Weight management guide

Weight management online in Virginia and West Virginia

This guide is for adults seeking medically-supervised weight management with non-incretin-based, non-stimulant options, not for incretin-based weight-loss or diabetes medication or controlled-stimulant requests, pregnancy, or when a safety condition applies.

Start online

Start a $59 online review for Weight management (non-incretin-based).

Medical weight management pairs lifestyle change with, where appropriate, non-incretin-based and non-controlled medication options: metformin (off-label) and bupropion-naltrexone (Contrave). It fits adults with a BMI of 30 or higher, or 27+ with a weight-related condition. This service does not prescribe incretin-based weight-loss or diabetes medications (like semaglutide) or controlled stimulants (like phentermine). Pregnancy, an eating disorder, a seizure disorder, opioid use, or a possible thyroid/hormonal cause need different or in-person care.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

A BMI of 30 or higher, or 27+ with a weight-related condition
Difficulty losing weight with lifestyle changes alone
A weight-related condition like high blood pressure or prediabetes
Wanting medically-supervised, sustainable support

May fit online care

Adults 18 and older
BMI meets the treatment threshold
Goal is health improvement with lifestyle change
No pregnancy, eating disorder, seizure disorder, or opioid use
Open to non-incretin-based, non-stimulant options and lab checks

Look for another care setting

Pregnancy or breastfeeding
An eating disorder, seizure disorder, or opioid use
A wish for incretin-based weight-loss or diabetes medicines or controlled stimulants (not offered here)
Rapid unexplained weight change or a possible thyroid/hormonal cause

What to have ready

Your height and weight (or BMI)
Any weight-related conditions you have
Whether any safety conditions apply (pregnancy, eating disorder, seizures, opioid use)
Current medications, allergies, and any recent labs

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Do you prescribe Ozempic or other incretin-based weight-loss or diabetes medications?

No. This service does not prescribe incretin-based weight-loss or diabetes medicines (a class of newer weight and diabetes medicines, like semaglutide or tirzepatide) or controlled stimulants (stimulant medicines with special legal limits, like phentermine). It focuses on lifestyle change plus non-incretin-based, non-controlled options, such as metformin (off-label, meaning used for a purpose other than the one it was officially approved for) or bupropion-naltrexone, when appropriate.

Who is a good fit for medical weight management?

Adults with a BMI (body mass index, a weight-for-height measure) of 30 or higher, or 27 or higher with a weight-related health problem like high blood pressure or prediabetes, who want medically supervised support along with diet and activity changes, and who have no safety contraindications (health reasons that would make the medicine unsafe).

What safety checks are involved?

We screen (check) for pregnancy, eating disorders, a seizure disorder (such as epilepsy), and opioid use (opioids are strong pain medicines and related drugs), review your blood pressure and heart history, and recommend baseline (starting) blood tests (like kidney function and A1c). Weight loss is gradual (little by little), so expect steady, modest progress.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

High blood pressure (home-monitoring program)First hypothyroidism treatment Iron, vitamin D & B12 deficiency Prediabetes (metformin)