Board-certified obesity medicine · Lansdowne and Reston · Virginia telehealth
Medical weight loss that your doctor's office stands behind.
A physician-led program: a thorough consult, medication when it is right for you, a dietitian, a health coach, and monthly visits until you reach your goal — then a plan to keep it.

Four programs, one medical team
Medical weight loss
The core program: consult, medication if appropriate, nutrition, monthly visits.
Learn more →Surgery-Ready
Reach the weight your surgeon needs for a joint replacement, hernia repair or bariatric evaluation.
Learn more →Metabolic Reset
For prediabetes, type 2 diabetes, fatty liver and high blood pressure tied to weight.
Learn more →Maintenance
Keep it off after you lose it, including a safe plan when coming off medication.
Learn more →Why a doctor's office instead of an app
- Physician-led. Dr. Vandana Palagiri is board certified in Internal Medicine and Obesity Medicine and a Washingtonian Top Doctor.
- In network. Visits are billed to your insurance through Privia Medical Group. We handle medication prior authorization.
- Whole-person. Diabetes, blood pressure, thyroid, sleep and mood are managed in the same record, by the same team.
- A real dietitian and a real coach. Mital Sarada, RDN, and Duke-trained coach Kundana Palagiri are on staff, not a chatbot.
- Next to the hospital. Offices on the Inova Loudoun and Reston Hospital campuses, plus video across Virginia.
Does my insurance cover medical weight loss?
We verify your exact benefits before your first visit. Coverage answers describe plans in general, not your personal benefits.
What a first month looks like
Your team

Vandana Palagiri, MD
MD, Board-Certified Internal Medicine, Board-Certified Obesity Medicine
Founder and Medical Director of VPMC, board certified in Internal Medicine and Obesity Medicine and recognized as a Washingtonian Top Doctor. Serving Fairfax and Loudoun counties since 2011.

Mital Sarada, RDN
RDN (Registered Dietitian Nutritionist)
Registered Dietitian Nutritionist with over 15 years of clinical experience; an integral part of VPMC's medical weight loss program and wellness coaching.

Kundana Palagiri
Duke-Trained Health & Well-Being Coach
Duke-trained Health & Well-Being Coach and former Microsoft and Meta technology leader who works with busy, high-performing adults, especially in midlife.
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.
Most new patients are seen within 7 days, in person in Lansdowne and Reston or by video.