At Total Medical Center, we provide personalized primary care and preventive care tailored to each patient’s individual needs. Our approach goes beyond treating symptoms by looking at the broader factors that influence long-term health, including medical history, laboratory results, lifestyle, nutrition, and ongoing health risks. 
Our services include annual physicals, comprehensive blood analysis, chronic condition management, diabetes and cholesterol care, medical weight loss, and other routine primary care needs. When appropriate, patients may also learn about clinical research opportunities available through Hope Clinical Trials, creating a unique connection between established medical care and emerging treatment options.
Our goal is to help patients better understand their health, identify concerns early, and develop practical, personalized care plans that support healthier outcomes over time.
Medical weight loss is a clinician-guided approach that looks beyond the number on the scale. We evaluate factors that may be contributing to weight gain or making weight loss more difficult, such as metabolic health, current medications, eating patterns, physical activity, sleep, stress, and other health conditions. Your treatment plan may include nutrition and lifestyle guidance, prescription medication, ongoing monitoring, or a combination of approaches.
Our program is personalized around your health, lifestyle, and the potential root causes affecting your weight. Rather than providing the same plan to every patient, we use your medical history, laboratory results, goals, preferences, and response to treatment to determine which options may be appropriate. Healthy eating, physical activity, and sustainable behavior changes remain important even when medication is prescribed.
Yes. We require appropriate laboratory testing before starting treatment so the provider can better understand your overall health and identify factors that may influence your plan. The specific tests ordered will depend on your medical history, symptoms, current medications, and risk factors. Your results also provide a baseline that may help us monitor your health and progress over time.
Depending on the patient, treatment may include semaglutide, tirzepatide, or other prescription weight-management options. Semaglutide and tirzepatide are among the medications approved by the FDA for long-term weight management in eligible patients when used with reduced-calorie nutrition and increased physical activity. Medication selection is based on your individual health needs, medical history, goals, potential risks, and treatment response.
These medications affect hormonal pathways involved in appetite and food intake. Semaglutide acts on the GLP-1 receptor, while tirzepatide acts on both GIP and GLP-1 receptors. They may help appropriate patients consume fewer calories by improving appetite regulation and feelings of fullness. They are intended to support, rather than replace, healthier nutrition and physical activity.
Eligibility depends on more than how many pounds you would like to lose. Your provider will consider your body mass index, weight-related health conditions, medical and family history, current medications, prior weight-loss efforts, laboratory findings, and potential contraindications. FDA-approved medications are generally intended for patients who meet specific clinical criteria, but the final recommendation must be individualized.
Results vary from person to person. Your starting weight, medication, dosage, nutrition, activity, sleep, underlying health conditions, treatment consistency, and length of treatment can all affect your progress. We will establish realistic goals and monitor more than pounds alone, including waist measurements, laboratory values, energy, mobility, and other indicators of improved health.
Some patients notice changes in appetite early in treatment, while meaningful changes in weight generally occur gradually. Doses may need to be increased over time based on the medication’s prescribing instructions, your tolerance, and your provider’s clinical judgment. Our goal is not the fastest possible weight loss, but a medically appropriate pace that supports long-term success.
Side effects depend on the medication. Common effects associated with semaglutide and tirzepatide include nausea, diarrhea, vomiting, constipation, abdominal discomfort, and indigestion. More serious risks are possible, which is why treatment should be prescribed and monitored by a qualified medical provider. Contact your provider promptly if you experience severe or persistent symptoms.
No. These medications are not appropriate for everyone. Medical history, pregnancy plans, current medications, gastrointestinal conditions, previous reactions, and certain personal or family health risks may affect eligibility. Semaglutide and tirzepatide also should not be combined with other products containing the same active ingredient, and tirzepatide should not be used together with another GLP-1 receptor agonist. Your provider will review the relevant risks and prescribing information with you.
Yes. Medication can be a valuable tool, but it works best as part of a broader plan. We help patients identify practical nutrition, activity, sleep, hydration, and behavioral changes that can be maintained in everyday life. FDA-approved weight-management medications are intended to be used alongside reduced-calorie nutrition and increased physical activity.
The length of treatment depends on your health needs, response, side effects, preferences, and the medication being used. Obesity is often managed as a chronic condition, and some patients may benefit from longer-term treatment. Stopping medication can lead to increased appetite or weight regain for some people, so we develop an individualized maintenance plan that may include continued medication, dose adjustments, lifestyle support, and follow-up monitoring. Never stop or change a prescribed medication without discussing it with your provider.
