Service
Medical Weight Loss and GLP-1 Medications
Medical weight management is a medically guided approach that combines a metabolic assessment, nutrition and lifestyle support, body composition monitoring and, when appropriate after evaluation, GLP-1 receptor agonist medications such as semaglutide or tirzepatide. Vitality Medicine RX offers this care by telehealth in states where Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM holds an active license. Book a discovery call to discuss whether this approach fits your goals.
Who this care may be right for
Adults who have struggled to manage their weight despite diet and activity efforts, who carry metabolic risk factors, or who want a structured, medically guided approach may benefit from an evaluation.
Eligibility for GLP-1 medications is determined by the clinician based on your history, labs, body mass index or metabolic risk, and any conditions that could make these medications unsafe for you.
Common goals
Goals typically include sustainable weight loss, better blood sugar and insulin control, improved energy, reduced metabolic risk and habits that last beyond the medication.
Weight loss is one part of a broader plan. Nutrition, activity, sleep, stress and, when relevant, hormone and thyroid factors are all part of the conversation.
How telehealth weight management works
You start with a discovery call, then complete an intake covering your history, weight journey, medications and goals. Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM reviews labs and orders appropriate testing, then builds a personalized plan.
Follow-up visits track progress, adjust the plan and provide coaching. Body composition and metabolic markers are monitored rather than relying on the scale alone.
Labs and monitoring that may be used
Testing may include a metabolic panel, A1C, fasting insulin, lipids, thyroid markers, liver enzymes and other labs based on your history. Body composition monitoring may be used where appropriate.
Labs are completed near you or with home kits where available, depending on your state and the tests ordered.
Treatment options that may be considered
When appropriate after evaluation, GLP-1 receptor agonists such as semaglutide or tirzepatide may be considered, prescribed only when appropriate and with clear discussion of benefits, side effects and monitoring.
Medication is one part of a broader plan that includes nutrition and lifestyle support. Compounded GLP-1 products are discussed separately and carry different regulatory considerations.
Safety, risks and side effects
GLP-1 medications can cause nausea, vomiting, diarrhea, constipation and other side effects, especially when starting or increasing a dose. More serious risks are possible, including gallbladder and pancreatic concerns, and are reviewed before treatment.
These medications are not appropriate for everyone, including some people with certain thyroid, pancreatic or gastrointestinal conditions. Telehealth is not for emergencies: if you have severe abdominal pain, vomiting you cannot keep fluids down, or another emergency, call 911.
Cost of weight management care
Care is provided through our programs and memberships. See the Pricing page for details. Medications, compounded medications and outside lab fees are billed separately.
The practice is fee-for-service and does not bill insurance, Medicare or Medicaid. HSA and FSA cards are accepted, and superbills are available on request.
Your provider
Dr. Miklos Major II, Sc.D., DNP, NP-BC, FAAMFM
Doctor of Nursing Practice (DNP) and Doctor of Science (Sc.D.), board-certified nurse practitioner (NP-BC).
About your providerRelated
Last updated 2026-10-07.