Arizona only · Now accepting patients
· Arizona only ·
Now accepting patients
Low-dose GLP-1 weight loss.
Done differently.
A structured, three-phase program led by registered dietitians and naturopathic physicians. We use the lowest effective dose, monitor your muscle mass and metabolism, and build a plan to get you safely off the medication — not on it forever.
Schedule a consultation
See how it works
What makes us different
What makes us different
Three things no one else in Arizona is doing
We don't follow the standard escalation schedule. We find your lowest effective dose — the point where you can maintain a calorie deficit, hit your protein, and strength train with minimal to no side effects. Your medication lasts longer and costs less.
Individualized low dosing
Most programs stop when you hit your goal weight. Ours is just getting started. We taper your dose, reverse diet your calories back up, and support you through the transition with monitoring and community — so the weight stays off.
Built-in maintenance phase
Up to 30-40% of weight lost on GLP-1 therapy can be muscle. We track your lean mass and resting metabolic rate with DEXA and RMR testing so we know you're losing the right kind of weight — and your metabolism isn't crashing.
Muscle mass + metabolism monitoring
The three-phase approach
A program with a beginning, middle, and end
Prep
1–3 months before medication begins
Before we prescribe anything, we make sure your body is ready. Our doctors evaluate your gut health, hormone levels, and overall readiness. Your dietitian establishes baselines — calories, protein, body composition. This phase is why our patients tolerate the medication better and get better results.
- 60-minute initial consult with our Naturopathic Medical Doctor
- Baseline labs (CBC, CMP, A1c)
- Baseline DEXA scan + RMR testing
- Gut health and hormone evaluation
- Dietitian intake and baseline food tracking
- Readiness assessment — protein, training, mindset
1
Weight loss
Minimum 3-month commitment, renewable · Expected 6–12 months, can change based on weight
Active low-dose GLP-1 therapy, guided by your response. We only increase your dose when your appetite increases — never on a fixed schedule. Your dietitian monitors protein intake, resistance training, and body composition throughout. You're never just "on a medication" — you're in a structured program.
- Monthly doctor visits visits for dosing and medical oversight
- Once to twice monthly dietitian visits (most patients pay $0 with insurance)
- GLP-1 medication at the lowest effective dose
- Protein and resistance training accountability
- Support group access and course materials
- DEXA + RMR required every six months to verify muscle preservation and monitor metabolism changes
- Labs updates required every 6 months
2
Maintenance
6–12 months, can change based on weight · This is what makes results last
The phase no one else offers. We gradually taper your dose while slowly increasing your calories back to your metabolic rate — a process called reverse dieting. Daily self-monitoring builds evidence for your brain that you can maintain your weight at a lower dose or no dose at all. We don't just get you to goal weight. We get you to a life you can sustain.
- Structured dose tapering (much longer than 12-week minimum)
- Reverse diet protocol led by your dietitian
- Continued DEXA + RMR to confirm metabolic recovery, every six months
- Daily self-monitoring and evidence-building
- Maintenance-specific support group
- 5% regain safety net — if weight creeps, we intervene early
3
A note on staying vs. coming off: Some patients choose to remain on a low maintenance dose for reasons beyond weight — blood sugar management, food noise reduction, or other metabolic benefits. The research on long-term outcomes for tapering off vs. staying on a low dose is still evolving, and there isn't a clear evidence-based answer yet. You and your doctor will decide the right path for you based on your individual response and goals.
The three-phase approach
This program asks something of you
Minimum 3 days per week of structured weight training — progressive muscle overload, not just cardio. Plus 150 minutes per week of moderate aerobic exercise.
Resistance training
Track your weight, dose, and protein, plus calories at key points. We need data to make this work. Your dietitian will show you exactly how.
Self-monitoring
Minimum 1.2–1.6 grams per kilogram of body weight per day. Protein first at every meal, even when you don't feel like it. This is how we protect your muscle.
Protein
This isn't a quick fix. The program can run for more than 12 months across all three phases. We start with a 3-month commitment that renews as you progress.
3-month commitment
Your investment
What makes us different
Transparent pricing, no surprises
Full program · with insurance
Most patients — dietitian visits covered by insurance
$405
/month
Course, support groups, tracker, community
Monthly program fee
$250
30-min dosing and medical oversight
Doctor visits (1x/month)
$155
Medical nutrition therapy — billed to insurance
Dietitian visits (2x/month)
$0 copay
Full program · cash pay
Same program — dietitian visits at cash-pay rate
Course, support groups, tracker, community
Monthly program fee
$250
$555
/month
30-min dosing and medical oversight
Doctor visits (1x/month)
$155
Medical nutrition therapy — cash pay
Dietitian visits (2x/month)
$150
We do not mark up your medication. You purchase GLP-1 medication through SDG and get our clinic discounts — as low as $80 per vial (medical type dependent). On a low dose, a single vial can last 3–10 months instead of 4–6 weeks on standard dosing. This is one of the biggest cost differences between our program and traditional weight loss clinics.
Bring your own doctor
$250
/month
With insurance — dietitian visits covered
Course, support groups, tracker, community
Monthly program fee
$250
Without insurance, add $150/mo for dietitian visits ($400/mo total)
Medical nutrition therapy — billed to insurance
Dietitian visits (2x/month)
$0 copay
Your prescriber manages your medication and dose. SDG provides the program, nutrition, and accountability.
Paid separately by you
What makes us different
What you handle on your own
Body composition and metabolism testing. Required every 6 months so we can track muscle and metabolic rate.
DEXA + RMR testing
~$150 per session
Charged through SDG. No markup from us. Low dose means your vial lasts significantly longer.
GLP-1 medication
As low as $80 per vial
CBC, CMP, and A1c minimum every 6 months. Optional extended panel available. Self-pay at the lab.
Lab work
~$50–100 per panel
You may also consider: gym membership, therapy or counseling, and supplements as recommended by your care team.
We've negotiated reduced rates with our preferred DEXA + RMR partner and compounding pharmacy so you don't pay retail. Pricing above reflects what our patients actually pay.
Magic pill or a tool? The choice changes everything.
The same medication, two very different outcomes
Without protein, without resistance training, without a structured plan — you lose muscle alongside fat. Sometimes a lot of it. Up to 40%.
Inside a real program — with the right protein, the right training, and the right support — you can lose fat and build muscle at the same time. We've seen it. Here's the proof.
Every body responds differently, and we never guarantee specific outcomes. But we know which levers to pull — protein, resistance training, the right dose, and the right support — and we pull them with you, together.
GLP-1 medications will help you lose weight. But what you lose — muscle vs fat — depends entirely on how you use them.
