Frequently Asked

Most Common Questions:

Our approach to food is flexible and works with nearly all dietary restrictions, including gluten-free, vegan, and lactose-free (to name just a few). Each person has a different weight loss journey, your provider will help you create a custom diet plan that caters to your individual lifestyle & body.

Return Policy:

Medical Services including pre-paid Treatment Packages, Initial Consultation or Follow-up Appointments, and Appointment Deposits are not eligible for return or exchange.

Everyone has a different weight loss journey, we focus on keeping weight off for the long-term.  

When combined with Dr Nancy’s proven approach, her patients have seen an average loss of 19% of their body weight in the first year.

We most commonly prescribe GLP-1 medications including Wegovy® (semaglutide),  Saxenda® (liraglutide), Trulicity® (dulaglutide), and other forms of semaglutide (Ozempic® and Rybelsus®). All GLP-1s are FDA-approved, stimulant-free, and non-habit forming. Prescription costs through your insurance depend on co-pay and if you have reached your deductibles.

We are bringing our proven approach to you. With our combination of prescription medication and lifestyle modification, we guide you to a healthy body and healthy weight. This is not a temporary solution to weight loss. It is not a fad diet that will starve you or that won’t work. We offer a 3-month commitment to making long-term weight loss possible. With the combination of doctor 1 on 1 and medication you can lose 9% of your body weight in 3 months.

Everyone has a different weight loss journey, we focus on keeping weight off for the long-term.  

When combined with Dr Nancy’s proven approach, her patients have seen an average loss of 19% of their body weight in the first year.

GLP-1 Questions:

GLP-1 is a hormone that makes you feel full.  It’s made by your gut and has receptors in your brain.  When the GLP-1 hormone activates the GLP receptors in your brain, it tells you that you’re not hungry anymore.  Following  a meal, levels of GLP-1 rise for up to 2 hours which slows digestion, curbs appetite, and improves insulin function.

Every time you lose more than 5% of your body weight, your levels of naturally produced GLP-1 drop, triggering increased hunger and decreased satiety. 

Even worse, this drop is permanent.  Even if you regain the weight, GLP-1 levels do not restore to their original level. 

The impact? Yoyo dieting and previous attempts at weight loss can dramatically lower levels of naturally produced GLP-1, leading to increased hunger.  (The result: your biology makes succeeding at weight loss almost impossible)

GLP-1 medications are the most effective solution ever offered to achieve long term, sustainable weight loss, when combined with lifestyle modification.

GLP-1 medications are synthetic proteins that act just like the natural hormone and make you feel full.  GLP-1 medications act by providing your body with the protein that it is missing, due to genetics, yoyo dieting or previous weight loss attempts.

When combined with Dr Nancy’s proven approach, her patients have seen an average loss of 19% of their body weight in the first year.

Obesity medication has recently become highly effective. GLP-1 medications are clinically proven to provide long term, sustainable weight loss.

In February 2021, Semaglutide was shown to be highly effective in tackling obesity: a mean change in body weight over 68 weeks of 14.9%.

This February 2021 paper builds on earlier similar results in May 2020

Semaglutide was FDA-approved for weight management in  2021.Liraglutide (also a GLP-1 medication) has been FDA-approved for weight management since 2014.

Semaglutide is a GLP-1 medication. GLP-1s have few side effects and have been FDA-approved for Diabetes since 2010. Semaglutide has been FDA-approved for Diabetes since 2017.

GLP-1 medications are safe, proven and effective with numerous peer-reviewed clinical studies on the safety and efficacy of these medications. 

GLP-1 medications require medical supervision and when used properly have minimal side effects. 

GLP-1 medications are not stimulants or controlled substances.

GLP-1 medications have no adverse effects on the heart or brain, are not habit forming and can be discontinued at any time.

GLP-1 medications work with your body’s biology to adjust your set-point weight. 

These medications come in injectable and oral forms; our healthcare providers will help you decide which one is right for you.

GLP-1 medication provides 24/7 assistance in weight loss efforts. 

Previous generations of prescription weight loss medications were often stimulants or appetite suppressants to mask hunger. These quick fixes did not address the underlying issue of increased hunger hormones. 

GLP-1 medications work to reset the metabolic pathway to an optimal function, reducing hunger at its source, leading to long lasting weight loss.

Once you reach your goal weight and have sustained it, you can taper off the medication.

Insurance/Pricing Questions:

We’ll work with your insurance and the costs should be capped at $25 per month, after any copay or deductible is met.

We’re able to work with the vast majority of commercial insurance plans in order to get coverage for your doctor-prescribed medication and labs. Copays and deductibles vary by plan, but your doctor-prescribed medication is usually capped at $25 per month after any deductible is met.  Dr Nancy is not in-network with any form of insurance, however we can provide super bills for out of network reimbursement.

We’re sorry that you had this experience, but we’re optimistic that we could help. Many of our patients—including individuals who had their claim for a GLP-1 denied before—have been able to get a GLP-1 covered at $25/month (after any deductible was hit). This is because our Medical Team explores all GLP-1 medication options that are clinically appropriate for you, our team uses proprietary tools and data to help get your GLP-1 covered, and we take ownership over communicating with your insurance company for you. 

