Comprehensive metabolic evaluation: Initial consultation with full metabolic panel, body composition analysis (DEXA or bioimpedance), thyroid function, insulin levels, HbA1c, lipid panel, and hormonal assessment Pharmacotherapy management: GLP-1 receptor agonist prescribing, appetite suppressant management, and adjunctive medication protocols Nutrition planning: Individualized meal plans, macronutrient optimization, micronutrient supplementation, and dietary counseling Behavioral health support: Cognitive behavioral therapy for eating patterns, motivational interviewing, and habit formation coaching Body composition monitoring: Regular DEXA scans, bioimpedance measurements, and anthropometric tracking Maintenance programming: Long-term weight maintenance protocols, medication tapering strategies, and relapse prevention planning Offering a defined program structure rather than ad hoc visits dramatically improves patient compliance, outcomes, and revenue predictability

Patients may have an enhanced response to vaccines and fewer symptoms of chronic infections
Grazing means eating small amounts repeatedly throughout the day without planned meals
At Nava Health, we often start with Semaglutide but may escalate to Tirzepatide for patients with more resistant metabolic set points or those who plateau on Semaglutide
Exogenous GLP1 infusion decreased energy intake, decreased appetite, and decreased brain responses to food anticipation
To avoid these risks and complexities, most manufacturers prefer to freeze-dry the purified peptide using bulk lyophilization, which generates a shelf-stable powder that can be reconstituted during later fill-finish steps