Your questions about weight, menopause or peptides.
Care that starts with understanding you.
Whether you are working through weight changes, navigating menopause,
or exploring peptide options, start with the concern that matters to you.
Miguel Antonatos, MD is a board-certified internal medicine physician
who works with you to understand your history, discuss options,
and plan the next step.
Start with your concerns, even if you are unsure which treatment fits
Review available past results before considering new testing
Discuss care options, costs, and follow-up at a pace that fits your needs
Discuss a health goal, a peptide you are considering, or a proposed protocol. Review the evidence, potential risks, and available options before deciding.
An understanding of weight concerns that goes beyond the textbook.
If weight has been a concern for years, you may want care that considers
the whole story. I have lived with obesity since childhood. That experience
informs how I listen to patients, while your goals, history, and treatment
decisions remain your own. These photos share the personal history behind that perspective.
Chapters 1–3 of 5
Childhood
Where my story began.
My experience with obesity began in childhood,
long before I understood it from a medical perspective.
Youth
The story continued.
Weight remained part of my personal journey as I grew older.
This history became part of the perspective I carry into my work.
Adult Life · Age 38
A physician with a personal journey.
Becoming a physician did not mean my own challenges with
weight had disappeared. Professional knowledge and personal
experience became two parts of the same story.
More photos from adult life
Professional lifeAge 38
Age 44
Before my recent weight loss.
This chapter is part of the longer history behind my approach
to weight management. My journey extends well beyond a single
before-and-after photo.
Today · Age 50
Health beyond the scale.
Today, my focus includes strength, nutrition, movement,
and maintaining my progress over time. My health remains
an ongoing commitment.
Swipe or use the arrows to explore. Select a photo to view it in full.
What This Means for Your Care
Personal experience. Individualized care.
My journey gives me a personal connection to this work.
Your history, goals, and treatment response will be your own.
At Text2MD, I bring that understanding together with my clinical
experience to guide your care over time.
In this video, I discuss how nutrition, exercise, metabolic
data, and medication became part of my own weight-management
strategy—and how that experience shaped the care I provide today.
My experience does not mean every patient needs the same
treatment. Care should be personalized and adjusted over time.
My personal journey with nutrition, exercise,
metabolic data, and tirzepatide.
Physician Perspective
What my experience means for your care.
Your symptoms, past treatment, and day-to-day life deserve to be
considered together. My background in hospital medicine and my
own experience with weight inform that approach.
For more than a decade in hospital medicine, I cared for
patients living with complications of obesity, type 2
diabetes, hypertension, fatty liver disease, cardiovascular
disease, and other chronic metabolic conditions.
Many of those problems developed gradually over years.
That experience reinforced the importance of addressing
metabolic health earlier.
My personal history gave those clinical experiences
another dimension.
Several years ago, my own BMI reached 30.1. I was also
developing early hypertension and had a strong family
history of diabetes and cardiovascular disease.
That experience pushed me to look more closely at
nutrition, sleep, physical activity, medications, and
the biological factors that influence appetite and body weight.
My clinical experience, continuing education, and personal
journey reinforced the need for individualized care.
At Text2MD, treatment decisions are based on each patient's
history, goals, tolerability, and response over time.
Care that builds on your history
Build on your care without starting the conversation over.
Continuing with the same physician lets you discuss what has changed,
how treatment is going, and which questions need attention next.
Follow-up can adapt as your needs evolve.
Start with one concern. Discuss ongoing care when helpful.
You can review your options, visit frequency, and follow-up costs before deciding how to continue.
Bring previous records or lab results if you have them. Your evaluation
helps determine what is useful now, whether further testing is needed,
and what the next step could look like. You do not need to have every
answer before requesting care.
Physician Background
Education, credentials & clinical experience.
More than 15 years of clinical experience across hospital
medicine, telemedicine, and personalized adult medical care.
MD
Medical Training
Internal Medicine
Residency training at Atlantic Health System and
Morristown Memorial Hospital in Morristown, New Jersey.
✓
Board Certification
ABIM Certified
Diplomate of the American Board of Internal Medicine,
with a clinical foundation in adult medicine and chronic disease care.
Board certification in Internal Medicine reflects
formal training, examination, and ongoing professional
requirements in adult medicine.
Obesity Medicine Association
Medication Management Microcredential reflecting
focused education in pharmacologic obesity treatment.
This is a microcredential, not obesity-medicine board certification.
Career Timeline
From hospital medicine to physician-led metabolic care.
2004
Doctor of Medicine
Earned an MD degree from Universidad Autónoma de
Guadalajara in Guadalajara, Mexico.
2008–2011
Internal Medicine Residency
Completed residency training at Atlantic Health
System and Morristown Memorial Hospital in New Jersey.
2011–Present
Internal Medicine Practice
Clinical experience in adult medicine, chronic
disease, and hospital-based care.
2017
Telemedicine
Began providing virtual medical care through
national telemedicine platforms.
2019
Founded Text2MD
Created Text2MD to provide direct access,
personalized care, and physician continuity.
Today
Metabolic Health & Weight Management
Focused on personalized medical weight management,
metabolic health, and ongoing telemedicine care.
Care Availability
Telemedicine care is available to eligible patients
based on their location and the services offered.
Research experience includes cardiovascular
emergencies, pulmonary disease, severe sepsis,
and hospital-based clinical care.
View research topics
Transudative chylothorax in severe pulmonary
hypertension and right-sided heart failure
Impact of prehospital ECG on door-to-balloon
time in STEMI
Identification of patients with severe sepsis
and septic shock
Personalized Physician Care
Start with what you want help with.
Explore care for weight and metabolic concerns, menopause symptoms,
or questions about peptides and regenerative medicine. Begin with a
consultation and discuss options that fit your needs, preferences,
and budget, including follow-up when helpful.
Submitting a request does not book an appointment or guarantee treatment or a prescription. Availability depends on your location and service. Some concerns require in-person care.
