Medical Weight Management in Southlake, TX

Weight is a metabolic problem, not a discipline problem, and treating it as a character issue is why most attempts fail. Magnolia works up what is actually driving it, treats it with the tools that work, and stays involved long after the first prescription is sent.

The workup comes first

Before any prescription we check thyroid function, A1c and fasting insulin, a lipid panel, liver enzymes, and where the history warrants it, cortisol and testosterone.

We review every medication you take, because a surprising number of common drugs cause weight gain. Several antidepressants, some antipsychotics, beta blockers, gabapentin, steroids and older diabetes medications all contribute. Swapping one occasionally solves a large part of the problem before anything new gets started.

We screen for sleep apnea in nearly everyone. Untreated apnea makes weight loss substantially harder and a great many people have it without knowing. Details are on our sleep apnea page.

Liver enzymes matter here too. Fatty liver is extremely common in this group, largely reversible, and almost never mentioned to patients. See fatty liver disease.

Medication

When criteria are met we prescribe GLP-1 receptor agonists including semaglutide and tirzepatide, and other options where those are not appropriate or not covered.

We start low, titrate on a schedule, and stay in contact through the dose increases, because that is when nausea and constipation appear and when most people quit. A dose increase delayed by two weeks is usually better than a patient who stops entirely.

We check benefits before you start. Coverage for these drugs changes constantly, and finding out at the pharmacy counter is a genuinely bad experience that we can prevent with a phone call.

Protecting muscle

Losing muscle alongside fat is a real risk on these medications and it makes regain worse later, because a smaller muscle mass burns less at rest.

So we talk about protein intake and resistance training from the first visit, not as a wellness aside but as part of the prescription. Roughly 1.2 to 1.6 grams of protein per kilogram of body weight per day is a reasonable target for most adults on treatment, and two sessions a week of resistance work does most of the job.

For older patients this is the difference between losing weight and losing independence.

Follow-up that does not stop

Monthly contact early on, then every eight to twelve weeks once you reach a stable dose. We track weight, waist circumference, blood pressure and labs, and we adjust.

Many of these visits work well as telehealth appointments, which removes a common reason people drift out of treatment.

What improves alongside the weight

Blood pressure, A1c, cholesterol, triglycerides, joint pain, sleep apnea severity, fatty liver and mobility all tend to improve, often before the scale shows what you hoped for. We track those, because they are the actual point.

This is primary care, not a weight loss clinic

Your weight treatment and your chronic condition management live on the same chart, managed by the same provider, with the same labs. If your blood pressure medication needs to come down because you have lost twenty pounds, that happens here rather than requiring a separate appointment somewhere else.

Check whether we take your insurance or read about our primary care Southlake practice.

What we do not do

Being clear about this saves everyone time.

• No compounded GLP-1 medications. We prescribe FDA-approved products from licensed pharmacies. Compounded semaglutide has been associated with dosing errors and the FDA has warned about it repeatedly.
• No HCG protocols, no vitamin injections sold as weight loss, no proprietary supplements. None of these have evidence behind them and we do not sell products.
• No very low calorie crash programs. They produce fast loss, muscle wasting and near-universal regain.
• No monthly membership fee. This is a covered medical service billed to your insurance like any other primary care visit.

If a program somewhere else is offering something dramatic for a flat cash fee, ask them what the maintenance plan is. That answer tells you most of what you need to know.

Working with your other clinicians

If you are also being seen at a weight loss clinic or a med spa, tell us. GLP-1 medications prescribed in two places at once is a real and dangerous scenario, and it happens more than you would think.

We are happy to co-manage. We just need to know so we are not stacking doses.