If diet and exercise alone haven't worked, the problem may not be willpower — it may be biology. We test for what's actually driving it.
Weight gain — or the inability to lose weight despite real effort — is often driven by factors that diet and exercise alone can't fix: hormone imbalance (in men, this can include declining testosterone), insulin resistance, an underactive thyroid, or chronically elevated stress hormones.
That doesn't mean lifestyle doesn't matter. It means the plan has to account for what's happening underneath it, or it won't stick.
We start with labs — hormones, thyroid, and metabolic markers — to understand what's driving the weight gain. From there, treatment may include GLP-1 medication such as semaglutide or tirzepatide, hormone correction, or both.
Provider-led GLP-1 programs — semaglutide and tirzepatide — paired with real monitoring, not just a prescription.
Explore Weight LossA full metabolic and hormone workup to find what's making weight loss harder than it should be.
Explore Functional MedicineNot ready for injections? See how Topamax and Phentermine work as pill-form alternatives.
Explore Topamax"Stubborn weight is rarely just about diet and exercise. Hormones, thyroid, and insulin resistance can all work against you — so that's where we start looking, before we start treating."
Reviewed for accuracy by McKell Johnson, FNP-BC, Clinical Director, and the Abbott Health & Wellness care team.
Often connected to weight gain: insulin resistance, thyroid problems, and Hashimoto's. How semaglutide works → Can hormones make weight loss harder? →
What patients ask most before their first appointment.
Clinical Director and board-certified nurse practitioner with full prescriptive authority — she builds and manages every treatment plan personally.
Your LocationIn Salina, with patients driving in from Richfield, Manti, Gunnison, Ephraim, Mount Pleasant, and beyond.
Real labs, a real plan, and provider-led support — not just a prescription.