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 windows

Quick facts

You must be physically in Virginia and 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 windows: 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 2 hours

Priority

$99

Within 1 hour

Rush

$149

Within 30 minutes

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after 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 — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

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 medications (like semaglutide or tirzepatide) or controlled stimulants (like phentermine). It focuses on lifestyle change plus non-incretin-based, non-controlled options such as metformin (off-label) or bupropion-naltrexone where appropriate.

Who is a good fit for medical weight management?

Adults with a BMI of 30 or higher, or 27+ with a weight-related condition such as high blood pressure or prediabetes, who want medically-supervised support alongside diet and activity changes and have no safety contraindications.

What safety checks are involved?

We screen for pregnancy, eating disorders, seizure disorder, and opioid use, review blood pressure and heart history, and recommend baseline labs (like kidney function and A1c). Weight loss is gradual — expect steady, modest progress.