Home - Text2MD

Text2MD

Now Serving

14 U.S. states

AL CA FL GA IA ID IL MD NJ NY SC SD UT VA
Don’t see your state? View availability →
Physician-Guided GLP-1 Weight Loss

GLP-1 treatment. Without the assembly line.

Personalized semaglutide and tirzepatide care with a board-certified internal medicine physician who continues managing your treatment— without rotating providers or a required monthly weight-loss membership.

✓ Semaglutide programs from $112
✓ Tirzepatide programs from $190
✓ Medication included at applicable starting program prices
✓ Same physician throughout treatment
★★★★★ Verified patient reviews
• ABIM Board-Certified Internal Medicine
• Text Consultations available today
Consultation request takes about 2 minutes.
Typical medication delivery: approximately 48–72 hours after physician approval and pharmacy processing. Eligibility, prescribing, appointment availability, pharmacy processing, and delivery times may vary. Medication is prescribed only when medically appropriate.
Credentials & Patient Trust

Medical credentials that support your care.

Text2MD combines board-certified internal medicine with focused obesity-medicine medication management education and physician continuity throughout treatment.

Miguel Antonatos, MD
ABIM Board-Certified Internal Medicine
The physician who evaluates you continues managing your treatment, including follow-up and dose decisions.

Credentials at a glance

Internal-medicine board certification plus focused obesity-medicine medication management education.

Board Certified
American Board of Internal Medicine certification badge
American Board of Internal Medicine Board Certified Internal Medicine
OMA
Obesity Medicine Association Medication Management Microcredential
Obesity Medicine Association Medication Management Microcredential
2026 BusinessRate Best of Award. Recognition based on the practice’s verified review history and patient satisfaction.
Why Text2MD

Built for continuity. Not volume.

Your treatment can stay with the same physician who already knows your history, response, side effects, and goals as your care evolves.

Know who is managing your care

“Provider” is not the same as “physician.”

In healthcare, terms such as “provider,” “clinician,” and “care team” are deliberately used to refer to different types of licensed professionals. At Text2MD, you know who is managing your treatment: the same board-certified internal medicine physician throughout your care.

Same physician Your treatment does not have to restart with a different provider at each follow-up.
Clinical context stays together Previous doses, treatment response, side effects, goals, and relevant labs can inform the next decision.
More than the next refill Care can address tolerability, plateaus, nutrition, muscle preservation, and long-term maintenance.
Nurse practitioners and physician assistants are licensed providers who provide important medical care. Text2MD's distinction is its continuity model: your weight-management treatment is led by the same board-certified internal medicine physician.
Obesity is not a simple condition

Obesity is a complex, chronic disease.

Weight management can involve much more than appetite or the number on the scale. Obesity and metabolic disease can intersect with blood sugar, blood pressure, liver health, sleep, hormones, mood, nutrition, physical activity, medications, and other clinical factors.

That complexity becomes especially important when treatment is not straightforward: when weight loss stalls, side effects develop, hunger returns, other medical conditions need to be considered, or long-term maintenance becomes the goal.

01
Blood sugar and metabolic health
02
Blood pressure and cardiovascular risk factors
03
Liver health, sleep, and other medical contributors
04
Nutrition, muscle preservation, activity, and lifestyle
Complex conditions deserve thoughtful clinical management. Just as people often look beyond price alone when choosing care for other chronic diseases, weight and metabolic care should also be evaluated by the experience, continuity, and clinical judgment behind the treatment.

A more individualized approach considers your medical history, family history, lifestyle, previous treatment response, relevant laboratory findings, goals, side effects, and other factors that may influence treatment decisions.

At Text2MD, that clinical context stays with the same board-certified internal medicine physician as your treatment evolves.

Look beyond the monthly price

The lowest price and the best fit for your care are not always the same thing.

GLP-1 treatment is more than receiving a prescription or increasing a dose. The quality of a program also depends on who is making treatment decisions, what information they consider, and what happens when your treatment needs more than a routine refill.

When you compare programs, compare the care—not only the medication price. A lower advertised monthly price does not tell you whether the same provider will follow you, how dose decisions are made, whether relevant labs and medical conditions are considered, or how plateaus, side effects, and maintenance are managed.

When choosing care for a complex chronic condition, many people consider experience, continuity, clinical judgment, and access to the person making treatment decisions—not simply which option has the lowest advertised price.

01
Who is actually managing my treatment?

Will I continue with the same physician, or interact with different providers at different stages of care?

02
What happens when my weight loss stalls?

Is the next step automatically a higher dose, or will treatment response, nutrition, activity, muscle preservation, sleep, side effects, and other clinical factors be considered?

03
What happens if my situation becomes more complex?

Ask how the program handles relevant laboratory findings, medication side effects, other medical conditions, and changing treatment goals.

04
What am I actually paying for?

Compare medication cost together with physician involvement, follow-up, communication, clinical decision-making, and long-term treatment planning.

