Medical weight loss is a physician-supervised approach to weight management that combines clinical evaluation, evidence-based treatment, lifestyle support, and ongoing follow-up. At My Concierge MD, David Nazarian, MD, a board-certified internal medicine physician, evaluates each patient’s medical history, medications, metabolic health, weight history, and goals before recommending a treatment plan.
This page is the primary resource for our medical and medically supervised weight loss program in Beverly Hills and Los Angeles. The goal is not simply rapid weight loss. It is to improve weight-related health risks, preserve lean mass, support sustainable habits, and use medications responsibly when they are clinically appropriate. For more detailed guidance on physician-supervised weight management and medication options, visit our Los Angeles medical weight loss clinic resource.
What a Physician-Supervised Weight Loss Program May Include
- Detailed medical and weight-history review
- Assessment of medications that may contribute to weight gain
- Laboratory testing when clinically appropriate
- Evaluation of glucose, insulin resistance, lipids, thyroid function, and other metabolic factors when indicated
- Nutrition and activity planning tailored to the individual
- Prescription weight-loss medication when appropriate
- Monitoring for side effects, contraindications, and drug interactions
- Regular follow-up to assess progress and adjust treatment
- Long-term maintenance planning after initial weight loss
GLP-1 and Related Weight Loss Medications
This physician-supervised program is the main overview of medical weight loss at My Concierge MD. For a medication-focused explanation of indications, safety, and monitoring, review our GLP-1 medication guide and tirzepatide information. Medication selection depends on clinical eligibility, contraindications, and shared decision-making; not everyone needs or is a candidate for prescription treatment.
For appropriate patients, medical treatment may include FDA-approved weight-management medications or other medications used according to their approved indication or, when appropriate, off-label with informed discussion. GLP-1 and related therapies such as semaglutide and tirzepatide can reduce appetite and improve metabolic control in selected patients, but they are not appropriate for everyone.
Medication choice depends on medical history, BMI and weight-related conditions, prior treatment response, side-effect profile, other medications, insurance and access considerations, and patient preference. Treatment should include monitoring rather than simply dispensing medication.
Patients who want more detail can review our GLP-1 medications overview, our dedicated Tirzepatide for Weight Loss page, and our evidence-focused Retatrutide for Weight Loss page. Retatrutide remains investigational and is not FDA-approved.
Medical Weight Loss vs. Commercial Diet Programs
Commercial programs often focus primarily on calorie restriction or a standardized meal plan. A physician-guided program can also evaluate medical contributors to weight gain, treatment contraindications, medication interactions, metabolic risk, and whether prescription therapy is appropriate. The plan should be individualized rather than based on a single protocol for every patient.
What Happens at the Initial Consultation?
The initial consultation focuses on understanding the patient’s weight history, previous attempts at weight loss, current diet and activity, sleep, medical conditions, medications, family history, and goals. Laboratory or diagnostic testing may be ordered when the result is likely to influence treatment.
Weight Loss and Metabolic Health
Weight management often overlaps with blood pressure, cholesterol, insulin resistance, type 2 diabetes risk, fatty liver disease, sleep apnea, and other metabolic conditions. Improving weight can help some of these risks, but each condition still requires appropriate medical evaluation and treatment.
Preserving Muscle During Weight Loss
Loss of lean mass can occur during significant weight reduction. A well-designed medical program should therefore consider adequate protein intake, resistance exercise, physical activity, and body-composition goals rather than focusing only on the number on the scale.
Ongoing Follow-Up and Maintenance
Long-term planning includes reviewing weight trends, nutrition, physical activity, muscle preservation, tolerability, and changes in cardiometabolic health. Dr. David Nazarian is board-certified in internal medicine. Patients seeking personalized ongoing care may also explore Concierge Medicine, or request a medical weight-loss consultation.
Weight management is usually a long-term process. Follow-up visits are used to review progress, side effects, adherence, nutrition, activity, and whether medications should be continued, adjusted, or stopped. Maintenance planning is important because weight regain can occur after treatment changes or medication discontinuation.
How Medical Weight Loss Fits Into Longevity Care
Medical weight management is part of My Concierge MD’s broader Longevity Medicine program because body composition, metabolic health, cardiovascular risk, sleep, and long-term function are closely connected.
Frequently Asked Questions
What is medically supervised weight loss?
Medically supervised weight loss is a physician-guided program that evaluates health history, weight-related risk factors, lifestyle, and medication options, with ongoing monitoring and adjustment.
Do I need medication to participate?
No. Medication is only one possible tool. Some patients may be managed with nutrition, exercise, behavior change, treatment of contributing medical conditions, or a combination of approaches.
Are semaglutide and tirzepatide appropriate for everyone?
No. These medications have contraindications, potential side effects, and monitoring requirements. A physician should review medical history and current medications before treatment.
How often are follow-up visits needed?
Follow-up frequency depends on the treatment plan, medication use, side effects, and clinical progress. More frequent monitoring may be appropriate during medication initiation or dose changes.
Written by David Nazarian, MD
Board Certified in Internal Medicine
Founder, My Concierge MD
To discuss physician-supervised medical weight loss in Beverly Hills or Los Angeles, schedule a consultation with My Concierge MD.
Medically reviewed by David Nazarian, MD on