Medical Weight Loss

How it works

  • 1. Schedule Your Initial Consultation

    You can book an appointment online or call our office!

  • 2. Complete Sign Up Page

    After booking an appointment, you will receive a text from our office with a signup page to complete. There is a $50 consultation fee to pay at the end of the sign up page. Once this is sent you will have 72 hours to complete. If this is not completed within that timeframe, we will release the appointment. Your $50 consultation fee goes towards your first month's membership if you decide that NP Modalities is right for you!

  • 3. Complete Intake Forms

    After finishing your signup form, you will receive intake/consent forms. We like for these to be completed at least the day before your booked appointment.  This allows our practitioners to learn more about you prior to your appointment!


    Note* If they are not completed we will have to reschedule your appointment.


    Our office will also reach out to you prior to your appointment to put a payment method on file. This allows our practitioners to be able to place your medications the same day of your appointment. If you decide NP Modalities isn't right for you, there will be no charges for membership or medications.

  • 4. Show Up!

    You've done the hard part! Now your practitioner will go over your intake form, inform you about medications offered, a personalized treatment plan just for you, and any questions you may have!

  • 5. Receive Treatment

    Medications are typically shipped within 2-4 business days from the pharmacy to your door!  If you have any questions once you receive your medications, please free to contact your practitioner, they are cheering you on! 


Weight loss

You Are NOT Alone

Weight loss can be a sensitive topic and struggle for many people often creating a strain on mental health. Obesity affects more than 1 in 3 adults in the U.S -  leading to increased risk for type 2 diabetes, cardiovascular events, liver disease, kidney disease, and many other comorbidities.


At NP Modalities, you will receive a personalized and comprehensive weight loss plan that is sustainable  for the long run. We look beyond diet and exercise, addressing hormone imbalances, insulin resistance, stress, and sleep to help you see real, long lasting results.

Note: Hormone imbalances, insulin resistance, and chronic inflammation can significantly impact weight loss. Managing stress, improving sleep, and ensuring proper nutrition are also key factors in achieving lasting results.

Potential Treatment Options

*Please note these treatments are not "magic" - they are simply tools that you can use in combination with diet and activity to hit your goals. We will be cheering you on all the way! *

Liraglutide

This is a Glucagon-like Peptide (GLP-1) Receptor Agonist. GLP-1 is one of the incretin hormones naturally produced in the body which tell us to stop eating.

What does it do?

  • Delays how quickly the stomach digests food leading to a feeling of fullness giving better portion control as well as reduction in cravings.


  • Delayed intestinal motility allowing the feeling of fullness for longer after meals.


  • Stimulation of insulin secretion by pancreas to lower blood glucose values by helping the cells use glucose from what you consume INSTEAD of storing as fat and also by reducing production of sugar in the liver termed glycogenesis.


  • Reduces inflammation throughout the body.

Contraindications:

  • Family or personal history of medullary thyroid carcinoma
  • Multiple endocrine neoplasia syndrome  (Type 2)
  • Hypersensitivity
  • Type 1 Diabetes
  • History of pancreatitis (talk with provider)



Phentermine

This is a daily oral medication for weight loss and definitely one of the oldest prescription medications available for this indication being first introduced in the 1950s. This medication is a norepinephrine uptake inhibitor which helps to suppress appetite helping to provide a caloric deficit needed to lose weight.

Phentermine + Topiramate

This drug combination is a great choice for those who need help with curbing appetite, but also struggles with late night cravings or specific food cravings. It will help with controlling hunger and help resist cravings throughout the day. It begins to work immediately after taking.


*This is a short term management option*

Contraindicated In:

  • Uncontrolled blood pressure
  • Glaucoma
  • Diabetes
  • Hyperthyroidism
  • Mental health disorders
  • Alcoholism
  • History of MI or chest pain or other significant cardiac history

*If you are seeing a Cardiologist, you will need clearance from them as this is a stimulant. EKG may be needed depending on reported medical history. 

Buproprion/ Naltrexone

What does it do?

This is an oral medication taken to help with weight loss and is especially helpful for patients who may be low on motivation or have symptoms of depression. This is also great for patients with cravings or binge-eating. This medication combines an antidepressant to regulate mood with an opiate antagonist which blocks certain receptors in your brain cells. This allows the target of two areas of the brain linked to cravings and urge to eat. The two medications work to help with reduction of appetite.

Contraindicated In:

  • Seizure disorder
  • Alcohol abuse
  • Glaucoma
  • Alcohol or opioid use or withdraw
  • Black box warning for this combination for those with major depression or other psychiatric disorders due to increased risk for suicide in those patients

Possible Adjunctive Add-on Therapies

* Consult with your doctor *

Sermorelin 

(weight loss, muscle increase, improved sleep, less fatigue, and better mental clarity)

Sermorelin is an injectable peptide that works to help with burning of fat, increasing lean muscle mass, improving your hormone balance, and improved immune response through stimulating production of hormones in the pituitary gland.


Benefits:

  • Increased muscle mass
  • Improved fat loss
  • Enhanced recovery and healing
  • Boosted immune function
  • Enhanced bone density
  • Increased energy levels
  • Enhanced overall physical performance



Low Dose Naltrexone (LDN)

LDN has been shown to assist with weight loss and increased control with metabolism. Naltrexone is an FDA-approved drug that was created to treat patients suffering from opioid addiction in the 1980s. LDN uses one-tenth of a naltrexone dose which is why it is called low-dose naltrexone. The most common form of LDN is a capsule taken at night time because it can assist with sleep. 


We commonly use this in those with chronic inflammatory or autoimmune conditions who are also struggling with weight. This may also be useful in those with chronic pain.


Visit https://ldnresearchtrust.org/ if you would like to see a more complete list of all things LDN can be used for.


Benefits of LDN:

  • Regulate Appetite
  • Better sleep
  • Reduces Stress
  • Controls Your Metabolism
  • Reduces Binge Eating/cravings
  • and much more

Lipo-Mino with L-Carnitine

(fat burner, energy boost, build muscle, and better clarity)

  • Methionine - helps to breakdown sugar and carbs for conversion for energy
  • Inositol - helps convert food into energy
  • B12 -  boosts energy, helps metabolic rate, burns stored fat, helps detox, helps with sleep regulation, helps with mood and appetite
  • Choline-  Distributes cholesterol, supports fat metabolism, and cell membrane function
  • L-carnitine - helps to convert body fat to fuel for use and also elevates certain enzymes needed for metabolism
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