Weight loss involves more than diet and exercise; hormones, metabolism, sleep, medications, muscle mass, and age also matter.
At Synchronicity Health, our Sacramento medical weight loss programs are built around the individual. We look beyond the number on the scale to understand what may be making weight difficult to lose, determine which treatment options may be appropriate and develop a medically supervised plan designed for sustainable progress.
Talk with Somer about your weight-loss goals, what you have already tried and whether Synchronicity may be the right fit.
Somer Schreiber-Small, FNP-C, MSCP, ABAAHP
ABAAHP Diplomate | Certified BHRT Provider | Menopause Society Certified Practitioner | Nearly 30 Years in Clinical Medicine
MSN, Samuel Merritt University • Board-Certified Family Nurse Practitioner
Medical weight loss combines clinical evaluation with evidence-based treatment rather than relying on a one-size-fits-all diet.
Your plan may consider your health history, current medications, previous weight-loss attempts, appetite and eating patterns, metabolic health, hormone-related concerns, body composition and other factors that may affect your ability to lose weight and maintain the results.
Treatment may include prescription weight-loss medication, nutrition and protein strategies, body composition monitoring, resistance exercise recommendations and ongoing clinical follow-up.
The goal is not simply to make the scale move.
The goal is to help you lose excess body fat while protecting your health, strength and lean mass.
Your body weight is influenced by more than willpower.
Appetite signals, insulin sensitivity, sleep, stress, muscle mass, hormonal changes and certain medications can all affect hunger, energy expenditure and body composition.
This is particularly noticeable for people who say:
“I am doing the same things I used to do, but they no longer work.”
“I lose weight and immediately gain it back.”
“I am hungry all the time.”
“My weight changed dramatically during perimenopause or menopause.”
“I am losing pounds, but I am also losing strength.”
“I need more support than another diet.”
Medical weight management gives us the opportunity to look at those factors together rather than treating weight as an isolated problem.
There is no single medication or program that is right for every patient.
Depending on your medical history, goals and clinical evaluation, treatment options may include GLP-1-based weight loss therapy, tirzepatide, semaglutide or other prescription weight-management medications when appropriate.
Some patients may also be candidates for medications such as phentermine or Contrave.
Medication selection should be based on the individual, including health history, contraindications, previous response to treatment, side effects and long-term goals.
GLP-1-based medications have changed the way obesity and overweight can be treated medically. These medications influence biological pathways involved in appetite, satiety and food intake.
Synchronicity Health provides medically supervised GLP-1 weight management for appropriate patients in Sacramento.
Tirzepatide works on both GIP and GLP-1 receptors and may be prescribed for chronic weight management in appropriate patients.
Semaglutide is a GLP-1 receptor agonist used in FDA-approved weight-management treatment for appropriate patients.
A lower number on the scale does not automatically mean better body composition.
Weight loss can include both fat and lean tissue. Preserving muscle becomes particularly important during significant weight loss because muscle contributes to strength, physical function and metabolic health.
That is why Synchronicity Health emphasizes more than total pounds lost.
Your program may incorporate:
Use our Protein Calculator, BMI Calculator, Body Fat Calculator and Lean Body Mass Calculator to better understand different measures of body composition.
Medical weight management may be appropriate for adults who have struggled to achieve or maintain meaningful weight loss through lifestyle changes alone, particularly when excess weight is affecting health or quality of life.
Whether medication is appropriate depends on your individual medical history and clinical evaluation.
You do not need to decide which medication you need before contacting us.
That is what the evaluation is for.
Two people can weigh exactly the same amount and have very different amounts of body fat and lean mass.
Tracking body composition can help answer a more useful question:
What are you actually losing?
Synchronicity Health uses body composition information when appropriate to help patients evaluate changes in fat mass, lean mass and overall progress during medical weight management.
We review your health history, previous weight-loss attempts, medications, symptoms, goals and other factors that may be affecting your weight.
If prescription treatment is appropriate, Somer will discuss the available options, expected benefits, potential risks and which approach makes the most sense for you.
Progress may include changes in body weight, body composition, appetite, nutrition, strength, symptoms and metabolic health.
Your treatment can then be adjusted based on how your body is actually responding.
Medical weight loss targets biological drivers of obesity—including leptin resistance, insulin dysregulation, thyroid imbalances, and neurochemical appetite triggers—rather than relying strictly on caloric willpower. By combining prescription metabolic therapies like GLP-1/GIP agonists with functional nutrition and clinical body composition monitoring, patients achieve sustainable fat reduction without losing lean skeletal muscle.
Medical weight loss programs at Synchronicity Health start at $299 per month for Semaglutide protocols and $499 per month for Tirzepatide protocols, with adjunct lipotropic injections starting at $20. Monthly memberships include prescription medication, administrative supplies, and clinical monitoring without dosage-based price increases.
Patients on medically supervised weight loss protocols lose an average of 15% to 22% of total body weight over 6 to 12 months when combining incretin therapy with metabolic support. Rapid initial weight loss of 5% to 8% is typically observed within the first 8 to 12 weeks of treatment.
Non-injectable medical weight loss protocols include oral metabolic sensitizers, prescription appetite suppressants, micronutrient optimization, and lipotropic injections (such as B12 and MICC starting at $20). These targeted therapies stimulate hepatic fat metabolism, increase cellular energy, and improve insulin utilization for patients who are not candidates for injectable GLP-1 medications.
Preventing rebound weight gain requires a gradual medication step-down titration protocol coupled with gut microbiome restoration, insulin stabilization, and structured high-protein resistance training. Abrupt cessation without lifestyle conditioning triggers hyperphagia; a planned taper maintains resting metabolic rate and locks in body-fat set points.
Synchronicity Health provides full-service telemedicine consultations for medical weight loss across licensed service regions, complemented by an in-person clinic in Northern California. Prescriptions, injection supplies, and ongoing monitoring materials are shipped directly to the patient’s residence following a virtual medical evaluation.
Choosing a medical weight loss clinic should involve more than finding someone willing to prescribe a medication.
Look for care that includes appropriate medical screening, medication management, follow-up, nutrition and body-composition considerations, and a strategy for maintaining health while losing weight.
Synchronicity Health provides personalized medical weight management in Sacramento with an emphasis on both fat loss and muscle preservation.
You do not need another generic diet.
You need to understand which tools are appropriate for your body, your health and your goals.
Talk with Somer about what you have tried, what you want to achieve and whether Synchronicity’s medical weight loss program may be right for you.
