Real Medicine for Weight Loss.
Not a Fad. Not a Diet.
GLP-1 medications like semaglutide work — but only when a real doctor is watching the rest of your health. Start with a free phone consult you can book online in under a minute. We'll look at the whole picture, in person, before we recommend anything.
Free Consult →Every patient gets a free lab test for over 51 biomarkers — over $400 value, included with your first visit.
Why Losing the Weight Feels Impossible
You've tried diet and exercise. Maybe more than once. The weight comes off, then it comes back — and a little more with it. That's not a willpower problem. It's biology working against you.
Hunger signals, how slowly your stomach empties, how your body handles blood sugar — these are the mechanisms that make weight loss difficult, and no amount of grinding through another fad diet changes them. For a lot of men, there's a second layer too: low testosterone slows your metabolism and costs you the muscle that burns fat in the first place.
Constant hunger
You eat, you're hungry again in an hour. Willpower runs out before the day does.
Diets that rebound
Lose 20, gain back 25. The scale won't stay where you put it.
Weight around the middle
It settles at the gut and won't budge, no matter the cardio.
Creeping lab numbers
Blood sugar, cholesterol, blood pressure all trending the wrong way.
Low energy
Tired before lunch, dragging through a shift you used to handle easily.
Stalled-out metabolism
What worked at 30 does nothing now. The math changed and nobody told you.
Wondering if you're a candidate? Take the 90-second quiz →
Why Crash Diets and Subscription Kits Both Fail You
There are two ways men usually try to fix this before they find us — and both leave the real problem untouched.
One — the diet treadmill. Supplements, crash programs, the next thing on the internet. None of it addresses the biology, so the weight always finds its way back.
Two — the subscription box. A GLP-1 mailed to your door with no doctor, no exam, no labs. GLP-1 medications are powerful, and they need real medical supervision — your liver, kidneys, blood sugar, and thyroid should be monitored, not ignored. And men who take a GLP-1 alone often lose muscle right alongside the fat, with energy dropping during the deficit.
You deserve a doctor who treats the whole man — your metabolism, your hormones, and your safety — not a kit with your name on the label. That's why Revive exists.
Real Labs, a Real Exam, a Real Doctor
Doctor-supervised GLP-1 therapy — backed by science, monitored by a physician, built around your body.
A 51-Biomarker Panel
Drawn in our clinic. We track your metabolic panel (blood sugar, HbA1c, insulin sensitivity), liver function, kidney function, lipids, thyroid — and testosterone and estradiol if you're combining with TRT. Lab monitoring keeps the medication safe and tracks your improvements over time.
An In-Person Exam
You sit across from a licensed doctor, every visit. We review your health history, your lab work, and your goals to determine whether GLP-1 therapy is safe and appropriate — this isn't a one-size-fits-all program.
FDA-Approved Medication
We prescribe FDA-approved GLP-1 receptor agonists — semaglutide (Ozempic/Wegovy) and tirzepatide (Mounjaro/Zepbound) — to your local pharmacy when covered by insurance, and help identify manufacturer savings programs when it isn't.
How semaglutide actually works
Appetite reduction
Semaglutide (the active ingredient in Ozempic and Wegovy) mimics a natural hormone that signals your brain's satiety center that you're full. You eat less naturally, without constant willpower battles.
Slowed gastric emptying & metabolism
Food stays in your stomach longer, keeping you satisfied for hours, while improved insulin sensitivity reduces fat storage. Clinical trials show average weight loss of 15–20% of body weight with lifestyle changes — for a 250-pound man, that's 37–50 pounds.
The TRT power combination
Low T and excess weight feed each other — fat converts testosterone to estrogen, which lowers T, which adds more fat. For men with both, adding testosterone optimization preserves lean muscle during weight loss, sustains energy, and breaks the cycle. How GLP-1 + TRT works together →
Are you a candidate?
GLP-1 medications are most effective for men with a BMI of 30+, or BMI 27+ with weight-related conditions like metabolic syndrome or pre-diabetes — especially men who've tried diet and exercise without lasting results. If you're looking to lose less than 10–15 pounds, lifestyle changes first may be the better call. Your doctor reviews your full health picture before recommending anything.
Revive vs. Online Weight-Loss Services
We're not against telehealth for everything. For GLP-1 weight loss, the differences matter.
Two Licensed Doctors Who've Done This Since 2013
I'm Dr. Barry Wheeler. My colleague Dr. Chris Merlino and I are licensed doctors here in Washington, and we've spent years helping men lose weight the right way — with real medical oversight, not a subscription box. When you book, you see one of us, and our team handles your labs, your pharmacy, and your insurance paperwork so you don't have to.
The online ads tell you to "talk to a provider." We are the doctor.
What to Expect on Semaglutide
Weight loss with GLP-1 medications is progressive — your dose is increased gradually over several months to maximize results and minimize side effects. Here's the honest shape of it. Your mileage varies.
Month 1
Dose titration begins. Reduced appetite and smaller portions within 1–2 weeks. Typical loss: 3–5 lbs.
Month 3
Dose at therapeutic levels. Cravings diminish, metabolic gains show in labs. Typical loss: 10–15 lbs.
Month 6
Body composition shifts. Better blood sugar, cholesterol, blood pressure. Typical loss: 25–35 lbs.
Month 12+
Most reach or approach target weight — trials show 15–20% of starting weight. We build your maintenance plan.
