Weight Loss program in Portland, Oregon.

The VIP Weight Management services are designed to provide whole person, individually tailored evaluation and treatment to help struggling with weight loss. Our weight loss specialist, Dr. Daniel Ananyev DO is dually Certified in Obesity Medicine and Family medicine and provides a comprehensive, evidence-based evaluation of one’s health challenges in order to help patients achieve their full potential.

Semaglutide (Ozempic/Wegovy/Rybelsus) for weight loss?

The treatment is based on most current guidelines by the American Association of Clinical Endocrinologists (AACE), American College of Endocrinology (ACE), as well as the American Obesity Medicine Association (OMA). We welcome you to schedule a consultation for a thorough evaluation and treatment recommendations.

Yes, it’s easy, some celebrities take it, it works and it may lower one’s obesity related risks (diabetes, sleep apnea, and even weight related cancers). Semaglutide is a medication that was originally developed to treat diabetes, but recent clinical trials have shown that it can also be effective in helping people lose weight.

Mounjaro® (tirzepatide) Injection

Mounjaro® (tirzepatide) Injection is a novel medication that has shown promising results in aiding weight loss among individuals struggling with obesity or overweight conditions. Developed by pharmaceutical companies, tirzepatide is a once-weekly injectable therapy designed to target multiple biological pathways involved in glucose metabolism and appetite regulation.

The mechanism of action of tirzepatide is multifaceted, making it unique among weight loss medications. It works by activating both the GLP-1 (Glucagon-like peptide-1) and GIP (Glucose-dependent insulinotropic polypeptide) receptors in the body. These receptors play crucial roles in regulating blood sugar levels, insulin secretion, and satiety signals in the brain.

Clinical trials evaluating tirzepatide have demonstrated significant reductions in body weight compared to placebo across various patient populations, including individuals with obesity and those with type 2 diabetes.

Furthermore, many patients experienced improvements in other metabolic parameters such as glycemic control, lipid levels, and blood pressure.

Here are some of the benefits of using semaglutide for weight loss:

  • Significant weight loss: Clinical trials have shown that people taking semaglutide can lose up to 15% of their body weight, which is significantly more than other weight loss medications.
  • Improved metabolic health: Semaglutide has been shown to improve metabolic health by reducing blood sugar levels, lowering blood pressure, and decreasing inflammation.
  • Reduced risk of obesity-related health problems: Losing weight with semaglutide can reduce the risk of developing health problems associated with obesity, such as heart disease, type 2 diabetes, and certain types of cancer.
  • Appetite suppression: Semaglutide works by reducing appetite and making people feel full faster, which can help people eat less and lose weight.
  • Easy to use: Semaglutide is a once-weekly injection, which makes it easier for people to stick to their weight loss plan compared to medications that require daily doses.

It’s important to note that semaglutide is not a magic pill for weight loss, and should be used in combination with a healthy diet and exercise. As with any medication, it’s important to have an individualized discussion to determine if semaglutide is right for you and to monitor any potential side effects.

We welcome patients interested in weight loss to have a thorough health review with our weight management specialist to consider your treatment options.

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What we offer

Pillars of Care

  • Flexibility
    We meet you where you are at.
  • Continuity
    Monthly follow up and realistic expectations.
  • Support
    No judgement, just help.

Treatment options

  1. Individually tailored
    Not cookie cutter.
  2. Costs are clearly defined
    Anticipate and plan expenses.

Care Approach

  • Weight Management (BMI>25)
  • Hormone Balancing
  • Nutrient and recovery
  • Regenerative Options
  • Cosmetic needs

Diet Truths

  • Diets fail – not rooted in biological driving factors
  • Restrictive methods are unhealthy
  • Short term approach results in weight yo yo’ing
  • Both small changes and complete transformation are welcome
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Medication Management

  • One on one approach to metabolic health
  • Requires understanding of the complex interactions and one’s health conditions
  • Makes use of the recent scientific advances

Therapeutic Steps

A. Screening forms.
B. In person visit – weight and body composition assessment.
C. Lab evaluation.
D. Virtual or in clinic follow up.
E. Quarterly in clinic follow up.
F. Invitiation only – patient support groups.

Therapeutic Approach (You Choose)

  • One year transformation
    Includes consultation. Length and frequency visits based on progress.
  • Consultation
    30 min new patient or restart.
  • Follow up
    15 min re-evaluation for current patients.
  • Ongoing support
    15 min remote check-in or additional time during visit.
  • Nutritional/Recovery/Aesthetic options
    Based on need or per request.

VIP Expectations

  • Respectful approach to oneself and our staff.
  • Readiness for financial investment in your health.
  • Ability to be present at scheduled visits.
  • Flexibility. Some of our visits bring up trauma and challenges that take longer to address.
  • We may be running late even when you are on time.
  • Your visit starts when you enter the exam room.

Important Notes

  • We will care for you regardless of progress or setbacks.
  • We provide a holistic approach – do not focus on the numbers and do not guarantee weight loss.
  • We appreciate a positive attitude and welcome you with open arms.