The Hormone ClinicComprehensive women's healthcare
The Injection Clinic →The Concierge Clinic →
Midlife metabolic care

The weight moved to your middle. That's physiology.

Estrogen decline shifts fat storage toward the abdomen, muscle mass drifts down, and insulin resistance drifts up — with your habits unchanged. Treating that as a discipline problem hasn't worked because it isn't one.

Our approach

Management, not a medication vending machine

Midlife weight care here starts the same way everything else does: a full consultation and targeted labs — metabolic panel, thyroid, A1c, lipids, and the hormonal context of perimenopause or menopause, which often deserves treatment in its own right.

How we handle GLP-1 medications

Our model is clinical management, not drug sales. When GLP-1 therapy (such as semaglutide or tirzepatide) is clinically appropriate, your prescription is filled through a regular licensed pharmacy — using your insurance, manufacturer savings or self-pay programs where you qualify. We don't sell, stock, or compound the medication, and our fee buys clinical care, not product.

What that clinical care includes:

  • Candidacy evaluation — whether a GLP-1 is appropriate for you at all, and which option fits your history and coverage. Medication is prescribed only when clinically appropriate after evaluation by a licensed clinician — starting care is not a guarantee of a prescription.
  • Dose titration and side-effect management — the part that determines whether GLP-1 therapy is tolerable and sustainable
  • Muscle protection — protein targets and strength-training expectations from day one, because rapid weight loss without them costs muscle you cannot afford to lose in midlife
  • The hormonal context — weight, sleep, and hormone therapy decisions interact; managing them in one place is the point of this practice

Why we won't promise you a prescription

Because no legitimate clinic can. GLP-1s have real contraindications and real side effects, and a plan that starts with the drug rather than with you is marketing, not medicine. What we can promise is a straight answer: whether medication makes sense in your case, and a serious plan either way.

Questions

Asked in almost every consult.

Do you prescribe semaglutide or tirzepatide?

When it's clinically appropriate after evaluation, yes — prescribed to a licensed pharmacy, never sold from our shelf. If it isn't appropriate for you, we'll explain why and what we'd do instead.

How much does the medication cost?

Medication costs are set by pharmacies, insurers, and manufacturer programs, not by us — they range widely. We'll help you navigate coverage and legitimate savings programs; our own fees are published on the pricing page and cover clinical management only.

Can hormone therapy help with weight?

Hormone therapy isn't a weight-loss drug, and we won't market it as one. It can improve sleep and hot flashes — which removes real obstacles to the things that do move weight — and may influence fat distribution. It's evaluated on its own merits alongside the weight plan.

What about compounded semaglutide?

We prescribe FDA-approved products through licensed pharmacies. Consistent with this practice's standing policy — no compounding, no pellets — we don't use compounded GLP-1s.

By appointment · Los Angeles & San Fernando Valley · California telehealth

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