Weight Loss

Transform Your Health with our Tailored Weight loss Plan

Board-certified internal medicine Obesity Medicine Association member 100% online · HIPAA-secure No contracts · No memberships

Real physician care for lasting weight loss —
not just a GLP-1 prescription

Dr. Antonatos reviews your full metabolic picture, prescribes GLP-1 medications only when medically appropriate, and stays involved throughout your entire journey. Initial consultation starts at $65 — applied toward your program.

$65

Initial consultation, applied to your program

~$142

Most patients pay to start, all-inclusive

48hr

Typical time to first appointment

7,000

Physicians hold OMA certification in the US

Book your $65 consultation

Not a candidate for GLP-1? You still leave with a personalized metabolic plan — no wasted visit.

★★★★★ Verified patient reviews

"I'd been on semaglutide from another telehealth service for 6 months with no real guidance. Dr. Antonatos reviewed my labs, adjusted my dose, and I finally broke through my plateau."

— Patient, 44 · lost 31 lbs over 5 months

"Other programs just sent me the medication and disappeared. Here I actually have a doctor who monitors my progress and answers my questions."

— Patient, 38 · lost 22 lbs over 4 months

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Obesity Medicine Association member Fewer than 7,000 physicians in the US hold this credential — it requires specialized training in the medical treatment of obesity beyond standard medical school education.

Included with every program: tools that actually explain your body

Included with every program

Tools that actually explain your body

Most weight loss programs hand you a drug and a calorie target. Yours comes with physician-designed tools that tell you why your metabolism works the way it does — and what to do when progress stalls.

Tool 1 · Personalized nutrition

TEXT2MD™ Personalized Weight Loss Calculator

Evidence-based daily calorie targets, macronutrient ratios, activity recommendations, and sleep targets — all calibrated to your body, not a generic formula.

Calories Macros Activity Sleep

Tool 2 · Metabolic screening · Free to try

Text2MD Metabolic Calculator

A physician-designed screening tool that assesses your metabolic health and evaluates whether insulin resistance or metabolic dysfunction is working against your weight loss — available free before you book.

Insulin resistance Metabolic health score GLP-1 candidacy

Tool 3 · Plateau analysis

Text2MD Weight Loss Plateau Screening Tool

Stalled despite doing everything right? This quick assessment identifies exactly why — screening for metabolic, nutritional, sleep, activity, and behavioral factors — then gives you clear, personalized next steps to move forward.

Metabolic factors Sleep & activity Next-step guidance

All three tools are included with your program. The Metabolic Calculator is also free to use before you book — check your candidacy right now with no commitment.

Book your $65 consultation

Or check your metabolic score free → before you book

🩺 Physician Perspective: Why I Take Metabolic Health Seriously

Miguel Antonatos, MD

Internal Medicine Physician · Founder, Text2MD

Board-certified internal medicine Obesity Medicine Association GLP-1 specialist

"I lost weight using the same approach I now prescribe — not willpower, but proper metabolic medicine. That experience changed how I practice."

Like many of my patients, I spent years fighting my weight. Low-calorie diets, keto, appetite suppressants — nothing lasted. At 37, after the birth of my first child, my BMI hit 31, my blood pressure and cholesterol were climbing, and I was exhausted. As an internal medicine physician, I was developing the exact conditions I treated every day.

That was the turning point. I pursued additional training in obesity medicine, joined the Obesity Medicine Association, and approached my own health the way I should have from the start — as a chronic metabolic condition, not a discipline problem. Under medical supervision, combining evidence-based nutrition with GLP-1 therapy, something finally worked.

Today, that experience is the foundation of every patient relationship at Text2MD. You're not failing — your biology deserves proper medical attention.

I've struggled with my weight for most of my life.

Like many of the patients I care for today, it started early. I grew up in a family with a strong history of obesity and type 2 diabetes, and from a young age I learned — often the hard way — that weight isn't just about food choices or motivation. Genetics and metabolism matter, whether we want them to or not.

Over the years, I tried just about everything. Low-calorie diets. Low-fat. Low-carb. Keto. Appetite suppressants. Some worked for a while. None lasted. The weight always came back, usually along with frustration and that quiet, familiar feeling of "Why can't I just get this right?"

At 37, after the birth of my first child, things changed in a way I couldn't ignore. My BMI reached 31. My cholesterol and blood sugars were climbing. My blood pressure was going up. I felt tired most of the day and hungry almost all the time. It wasn't just weight gain anymore — it was my health slipping away, in the same pattern I had seen affect others in my family.

As an internal medicine physician, that was a wake-up call. I was developing the very conditions I treated every day. And it forced me to face a difficult but freeing truth: this wasn't about willpower. Obesity is not a personal failure. It's a chronic, biologically driven metabolic disease — and it often runs in families.

That realization changed everything.

I went back to the science. I pursued additional training in obesity medicine, joined the Obesity Medicine Association, and immersed myself in the research. Under proper medical supervision, I combined evidence-based nutrition, regular movement, and GLP-1 therapy — not to punish my body or "eat less," but to support a metabolism shaped by genetics, hormones, and years of insulin resistance.

For the first time, something felt different. My hunger quieted. My energy came back. My labs improved. My body stopped fighting me at every step.

But the biggest change wasn't just physical. It was mental and emotional. I stopped seeing my body as broken. I learned to respect its biology and work with it instead of against it. That shift required patience, self-compassion, and resilience — things that matter just as much as any meal plan or medication.

This experience reshaped how I practice medicine.

Today, I approach weight loss as long-term, individualized metabolic care — grounded in science, guided by empathy, and focused on sustainable health. That philosophy is the foundation of my work at Text2MD.

