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Medical Program Fees & FAQ

We are New Hampshire's most comprehensive non-surgical medical weight management program, offering customized nutrition and lifestyle plans, with the option of medication for selected patients. Our doctors, nurse practitioner, nutritionists, and medical assistants work together as your support team.


What are the fees and details of the first visit?


  • The first visit is the "big one". Our program uses the latest science in order to customize a program and plan of action that fits your unique circumstances, to help you achieve your best results.  We are the opposite of a "one-size-fits-all" program – we are going to get to know your individual needs, preferences, lifestyle, challenges, and then we are going to fit the science to meet your life. Research shows that when you start off on the correct track, you are more likely to lose weight and keep it off for the long term.

  • In order to create the best plan for you, we need to get to know you. This means that our first visit is a comprehensive one, and you are going to meet with members of our entire team. This will be the longest visit, in order to set the groundwork for your future success.  Expect to spend about 2 to 3 hours with us as we get to know you and create a plan for you.

  • During your first visit, you will meet privately with both a medical practitioner and the nutritionist. The physician or nurse practitioner will perform a comprehensive bariatric medical evaluation to identify and address medical issues related to your weight.  She will review your medical history, medications, and investigate medical, as well as bio-psycho-social factors that may affect your weight. 

  • You will have a complete Body Composition Analysis and metabolic rate calculation. We measure weight, BMI and body fat percentage.  From this detailed information, we calculate your Resting Energy Expenditure, an indicator of how many calories you need per day.  This information allows us to give you individualized, precise advice on nutrition and activity level.

  • In addition, to complete medical evaluation, our nutritionists/health coaches will review your weight history, and fully evaluate your unique circumstances, current eating pattern, lifestyle factors, food preferences, and emotional and social factors affecting your weight.  

  • Our program will provide techniques for dealing with challenges such as emotional eating, planning ahead, eating out, cravings, breaking through plateaus, and staying on track long term.

  • We will teach you eating and lifestyle strategies, and provide practical, real-life dietary advice.  

  • After reviewing your history and completing your physical, the doctor will address any special conditions or concerns, answer any questions you have, and work with you to determine whether you may be a candidate for medication to assist with your weight management.

  • The doctor will also address any medications or medical problems which may be contributing to weight gain.

  • You will receive a detailed lifestyle plan, with specific recommendations for diet, exercise, behavioral modification, and medical issues related to your weight.

  • You will also receive extensive educational support materials, including a written lifestyle prescription, the Healthy Weight Center program book, the Calorie King calorie guide book, and you have the option of an online journal review by our nutritionist, at a minimal charge.  You are encouraged to call or email for extra support at any time.

  • To fully evaluate your needs, we require lab work to help us customize your plan. Basic lab work includes a CBC, CMP, TSH, Lipid Panel, and many people also may benefit from having a vitamin D level and Hemoglobin A1C test to determine whether prediabetes is present. You may bring lab results with you from your primary care provider, or we can draw them at the office at a discounted rate.



Fee for comprehensive two to three hour New Patient Evaluation, custom Lifestyle Prescription, and Healthy Weight Program Book: $295

Your New Patient visit is FREE if you choose to prepay for our 12-week Jumpstart Program.  Lasting healthy lifestyle change is best achieved with the support and professional guidance, particularly during the early stages.   Early success is tied to long term success, in multiple research studies.


What are the fees and details of the follow-up visits?

  • Follow-up visits will add to your "success toolkit", as we further refine and customize your lifestyle plan.  Our goal is to help make a healthy lifestyle change and weight loss strategies "second nature" for you.  Support, accountability, problem-solving, and new strategies will be provided to you at each visit.

  • Follow-up visits generally last for approximately 20-30 minutes, depending on your needs.

  • You will receive a results-oriented, focused Action Plan with each follow-up visit, along with additional support materials including recipes and further nutrition guidance, exercise prescription, behavioral strategies, and medical treatment as needed.

  • Lab results will be reviewed, and medical conditions connected to weight will be addressed, such as prediabetes/diabetes, metabolic syndrome, vitamin D deficiency, hypothyroidism, and more.  Our medical providers will coordinate care with your primary care and other specialists to make sure you get the best comprehensive care.

  • FDA-approved Anti-Obesity Medications may be prescribed for certain patients to control hunger and cravings, and facilitate lifestyle change and weight loss.  We closely monitor patient response to medications to ensure patient safety. 

  • As part of our initial 12 week Jump Start Program, you will meet with us each week by either office visit, or phone/virtual visit.

  • After the initial 12 week Jump Start Program, follow-up visits are generally scheduled two to four weeks apart depending on your needs, until you reach maintenance. Once you achieve your goal healthy weight and lifestyle, we will customize your maintenance plan to keep you on track long term.  

  • Between follow-up visits, you have additional support options, including phone support, email support by the nutritionist, weekly weigh-ins, and online journal review by the nutritionist. 

  • Each visit you will receive handouts discussing the latest research, topics relevant to your current challenges, and more.



$125 per office visit, or pre-pay for 4 or more visits at a discounted rate.


What types of payments do we accept and what about insurance?  

  • We accept Mastercard, Visa, Discover and American Express, debit, checks (with Driver's License) and cash.

  • Most patients have been successful using their FLEX Plans and HSA accounts for our program.  We accept HSA credit cards.

  • We are not affiliated with insurance companies. Most medical insurance carriers do not cover medical weight management at this time. However, If you wish to try to receive reimbursement from your private insurance company, we will generate a super-bill, and a letter that describes our program, so you may attempt to obtain reimbursement from your private, non-medicare insurance company.

  • Medicare does not cover medical weight management provided at specialist offices at this time.  This may change in the future.


What types of food can you eat on our program?

  • Research has shown that a key to long term success is a nutrition plan that is sustainable, realistic, and enjoyable.  Our program is designed around you. We will discuss your personal preferences, lifestyle, medical issues, and health goals, and design a plan for your success.

  • Our program focuses on the food you can purchase at the grocery store.  For those who wish to simplify choices and preparation, we also offer a medically-designed "Fast Track" food program.  We have a selection of "fast track" foods that meet a variety of needs, including options which are gluten-free, soy-free, vegetarian, and free of artificial flavors and preservatives. Click here for more information.

  • We have many patients with pre-diabetes, diabetes, elevated cholesterol, high blood pressure, metabolic syndrome, and other medical issues such as celiac disease, hypothyroidism, and heart disease.  If you have specific nutrition requirements recommended by your primary care physician, specialist, or a registered dietician you have seen previously, we will tailor your food plan to meet your needs.

Have more questions? One of our professionals will be more than happy to help answer any questions you may have!

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