You have been here before.
Every diet worked for a while, then the weight came back. That is not a willpower problem, it is biology, and biology is treatable.
The pattern you know
- Every diet worked for a while, then the weight found its way back
- Hunger and cravings run the day, no matter how hard you push
- The scale will not move, even when you are doing everything right
- You were told to just eat less and try harder, as if that were the answer
What changes here
- A plan built on your labs and history, not a template
- GLP-1 medication (Wegovy, Zepbound; the Ozempic class) for eligible candidates, when it is clinically right
- Your dose titrated slowly, to keep side effects manageable
- Direct messaging with Dr. Sharma between visits, not a portal
GLP-1 medication.
Semaglutide and tirzepatide, the medicines behind Ozempic, Wegovy, Mounjaro, and Zepbound. We prescribe the FDA-approved weight versions, Wegovy and Zepbound, to eligible candidates after an evaluation.
Best for
Adults who have tried everything and watched the weight return.
Method
A weekly self-injection, titrated slowly from a low starting dose.
Follow-up
Labs, dose adjustment, and direct messaging as long as treatment continues.
For eligible candidates after a clinical evaluation. Not everyone is a candidate. Results vary.
How we decide.
A real consultation
History, symptoms, and what you want back.
Labs, read by your physician
Drawn, reviewed, and explained to you.
A plan, either way
Treatment if your labs, history, and exam support it.
Follow-up and titration
Dosing adjusted to your labs and how you feel.
Not everyone is a candidate. If a GLP-1 is not right for you, we say so, and we still build the plan: metabolic labs explained, other FDA-approved medications when appropriate, and the habits that tend to move weight.
How this program compares.
Many programs start with an injection. Ours starts with a diagnosis.
| This program | Typical online weight-loss clinics | Going it alone | |
|---|---|---|---|
| A physician who runs and reads your labs | ✓ | Often an NP, not a physician | – |
| Seen in person, in a Danville office | ✓ | Often app-only | – |
| Dose titrated to you, not a fixed script | ✓ | Often protocol-driven | – |
| FDA-approved Wegovy or Zepbound, never compounded | ✓ | Not always | n/a |
| Messages answered by Dr. Sharma himself | ✓ | Often a care team | – |
| Someone managing side effects and the plan over time | ✓ | Varies by clinic | – |
What the program can help with.
These are potential benefits for eligible candidates. They are not guaranteed, and results vary from person to person.
Quieter appetite
The food noise settles. You feel full sooner and think about food less all day.
Weight that finally moves
Steady, gradual loss that holds, instead of a number that snaps back within weeks.
Fewer cravings between meals
The late-afternoon and late-night pulls to snack lose their grip over time.
Better metabolic numbers
For many, blood sugar and other markers improve as the weight comes down.
More energy to move
As the weight drops, everyday movement gets easier and you have more in the tank.
A plan you can keep
A physician adjusts the dose over time, so the medicine keeps working for your life.
What your $199 a month covers.
- Baseline and follow-up labs, coordinated and reviewed with you
- GLP-1 medication (Wegovy, Zepbound) prescribed and managed, FDA-approved, never compounded
- Dose titrated slowly to keep side effects manageable
- Direct messaging with Dr. Sharma, and follow-up visits by telehealth or in person
Either wayYou leave knowing where you stand
Either way, you leave knowing where you stand.
Questions people ask.
Is this the same as Ozempic and Mounjaro?
It is the same active molecules. We prescribe Wegovy (semaglutide) and Zepbound (tirzepatide), the FDA-approved versions for chronic weight management. Ozempic and Mounjaro are the same molecules approved for type 2 diabetes. We use FDA-approved medications only, never compounded.
Do you use compounded semaglutide?
No. We prescribe FDA-approved Wegovy and Zepbound only, with a known dose and a known safety profile. Compounded versions are not FDA-approved and are not part of our practice.
Will the weight come back when I stop?
These are medicines for a chronic condition, so weight can return when they stop, the same way blood pressure rises again if you stop that medicine. That is exactly why this is physician-managed. We plan the long game with you, including how to taper and what to hold onto, rather than handing you a script and disappearing.
What about the side effects I have heard about?
The common ones are gastrointestinal, like nausea, especially early on. This class also carries a boxed warning about thyroid C-cell tumors, which Dr. Sharma reviews with you before you start. We titrate slowly and stay reachable, which is how most side effects are kept manageable. Not everyone is a candidate.
Am I a candidate?
That is what the evaluation is for. Eligibility depends on your history, your labs, and a full discussion of risks and benefits. Not everyone is a candidate, and we will tell you honestly if this is not the right path for you.
What does it cost?
The Metabolic & Hormone Membership is $199 a month at the founding rate for the first 10 members; the rate increases after the founding cohort. Your membership covers ongoing medical management: visits, labs coordination, dose titration, and messages answered personally by Dr. Sharma during office hours. The medication is billed separately at your pharmacy.
Do I have to come in, or is this all online?
This is a real, local program in the East Bay. Labs are drawn nearby, and follow-ups happen across a desk or by video, your choice. You get labs, dose titration, and direct messaging, not a faceless subscription.
What if something urgent comes up after hours?
Routine messages are answered by Dr. Sharma the same business day. Members receive an after-hours protocol for urgent medication concerns. For anything outside the program, your own primary care physician remains your first call, and in an emergency call 911 first.
Want one physician for everything?
Concierge makes Dr. Sharma your complete personal physician, with your primary care, weight, and hormones handled together.
GLP-1 therapy is offered to eligible candidates after a clinical evaluation and a full discussion of risks and benefits, as part of comprehensive care. We prescribe FDA-approved medications only, semaglutide (Wegovy) and tirzepatide (Zepbound), never compounded versions; both are FDA-approved for chronic weight management and are the same molecules known from Ozempic and Mounjaro. These medicines carry risks and side effects, including gastrointestinal effects and, for this class, a boxed warning regarding thyroid C-cell tumors; your physician reviews these with you. Results vary, these medicines may not be appropriate for everyone, and not everyone is a candidate. When prescribed, the medication is billed separately at your pharmacy, not by the membership; what you pay depends on the medication and your coverage.
Reserve your founding spot.
First 10 members
Founding spot reserved with an
introductory conversation.
First 10 members
Initial evaluation $149,
credited toward your first month.
Questions? Call the office at (925) 406-3902