Our Services
Medical Weight Loss (Semaglutide & Tirzepatide)
Why Stubborn Fat Happens
Weight loss becomes harder with age not because of lack of effort, but because your biology changes. Hormonal shifts, reduced GLP-1 signaling in the gut, chronic stress, poor sleep, and increased insulin resistance gradually slow metabolism and promote fat storage — especially around the abdomen. In women, perimenopause and menopause accelerate these changes as estrogen declines, pushing the body to store more fat in an attempt to create replacement estrogen. In both men and women, lower testosterone and thyroid function decrease lean muscle, which further reduces metabolic rate. Over time, these physiological changes make appetite stronger, cravings more frequent, energy less stable, and fat loss significantly more difficult without targeted medical support.
Medical Weight Loss to Improve Fat Loss
GLP-1 medications such as semaglutide and tirzepatide help restore the metabolic signals that naturally decline with age. They reduce appetite, stabilize blood sugar, improve insulin sensitivity, and support steady fat loss while protecting long-term metabolic health.
Semaglutide
GLP-1 receptor agonist designed for steady, sustainable fat loss
- Reduces appetite and cravings
- Slows gastric emptying for improved fullness
- Supports insulin sensitivity and glucose control
- Ideal for gradual, reliable progress
Tirzepatide
Dual GLP-1/GIP agonist for enhanced metabolic correction
- Strong appetite and craving suppression
- Boosts metabolic rate more effectively
- Improves insulin sensitivity more than GLP-1 alone
- Great for stubborn weight or insulin resistance
Health Benefits of GLP-1 Therapy (Semaglutide & Tirzepatide)
Improves how cells respond to insulin, stabilizes fasting and post-meal glucose, lowers A1c, reduces insulin resistance, and helps preserve pancreatic beta-cell function. These changes support long-term metabolic stability and healthier glucose control.
Normalizes hunger cues by acting on satiety centers in the hypothalamus, reduces reward-driven eating, slows gastric emptying for sustained fullness, and improves natural appetite regulation throughout the day.
Associated with reduced major cardiovascular events, improved blood pressure regulation, better endothelial function, and healthier lipid patterns. These improvements contribute to lower long-term cardiac risk.
Lowers inflammatory markers such as CRP, reduces oxidative stress, and supports a healthier inflammatory response. This contributes to overall metabolic and cardiovascular health.
Supports reduction of liver fat, improves liver enzymes, lowers the risk of non-alcoholic fatty liver progression, and shows potential benefits in reducing albuminuria and supporting kidney health in patients with metabolic dysfunction.
Promotes steady fat loss, reduces visceral fat, and helps preserve lean muscle when paired with proper dosing and monitoring. Enhanced metabolic flexibility allows the body to burn fat more efficiently.
Emerging evidence shows benefits for focus, appetite regulation at the brain level, improved energy consistency, and potential neuroprotective effects related to GLP-1 pathways in the central nervous system.
How it works
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1. Discovery Session
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2. Tailored Treatment Plan
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3. The Results & Blood Work
A comprehensive consultation to evaluate your history, symptoms, metabolism, hormone status, and goals. This helps determine whether semaglutide or tirzepatide is the right fit.
You’ll receive a customized dosing strategy, education on nutrition and appetite patterns, and ongoing guidance designed specifically for your biology and lifestyle.
Labs are repeated every four months to track improvements in glucose, insulin resistance, inflammation, liver function, and metabolic markers. We adjust dosing to maintain progress and safety.
Regular touch points through telemedicine help monitor progress, manage plateaus, optimize dosing, and support long-term metabolic stability.
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Clinically Proven Method
Your plan is based on evidence-based metabolic medicine and guided by a doctor who specializes in hormones and weight physiology. Every dose and every adjustment is individualized and clinically justified.
Medical Oversight With Regular Blood Work
We repeat labs every four months to evaluate metabolic markers, inflammation, hormones, liver function, and glucose control. This ensures safety, precision dosing, and preservation of lean muscle.
Real, Long-Lasting Results
Our approach uses micro-dosing, gradual titration, and slow tapering to support a healthy metabolism, reduce GI symptoms, and prevent rebound weight gain. We focus on fat loss, not muscle loss, so results last long after treatment ends.