Yes, you can use HSA or FSA funds to pay for the Initial Consultation or your Treatment Program. 

Medical Weight Loss Questions:

Your biweekly, Follow-up appointment with your trained health care professional helps keep you accountable.  You’ll always meet with the same partner, to track progress and celebrate success too.

Each Follow-up appointment is 30 minutes, typically every other week. During this meeting you can discuss what’s important to you, the challenges you had and find a way to create solutions with our expert help.

Our practitioner’s have experience obtaining clinical outcomes with multiple pathways, and plans are always customized to fit your individual preferences.

Dr Nancy is a specialty clinic for obesity and weight loss.  It is important that you continue to be treated for existing medical conditions by your primary care provider. We will monitor your weight loss results and can coordinate your treatment plan with your primary care provider and/or other specialists.

Lab panels are necessary to assess your metabolism, hormones and micronutrients.

During intake, we will provide lab orders to assess your metabolism, hormones and micronutrients. Testing can be completed in office or by your primary care practitioner or any convenient national lab facility such as Quest or LabCorp. 

Our patients lose on average 9% of their body weight in 3 months, and 19% within 1 year. We strive to offer a long-term weight loss solution while also promoting lifestyle changes to improve your overall nutrition, gut health, micronutrient levels, and emotional health too.

Food - Improve nutritional habits and create a plan that is right for you. Making healthier choices that include protein, fiber, and healthy fats—without restricting or counting calories 

Gut Health - Improving overall gut health and supporting your microbiome with good bacteria.

Micronutrients - Optimizing your nutrient intake, we need these vitamins and minerals to convert the food we eat into energy, as well as repair cells and other essential functions in the body. 

Emotional Health - Improving your emotional health which has a huge effect on your weight. It’s worth noting that this category doesn’t just include whether you feel happy or sad, it also encompasses sleep deprivation, stress, depression, and other factors that impact our physical and mental health.

Medication Questions:

Your provider will review your required lab work and entire health history and can answer any questions you might have about medication interactions during your initial video doctor visit. GLP-1s (the medications that doctors prescribe) can be safely taken with other common prescription medications—including those for blood pressure, thyroid, and diabetes—and have no contraindications with other prescription or over-the-counter medications. 

There is one oral GLP-1 option. Your provider will use your medical history and insurance coverage to prescribe the best GLP-1 option for you. GLP-1s are self-administered either daily or weekly depending on the medication. Your provider can walk you through how it works and can also send you a short video to help! While an injection may sound scary, most members actually report it being painless, quick, and easy. Any questions you have, our team is happy to help answer!

Yes, Wegovy® (semaglutide) is one of several GLP-1 medications your Medical Team will consider based on your health history and insurance coverage. Your provider may also use other forms of semaglutide (the molecule used in Wegovy®, marketed under the brand names Ozempic® and Rybelsus®), as well as liraglutide (Saxenda®), and dulaglutide (Trulicity®).

Wegovy® is one of several GLP-1 medications your provider will consider based on your health history and insurance coverage in our program. Your provider may also use semaglutide (marketed under the brand names Ozempic®,  and Rybelsus®, as well as Wegovy®), liraglutide (Saxenda®) and dulaglutide (Trulicity®). 

We cannot commit to prescribing a certain medication. After reviewing your health history and labs, your provider will prescribe a medication if it is deemed clinically appropriate. 

Wegovy® (semaglutide) is one of the GLP-1 medications that our providers prescribe, along with liraglutide (Saxenda®), dulaglutide (Trulicity®), and other forms of semaglutide (Ozempic® and Rybelsus®). The primary difference between Wegovy® and other GLP-1s is that it’s a higher dose of semaglutide, a GLP-1 that is also prescribed under the brand names Ozempic® and Rybelsus®. All GLP-1s are FDA-approved, stimulant-free, and non-habit forming.

In your body, GLP-1s are powerful hormones made by your gut that send signals to your brain and other key parts of your metabolic system to influence your blood sugar response and insulin, and regulate your appetite and digestion so you can feel full longer and maximize nutrient absorption. Semaglutide (marketed under brand names Wegovy®, Ozempic® and Rybelsus®), along with all other GLP-1s, addresses systems core to metabolic health and helps lower your set point, or the weight your body fights to stay at.

The FDA-approved medications that Sustain prescribes are called GLP-1s, and are clinically-tested, stimulant-free, and non-habit forming. Side effects are extremely rare, and most individuals who take a GLP-1 do not experience any. For those who do, nausea is the most common, and this typically resolves over the first few weeks of being on the medication. If you do experience any side effects, you’ll be able to reach out to our team directly for support.

In the most recent clinical trials, less than 5% of people discontinued GLP-1 medications because of side effects.

Our team is available to provide easy communication between patients and doctors to ensure any questions you have are answered.

So you don't have to.

We work with your insurance to obtain coverage for prescription medication. Dr Nancy is classified as a primary care practice, however we are not in-network with any form of insurance. After each medical visit, a superbill can be automatically submitted to your insurance, for out-of-network reimbursement.