A weekly injection, a monthly check-in, and labs that prove what's happening underneath. The goal isn't a smaller number — it's less fat, more muscle, and a body that holds the change after the medication stops.
You start with labs and a real conversation — what you've tried, what's worked, what your body is doing now. If a GLP-1 medication (typically semaglutide or tirzepatide) is the right fit, your provider writes the prescription. Many patients come in weekly and we give the shot — quick walk-in, no appointment for the injection itself. Others prefer to self-administer at home. Switch between either, any time.
The medication quiets the appetite noise, slows digestion so meals satisfy longer, and helps your body use insulin better. That's the unlock — it's the nutrition, activity, and sleep work on top of it that turns a temporary drop into a durable change.
Your prescription is filled by a licensed 503A compounding pharmacy. Compounded preparations are not identical to FDA-approved finished products and can differ in salt form, concentration, and other variables — we walk through every one of those details with you before anything is prescribed.
Doses move up slowly, one month at a time. Most patients lose 5 — 20% of their body weight over 6 — 12 months. We pair it with a protein-priority framework (~100g a day) and a simple resistance routine — because the muscle you keep is what makes the weight stay off.
Who it helps.
The first few weeks: the constant food chatter quiets down. Over months: the scale moves, but more importantly, your labs and your reflection both start to look different.
Your care team sees you every month, all on the same chart. They read your labs, ask how you're feeling, and adjust your dose — so you're never alone with a syringe and a guess.
The medication does the heavy lifting on appetite and cravings, so the nutrition changes you've been trying to make finally feel possible.
Protein targets, resistance work, and quarterly labs are built into the plan — so the body you build is one that can hold the loss after you taper down.
The medicine works on a curve that doesn't care about your calendar. Here is what a real six-month program looks like at Bespoke.
Lab draw, InBody, history, goals. Your provider sits with the data and recommends a starting medication and dose.
Medication starts at the lowest titration. Weekly MIC injections begin. Side-effect plan in your hand, your care team's number in your phone.
Repeat labs. InBody trend. Dose calibrated to what your body is actually doing — not the protocol everyone else is on.
Full lab and InBody redraw against your baseline. Maintenance plan and a real conversation about what comes next — not a contract renewal.
The honest answers on cost, candidacy, and what happens when the medication stops.
Our medical-management membership is $149/month. That covers your monthly provider visit, follow-up labs at three and six months, InBody body-composition scans and your MIC lipotropic injections. Medication is prescribed by your provider and billed separately by the dispensing pharmacy at the time of each fill — so you only pay for the doses you take. A one-time $199 baseline lab at enrollment, six-month minimum ($894 total), then month-to-month with thirty days' written notice to cancel.
That's a conversation with your provider, not a website checkbox. Your history, your labs, side-effect tolerance, and goals all factor in. Many patients start on semaglutide; some switch to tirzepatide later if appetite control plateaus.
Most patients lose 5 — 20% of body weight over 6 — 12 months, but the honest answer is: it depends. We track it with InBody scans every month so you can see what's fat, what's muscle, and what's water — not just a single number on a bathroom scale.
We tell you up front: compounded preparations are made by a licensed 503A pharmacy and are not identical to FDA-approved finished products — salt form, concentration, and excipients can differ. Your provider walks through every one of those details before anything is prescribed.
That's the failure mode we're built to prevent. Most patients taper to a low maintenance dose rather than stopping cold, and the protein and resistance work we layer in from week one is what keeps the muscle — which is what keeps the loss.
Nausea, reflux, and constipation are common in the first few weeks, especially after a dose increase — almost always manageable with hydration, fiber, and slower titration. The reason doses move up one month at a time is so we can dial back the moment something doesn't feel right.
Every plan starts the same way — a blood draw that tells us how your metabolism, lipids, blood sugar, and thyroid are really doing. Nothing is prescribed until those results are back on the desk in front of us.
Plus: how we’d use a summer with the schedule on your side. One page, refreshed each month.
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