Your Concern
Weight Management
Physician-supervised medical weight loss with FDA-approved medications
Understanding Your Concern
About Weight Management
Weight management is complex. Many patients tell us they've tried every diet and exercise program, yet their weight plateaus or creeps back up. That's often not a lack of willpower—it's metabolic and hormonal resistance. We also address something other weight loss programs ignore—the aesthetic changes that come with rapid weight loss. Dropping 30+ pounds can hollow out the face, creating the need for strategic volume restoration with dermal fillers. Microneedling and chemical peels help address skin texture changes that often accompany significant weight loss. We focus on building sustainable habits and supporting your skin through the transformation.
Common Causes
- Metabolic resistance and decreased metabolic rate
- Hormonal imbalances (thyroid, cortisol, insulin, estrogen/testosterone)
- Lifestyle and dietary factors (eating patterns, sleep, stress)
- Genetic predisposition to weight gain and obesity
- Medications that promote weight gain (antidepressants, anticonvulsants, steroids)
Ready to Address This?
Schedule a consultation to discuss your weight management concerns with Dr. Shirazi.
Questions?
(858) 633-5991Recommended Treatments
Additional Options
Tips from Dr. Azi
- 1
GLP-1 medications are a tool, not a magic fix—combine them with real dietary changes and activity
- 2
Expect progressive weight loss over months, not weeks; typical rate is 1–2 pounds per week
- 3
Get comprehensive lab work (thyroid, cortisol, insulin, metabolic panel) before and during treatment
- 4
Address hormonal imbalances; uncontrolled thyroid dysfunction or cortisol excess will sabotage weight loss
- 5
Plan ahead for facial volume changes; rapid weight loss can hollow the face—filler may be needed
- 6
Build sustainable eating habits, not restrictive diets; when you stop GLP-1s, habits keep working
- 7
Expect weight regain if you return to old eating patterns after stopping medications
- 8
Exercise and strength training support metabolism and preserve muscle during weight loss
- 9
Sleep 7–9 hours nightly; poor sleep drives weight gain through hormonal disruption
Book Now
Discuss Your Weight Management Concerns
The $100 consultation fee is credited toward your first treatment.