At Text2MD, continuity is part of the value. Your care can remain with the same board-certified internal medicine physician who knows your history, treatment response, side effects, goals, relevant clinical information, and previous treatment decisions.
What makes the model different

Less restarting. More clinical context.

Text2MD is designed around ongoing physician involvement rather than treating every follow-up like a new encounter.

Common high-volume experience
Text2MD model
— You may see a different provider at follow-up
✓ Continue with the same physician throughout treatment
— Dose changes may follow standardized protocols
✓ Dose decisions consider response, side effects, and clinical need
— Treatment questions may first go through general support
✓ Secure physician communication about treatment questions
— Follow-up may focus mainly on the next refill
✓ Care considers progress, safety, plateaus, and long-term maintenance
Care models vary by telemedicine provider. This comparison describes the continuity-focused model Text2MD is designed to provide.
Why continuity matters Your physician can make decisions with the context of your previous dose, treatment response, side effects, goals, relevant clinical information, and prior conversations instead of rebuilding that context at every follow-up.

Who this model may work well for

Physician support across different stages of GLP-1 treatment and long-term weight management.

1
Starting GLP-1 treatment
Review history, goals, eligibility, and an appropriate starting plan.
2
Already taking semaglutide or tirzepatide
Get help with treatment response, side effects, hunger returning, and dose decisions.
3
Working through a plateau
Look beyond dose alone at nutrition, muscle preservation, sleep, activity, and overall treatment response.
4
Planning long-term maintenance
Build a strategy for weight maintenance, future dose decisions, and muscle preservation.
Start My Consultation →
Consultation request takes about 2 minutes.
How It Works

A simple path from intake to ongoing physician care.

Three straightforward steps—from medical intake to an individualized treatment plan and continued follow-up with the same physician.

Watch How It Works

See the Text2MD process in under a minute.

From your initial medical intake to physician evaluation, treatment decisions, and ongoing follow-up, this short video explains what to expect when you begin care with Text2MD.

  • Complete your medical intake online
  • Review your options with a physician
  • Continue follow-up with the same physician
1

Complete your medical intake

Tell us about your health history, medications, weight-loss goals, and previous semaglutide or tirzepatide treatment if applicable.

Consultation request takes about 2 minutes
2

Meet with your physician

Review eligibility, treatment options, dosing, risks, previous response, and your goals with a board-certified internal medicine physician.

Same-day availability may be possible based on scheduling
3

Begin treatment and continue follow-up

If medication is medically appropriate, your prescription is sent to the pharmacy for processing and fulfillment. Your physician then remains involved as your dose, response, side effects, plateaus, and maintenance needs change.

Typical delivery is 48–72 hours after approval and pharmacy processing
The prescription is only the beginning.
Continue with the same physician for dose decisions, side effects, plateaus, weight-loss progress, and long-term maintenance.
Start My Consultation →
Consultation request takes about 2 minutes.
Consultation availability, pharmacy processing, and delivery times may vary. Medication is prescribed only when medically appropriate.
Patient Reviews

What patients say about Text2MD

Real patient feedback about physician access, communication, continuity, and the overall care experience.

Start My Consultation →
Consultation request takes about 2 minutes.
Before You Start

Questions patients ask first

Everything you may want to know before requesting your consultation.

How much does weight-loss treatment cost?
Semaglutide programs start at $112 and tirzepatide programs start at $190. Medication is included at applicable starting program prices. Final pricing depends on the medication, prescribed dose, quantity, pharmacy availability, state, and individualized treatment plan.
How quickly can I see the physician?
Same-day consultations may be available depending on scheduling, your state, and completion of the required medical intake. Availability can vary.
How long does medication delivery take?
Medication typically arrives within approximately 48–72 hours after physician approval and pharmacy processing. Timing can vary based on the pharmacy, shipping carrier, weekends, holidays, prescription timing, and patient location.
Is there a required monthly membership?
No required monthly weight-loss membership or annual concierge-style retainer is part of the standard Text2MD weight-loss model. Medication and follow-up costs depend on your individual treatment plan.
Will I continue seeing the same physician?
Yes. Text2MD is designed around physician continuity. The physician who evaluates you continues managing your treatment, including dose decisions, side effects, plateaus, follow-up, and long-term maintenance planning.
Can I transfer from another GLP-1 provider?
Yes. Patients currently using semaglutide or tirzepatide may request transfer of care. Your current dose, medication history, treatment response, side effects, and any treatment interruption are reviewed before a new prescription or dose decision is made.

Still have questions?

You can review more information, or start by submitting your medical intake so your request can be reviewed for consultation.

Start My Consultation →
Consultation request takes about 2 minutes.
More Weight-Loss Questions →
Eligibility, prescribing, pricing, appointment availability, pharmacy processing, and delivery times may vary. Medication is prescribed only when medically appropriate.