Considering GLP-1 treatment
Review your history, current medications, metabolic risks, treatment goals, contraindications, and preferences before selecting an approach.
Online weight loss care in South Dakota
A South Dakota weight-loss doctor who stays with your care.
Work directly with Miguel Antonatos, MD, a board-certified internal medicine physician, for personalized medical weight management, GLP-1 evaluation, follow-up, and long-term support.
Programs starting at $142/month
· Pricing varies by treatment plan, medication, and dose
- ✓Same physician throughout treatment
- ✓Available to eligible South Dakota adults
- ✓Individualized dose decisions
- ✓Secure non-emergency messaging
Board-certified physician
Internal medicine expertise
South Dakota availability
Telemedicine from your home
Direct-pay care
No insurance required
Continuity first
No rotating provider queue
Who this program helps
Medical weight-loss care built around the patient—not only the prescription.
Text2MD is designed for South Dakota adults seeking personalized evaluation, ongoing physician follow-up, and a plan that adapts as their health and progress change.
Experiencing a plateau
Slower progress does not automatically mean your dose should increase. Nutrition, activity, tolerability, adherence, sleep, and other factors matter.
Switching online providers
Your previous medication, current dose, treatment gaps, side effects, response, and available records are reviewed before a transition plan is recommended.
Serving South Dakota
Online medical weight-loss care throughout South Dakota
Dr. Miguel Antonatos provides telemedicine weight-management evaluations to eligible adults physically located in South Dakota at the time of care.
Patients may participate from Sioux Falls, Rapid City, Aberdeen, Brookings, Watertown, Mitchell, Yankton, Pierre, Huron, Spearfish, Vermillion, and other South Dakota communities without traveling to a traditional office.
Treatment may include nutritional guidance, physical activity recommendations, metabolic risk review, laboratory evaluation, behavioral strategies, and prescription treatment when clinically appropriate.
A continuity-first model
Questions every patient should ask before joining an online clinic.
The clinician changing your medication should understand what happened during the previous weeks and months—not begin with an unfamiliar chart.
Questions to ask
?Will I know who my next provider is?
?Who reviews side effects and plateaus?
?Are dose increases automatic?
?Can I reach the prescribing clinician?
?What happens after I reach my goal?
The Text2MD approach
✓One physician oversees your care
✓Your response and tolerability guide decisions
✓Dose changes are based on clinical need
✓Non-emergency clinical messaging is available
✓Maintenance planning is part of care
How it works
Start your South Dakota consultation in four steps.
Submit your request
Share your goals, health history, medications, previous treatment, and current concerns.
Complete the evaluation
Dr. Antonatos reviews your information and confirms whether telemedicine care is appropriate.
Review your options
When clinically appropriate, receive an individualized plan that may include labs, lifestyle guidance, and medication.
Continue follow-up
Ongoing care focuses on progress, tolerability, side effects, dose decisions, and maintenance.
Your physician
Weight-loss care personally managed by Dr. Antonatos
Dr. Antonatos is a board-certified internal medicine physician with more than 15 years of clinical experience and extensive experience providing telemedicine care.
He created Text2MD to provide a more continuous model: one physician who learns the patient’s history, follows treatment over time, and adjusts the plan based on response rather than a fixed calendar.
Board certification
Internal Medicine
South Dakota availability
Eligible telemedicine patients
Clinical experience
More than 15 years
Telemedicine care
More than 30,000 encounters
Transparent pricing
Understand the cost before treatment begins.
Text2MD is a direct-pay telemedicine practice. Insurance is not required for the consultation.
- Pricing varies by medication, dose, pharmacy, and clinical plan.
- Laboratory testing may be recommended and may carry a separate cost.
- A prescription is issued only when medically appropriate.
- FDA-approved and compounded treatment options are not interchangeable.
Programs starting at
$142
per month for select treatment plans
- ✓Physician-guided evaluation and follow-up
- ✓Personalized treatment recommendations
- ✓Ongoing dose and tolerability review
- ✓Plateau and maintenance support
- ✓Secure non-emergency clinical messaging
Medical eligibility is required. Prescription treatment is not guaranteed. Prices may change and vary by treatment plan. Compounded medications are not FDA-approved.
South Dakota weight-loss FAQs
Questions patients commonly ask
Can Dr. Antonatos treat me while I am in South Dakota?
Dr. Antonatos can provide telemedicine care to eligible patients physically located in South Dakota at the time of the encounter. Identity, location, and medical eligibility must be confirmed before treatment.
Will I work with the same physician?
Yes. Dr. Miguel Antonatos personally manages the evaluation, follow-up, treatment decisions, and dose adjustments for Text2MD weight-management patients.
Is a GLP-1 prescription guaranteed?
No. Prescription treatment is offered only when clinically appropriate after medical evaluation. Some patients may need laboratory testing, medical records, or a different treatment approach.
Can I transfer from another GLP-1 clinic?
Yes, depending on medical eligibility. Dr. Antonatos reviews your medication, current dose, response, side effects, treatment gaps, and available records before recommending a safe next step.
What happens if my weight loss has plateaued?
A plateau does not always mean the dose should increase. Your rate of weight loss, nutrition, protein intake, activity, sleep, side effects, adherence, and other medical factors may need review first.
Do you offer semaglutide or tirzepatide?
GLP-1 treatment options may be discussed when clinically appropriate and legally available. The medication, formulation, pharmacy, and cost depend on your medical history, goals, availability, and current regulations.
Do I need insurance?
Text2MD is a direct-pay telemedicine service. Insurance is not required for the consultation. Medication, laboratory, and pharmacy costs may vary according to the treatment plan.
How do I begin?
Submit a consultation request using the button below. You may also call (973) 847-2280 with general questions.
Text2MD blog
Learn more about physician-guided weight management
Continue learning about GLP-1 treatment, metabolic health, safe follow-up, and long-term weight management.
GLP-1 treatment
and physician oversight
and physician oversight
A Tirzepatide Review for Obesity Medicine
Benefits, risks, candidacy, monitoring, and why personalized follow-up matters.
Read more →One physician.
Continuous care.
Continuous care.
Continuous Physician Telehealth Care Review
Why ongoing physician follow-up and continuity can improve online care.
Read more →Understanding
metabolic slowdown
metabolic slowdown
Best Labs for Metabolic Slowdown, Explained
Learn which laboratory markers may help reveal contributors to slower progress.
Read more →Ready to begin?
Start your South Dakota weight-loss consultation.
Receive individualized care from a board-certified internal medicine physician who follows your progress instead of passing you through a rotating provider queue.
Medical disclaimer: This page provides general information and does not replace an individualized medical evaluation. Treatment recommendations depend on medical history, current medications, contraindications, clinical findings, and applicable law.
Prescription treatment is not guaranteed. GLP-1 medications may cause adverse effects and are not appropriate for everyone. Compounded medications are not FDA-approved. Availability, pharmacy fulfillment, pricing, and prescribing rules may change.
Text2MD messaging and telephone contact are not emergency services. Call 911 or seek immediate in-person care for a medical emergency.