The weight loss program
The full picture: medical evaluation, labs, a medication plan if one makes sense, realistic changes you can live with, and regular follow-up with your doctor. Start here if you aren’t sure what you need.
Weight loss services
Weight Loss With a Real Doctor. No Subscription.
Physician-guided weight loss at Pandora Family Medicine: a board-certified obesity medicine physician, every FDA-approved option on the table, help with prior authorization, and pricing you know before you book.
Pricing, upfront
- $200 to establish care
- $150 per follow-up visit
- No subscription. Pay only when you are seen.
- Medicare, Maryland Medicaid, and most major plans accepted for the visit
- Diplomate, American Board of Obesity Medicine
Physician-Guided Weight Loss at Pandora Family Medicine
Ro, Noom, and Calibrate sell you a monthly plan and a video call. We do something older: you see the same doctor, in person, in your neighborhood, and you pay for the visit, not a membership. Out of pocket, that is $200 to establish care and $150 per visit after that. Many insurance plans cover the visit itself.
Dr. Rachel Gougian is a Diplomate of the American Board of Obesity Medicine and a family physician, so your weight is treated alongside your blood pressure, cholesterol, sleep quality, and whatever else is going on. No judgment, no proving you are heavy enough, and no program you have to remember to cancel.
Our Weight Loss Services
Four ways in, depending on where you are starting from.
Learn more
Weight loss injections
Weekly GLP-1 injections such as Wegovy, Zepbound, Ozempic, and Mounjaro, prescribed and monitored by your doctor, with plain instructions on dosing, side effects, and what to expect month by month.
Prior authorization help
Insurance rarely covers these medications without paperwork. We submit it, follow up with your plan, and tell you plainly what happens if it is denied. No extra fee.
Obesity as a medical condition
Why weight is so hard to change on your own, what the medications actually do in the body, and what long-term management looks like.
Medications We Prescribe
Brand names you already know, with a doctor to tell you which one fits.
Wegovysemaglutide
Weekly GLP-1 injection approved for weight loss. The same molecule as Ozempic.
WegovyZepboundtirzepatide
Weekly injection that works on two gut hormones, GLP-1 and GIP. The weight loss version of Mounjaro.
ZepboundOzempicsemaglutide
Approved for type 2 diabetes; supports weight loss and is sometimes the option your plan covers.
OzempicMounjarotirzepatide
Approved for type 2 diabetes, with strong weight loss results in studies.
MounjaroQsymiaphentermine and topiramate
A daily oral option that combines two medications to reduce appetite and cravings.
QsymiaContravenaltrexone and bupropion
A daily oral medication that targets appetite and reward-driven eating.
ContravePhentermineoral appetite suppressant
A long-used, low-cost option for short-term use, often the first step when GLP-1s aren’t covered.
PhentermineMetforminoral, off-label for weight
Not officially a weight loss drug, but an inexpensive, helpful tool for some patients, especially with insulin resistance or prediabetes.
MetforminInsurance, Pricing, and Prior Authorization
The visit and the medication are two different costs, and we are upfront about both. The visit is $200 to establish care and $150 for follow-ups if you pay out of pocket; if you are insured, we bill your plan like any other doctor’s visit.
The medication is where coverage gets complicated. Many plans require prior authorization for GLP-1s, and some don’t cover them for weight loss at all. We check your coverage, submit the PA, and if it is denied, tell you why and what the alternatives are, including older medications that cost a fraction as much.
Start Your Weight Loss Journey
The first visit is a conversation, not a weigh-in. Same doctor every visit, from the first appointment on.