Membership & Pricing
Weight-Loss Membership for Non-HRT/TRT Patients
$100 per month.
Includes:
- Metabolic labs every four months
- Ongoing telemedicine follow-ups
- Dose adjustments
- Access to your provider for support and guidance
Our membership model keeps everything simple and transparent. You’ll always know exactly what’s included and what you’re paying for, with no hidden fees or surprise bills — just direct, personalized care designed around your needs.
Medication is billed separately at discounted rates:
- Tirzepatide: $150/mL
- Semaglutide: $120/mL
For Existing HRT/TRT Members
No separate membership required.
Weight-loss markers can be added to your routine hormone labs for a small additional fee.
Medication is billed a la carte
About Side effects
GLP-1 medications are generally well tolerated, especially with micro-dosing, but some patients may experience temporary digestive symptoms such as nausea, bloating, early fullness, mild reflux, or constipation as the body adjusts to slower gastric emptying. These effects are usually dose-related and improve over time. Rare but significant risks include gallbladder issues or pancreatitis, which is why medical oversight and regular lab monitoring are essential. With individualized dosing, gradual titration, hydration support, and proper nutrition, most patients experience minimal discomfort and can continue therapy safely and comfortably.
Frequently Asked Questions
Yes, but they are extremely small and easy to use. You’ll receive detailed training.
Most patients stay on treatment for 4 to 12 months. Depending on your weight-loss goals and how your body responds to the medication, the timeline can vary from person to person. We taper slowly to support your metabolism, maintain results, and prevent rebound weight gain.
With any weight-loss program, some degree of muscle loss is possible. This is why monitoring hormones and supporting healthy testosterone levels during GLP-1 therapy can make a meaningful difference. In our program, we use micro-dosing and gradual titration to protect lean mass, and we aim to keep weekly weight loss under one pound to support steady, successful fat loss while preserving muscle as much as possible.
Even better. Having balanced hormones while using GLP-1 medications can support your metabolism more effectively and help you achieve longer-lasting results. No new membership is needed. When we check your hormones, any additional markers needed for weight loss can be added to your lab panel for a small extra fee.
Nausea is one of the most common side effects with GLP-1 medications, but micro-dosing makes it much less likely. Most patients tolerate treatment very well. If nausea or other GI symptoms do occur, we have several tools to reduce discomfort including targeted supplementation and simple adjustments to your dosing plan. Tirzepatide is often better tolerated than semaglutide, so if you have a more sensitive system, it may be the preferred option.
Yes. Semaglutide and tirzepatide are widely used for metabolic and weight management in non-diabetic adults.
Yes. I use high-quality compounded tirzepatide, which is the compounded version of Zepbound, and compounded semaglutide, which is the compounded version of Mounjaro. These formulations are produced by reputable compounding pharmacies and include added vitamin B12, also known as cobalamin, to support metabolism, energy, and overall tolerance. Compounded GLP-1 medications are clinically effective, more affordable, and allow for precise micro-dosing so your treatment can be adjusted safely and individually based on your needs.
Regular labs help ensure that your treatment is safe, effective, and supporting your metabolism in the right direction. Monitoring allows us to confirm that your markers are improving without any unintended effects, and it helps us track your progress, protect lean muscle, and adjust your plan as your body changes.To minimize risk, we closely monitor your labs, symptoms, and overall balance every few months and adjust your dose as needed. Our goal is to help you feel your best while maintaining optimal hormone levels within a safe range.
After stopping treatment, we taper gradually and support your metabolism with nutrition, hormone balance, and lifestyle strategies to help maintain your results long term. It is very important to build healthy habits while you are on these medications, because the lifestyle changes you make during treatment play a major role in how well your results last once you taper off.
That said, you are never “locked in.” Treatment can be paused or discontinued at any time under medical supervision, though symptoms of low testosterone may return once therapy stops.
Let’s Start Your Wellness Journey
Have questions or ready to schedule your visit?
Reach out today and take the first step toward balanced health.
DR. Goldis Faghihi ND/DC
Phone: (503) 928-4288
Address: 3735 SE Division St, Portland, OR 97202
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