Not because you lack discipline. Because weight loss is not a willpower problem, it's a metabolic one.
Hormonal imbalance, insulin resistance, cardiovascular factors, and years of physiological adaptation don't respond to another diet. They respond to clinical intervention.
You've done everything right. It still hasn't worked.
Built to Lose It. Designed to Keep It Off.
Medical weight loss at Out of Office is a structured, clinically supervised program designed to address the root causes of weight gain, not just the number on the scale.
Rebecca Waggoner, DNP, ARNP brings over 30 years of clinical experience and a cardiology background to every program — evaluating hormonal imbalance, insulin resistance, and cardiovascular risk factors before recommending anything.
GLP-1 medications are powerful. They are not magic. Sustainable results require lifestyle structure built in from day one, and a provider who stays with you until you're there.
The goal is never just losing the weight. It's keeping it off.
Reduced cardiovascular risk factors
Improved energy, sleep, and mood
Hormonal and metabolic balance
Long-term program — not a quick fix
Clinically supervised fat loss with measurable outcomes
GLP-1 therapy (semaglutide/tirzepatide) for appetite and metabolic regulation
Integrated support from a provider who knows your full health picture
Benefits of Medical Weight Loss
Not every body responds to weight loss the same way, and that's exactly why this step exists. Every patient starts with a comprehensive medical consultation. Rebecca reviews your health history, goals, and current medications, because the wrong protocol can do more harm than good.
1 | Consultation
The Process
Lab work is required within the last 6 months. If you don't have it, we'll order it. Once we have the full picture, Rebecca builds your protocol, medication, dosage, and a check-in schedule designed around how much support you want.
2 | labs + medication
You're not handed a prescription and wished luck. Rebecca monitors your response, adjusts dosage as needed, and stays in your corner through the whole process, side effects, plateaus, and all.
3 | ongoing management
Our weight loss programs
All programs require a one-time $250 medical consultation before enrollment.
We don't accept insurance. we do accept HSA and FSA cards, or split into smaller monthly payments through cherry.
Full Support
Foundation
Starting at $399/month
Personalized medication protocol
lab review
Medication management + refills
Monthly check-ins with Rebecca
Monthly body composition scans
Direct provider messaging
Starting at $599/month
workout recommendations
customized meal plan + nutrition guidance
weekly informational emails
progress photo tracking
Personalized medication protocol
Lab review
medication management + Refills
weekly check-ins with rebecca
Monthly body composition scans
Direct provider messaging
*3 month minimum
*3 month minimum
frequently asked questions
What's the difference between semaglutide and tirzepatide?
Semaglutide (Ozempic, Wegovy) targets one hormone receptor to suppress appetite and regulate blood sugar. Tirzepatide (Mounjaro, Zepbound) targets two. Rebecca will recommend the right option based on your health history and goals.
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frequently asked questions
Will GLP-1 medications affect my bone density?
Rapid weight loss can lead to muscle and bone loss if lifestyle isn't addressed. If someone told you GLP-1s work without any lifestyle changes — run. Rebecca prioritizes strength training and protein intake from day one because protecting muscle mass is just as important as losing fat.
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frequently asked questions
How much weight can I expect to lose?
Results vary based on your starting point, compliance, and program design. Patients on GLP-1 therapy typically lose 10–20% of body weight over 6–12 months when combined with lifestyle support. Rebecca will set realistic, personalized expectations at your consultation.
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frequently asked questions
What are the side effects of GLP-1 medications?
The most common side effects are nausea, reduced appetite, and mild digestive changes. Most are dose-dependent, Rebecca takes a conservative approach to dosing to minimize side effects and keep you comfortable throughout the process.
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frequently asked questions
How do I get started with medical weight loss?
Book a weight loss consultation with our nurse practitioner, available in office or via telehealth. She can prescribe throughout Texas and Washington state. She'll review your health history, labs, and goals and build a protocol specific to you. Everything starts with that first appointment.
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frequently asked questions
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What is Ozempic face and will it happen to me?
Ozempic face refers to the gaunt, aged appearance that can result from losing weight too quickly. It's not the medication itself — it's the rate of loss and the lack of support around it. Rebecca's conservative dosing approach and focus on maintaining muscle mass significantly reduces this risk. Many patients combine their weight loss program with filler and Sculptra to restore volume and keep you looking like yourself throughout the process.