If you have a family history of obesity or diabetes and feel like you've been fighting your body for years, I want you to hear this clearly: your genetics are not your destiny — but they do deserve understanding, respect, and proper medical care.

Miguel Antonatos, MD Internal Medicine Physician · Founder, Text2MD

Book your $65 consultation

GLP-1 therapy is one tool.
Your metabolism is the whole picture.

Most telehealth services stop at the prescription. What actually determines long-term success is what happens around the medication — your insulin sensitivity, your lipid panel, your sleep, your activity, and what your body does when the drug reaches its ceiling dose.

The medication

GLP-1 prescribed and adjusted based on your individual response

When appropriate, GLP-1 therapy is initiated and titrated based on how your body actually responds — not a fixed standard schedule. Dose optimization continues throughout your program, not just at the start.

The metabolic work around it

What makes the results last

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Insulin resistance evaluation

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Metabolic and lipid review

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Nutrition and lifestyle guidance

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Sleep and activity optimization

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Maintenance planning for when you reach your goal

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The medication quiets the noise. The metabolic work is what makes it last.

Book your $65 consultation

Not a candidate for GLP-1? Your consult still gives you a personalized metabolic plan — no wasted visit.

How it Works

How it works

From first click to ongoing care — here's exactly what happens

Three straightforward steps. No surprises, no hidden fees, no automated prescribing.

Step 1 ⏱ 5 minutes

Eligibility & Intake

Complete a brief intake form to confirm you're a candidate. If you're not a candidate, you'll know before you pay anything. If you are, schedule your video consult — typically available within 48 hours.

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Quick online form — no lengthy questionnaires

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Instant eligibility screening before booking

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Appointment typically within 48 hours

Step 2 ⏱ 15 minutes

Physician Consultation

Meet with Dr. Antonatos by video. He reviews your health history, labs if applicable, and your weight loss history — then builds a personalized plan. If GLP-1 therapy is appropriate, your prescription is sent directly to the pharmacy that day.

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Full metabolic review — not a checkbox intake

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Personalized plan built during your visit

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Prescription sent to pharmacy same day if appropriate

Step 3 🔄 Monthly

Ongoing Care

Medication refill consults at $35, applied toward your total. Secure messaging for questions between visits. Dose adjustments based on your response. A physician who knows your case — not a rotating inbox.

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$35 refill consult — applied toward your total

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Secure messaging between visits — no waiting rooms

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Dose adjusted as your body responds over time

Book your $65 consultation

Not a candidate for GLP-1? Your consult still gives you a personalized metabolic plan — no wasted visit.

What it costs — no surprises

Flat pricing — medication, shipping, and consultation all included

No memberships. No subscriptions. No surprise charges. Your $65 initial consultation is applied in full toward your first program if you enroll.

Consultation included Medication + shipping included No contracts B12 included

Includes your $65 video consultation with Dr. Antonatos — applied toward your program total. Dose tier is assigned clinically after your visit, not chosen in advance.

California residents: add $40 shipping and fulfillment fee.

Tier	Typical dose	Total

Medication selection and dosing are determined clinically by Dr. Antonatos based on your health history — your tier is not chosen in advance. GLP-1 therapy is not appropriate for everyone. Pricing subject to pharmacy availability.

Book your $65 consultation

Not a candidate for GLP-1? Your consult still gives you a personalized metabolic plan — no wasted visit.

🛑 SAFETY & EXPECTATIONS

Text2MD – Safety & Expectations

Safety & expectations

Honesty about what to expect

What we don't promise

Instant or effortless weight loss

One-size-fits-all treatment

Prescriptions without proper medical review

What we do promise

Ethical, evidence-based care

Clear communication

Long-term metabolic focus

Text2MD – Weight Loss FAQ

Got questions?

Most popular questions

Everything you need to know about our physician-guided weight loss program. Can't find an answer? Reach out to us.

GLP-1 medications like semaglutide and tirzepatide mimic a hormone that targets appetite-regulating centers in the brain. They reduce hunger signals and calorie intake, which leads to gradual, sustained weight loss when combined with physician oversight and lifestyle guidance.
FDA-approved GLP-1 medications have a well-established safety profile for weight management. Safety is individual, however — Dr. Antonatos conducts a thorough medical review before any prescription to determine whether they're appropriate for your specific health history.
Compounded semaglutide and tirzepatide can be legally prepared by licensed U.S. pharmacies under specific circumstances, such as during a shortage of commercially available formulations. Importantly, compounded versions are not FDA-approved. We work only with reputable compounding pharmacies and discuss this transparently with every patient.
GLP-1 medications are typically considered for adults who are overweight or have obesity, particularly those with weight-related metabolic conditions such as insulin resistance, prediabetes, or elevated blood pressure. Candidacy is determined through a physician review — not automated eligibility tools.
The most common side effects are gastrointestinal: nausea, constipation, diarrhea, and occasional vomiting — particularly during dose increases. These typically improve over time. Rare but serious side effects exist, which is why ongoing physician monitoring is a core part of our program.
Most GLP-1 medications used for weight loss are self-administered as a subcutaneous (under-the-skin) injection, typically once weekly. We start at a low dose and follow a titration schedule tailored to your tolerability and clinical response.
Some patients begin noticing reduced appetite within the first few weeks. Meaningful weight loss typically becomes apparent over 2–3 months, with maximum results seen after 6–12 months of consistent, physician-guided treatment. Results vary based on individual metabolism, starting weight, and lifestyle factors.
Your initial $65 video consultation with Dr. Antonatos covers a full review of your health history, a personalized metabolic assessment, and a clear next-step plan. If you enroll in the GLP-1 program, the $65 fee is applied toward the total program cost — it is not an additional charge.