Your Journey, Your Way

Losing weight and keeping it off is complicated!  Every person has different reasons, medical, behavioral and lifestyle, for their weight gain and for their struggles. We believe in a personalized, science-based approach to treating our patients that is customized to them!

How are you evaluated?

Your intial evaluation includes a comprehensive health history & physical exam as well as Inbody 270 body composition analysis to better understand body fat & muscle content and basal metabolic rate. Your 90 minute visit includes a detailed history about your history of weight gain and loss, detailed dietary history, review of lifestyle, focused health history to identify medical conditions that may be contributing to weight gain and review of medications. At the second 90 min weight management visit, we delve into reviewing food journal, discussing obstacles you are facing to change your lifestyle, trouble shooting issues with sleep, stress and habits as well as review of a comprehensive nutrition and metabolism course created by Dr Mittal. 


Are there any lab tests done?

Based on your examination and review of prior health records, Dr. Mittal orders the appropriate comprehensive, specialized lab testing to screen for causes of weight gain like thyroid disease, adrenal disease and PCOS to name a few, detect early signs of metabolism syndrome and detect complications of excess body weight. Labs costs can be billed through insurance. We also offer an affordable cash-pay option through specially negotiated savings with a local lab that we pass on to you!


What unique treatment plan will you receive?

Dr. Mittal has put together a comprehensive nutrition and metabolism course that she will review with you one-on-one during your first 2 visits.  She also provides you with personalized nutrition counseling and assistance with meal planning and grocery lists. Treatment plans also incorporate the use of intermittent fasting (when appropriate) and recommendations for supplements when medically appropriate. 

It is our priority that you are able to take our recommendations and have them translate into real life change. Dr. Mittal has an interest in culinary medicine, which helps equip you with the tools to use real food as your sustainable weight loss plan and lifestyle change.  In addition to nutrition counseling, we offer you guidance on all aspects of your lifestyle, including sleep, stress management, exercise, gut health and behavioral modification-you are a whole person made of all aspects of your life!

Medication treatment is offered when appropriate and a shared decision is made with you as your partner. We only use FDA-approved medications.  The decision to use medications is based on your complete evaluation and is a shared decision making process.  To learn more about which medications are used, please visit our page for medication treatment:


Is there an option for meal replacements?

The majority of our patients eat food they purchase from the grocery store. This is important to making a life-long lifestyle change.  Sometimes, change can be overwhelming and in order to ease this transition, we offer a meal replacement program as an option. This option can either be full or partial meal replacement and offers a track to transition to fresh foods.  If this is something you are interested in, we can offer more information on this program at your visit.  


How often will you be seen?

During your treatment phase, after your initial two visits, you are seen on a monthly basis.  Your monthly membership includes weekly health coaching, communication with Dr. Mittal via a secure messaging platform to which you have access to as a member of the practice, ongoing monitoring of medical issues, and support and accountability.


What happens after you reach your goal?

Once you are ready to transition from monthly visits, Dr. Mittal guides you into a transition phase with every other month visits and then into a maintenance phase with visits every 3 to 6 months, based on your needs.  In the maintenance program, your visits are spaced out according to your medical needs so you continue to have the treatment and support you need.  Often, patients continue to be on medication to help maintain weight loss (this is discussed on an individual basis based on your needs). Dr. Mittal continues to communicate with your primary doctor in order to provide continuity of care.  


What is unique about the program?

There are many options for weight loss out there.  We believe in a personalized, science-based approach that provides you with the tools to succeed and maintain weight loss, improve metabolic health, and prevent chronic diseases like heart disease, type 2 diabetes and fatty liver disease to name a few.  We offer you these tools by giving you an all in one customized program.  This includes nutrition counseling, health coaching, culinary coaching, meal planning & grocery lists, real world solutions for today's busy lifestyles, specialized lab testing with a focus on prevention, a holistic approach with use of fasting when appropriate and medication treatments using various FDA-approved medications. 

We look forward to being a part of your journey to good health!