Representative patient outcomes on doctor-supervised protocols with regular lab monitoring: a 45-year-old combining semaglutide + TRT lost 52 lbs over 9 months (268→216, 19.4%), with HbA1c falling 6.3%→5.4%; a 39-year-old lost 38 lbs in 6 months on semaglutide (243→205, 15.6%); a 51-year-old lost 65 lbs over 12 months while preserving lean mass with TRT (295→230, 22%). Individual results vary; names omitted for privacy.
"Happy With the Results"
"Dr Josh is very knowledgeable and gives great feedback and information about all facets of diet and health related issues. I’ve been with Revive for over a year and have been very happy with the results!"
— Joe H. · Federal Way · ★★★★★ verified Google review · 4.9 from 290+ reviews
What Men Ask Me Most
What is semaglutide?
Semaglutide is a GLP-1 receptor agonist — the same active ingredient in Ozempic and Wegovy. It mimics a natural hormone that reduces appetite, slows digestion, and improves insulin sensitivity. Clinical trials show average weight loss of 15–20% of body weight when combined with lifestyle changes.
Unlike diet supplements or crash programs, semaglutide addresses the biological mechanisms that make weight loss difficult — reducing hunger signals, slowing gastric emptying, and improving how your body processes blood sugar. At Revive it's prescribed under doctor supervision with regular lab monitoring. Read our detailed semaglutide guide.
Does insurance cover GLP-1 medications?
It depends on your carrier, your specific plan, and which indication your provider documents. Most plans cover GLP-1s for Type 2 diabetes and cardiovascular risk reduction — even when they exclude weight-loss coverage. Obesity/weight-loss coverage typically requires an AOM rider (roughly 40–50% of plans).
We verify your benefits before prescribing and assist with prior authorization when needed. For patients whose insurance doesn't cover GLP-1 medications, manufacturer savings programs are available — including Lilly's direct tirzepatide vial program and Novo Nordisk copay assistance. Read our complete GLP-1 coverage guide.
How much does medical weight loss cost?
It starts with a free phone consult, and your first visit — which includes the exam and the 51-biomarker panel — is $99. Weight-loss evaluation is included in the Complete plan ($269/mo), or can be added as an add-on service to the Standard or Essential plans. GLP-1 medication is billed through your pharmacy benefit when covered by insurance, or priced based on your dose as you titrate up — your doctor discusses specifics at your consultation.
Your monthly cost includes doctor oversight, lab monitoring (metabolic panel, liver function, kidney function, lipids, thyroid), and protocol adjustments based on how your body responds. Doctor visits, labs, and prescription medications are generally HSA/FSA eligible (membership fees generally are not). View plans and pricing.
Can GLP-1 be combined with TRT?
Yes — combining GLP-1 medications like semaglutide with testosterone therapy is one of the most effective approaches for men with both low testosterone and excess weight. TRT preserves lean muscle mass during weight loss, sustains energy levels, and breaks the cycle where fat tissue converts testosterone to estrogen.
Men who use GLP-1 alone may lose significant muscle mass alongside fat. Adding TRT protects lean tissue, improves body composition, and maintains the energy needed to sustain lifestyle changes. Our doctors track testosterone, estradiol, metabolic markers, and body composition at every visit. Read about the GLP-1 + TRT combination.
How much weight can I expect to lose?
Clinical trials show an average of 15–20% body weight reduction over 68 weeks with semaglutide when combined with lifestyle changes. Results vary by individual.
At Revive we track your progress with monthly check-ins and lab monitoring — adjusting your protocol based on how your body responds rather than following a fixed script.
Do you treat patients transferring from other weight-loss programs?
Yes. If you're currently on a GLP-1 medication through another provider, bring your current prescription and any recent labs. Our doctors can review your protocol and continue or optimize your treatment.
Patients switching from telehealth weight-loss services often benefit from the addition of in-person lab monitoring and doctor oversight.
Why a Whole-Body Approach Lowers Your Risk
GLP-1 medications are powerful, and they touch more than your appetite — your blood sugar, liver, kidneys, thyroid, and hormones all move with them. The risk isn't the medication. It's the medication taken without anyone watching the rest.
That's why we run a full lab panel and see you in person: we monitor your metabolic, liver, kidney, lipid, and thyroid markers, adjust your protocol to how your body actually responds, and add testosterone optimization when your labs call for it. Treating the whole man — not just the number on the scale — is how we keep your treatment effective and safe.
My promise: if a GLP-1 isn't right for you — if lifestyle changes are the better first step, or your history points another way — I'll tell you honestly, and I won't put you on anything you don't need. No pressure, no upsell. You'll leave knowing exactly where you stand.
Ready to Lose the Weight for Good?
It starts with a free phone consult — book it online in under a minute. Your first visit includes a sit-down with me or Dr. Merlino, a physical exam, and a free 51-biomarker panel ($400 value). No pressure, no commitment.
Free Consult →Prefer to talk it through?
Book your free consult online anytime.
Seattle · Kirkland · Federal Way · Book your free consult online anytime
Already on a GLP-1 through another provider? Bring your prescription and recent labs — we can usually continue or optimize same visit.
P.S. — The reason crash diets keep failing isn't you. It's biology. GLP-1 medications change that biology — but only with a doctor watching your labs and protecting your muscle. That's the whole difference between losing weight and losing weight for good.
Related
Testosterone Therapy
Low T slows metabolism and costs muscle. Combining TRT with GLP-1 improves body composition.
Insurance Coverage
GLP-1 coverage varies by plan. We verify your benefits and handle prior authorization before prescribing.
Pricing
Weight-loss add-on available on all plans. First visit $99 includes the doctor consult and labs.