Weight Management

Welcome to MFM's Weight Management Program

At Middleton Family Medicine, our weight management program is a comprehensive approach overseen by our Endocrinology department. Our team includes a dietitian, endocrinology physician, and/or nurse practitioner. Our goal is to support you in maintaining a healthy lifestyle and achieving sustainable weight loss.

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Program Overview

What to Expect

Initial Visit: Your first visit will be with our dietitian to start your personalized weight loss plan.
Monthly Visits: You will meet monthly with the dietitian and the endocrinology physician or nurse practitioner if weight loss medication is initiated.
Comprehensive Support: Our program addresses dietary, physical, and emotional barriers to weight loss.

Expected Weight Loss

Results vary, but most individuals can expect to lose 5 to 15% of their current weight over a year through sustainable lifestyle changes.

Diet Recommendations

Our dietitians create personalized diets that are maintainable over time. Regular monthly meetings with your dietitian are essential to discover what works best for you.

Frequency of Visits

You will need to be seen monthly by our team, alternating visits between the prescribing physician or nurse practitioner and the registered dietitian.

Medications for Weight Loss

Weight loss medications are elective and used as a tool in conjunction with lifestyle changes. Several FDA-approved medications are available, and we will review if any of these options are appropriate for you during your appointment.

Insurance Coverage

Insurance coverage for obesity treatments varies. Please verify with your insurance what they cover, including dietitian visits and weight loss medications. We will bill visits as specialist or dietitian visits accordingly.

Medicare patients please note: Medicare does not cover weight loss medications, so we are unable to offer pharmacological management for patients with Medicare.

FDA-Approved Medications

Medications such as Saxenda, Wegovy, Zepbound, Qsymia, Contrave, and Orlistat are FDA-approved for weight loss. It is crucial to check with your insurance about which brands they cover and if they require step therapy.

Candidate Criteria

Due to limited availability, at this time to be eligible for weight loss medications in our endocrinology department, you must have:

A BMI of 35 kg/m2 or greater, with or without a co-morbid condition.

Medication Safety

The FDA has approved several medications to aid with weight loss management. Your prescriber will select a safe and effective medication for you, considering any existing conditions or medications.

Insurance and Prior Authorizations

Insurance Requirements

Weight loss medications require prior authorization, which can take 2 to 3 weeks. Please do not call or message us for updates on this process; instead, contact your insurance company.

Denials and Step Therapy

If your insurance denies coverage:

Find out the reason for the denial.
Schedule a follow-up appointment to review alternative options if step therapy is required.

Supply Issues

Due to nationwide shortages of some medications, it is your responsibility to locate a pharmacy that has the medication in stock. If you miss doses due to supply issues, follow up with your prescriber for guidance.

Medication Refills

Refills are not given between follow-up visits unless previously arranged.

Ensure your pharmacy faxes a refill request at least 3 to 5 business days before your medication runs out.

Program Conduct

Abusive language and demanding behavior will not be tolerated and can result in termination from the program and discontinuation of weight loss medications.

Let's Help You Achieve Your Goals