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Expert Medical Weight Loss. No Judgement. Just Practical Science.

Led by a Board-Certified Obesity Medicine physician. A highly personalized, direct-pay telehealth approach focusing on sustainable fat loss, muscle preservation, and metabolic health.

100% Secure & Confidential • Transparent Direct-Pay Pricing • No Insurance Hassles

Doctor Shiari portrait_edited.jpg

Stop the Yo-Yo Dieting Cycle

The Problem:

If you are frustrated with weight loss, the healthcare system has likely failed you. Traditional medicine often reduces obesity to a simple "eat less, move more" lecture during a rushed 15-minute visit. On the other extreme, online "pill mills" and local med-spas are incentivized to hand out medications with zero oversight.

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Not only do they ignore the rapid muscle loss that occurs without proper nutritional guidance, but they are also often unqualified to manage the complex medical comorbidities that shift as you lose weight. Leaving conditions like blood pressure, diabetes, heart failure, osteopenia or thyroid function unmonitored during rapid weight loss drastically increases your risk for dangerous medical complications.

The Solution:

Obesity is a complex metabolic condition, and it deserves expert, physician-led care. At Present Future Health, we don't just write a prescription and walk away. We focus on your body composition, not just a number on a BMI chart.

 

Our goal is to safely silence "food noise" while actively adjusting your other medications, preserving your lean muscle mass, optimizing your hormones, and building sustainable habits so you can maintain your strength and independence for decades to come.

Comprehensive, Physician-Led Care.

  • Comprehensive Evaluation: We look under the hood. We check thyroid function, Vitamin D, B12, iron stores, and other biomarkers to ensure your body is actually capable of burning fat efficiently.

  • Sustainable Nutrition: No extreme fasting or banning your favorite foods. We focus on high-protein targets (preserving lean mass), fiber, and managing your maintenance calories so your diet fits your lifestyle.

  • Strategic Movement: You are busy; your exercise needs to be efficient. We provide specific guidance on muscle hypertrophy (weight lifting), HIIT, and other cardio exercises to maximize fat burn and cardiovascular health.

  • Evidence-Based Treatment: When appropriate, we utilize medications to control appetite and food noise. We manage your dosages closely, adjusting your other medications (like blood pressure, thyroid or diabetes meds) as your body composition improves.

Straightforward Pricing. Exceptional Care.

Present Future Health is a direct-pay practice. By not billing insurance companies, we remove the red tape that dictates your care. You know exactly what your visit will cost before we even meet.

Initial Deep-Dive Consultation
(60 Minutes) $350

A comprehensive review of your history, lab orders, baseline measurements, and the creation of your custom nutrition, movement, and treatment protocol.

Follow-Up Visits
(30 Minutes) $200

Scheduled every 1 to 3 months based on your specific treatment plan to monitor labs, adjust medications, and track your body composition progress.

While we do not bill insurance for visits, you can still use your insurance for medications, labs, and imaging at your preferred local pharmacy or clinic. You may also use HSA/FSA funds for your visits.

Testimonials

“Dr Shiari, you are an excellent physician. You listened to me, addressed all my concerns, answered questions in a way I could understand, changed my medication that not only reduced my A1C, but helped me lose over 100lbs.”

Male patient in late 50s
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