The first visit
A full history and exam, what you’ve already tried, and whether a medication makes sense for you — and which one. Lab work usually isn’t needed to start.
Medical weight management
Medical weight loss, without the weight-loss clinic.
GLP-1 medications and phentermine when they’re indicated, with monthly visits while you start — and the same family physician every time.
- GLP-1 medications and phentermine, when indicated
- Brand-name medications only, filled at your pharmacy
- Monthly visits to start, every three months once stable
- Every visit included in membership — no program fee
- The same doctor every time, in person
What this involves
A medication when it fits, and the visits to get it right
Weight-loss medications work best with someone watching how you respond and adjusting the dose. That takes regular visits, which is exactly what membership is built for.
The medications
GLP-1 medications such as Wegovy, Zepbound and Foundayo, and phentermine, prescribed at my discretion when they’re indicated. If you have type 2 diabetes and also want to lose weight, Rybelsus is an option too. Phentermine is a controlled substance, which involves a short treatment agreement and monitoring.
The follow-up
Monthly visits in person while you start and the dose is adjusted, then every three months once you’re stable — typically after three to six months.
Why brand-name only
The shortage is over. So is the reason for copies.
While semaglutide and tirzepatide were in shortage, pharmacies were allowed to compound copies of them. The FDA has since declared both shortages over, and compounding copies at the same doses as the brand-name drugs was meant to stop. I prescribe the brand-name medications, filled at a pharmacy.
What it costs
$90 a month covers the visits. The medication is separate.
Every visit is included — the first visit, monthly follow-ups, dose changes, and everything else you’d see a family doctor for.
Monthly visits while starting — included
Visits every 3 months once stable — included
No program fee, no per-visit charge
30-minute visits — 60 for annuals and first visits
Same- or next-day appointments
All your other primary care, included
Starting a medication usually means a visit a month for three to six months. As a member that is $90 a month; paying per visit it would be $180 a visit. Billed $270 every three months for an adult. No contracts — cancel any time.
Paying for the medication
With insurance
Coverage for weight-loss medications varies widely from plan to plan. Your pharmacy can tell you what yours covers once the prescription is sent.
Manufacturer self-pay
The makers sell the brand-name drugs directly at cash prices well below list — from $149 a month, depending on the drug and the dose. Current prices are at NovoCare for Wegovy and Lilly for Zepbound.
Phentermine
Phentermine is a generic, so it costs far less than any GLP-1. For some people it is the right place to start.
Everything above is membership pricing. If you have traditional Medicare or a Medicare Advantage PPO, none of it applies to you — your plan is billed for each visit, and there is no membership fee. See the Medicare GLP-1 program below.
On Medicare?
GLP-1 medications for $50 a month
Medicare has a program, the Medicare GLP-1 Bridge, that covers certain GLP-1 medications for weight management with a $50 monthly copay. It runs through December 31, 2027.
Who qualifies
Adults with Medicare Part D coverage and a BMI of 35 or more — or 30 or more with heart failure with preserved ejection fraction, blood pressure uncontrolled on two medications, or stage 3a or later kidney disease — or 27 or more with prediabetes, or a past heart attack, stroke, or symptomatic peripheral artery disease.
Which medications
Wegovy, as the injection or the pill; Foundayo; and Zepbound in the KwikPen. If you have type 2 diabetes, sleep apnea or MASH, your regular Part D plan handles coverage instead.
How it works here
Your visits are billed to Medicare the usual way. If you qualify, I send the prescription and complete the prior authorization. You can check your eligibility at Medicare.gov/glp1bridge.
Being straight with you
What I don’t do
No compounded GLP-1s
Brand-name medications only, filled at a pharmacy.
No prescribing without a visit
Starting a medication means coming in, and the early follow-ups are in person too.
No injections, supplements or meal programs
No B12 or “lipo” injections, no supplements, and no meal-replacement programs.
No bariatric surgery
If surgery is the right option for you, I’ll refer you to a surgeon.
Keep your insurance. Your membership covers the care I provide here. Anything outside it — hospital care, specialists, imaging, outside labs, and the cost of the medication itself — isn’t included, so keep coverage for those.
A note for Medicare patients: We accept traditional Medicare and bill Medicare directly, with the ordinary Part B deductible and coinsurance — a separate arrangement from membership, not an addition to it. We are not in network with any Medicare Advantage plan: we can bill an MA PPO out of network, at your plan’s out-of-network cost share, but an MA HMO will not cover care here. Either way, book online and choose the Medicare visit, or call and we’ll get you scheduled.
No commitment
Want to look me over first?
I set aside a free half hour for anyone thinking about joining — a chance to meet me, see the office, and ask how the practice works. It isn’t a medical appointment and we can’t get into your symptoms or your history, because that legally requires consent and privacy forms that come with becoming a patient. It’s simply a conversation about whether this is the right practice for you.
Ask for a callGet in touch
Leave your number and I’ll call you
During clinic hours — weekdays 7 a.m.–1 p.m. and from 3 p.m. (until 7 Mon, Thu; until 5 Tue, Wed, Fri), and 9 a.m.–3 p.m. Saturday and Sunday — a call is usually fastest: (512) 363-9043. Outside those hours the phone is off, so leave your number below and I’ll ring you back when we open. For anything non-medical, email works too: brentwoodfp@proton.me. Please keep medical details out of email — it isn’t secure, and we’ll take those on the call.
Rather just leave your number?
Tell us who you are and what it’s about, and we’ll call you back during clinic hours — including for anything that came to mind at 9 p.m., when the phone’s off. There’s deliberately no message box: email isn’t secure enough for medical details, so we’ll take those on the call.