What to Expect During Your First Medical Weight Loss Visit
Medical weight loss isn’t a quick fix or a one-size-fits-all plan. It’s a structured, clinically supervised approach that combines prescription medications, lab work, nutrition guidance, and ongoing accountability. If you’ve tried diets that didn’t stick or you’re ready for a science-backed strategy, understanding what happens during your first visit will help you walk in confident and prepared.
At 18 Spa in Loveland, our RN-led team guides you through every step—from initial consultation to medication education to realistic goal-setting. Here’s exactly what to expect.
Before Your Appointment: What to Prepare
Your first visit starts before you arrive. A few simple steps will make your consultation more productive.
Bring your medical history. Write down current medications, supplements, and any known allergies. If you’ve had recent blood work (within six months), bring a copy.
List your weight-loss history. Note what you’ve tried—diets, programs, medications—and what worked or didn’t. This helps your provider tailor your plan.
Set realistic goals. Think about your target weight, but also consider non-scale victories: more energy, better sleep, clothes fitting comfortably. Medical weight loss typically supports 1–2 pounds per week.
Step 1: Health Assessment and Lab Work
Your provider will start with a comprehensive health review. Expect questions about:
- Current weight and weight history
- Medical conditions (thyroid issues, diabetes, high blood pressure)
- Medications that may affect metabolism
- Sleep quality, stress levels, and activity habits
- Previous weight-loss attempts
Labwork will be reviewed if provided. If you desire to have labwork prior to starting the medication the provider can recommend a place to have that completed.
Your provider will record your weight, as well as some other measurements and data. These baseline metrics track your progress and flag any concerns.
Step 2: Medication Options and How They Work
Once your labs clear, your provider will discuss prescription options. Medical weight loss medications work in different ways:
GLP-1 agonists (like semaglutide) slow digestion, reduce appetite, and help regulate blood sugar. You’ll inject once weekly at home. Common side effects include nausea, constipation, and fatigue—usually mild and temporary.
Appetite suppressants may be prescribed short-term to help you adjust to new eating patterns.
Combination therapies pair medication with B12 injections or lipotropic compounds to support energy and metabolism.
Your provider will explain dosing, injection technique (if applicable), and what to do if you miss a dose. You’ll also discuss cost per month and whether your insurance covers any portion.
Realistic expectations: Most patients lose 10–15% of their starting weight over 3–6 months. Results vary based on adherence, activity level, and individual metabolism. No medication works without lifestyle changes.
Step 3: Nutrition and Lifestyle Guidance
Medication supports your effort—it doesn’t replace it. Your provider or a nutrition coach will outline practical eating strategies:
- Protein-forward meals to preserve muscle and keep you full
- Portion control without extreme restriction
- Hydration goals (often 64+ ounces daily)
- Meal timing that aligns with your medication schedule
You’ll also discuss movement. You don’t need a gym membership. Walking 20–30 minutes most days, taking stairs, or adding resistance bands at home all count.
Accountability tools: Many programs include weekly or biweekly check-ins (in-person or virtual), food logs, and progress photos. These touchpoints keep you on track and allow your provider to adjust your plan as needed.
Step 4: Setting Your Follow-Up Schedule
Medical weight loss requires monitoring. Your first follow-up is usually within 2–4 weeks. During these visits, your provider will:
- Review weight trends and side effects
- Adjust medication dosage if needed
- Answer questions and troubleshoot challenges
- Reorder labs as recommended
Plan for 3–6 months minimum. Sustainable weight loss takes time. Patients who commit to regular visits and follow the plan see the best results.
What Medical Weight Loss Looks Like in Loveland
Northern Colorado patients appreciate straightforward care without the pressure. Our team explains costs upfront, walks you through injection techniques until you’re comfortable, and adjusts your plan based on real life—not a textbook.
You’ll also have access to our full menu of medical spa services that complement your weight-loss journey, from skin tightening treatments to vitamin injections that support energy and recovery.
Aftercare and Long-Term Maintenance
Once you reach your goal weight, the work shifts to maintenance. Your provider will help you transition off medication gradually (if appropriate) and build habits that stick:
- Continued nutrition coaching
- Maintenance dosing for some medications
- Regular weigh-ins to catch small gains early
- Strategies for holidays, travel, and stress eating
Weight regain is common without a plan. Medical weight loss programs that include long-term support have higher success rates.
Common Concerns Addressed
“Will I feel sick on the medication?”
Some nausea is common in the first 1–2 weeks, especially with GLP-1 medications. Eating smaller meals, avoiding greasy foods, and staying hydrated help. Most side effects fade as your body adjusts.
“How much does it cost?”
Costs vary by medication and program length. Expect $250–$500+ per month, depending on your prescription and visit frequency. Ask for a full breakdown during your consultation.
“What if I don’t lose weight?”
Your provider will investigate. Sometimes dosage needs adjustment, thyroid levels need rechecking, or hidden calories (liquid, condiments) are stalling progress. Medical weight loss is collaborative—your team will problem-solve with you.
Ready to Start Your Medical Weight Loss Journey?
Your first visit is about building a plan that fits your body, your schedule, and your goals. You’ll leave with clear next steps, realistic expectations, and a team that’s invested in your success.
Book your consultation at 18 Spa today and take the first step toward sustainable, medically supervised weight loss. Schedule your appointment here and let’s create a plan that works for you.
FAQ
How long does the first medical weight loss appointment take?
Plan for 30 minutes. This includes your health assessment, discussion of medication options, nutrition overview, and time for questions.
Do I need a referral from my doctor?
No. Medical weight loss clinics with licensed providers (RN or MD oversight) can evaluate and treat you directly. However, it’s helpful to inform your primary care doctor, especially if you take medications for chronic conditions.
Can I do medical weight loss if I only want to lose 10–15 pounds?
Yes, though some programs prioritize patients with higher BMI or weight-related health conditions. Discuss your goals during your consultation. Your provider will determine if medical weight loss is appropriate or if nutrition coaching alone might be a better fit.
