● Medical Weight Loss ●
Build a weight loss practice that outlasts the GLP-1 gold rush
Demand for physician-led weight management has never been higher — and neither has competition from telehealth startups and med spas. The durable practices are built on program economics, retention, and compliance, not on a single medication’s momentum.
Sound Familiar?
A booming market is not a business model
Margin whiplash
Medication sourcing costs, shifting compounding rules, and payer unpredictability can swing program margins wildly — pricing has to be built on real unit economics, not last quarter’s.
Attrition kills the model
Weight-loss revenue is retention revenue. Programs that lose patients at month two never recover their acquisition cost, no matter how strong the marketing funnel looks.
Regulatory ground keeps moving
Compounded medication rules, telehealth prescribing standards, and advertising claims are all under active enforcement attention. What competitors are doing is not a compliance strategy.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your weight loss practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside weight loss practices
The business architecture of a medical weight management program that survives medication cycles and competitor churn.
■ Program & pricing design
Tiered programs, membership models, and bundled pricing built from true unit economics — medication, provider time, monitoring, and support — with margin at every tier.
■ Retention operations
Onboarding sequences, check-in cadence, progress visibility, and re-engagement workflows — lifetime value is the whole game in this specialty.
■ Medication strategy
Sourcing, inventory, and protocol economics across GLP-1s and alternatives — and scenario planning for the next supply or regulatory shift.
■ Compliant growth marketing
Acquisition funnels and offer design that respect advertising and prescribing rules — growth built to survive scrutiny, tracked to cost-per-acquired-patient.
■ Staffing & delegation model
Provider, NP, and coach roles designed so physician time concentrates where it’s clinically required and economically justified.
■ Integration with existing practices
For primary care, chiropractic, and other owners adding weight management: service-line modeling, workflow design, and launch sequencing that protects the core practice.
“The medication may get patients in the door. The program — and the operations behind it — is what builds a practice.”
Questions
Frequently asked questions
Is a medical weight loss practice still profitable?
How should I price a medical weight loss program?
Can I add weight loss services to my existing practice?
What compliance issues should weight loss practices watch?
The Medical Weight Loss briefing series
Five sourced, data-driven reports on the business of running a medical weight loss practice.
Medical weight loss compliance: compounded GLP-1 status after the shortage ended, telehealth licensure rules, and FTC advertising substantiation.
GLP-1 program economics after the price collapse: cash pricing, drug pass-through, and how to build a per-patient-per-month margin model.
Coverage reality, Medicare IBT codes, E/M and counseling billing, and hybrid models for obesity medicine practices deciding between insurance and cash-pay.
Payer data shows most patients stop GLP-1 therapy within a year. Program design and retention economics for medical weight loss practices.
Scaling medical weight loss with NPs and PAs: scope rules, incident-to billing, protocol design, and what breaks at the second location.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation