Text2MD

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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.
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See if you qualify for weight loss treatment

GLP-1 Eligibility Assessment
Evidence-based screening based on FDA criteria and clinical guidelines · Takes ~3 minutes · No PHI collected · Results reviewed by Dr. Antonatos
This assessment is for educational screening only. It does not constitute a medical evaluation, diagnosis, or guarantee of treatment. GLP-1 eligibility is determined by Dr. Antonatos following a full physician evaluation. Controlled substances are not prescribed through this practice.
Step 1 of 4 — BMI and weight history
Section 1 — BMI and weight history
BMI of 30+ (obesity) or 27+ with a weight-related condition are the primary GLP-1 eligibility thresholds
BMI Calculator — enter your height and weight
BMI 27–29.9 — overweight with a weight-related condition
BMI 30–34.9 — obesity class I
BMI 35–39.9 — obesity class II
BMI 40 or above — obesity class III
BMI under 27 — currently below standard thresholds
Not sure — I need to calculate it
Less than 1 year — recent weight gain
1–3 years
3–10 years
More than 10 years — longstanding obesity history
Family history of obesity — this has been a lifelong struggle
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Calorie restriction / dieting
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Structured exercise program
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Commercial program (Weight Watchers, Noom, etc.)
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Prescription weight loss medication
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Previous GLP-1 from another provider
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Bariatric surgery
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Nothing yet — this is my first attempt
~3 minutes total
Section 2 — Weight-related conditions and safety screening
Having any of these with a BMI of 27+ qualifies you for GLP-1 consideration under FDA criteria
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Type 2 diabetes or prediabetes
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High blood pressure (hypertension)
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High cholesterol or triglycerides
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Sleep apnea
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Insulin resistance or metabolic syndrome
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Non-alcoholic fatty liver disease (NAFLD)
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Cardiovascular disease or heart failure
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PCOS (polycystic ovary syndrome)
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None of the above
These are potential contraindications reviewed by the physician — they do not automatically disqualify you
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Personal or family history of medullary thyroid cancer (MTC)
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Multiple Endocrine Neoplasia type 2 (MEN2)
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History of pancreatitis
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Severe gastrointestinal disease (gastroparesis)
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History of eating disorder (anorexia or bulimia)
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Currently pregnant or breastfeeding
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Currently on insulin or sulfonylureas
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None of the above
No — treatment naive
Yes — from another provider, looking to switch
Yes — but progress has stalled, seeking optimization
Previously used — stopped and want to restart
Section 3 — Weight loss plateau screening
These questions identify whether metabolic, behavioral, or physiological factors are working against your weight loss — and whether GLP-1 therapy addresses your specific drivers.
Not actively trying to lose weight yet
Making progress — weight is moving
Slowing down — progress has become much harder
Plateau — weight unchanged for 4+ weeks despite effort
Long-term plateau — stuck for months despite consistent effort
Food noise = constant background thoughts about food, frequent cravings, difficulty stopping eating
Manageable — I can stick to my plan most days
Challenging — frequent hunger makes dieting difficult
Constant — I think about food most of the day
Overwhelming — hunger controls my decisions despite effort
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1
2
3
4
NoneMild / occasionalSevere / daily
No significant weight cycling history
Once or twice — lost weight but regained over time
Multiple times — pattern of losing and regaining
Chronic — have never been able to keep weight off long-term
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Belly fat that won't move despite calorie restriction
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Feel full quickly but hungry again within 1–2 hours
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Strong cravings for carbohydrates or sugar
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Fatigue that makes exercise difficult to sustain
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Weight loss that stops at the same point every time
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Sleep problems that make weight management harder
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Stress eating or emotional eating patterns
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None of the above
Section 4 — Labs and eligibility confirmation
Full panel within 6 months — glucose, A1c, lipids, metabolic panel
Partial labs — some results but not complete
Labs older than 6 months
No recent labs — need to order
Text2MD currently serves patients in 14 states
AL, CA, FL, GA, IA, ID, IL, MD, NJ, NY, SC, SD, UT, or VA
Another state — not currently served
Primary weight loss with physician oversight
Improve metabolic health — blood sugar, cholesterol, energy
Break through a weight loss plateau
Understand whether GLP-1 therapy is appropriate for me
All of the above
Google or web search
Instagram, TikTok, or social media
Friend or family referral
Online ad
Other

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 four 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 · Included with program
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 · Insulin resistance · Included with program
Insulin Resistance Score Calculator
Combines waist circumference, triglycerides, HDL, fasting glucose, A1c, sleep, activity, and family history to estimate your metabolic dysfunction risk score — a practical indicator of insulin resistance that often develops silently for years before diagnosis.
Waist + triglycerides Glucose + A1c Risk band score
Tool 4 · Plateau analysis · Included with program
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 four tools are included with your program. The Metabolic Calculator is also free to use before you book — no commitment required.
Book your $65 consultation
Or check your metabolic score free → before you book

🩺 Physician Perspective: Why I Take Metabolic Health Seriously

Dr. Antonatos
MA
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
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No automated prescribing. No rotating physicians. Every prescription and every adjustment is reviewed by Dr. Antonatos personally.
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.
Featured program · Limited enrollment
Reset your metabolism —
not just your calories.
A physician-designed 4-week program that teaches you how your metabolism actually works — and builds the foundation for sustainable weight loss before starting any treatment.
$99
One-time · Self-paced · Lifetime access
Consultation fee waived
Your $65 weight loss consult is waived
if you continue to physician-guided care
Your $65 weight loss consultation is waived if you continue
Complete the 4-Week Metabolic Reset and decide to continue with physician-guided weight loss care — your initial $65 consultation fee is waived. You don't pay twice for the foundation. The reset fee covers your starting point. Physician care picks up from there at no additional entry cost.
What's included
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Physician-designed 4-week structured curriculum
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How your metabolism actually works — the clinical explanation
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Sustainable nutrition framework — no extreme restriction
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Plateau-breaking strategies — week 3 addresses this specifically
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Personalized weight loss calculator — your targets, your body
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Weekly action plans — structured, not overwhelming
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Self-paced — no deadlines, lifetime access
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Designed by Dr. Antonatos — 15+ years treating metabolic conditions
The 4-week plan
Week 1
Foundation
Understand your metabolism, hormones, and appetite signaling
Week 2
Nutrition reset
Build a sustainable eating structure around protein, timing, and consistency
Week 3
Optimization
Break through plateaus and improve your metabolic response
Week 4
Maintenance
Build a long-term plan — with a clear path into physician care if you want it
No subscription No auto-renewal Lifetime access Self-paced Physician-designed Consultation waived if you continue
Start the 4-week metabolic reset — $99
$65 weight loss consultation waived if you continue to physician care · No subscription · No renewal
The 4-Week Metabolic Reset is an educational program and does not constitute medical treatment or a physician-patient relationship. Medical decisions require evaluation by a licensed physician. Consultation fee waiver applies to the initial $65 weight loss physician consultation for patients who complete the program and proceed to physician-guided care — subject to clinical eligibility. All care is based on physician judgment. Controlled substances are not prescribed through this practice.

🛑 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.
👍 Get started with weight-loss care Still have questions? Contact us →

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