Weight management & metabolic health
Reach a healthier weight and feel better in your body
Struggling with weight that won’t come down, low energy, or just feeling off? This physician-led program looks for what’s holding you back.
Telehealth in GA · CA · TN · WA · In person in Sandy Springs
In short
Metabolic health is how well your body turns food into energy and manages blood sugar, insulin and fat storage. When it’s off, weight can climb even when you eat carefully. Vivaa’s program starts with labs, then combines nutrition, coaching and medication where it fits, all supervised by a physician. Telehealth in GA, CA, TN and WA.
Having trouble losing weight and feeling tired?
- Weight won’t go down, even when eating better or staying active
- Feeling tired most of the day, even after enough sleep
- Losing weight for a while, then gaining it back
- Always feeling hungry or dealing with cravings
- Doing everything right, but not seeing results
- Feeling frustrated and not sure what’s actually going on
Understanding metabolism
What is metabolic health, and why does it affect your weight?
Your metabolism turns what you eat into energy your body can use. When it runs well, weight stays in check and energy stays steady. When something disrupts it (shifting hormones, a sluggish thyroid or rising insulin resistance), your body starts holding onto fat instead of burning it. That’s not a lack of effort. It’s a biological response.
The most common disruptors aren’t always caught early by standard tests: subclinical thyroid changes, hormonal shifts in perimenopause and cortisol changes from long-term stress. By the time they show up on a basic panel, they may have been affecting your weight and energy for months.
A metabolic health program looks for these disruptions and addresses them with a clinical plan specific to your body. Lab testing shows where your metabolism is struggling. Targeted support, whether hormonal, nutritional or medical, gives it what it needs.
What’s included
What’s inside your weight management program
Every element is designed to address a specific reason your body may be holding onto weight.
- Metabolic and hormonal lab testing Before any recommendations, we measure insulin sensitivity, thyroid function, sex hormones, cortisol and inflammatory markers to see what your metabolism is doing.
- Your customized weight loss plan Using your labs and health history, your provider builds a plan for your body. Nutrition targets, lifestyle changes and treatment options are calibrated to your metabolic profile.
- Hormonal support Hormone imbalances can make weight harder to keep off. We address them directly, including bio-identical hormone therapy where appropriate.
- GLP-1 and peptide therapy For patients who qualify, GLP-1 medications and peptide therapies can support insulin sensitivity, appetite regulation and fat loss as part of a broader, physician-supervised plan.
- Ongoing metabolic monitoring Regular follow-ups track your markers and progress, and your plan is adjusted as your body responds, keeping results moving in the right direction.
- Virtual care that fits your life Appointments are by telehealth across Georgia, California, Tennessee and Washington, with in-person visits available in Sandy Springs, GA.
How it works
A structured approach to weight and metabolic health
A step-by-step process to understand your body, address underlying factors and support steady, long-term progress.
01
Book your consultation
Schedule online. No referral needed. We review your weight history, past programs and what sustainable success looks like for you.
02
Uncover your metabolic profile
Comprehensive labs measure insulin sensitivity, thyroid function, sex hormones and cortisol to show what’s making weight loss harder.
03
Receive your customized plan
Your provider builds a plan around your results: nutrition, lifestyle, hormonal support and any medical therapy you need.
04
Monitor, adjust and sustain
Regular follow-ups track your progress and keep your plan evolving, turning short-term results into lasting ones.
Questions about weight management
What happens at my first visit?
Your first visit is a consultation by video. We go through your symptoms, health history, lifestyle and goals, and review any labs you already have. No referral is needed.
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.
Is it done by telehealth?
Mostly, yes. Visits are by secure video so you can be seen from home or work. If you’d rather meet in person, appointments are available at our Sandy Springs, GA office.
Which membership includes weight-loss medication?
The Medical Optimization membership includes monthly physician and coach visits and access to weight-loss medication where appropriate. See Memberships for details.
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.
