of failed diets, and the emotional triggers that kept me stuck. That turning point became the foundation of this program. Now, it’s my mission to help others see they can break free too.”

Take the Next Step

GLP-1s might be a starting point, but they should not define your future. We help you take back control of your health, with or without medication.

This program is HSA/FSA eligible.

$500 registration fee
$500/month for 6 months*

*Participants are automatically enrolled in our Maintenance Program after 6 months, with the flexibility to cancel at any time following the initial program term.

Care Team

Every patient receives a dedicated doctor, dedicated health coach, and dedicated care coordinator, with real-time remote monitoring, urgent issue escalation, and coordination with existing medical teams.

Dr. Tro Kalayjian, founder of Toward Health

Start with
The Food Relationship Fix

Our $199 webinar to help you take control of emotional eating. Available now in the Toward Health app with lifetime access.

The Food Relationship Fix clinical and coaching team

Step Off Medication With Confidence.

Build the support and skills to maintain your progress beyond GLP-1 medication.

Contact Us

Apply Now

Careers Application

Join us September 20 for our Grand Opening Celebration at Toward Health followed by a Meat Up Social with great food, community, and exclusive swag!