NYC’s Leading Integrative Health Care Center
NYC’s Leading Integrative Health Care Center
Medically reviewed by Rashmi Gulati, MD — Last updated: September 26, 2026
MD-led medical weight loss on Fifth Avenue. We test for what is driving your weight, prescribe GLP-1 medication such as Wegovy or Zepbound when it fits, and build a step-by-step plan that helps you lose fat, keep muscle and hold the result.
Integrative care since 1974
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Testing, plan & follow-up
Medical weight loss treats weight as a health condition, with testing, prescription medication where appropriate and physician follow-up. At Patients Medical, treatment starts with metabolic testing, then a personalized plan that may combine GLP-1 medication, protein-focused nutrition, strength training, thyroid and hormone care, and sleep and stress treatment, all prescribed and monitored by an MD.
GLP-1 medication when appropriate, nutrition and protein planning, strength training, thyroid and hormone care, sleep and stress plans
Consultation and metabolic testing first, then a plan that treats causes in the right order
Adults with a BMI of 30 or more, or 27 or more with a weight-related condition, whose weight has not responded to diet and exercise
Energy and cravings often change within weeks; steady fat loss usually takes several months
Our treatment is for adults who eat carefully and stay active but still gain weight, cannot lose it, or regain it after every diet. About 4 in 10 U.S. adults live with obesity and about 1 in 3 has metabolic syndrome, so this is common and treatable. If several of these signs sound familiar, it is time for a proper evaluation.
Want the background first? Read what metabolic health is or why diets fail.
Weight that will not shift is often a sign of another condition. Your treatment plan addresses whichever of these your testing uncovers.
Each finding from your testing becomes part of your plan. These are the causes we treat most often, and most patients have more than one.
Fasting insulin, glucose and A1c show how your body handles sugar. Treated with nutrition, activity and medication when needed.
A full thyroid panel, then medication adjusted to your results and how you feel, not one number.
Perimenopause, menopause, PCOS and low testosterone change where fat is stored. Treated when testing supports it.
Long-term stress pushes fat toward the abdomen and raises appetite. Stress and cortisol rhythm are treated in the plan.
Short or broken sleep raises hunger and cravings. Sleep apnea and insomnia are screened for and treated.
Inflammation markers are measured, then lowered with nutrition and targeted treatment.
Inflammation and weight gainLess muscle means a slower metabolism. Protein targets and strength training protect it, especially on GLP-1 medication.
Muscle loss on weight loss drugsDigestive problems and an unbalanced microbiome can affect appetite and blood sugar. Tested and treated when symptoms point there.
Gut health and weight gainYour treatment follows four clear steps, so you always know what is being treated, why, and what comes next.
A 60–90 minute first visit covering your diagnosis, flare pattern, medications, family history, gut health, hormones and stress, plus a review of the labs you already have.
As appropriate: fasting insulin and glucose, A1c, full thyroid panel, lipids, liver markers, hormones, cortisol rhythm, inflammation markers and body composition.
Metabolic testing, Diabetes testing, Thyroid testing, Hormone testing
Your physician treats the most important findings first, in sequence, and decides with you whether a medication such as a GLP-1 belongs in the plan.
Regular follow-ups recheck inflammation markers and symptoms, then adjust the plan. The goal is fewer flares and steady, low disease activity you can maintain.
Most plans combine two or more of these. Your physician recommends only what your results and symptoms support.
Semaglutide or tirzepatide prescribed when clinically appropriate, with careful dose changes, side-effect care and a plan to protect your muscle.
A personalized eating plan built around enough protein and fiber, steady blood sugar and foods you will actually keep eating.
Nutrition, activity and medication when needed to improve how your body responds to insulin, before prediabetes becomes diabetes.
Full thyroid testing and carefully adjusted medication for hypothyroidism and Hashimoto’s, a common and treatable cause of weight gain.
Treating perimenopause and menopause shifts, PCOS and low testosterone, with bioidentical hormones when clinically appropriate.
Guidance on resistance training and daily protein so the weight you lose is fat, not the muscle that keeps your metabolism working.
Screening for sleep apnea and insomnia, then a plan to fix sleep quality, because poor sleep drives hunger and cravings.
Stress reduction and mind-body therapies for patients whose weight gain tracks with burnout, long hours or broken routines.
Ongoing care for cholesterol, blood pressure, blood sugar and fatty liver risk, which often travel with weight gain.
Your testing, plan and prescriptions are directed by Rashmi Gulati, MD and Stuart Weg, MD.
