Endocrinology Service

Medical Weight Loss

If you've tried to lose weight and the scale won't budge, the problem may not be willpower. Endocrine conditions — thyroid disorders, insulin resistance, PCOS, Cushing's, and others — quietly sabotage weight loss for millions of people every day. The first step is finding out what's actually driving it.

Medical Weight Loss

Endocrine causes of stubborn weight gain

We routinely identify hormonal contributors that have been missed for years. Treating the underlying disorder doesn't just help with weight — it usually improves energy, sleep, mood, and metabolic health overall.

  • HypothyroidismAn underactive thyroid slows metabolism and adds 5–20 lbs of stubborn weight.
  • Insulin resistance & pre-diabetesHigh insulin levels drive fat storage, especially around the abdomen.
  • PCOSHormone imbalance combined with insulin resistance — common in women of reproductive age.
  • Cushing's syndromeExcess cortisol drives weight gain, particularly truncal and facial.
  • Hypogonadism (low testosterone)Loss of lean muscle and increased fat mass in men.

Modern weight-loss medications

GLP-1 receptor agonists have transformed obesity medicine. For the right patient, they produce 15–20% weight loss alongside meaningful improvements in blood sugar, blood pressure, cholesterol, and even cardiovascular outcomes. We prescribe and manage them with the same care we give any chronic-disease medication.

  • SemaglutideOzempic and Wegovy — weekly injection.
  • TirzepatideMounjaro and Zepbound — dual GIP/GLP-1, often the strongest results.
  • LiraglutideSaxenda — daily injection option.
  • MetforminFirst-line for insulin resistance and PCOS.

A full-service partner: Chattahoochee Institute

For patients who want comprehensive medical weight loss — including dedicated weight-loss visits, body-composition tracking, lifestyle coaching, and full-spectrum medication management — we work hand-in-hand with the Chattahoochee Institute, our affiliated weight-loss practice in Columbus, GA.

It's the same medical leadership and the same standard of care, with a team built specifically around the weight-loss journey.