Stubborn weight that won't come off
You're doing the work and the scale won't move. That's a medical signal worth investigating — not a willpower problem.
Overview
When weight gain doesn't match effort, we look for what's actually blocking loss: insulin resistance, thyroid dysfunction, low testosterone, cortisol, or medication side effects. If a GLP-1 is clinically appropriate after that workup, we prescribe it as one tool among several.
What we look at
Signals, not guesses.
- Fasting insulin + HbA1c
- Full thyroid panel
- Testosterone (men and women)
- Lipids + ApoB
How we approach it
The workflow.
- 01First visit to understand history + current effort.
- 02Metabolic + hormone labs.
- 03Decision on medication (including GLP-1s) is based on labs, not on a checkbox.
- 04Ongoing follow-up while on therapy.
Your clinician
Your clinician actually knows you.
Kevin Watson, FNP-C — American Association of Nurse Practitioners (AANP) board-certified Family Nurse Practitioner. Based in Twin Falls, Idaho.
Measured, evidence-led care. Every plan is built from your labs, your symptoms, and your goals — not from a template.
Keep reading
Related in the Learn library.
Related program · Treatments
Semaglutide and tirzepatide are effective — when they're clinically indicated and monitored. Not for everyone.
Also in this cluster · Symptoms
When your energy has been flat for months, the answer usually lives in labs — not in another cup of coffee.
Also in this cluster · Symptoms
Trouble focusing, word-finding trouble, or foggy afternoons. Often a hormonal or metabolic signal — not a personality change.
Also in this cluster · Symptoms
A drop in drive is a symptom, not a personality flaw. There's almost always a hormone story underneath.
Also in this cluster · Symptoms
Perimenopause can start years before periods stop. Sleep, mood, cycle, and heat regulation all shift.
Also in this cluster · Symptoms
Waking at 3am, restless nights, or unrefreshing sleep often has a hormone or metabolic root.
Answer a few questions and we’ll point you at the right care.
Two minutes. No login and no sensitive medical history — just enough context to show you a useful place to start.
Program
Weight loss + GLP-1s, with a clinician who knows your context.
$95 first visit. Same clinician every time. HSA/FSA eligible.