The Full Partnership, End to End.
Every consult, every lab, every dose adjustment. Here’s exactly what happens across three months of medically-supervised GLP-1 weight loss with your WOP physician.
Weight Is a Hormone Story — the Whole System, Not Just One Piece.
GLP-1 is the most effective weight-management medication family ever developed. But it doesn’t operate in isolation. Thyroid function, testosterone levels, insulin sensitivity, estrogen and cortisol balance — all shape how your body responds, how fast you see results, and whether those results hold.
A typical GLP-1 clinic prescribes the medication. A WOP physician does that AND reviews the rest of your hormonal system. If a thyroid issue is blunting your response, you hear about it. If testosterone is a missing contributor, it’s evaluated. If insulin resistance is the quiet driver, it’s addressed. The medication is the tool. Optimizing the full system is the goal.
What Gets Measured.
A weight-loss workup that takes hormones seriously requires more than a basic metabolic panel. This is what your WOP physician reviews at intake.
Metabolic Panel
Glucose, HbA1c, kidney and liver markers. Baseline for safe prescribing and adjacent issue detection.
Lipid Profile
Total cholesterol, LDL, HDL, triglycerides. Cardiovascular context for anyone starting a weight-loss program.
Thyroid (TSH, Free T3/T4)
Thyroid dysfunction mimics and blunts weight-loss results. Every panel screens.
Testosterone (Total + Free)
In men: often low and contributing to weight issues. In women: under-measured but increasingly relevant.
Estradiol (in relevant cases)
For women, estradiol status affects fat distribution and response to therapy. Assessed when clinically appropriate.
Insulin & HOMA-IR
Fasting insulin and calculated insulin resistance index. Often the hidden driver behind "diet-resistant" weight.
Inflammation (hs-CRP)
Low-grade systemic inflammation affects hormone metabolism and weight regulation.
Complete Blood Count
Safety screen. Standard in any well-run hormonal workup.
Week by Week, What Actually Happens.
Week 1 — Intake & labs
A 45-minute video consult with your physician. Full history, medications, goals, and what you’ve tried. A lab order goes out the same day for the full metabolic + hormone panel. Walk-in collection at a LabCorp or Quest, results back in 3–5 business days.
Week 2 — Protocol consult & medication ship
A second consult to review labs together. Your physician designs the GLP-1 protocol and addresses any hormonal findings that need attention. Medication ships that day or the next — an FDA-approved GLP-1 by default, or, only when the chart documents a specific clinical reason, a compounded version from a state-licensed U.S. compounding pharmacy.
Weeks 3–4 — Starting dose
You begin on a low, well-tolerated starting dose. Appetite shifts often begin in the first week. Mild GI effects are most likely in this adjustment window. Substantial physician messaging is available the entire time (per the Care Policy posted on the patient portal).
Week 5 — First titration consult
Structured check-in with your physician to review response — scale trend, appetite, side effects, energy. Dose may be adjusted up, held, or (rarely) paused based on individual tolerance and response.
Weeks 6–8 — Steady optimization
You’re likely at an effective dose. Weight trend becomes steadier, side effects minimal. This is the sweet spot of the program — use the included physician access freely for plateau troubleshooting, hormonal follow-ups, lifestyle questions, anything.
Week 9 — Mid-program review
Comprehensive physician visit. If warranted, follow-up labs are ordered. Protocol refined further; hormonal adjuncts added if labs support them (e.g., thyroid replacement, testosterone optimization).
Weeks 10–11 — Consolidate
Final dose tuning based on the mid-program labs. Conversation shifts toward sustaining the trajectory — lifestyle practices, nutrition, stress, sleep — because the medication works best when the supporting habits are in place.
Week 12 — Final review & transition
End-of-program video visit. Full comparison of starting vs. ending labs, weight trend, symptom changes. Honest physician recommendation on next steps: continue on a maintenance protocol (separate pricing), taper off, or stop. Always your choice.
Every Piece of the Program, One Rate.
Substantial Physician Access
For the full three months. Intake, titration, plateau troubleshooting, hormonal follow-up, pre-transition planning — all included per the access policy posted on the patient portal.
Full Metabolic + Hormone Lab Panel
At intake, plus any physician-ordered follow-up labs mid-program. Collected at a walk-in LabCorp or Quest.
GLP-1 Medication
Prescribed by your physician. The default is an FDA-approved GLP-1 medication; a compounded version (typically containing semaglutide or tirzepatide as the active ingredient, prepared by a state-licensed U.S. compounding pharmacy) may be prescribed only when the chart documents a specific clinical reason. Discreet shipping.
All Injection Supplies
Syringes, alcohol pads, sharps disposal. No extra charge, no ordering hassles.
Direct Physician Messaging
Secure messaging for questions between consults. Real clinical judgment, typical response within business hours.
Hands-On Dose Titration
Multiple dose adjustments across the 12 weeks, based on individual response. Not algorithmic.
Hormonal Adjuncts When Indicated
If your labs warrant thyroid optimization, testosterone therapy, or similar, the affiliated physician addresses it inside the program where clinically appropriate.
End-of-Program Review
Final physician visit with an honest recommendation on what comes next. No auto-renewal.