Insulin, thyroid, hormones and inflammation are checked, not only your weight. Metabolic health explained
Every plan includes protein and strength targets so fat loss does not cost you muscle. Protein needs for weight loss
GLP-1s are one tool among several, prescribed only when they fit and monitored closely. Who GLP-1s are really for
A diet program or a prescription alone can start weight loss. When it stalls or comes back, a fuller medical approach can help.
| DIET PROGRAMS & ONLINE PRESCRIPTIONS |
OUR INTEGRATIVE TREATMENT | SELF-MANAGING AT HOME |
|
|---|---|---|---|
| Testing | Little or none | Insulin, glucose, thyroid, lipids, hormones, cortisol and inflammation markers | No testing |
| First visit | A short intake or an online form | 60–90 minutes with a physician | None |
| Treatment focus | Eating less or suppressing appetite | Treating the causes of weight gain and protecting muscle | Cutting calories |
| Typical treatments | A meal plan or a medication on its own | Nutrition, strength training, thyroid and hormone care, GLP-1 medication when appropriate | Diets, apps and supplements |
| Follow-up | Refills or weigh-ins | Scheduled visits with labs and plan adjustments | None |
Your physician coordinates with your primary care doctor and other specialists when needed.
Low energy and weight gain often share causes such as insulin resistance, thyroid problems and poor sleep. When they do, your treatment plan covers both. If exhaustion is your main problem, see our dedicated chronic fatigue treatment program.
Individual results vary. Your physician will set realistic goals with you at your first visit.
Timelines depend on the causes found, your starting point, other health conditions and your treatment plan.
Sarah, 44, had a BMI of 36, five failed diets behind her and a new prediabetes diagnosis. Testing showed severe insulin resistance. Her plan combined Wegovy, increased gradually over four months, with a high-protein, low-glycemic diet and vitamin B12 support. In six months she lost 52 pounds, her A1c fell from 6.2 to 5.4, and her joint pain and reflux eased.
“I lost 68 lbs on Mounjaro. Finally, a solution that worked after years of struggling!”
S.N., 32 Brooklyn
“No more food noise! Ozempic helped me break my sugar addiction.”
M.K., 50 Manhattan
“The medical team made all the difference. I had zero side effects with their dosing plan.”
T.L., 41. Queens
Medical Director
Rashmi Gulati, MD, is a board-certified functional medicine doctor Manhattan and a leading holistic doctor in NYC.
Gynecologist & Obstetrician
Dr. Emine Cosar, MD has over 20 years of medical experience as a Gynecologist.
It is weight loss led by a physician: testing to find what is driving your weight, prescription medication when it is appropriate, and regular follow-up. It differs from a diet program because the plan is built on your labs and health history. Weight loss and metabolic health
These medications are approved for adults with a BMI of 30 or more, or 27 or more with a weight-related condition such as high blood pressure, type 2 diabetes or high cholesterol. They are not suitable if you or a close relative has had medullary thyroid cancer or MEN2, or if you are pregnant or planning a pregnancy. Your physician reviews your history first.
Yes, when they are clinically appropriate for you. Wegovy (semaglutide) and Zepbound (tirzepatide) are approved for weight management; Ozempic and Mounjaro are the same medicines approved for type 2 diabetes. Your physician chooses with you after testing. GLP-1 medications explained
In large clinical trials, adults lost on average about 15% of their body weight on semaglutide over 68 weeks and up to about 21% on tirzepatide over 72 weeks, combined with lifestyle changes. Results vary from person to person, and your physician will set a realistic goal with you.
The most common are nausea, constipation, diarrhea and reflux, usually when the dose goes up. We start low, increase slowly and adjust your eating plan to keep them manageable. Severe or lasting stomach pain should be reported right away. Stomach issues on GLP-1 medications
Some of the weight lost on any fast weight-loss plan is muscle, and that can slow your metabolism. We reduce the risk with a daily protein target, resistance training and dose changes when weight is dropping too quickly. Protein needs for weight loss
Appetite usually returns, and in trials many people regained much of the weight within a year of stopping. That is why we build habits, muscle and metabolic health during treatment and plan any taper with you. Maintaining weight loss after a GLP-1
Yes. Many patients do well once insulin resistance, thyroid, sleep or hormone problems are treated. In the U.S. Diabetes Prevention Program, losing about 7% of body weight with diet and 150 minutes of activity a week cut the risk of type 2 diabetes by 58%.
Common tests include fasting insulin and glucose, A1c, a full thyroid panel, lipids, liver markers, hormones and inflammation markers. Your physician chooses tests based on your symptoms and history. Metabolic testing
Cost depends on the tests, visits and medication your plan needs; we share an estimate before you begin.
We are an out-of-network provider and provide superbills to help you seek reimbursement. Some insurance plans cover GLP-1 medication when you meet their criteria, and we help with prior authorization. Fees & insurance
Your physician spends 60–90 minutes on your weight history, health history and goals, orders the right tests and explains your treatment options. What to expect on your first visit
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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