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Medical Optimization

Weight Loss, Hormones & Peptides

Surgery shapes what you already have. This is the program that gets you to the starting line and keeps the result.

Medical weight loss

Physician-directed programs built around GLP-1 and dual-agonist therapy, with lab monitoring, dose titration, and — critically — a protein and resistance-training plan to protect lean mass. Rapid weight loss without strength work produces a smaller version of the same shape; the goal here is composition, not just scale weight.

Hormone replacement therapy

Women

Estrogen, progesterone and testosterone optimization for perimenopause and menopause — energy, sleep, libido, mood, body composition and bone health. Pellets and other delivery routes available.

Men

Full-panel testosterone management with attention to estradiol, hematocrit and fertility considerations. Injections or pellets, monitored quarterly.

Peptide therapy

Peptides are short amino-acid chains used to support recovery, metabolic function, tissue repair and longevity. Protocols are selected individually and always physician-supervised — including growth-hormone secretagogues, metabolic peptides and repair peptides.

All wellness services require an initial consultation and appropriate lab work. Availability of specific agents varies by state and by current regulatory status.

Frequently asked questions

Do I need to lose weight before liposuction?

Ideally you should be within roughly 30 lb of a stable goal weight and holding steady for a couple of months. Many patients run a weight-loss program first, then contour.

Can I combine GLP-1 therapy with surgery?

Often yes, but timing matters — GLP-1 medications are typically paused before a procedure per anesthesia guidance. Dr. Balgobin will give you specific instructions.

Ready for a straight answer?

Request a consultation and Dr. Balgobin will tell you what's achievable for your anatomy, what it costs, and what recovery actually looks like.

Request a consultation