Medical Weight Loss

Your last stop on the diet train. You’ve tried diets, exercise, and programs but still feel stuck. We understand. Your dedicated physician, health coach, and care coordinator work together. Between visits, the Toward Health app, guided curriculum, and real-time weight, blood sugar, and blood pressure monitoring keep you connected. No guilt. No shame. Just real solutions that fit your life.

Peer-Reviewed Research · Published One-Year Results

This program is HSA/FSA eligible.

When effort stops matching results

You have made meaningful changes, but progress has stalled.
Hunger, cravings, eating patterns, or metabolic concerns complicate the picture.
Short-term programs have not provided coordinated medical guidance.

A dedicated physician, health coach, and care coordinator use medical care, education, app support, and monitoring to build and adjust your plan.

In the news

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Video interview
Expert commentary
Kennedy interview
Louisiana feature
Public TV interview
Local news interview
Diet DoctorPhysician interview
Expert citation
Magazine feature

One Year Data of Life-Changing Weight Loss

Our patients have achieved incredible, lasting results—all without relying on medications. They’re living the lives they never thought possible, and we couldn’t be more proud of their transformations.

Sustainable Weight Loss and Improved Health

AVERAGE

WEIGHT LOSS

AVERAGE A1C

REDUCTION*

AVERAGE MEDICATION

DEPRESCRIPTION

mmHg

AVERAGE SYSTOLIC

BLOOD PRESSURE
REDUCTION*

mmHg

AVERAGE DIASTOLIC

BLOOD PRESSURE
REDUCTION*

Who we help.

Cravings or eating patterns feel hard to control.

Binge eating, emotional eating, or cycles of overeating keep getting in the way.

Metabolic health conditions are affecting daily life.

You’re living with obesity, diabetes, hypertension, or sleep apnea and want lasting relief.

You need guidance around GLP-1 medication.

You’re considering starting, currently taking, or hoping to discontinue medication while maintaining progress.

Surgery or medication hasn’t delivered the outcome you hoped for.

You’re exploring bariatric surgery, want to exhaust alternatives first, or need a new approach after treatment.

How Our Program Works

Metabolic disease isn’t just something we treat — it’s something we’ve experienced firsthand. This personal connection drives our commitment to help you overcome it.

Enroll in Program

Dedicated Onboarding

Structured Physician & Health Coaching Meetings

Remote Monitoring & Devices

Diagnostic Testing

App Resources

Why Our Program Works

Our program fits your life, your goals, and your challenges. With the right tools and support, you can break free from frustration and build lasting change. Thrive on your terms.

A Proven Approach Backed by Experience

Get Off the Diet Binge Roller Coaster

Navigating the Internet Buzz & Regain Control

We’ve Been in Your Shoes

Personalized Support That Works for You

Accountability Every Step of the Way

Addressing the Root Causes, Not Just Symptoms

Achieve Results That Truly Last

Your Partner in Overcoming Metabolic Disease

Empowering You to Take Back Control of Your Health

High Accountability & Evidence-based Medical Care

Medical Weight Loss Program

Under the leadership of Doctor Tro Kalayjian and Dr. Laura Buchanan, our care team provides personalized, evidence-based support built around your goals and daily life. Together, we help you build sustainable habits and improve your metabolic health with clear guidance at every step.

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

Where our clinicians have trained, taught, researched, and led.

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Yale Training + invited lecture
Stanford Medicine IRB/Data Agreement
Wake Forest School of Medicine Coauthored research
Greenwich Hospital Grand Rounds
University of South Florida Education + research
UC Santa Barbara Invited lecture
University Hospitals Invited lecture
Virginia Commonwealth University Medical Grand Rounds
The Obesity Society Invited lecture
AAHPO Invited speaker
SMHP Founding board
Coalition for Metabolic Health Advisor
Montefiore Clinical experience

Find Freedom From Diets
That Don’t Work

Join our 24-week GLP-1 & Medical Weight Loss Program and begin your journey Toward Health today.

Frequently Asked Questions

Am I required to commit to the program?

Yes, each of our programs requires a full commitment. Our medical weight loss program has a 6-month commitment. There are no cancellations, and all members are expected to complete the full duration. Our goal is to be long-term partners in our patients’ care, supporting their journey toward lasting health and success.

Can I use my HSA & FSA Accounts to enroll in a program or purchase equipment?

Yes! You can use your HSA/FSA for our metabolic health programs and equipment.

Do you accept insurance?

We are considered an out-of-network provider. If you have commercial insurance that includes these types of benefits you may be entitled to reimbursement from your insurance for your program. We are happy to submit these out-of-network insurance claims for you but please be advised that reimbursement depends on your out-of-network benefits which usually have higher deductibles than in-network services.

How do I fulfill my labs or imaging orders?

We work closely with Lab Corp and BioReference Labs to fulfill your lab orders. We have created many networks of imaging centers across the country. Keep in mind, if you have insurance with co-pays, deductibles, or coinsurance you may see a balance from the lab for testing.

If you do not have any insurance, we have created a cash-pay/self-pay cost through these providers.

How many appointments do I get in the program?

In a typical program, patients will see a mix of visits with their medical provider 4 times per year, patients will also get an onboarding call with our medical assistant to gather and integrate all their prior records and a health coaching onboarding to understand their lifestyle goals. We also have several weekly group meetings that are open to all patients.

What's included in the program?

Personalized Remote Monitoring Equipment based on your medical needs.
CGM Prescription if medically indicated.
15 Total Appointments available virtually or in-office to fit your schedule.
Comprehensive Onboarding Process, including:
- An initial call with our office to answer questions and gather your medical history.
- A dedicated onboarding call with your Health Coach to kickstart your weight loss journey.
- A detailed Week One Appointment with both your provider and Health Coach to launch your program.
Structured Support & Ongoing Follow-Ups with your provider and preferred Health Coach, following a guided process and curriculum.
Premium Access to the Toward Health App, featuring exclusive resources such as meal replacements, grocery lists, recipes, community support, group coaching, mini-meetings, and early access to podcast recordings.
Comprehensive Blood Work Evaluation to monitor critical health changes and assess potential medication reductions.
Customized Exercise Plans available to support your journey.
Insurance & Reimbursement: We are an out-of-network provider. If your commercial health insurance plan includes out-of-network benefits, you may be eligible for reimbursement.

What's not included in the program?

While the office will order you comprehensive labs or imaging, we do not provide these as an in-office service. Outside order for labs, imaging, sleep studies, or cardiac monitoring can be ordered by your office but the costs of these depend on your insurance coverage and lab/imaging providers.
We can order and prescribe medications, provide referrals to outside providers, and supply Continuous Glucose Monitors but these are not included in the cost of your program.
If you require additional visits or in-office tests that are outside of a typical program, we can work with you to submit these claims to your out-of-network medical insurance benefits.

Talk with our concierge team

Choose a date and time below for a free 20-minute discovery call with our team.

This is not a medical appointment. For new, non-clinical inquiries only. Existing patients should use their secure care channel or call (845) 397-2873. Do not include medical information in the scheduling form. For a medical emergency, call 911. Review our Privacy Policy and Terms. For scheduling help, call (845) 397-1115.