Skinny and exhausted isn't the goal.
Board-certified Internal Medicine and Obesity Medicine. Cash-pay telemedicine for Wisconsin & Massachusetts adults who want weight loss without losing muscle, energy, or oversight of their other conditions.
100% Secure & Confidential • Transparent Direct-Pay Pricing • No Insurance Hassles
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.
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 Workup: We look under the hood. We check thyroid function, Vitamin D, B12, iron stores, lipid panel and other biomarkers to ensure your body is actually capable of burning fat efficiently. Discounted cash-pay lab pricing is also available for patients who prefer not to bill insurance — typical comprehensive workups run under $100.
-
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: We provide specific guidance on weight lifting for muscle preservation, HIIT or zone-2 cardio for metabolic health.
-
Evidence-Based Treatment: When clinically appropriate, this includes GLP-1 medications like semaglutide and tirzepatide, or other obesity medicine agents — always with careful monitoring of your blood pressure, glucose, thyroid function, and bone health as your body composition changes.
This practice is built for Wisconsin & Massachusetts adults who:
-
Want medical-grade weight management, not a GLP-1 prescription from a med-spa
-
Are managing one or more comorbidities (diabetes, hypertension, fatty liver, thyroid disease, heart failure) alongside weight
-
Value body composition and metabolic health over chasing the lowest scale number
-
Want a physician who'll preserve muscle and adjust your other medications as you lose weight
-
Have had bariatric surgery and need ongoing nutritional monitoring (B12, iron, vitamin D, protein status), weight maintenance, or care for weight regain.
This isn't the right fit if you:
-
Want fast, unmonitored medication delivery
-
Aren't open to addressing nutrition and strength training alongside any medication
-
Prefer an insurance-based low-copay model (we don't bill insurance)
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.
