Home / Programs

The VPMC medical weight loss program

One consult, a plan, then monthly visits until you reach your goal. Medication when it is right for you, nutrition and coaching for everyone.

Who this is for

  • Adults with a BMI of 27 or higher who have tried on their own
  • Anyone whose weight is driving blood pressure, blood sugar, cholesterol, joint pain or sleep apnea
  • Patients who want medication prescribed and monitored by a physician, not a website
  • VPMC primary care patients who want weight care in the same record

What's included

  • 30-minute consult with the obesity medicine team
  • Labs and body-composition measurement
  • FDA-approved anti-obesity medication when appropriate, prior authorization handled
  • Dietitian visit and a personalized food plan
  • Monthly follow-ups, in person or by video
  • Messaging between visits through the patient portal
  • Health coaching for habits that last

How it works

  1. Book a consult online, or call or text. Bring your medication list and any recent labs.
  2. At the consult we set a realistic target and start the plan. If medication is appropriate, we send the prescription and start prior authorization the same day.
  3. You see the dietitian within two weeks, then the provider monthly. We adjust dose, food plan and activity each visit.
  4. When you reach goal, you move to the Maintenance program.

Common questions

Do I need a referral?

No. Book online, or call or text us. If your doctor referred you, we send them a summary after your first visit with your permission.

Is this covered by insurance?

The consult and follow-up visits are covered by most plans as medical visits. Medication coverage depends on your plan; use the coverage checker on our insurance page and we verify your exact benefits before you come in.

How fast will I lose weight?

Most patients on a medical program lose 1–2 pounds a week in the first months; medication, when appropriate, often adds to that. We set a target together at the first visit and adjust the plan monthly.

Do you prescribe GLP-1 medication?

When it is medically appropriate, yes. We prescribe FDA-approved anti-obesity medications, handle prior authorization, and monitor you monthly. Medication is one tool in a plan that also includes nutrition and habits.

Can I do visits by video?

Yes. After the first visit, most follow-ups can be by secure video anywhere in Virginia. Body-composition checks are in person.

Is the program safe if I have diabetes or heart disease?

That is exactly who should be in a physician-led program. Dr. Palagiri is board certified in Internal Medicine and Obesity Medicine, and your weight plan is coordinated with your other conditions and medications.

Start with one 30-minute consult.

An insured medical visit with our obesity medicine team, in person or by video.