
Conditions · Weight gain & insulin resistance
Support your body to lose weight and feel better
If you’re doing everything right but not seeing results, struggling with cravings or gaining weight, insulin resistance may be part of the picture.

In short
Insulin resistance happens when your body makes plenty of insulin but your cells stop responding to it. Blood sugar can stay normal for years while weight, cravings and tiredness increase. Vivaa tests for it early with markers like fasting insulin, and treats it with nutrition, activity, coaching and medication when needed. Telehealth in GA, CA, TN and WA.
The truth about weight loss
Why is it so hard to lose weight?
- Insulin
- Blood sugar
- Hormones
- Metabolism
- Stress
- Sleep
Because your body is doing exactly what it was designed to do, and that’s the problem.
Insulin moves sugar from your blood into your cells. When cells stop responding to it, your body makes more insulin to compensate, and high insulin tells your body to store fat. Cravings, energy crashes and belly weight often follow, even while a standard blood sugar test still looks normal.
Hormones, stress and sleep play a part too. When any of them is out of balance, your body’s natural response is to protect itself, and that means holding onto weight. This is especially true in perimenopause and menopause, as shifting estrogen and progesterone change where the body stores fat.
Until the underlying cause is found, trying harder rarely changes the result. Sustainable weight loss starts with understanding what your body is working against, then building a plan that works with it.
Common concerns we help with
- Stubborn weight gain Weight that won’t go down, especially around your belly, even when you’re eating better.
- Slow metabolism Feeling like your body is working against you and nothing makes a difference.
- Emotional eating Eating when stressed, overwhelmed or tired, even when you don’t want to.
- Plateau despite exercise Doing everything right, but the scale won’t move.
- Cravings and energy crashes Strong cravings and sudden drops in energy through the day.
- Poor sleep or low energy Not sleeping well or always feeling tired, which makes weight loss even harder.

How we help
How we help you lose weight and maintain it
Personalized care designed to support your metabolism, reduce cravings and help you lose weight in a way that lasts.

01
Metabolic and hormonal labs
We test fasting insulin, blood sugar, hormones and other key markers to see where your body is out of balance.

02
Personalized nutrition and movement
A meal and exercise plan tailored to your body, goals and daily routine.

03
Mind-body coaching
Ongoing support with weight, stress and lifestyle, so you don’t have to do it alone.

04
Medications
For certain patients, we prescribe GLP-1 medications and other obesity medicines, including FDA-approved options and compounded versions where appropriate.
Your path at Vivaa
What happens when you start care
01
First consultation
A video visit covering your symptoms, health history and any labs you already have.
02
Targeted testing
We order the labs your symptoms call for, going past a routine panel where it helps.
03
Your personalized plan
Nutrition, lifestyle, supplements and, where appropriate, medication, based on what your results show.
04
Follow-ups and adjustments
Regular check-ins to review progress and adjust your plan. Vivaa works alongside your primary care provider.
Common questions
Is this available in my state?
Yes, if you’re located in Georgia, California, Tennessee or Washington at the time of your visit. We can’t see patients in other states.
What happens at my first visit?
A video consultation covering your symptoms, health history, lifestyle and any labs you already have. No referral is needed.
How do you test for insulin resistance?
We order fasting insulin alongside fasting glucose. A standard blood sugar test can look normal for years while insulin is already elevated. We may also calculate your HOMA-IR score, which combines both numbers to show how well your cells are responding to insulin. This catches the problem earlier than waiting for blood sugar to rise.
Can insulin resistance be improved?
Yes, and often significantly. With the right combination of nutrition, movement, sleep and stress management, many patients see their insulin levels come down within a few months. For some, medication such as GLP-1 therapy can accelerate progress. The key is a plan that targets the underlying cause, not just the number on the scale.
Your healing begins here
Start your journey to feeling better
Get a personalized plan that looks for the root cause, so you can feel better, regain your energy and take back control of your health. Telehealth in Georgia, California, Tennessee and Washington.

