ABIM Board-Certified15+ Years Clinical ExperienceEnglish & Spanish
About Your Physician
Miguel Antonatos, MD
Physician-Guided Metabolic Care
I am a board-certified Internal Medicine physician and the founder
of Text2MD. My approach to metabolic health draws on more than
15 years of clinical experience—and my own lifelong journey with weight.
Board certified by the American Board of Internal Medicine
Miguel Antonatos, MDBoard-Certified Internal Medicine Physician
ABIM CertifiedInternal Medicine
15+ YearsClinical experience
30,000+Telemedicine consultations
Since 2019Founder of Text2MD
My Personal Journey
My story began long before I became a physician.
I have lived with the challenges of obesity since childhood.
These photos show different chapters of that journey—from my early
years to life at 50. Behind my medical training is a personal
understanding of how much of life can be shaped by weight and health.
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
Why metabolic health became the focus of my practice.
Years of hospital medicine showed me the consequences
of metabolic disease. My own history made that work personal.
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.
Why I Built Text2MD
The same physician should know your history.
After years providing telemedicine through national
platforms, I repeatedly heard patients asking for
something simple: continuity.
“I wish I could see the same doctor again.”
A request I heard repeatedly from telemedicine patients
That request became part of the foundation for Text2MD.
Continuing with the same physician allows treatment to be
adjusted with a better understanding of your history,
prior response, tolerability, goals, and progress.
Physician-Led Care
Medical care built around the whole patient.
Text2MD focuses on areas where weight, metabolic health,
hormones, and gastrointestinal health often overlap.
↓
Medical Weight Loss
Personalized weight-management care including nutrition,
lifestyle strategies, and medication when medically appropriate.
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
Your care should be more than a prescription.
Text2MD was built around physician continuity,
individualized treatment, and long-term metabolic health.
The physician who evaluates you continues to follow
your treatment and response.
