A comprehensive medical weight-loss program that goes beyond the scale—bringing together medical care, advanced metabolic testing, body composition, nutrition, wellness coaching and long-term support.
Weight loss through the lens of a nephrologist.
Ready to get started? Call us or text “I AM READY” and our team will help you with the next step.
Our comprehensive approach connects weight, heart health, kidney health and metabolism rather than treating each in isolation.
You don’t need to have kidney disease to partner with us.
Our Kidney, Metabolism & Weight Loss Clinic is designed for anyone seeking a more comprehensive approach to weight loss and long-term health. Through the lens of a nephrologist, we look beyond the number on the scale to understand the connections between weight, metabolism, blood pressure, cardiovascular health and kidney health.
Whether your goal is to lose weight, improve metabolic health, reduce future health risks or better manage existing medical conditions, we build a plan around you.
Obesity, blood pressure, diabetes, cardiovascular risk and kidney health are interconnected. We treat weight in that larger medical context.
Improve blood pressure, cholesterol and cardiovascular risk.
Preserve kidney function, reduce proteinuria and lower the risk of kidney disease progression.
Improve glucose control, insulin resistance and overall metabolic health.
Reduce excess body fat while protecting muscle and supporting sustainable weight loss.
Track body fat, skeletal muscle, visceral fat, lean mass and hydration—not simply BMI.
RMR testing can help personalize nutrition around your measured resting energy needs.
We look beyond the basic panel. Your individualized assessment may include kidney function and urine albumin, glucose/A1C, fasting lipids and ApoB, liver markers used to calculate FIB-4, electrolytes and other clinically appropriate cardiometabolic testing.
We bring your weight, blood pressure, kidney, cardiovascular and metabolic measurements together into your SKI CKM Health Score so you can see your baseline risk profile and track meaningful changes over time.
Follow changes in weight, body composition, blood pressure, labs, medication response and individualized health goals.
Your weight-loss care brings together medical expertise, kidney-aware nutrition, clinical coordination and practical coaching to support lasting progress.
Leads your medical weight-loss plan, evaluates your overall health and risk factors, reviews laboratory and metabolic testing, and determines appropriate treatment options—including weight-loss medications when clinically appropriate.
Provides ongoing medical follow-up, monitors your progress and medication response, reviews symptoms and results, and helps adjust your treatment plan between physician visits.
Creates a personalized nutrition strategy based on your weight goals, metabolism, laboratory results, food preferences, and kidney health when applicable.
Coordinates your weight-loss program, including appointments, testing, medication and insurance requirements, referrals, and communication across your care team.
Works with you on the day-to-day behaviors that make weight loss sustainable—including activity, sleep, routines, goal-setting, accountability, and maintaining progress.
Intake, health history, current medications and insurance information.
Individualized baseline testing based on your medical history and needs.
Comprehensive weight, cardiovascular, kidney and metabolic assessment.
Body composition and RMR testing when appropriate.
Your physician builds an individualized medical weight-management plan.
Nutrition strategy tailored to your health, preferences and goals.
Medical follow-up plus wellness coaching and care coordination.
Once stable, transition toward long-term maintenance and periodic reassessment.
You do not need kidney disease to participate.
Our comprehensive weight-loss program may be appropriate for adults who meet common medical criteria for obesity treatment.
If your Body Mass Index (BMI) is 30 or higher, you may be a candidate for comprehensive medical weight management.
If your BMI is 27 or higher and you have at least one weight-related health condition, you may also be a candidate.
BMI is only one part of your evaluation. Eligibility, treatment recommendations, medication selection and insurance coverage are individualized after medical review. Meeting a BMI threshold does not guarantee that a specific medication or treatment is appropriate or covered.
Already taking Wegovy®, Ozempic®, Zepbound®, Mounjaro® or another medication? We can review your current treatment and, when appropriate, build medical monitoring, nutrition, body composition, metabolic assessment, coaching and maintenance support around it.
Our program combines medical care, registered dietitian support, wellness coaching, care coordination and help navigating insurance requirements.
Individualized nutrition support for weight loss, metabolic health, diabetes, blood pressure, cardiovascular risk and kidney-related nutrition needs when applicable.
We help review coverage and benefits for eligible services and weight-management treatment.
When required, our team can help prepare and submit prior authorization documentation for appropriate medications. Coverage and approval are determined by your health plan.
Eligible patients with multiple chronic conditions may receive ongoing care coordination, medication review, individualized care planning and monthly follow-up support.
Practical support for goals, habits, movement, sleep, accountability and maintaining progress between medical visits.
When appropriate, we coordinate with your primary care clinician, specialists, pharmacies and other members of your healthcare team.
Insurance benefits, eligibility, copays, coinsurance and deductibles vary by plan. Chronic Care Management is available to eligible patients and may have patient cost-sharing.
A physician-led medical weight-management clinic using a cardio-kidney-metabolic approach to weight, cardiovascular risk, kidney health and metabolism.
No. Absolutely not. The program is designed for adults seeking medically supervised weight management whether or not they have kidney disease.
No. New patients are welcome.
Nephrologists routinely work at the intersection of blood pressure, diabetes, cardiovascular risk, medications, fluid balance and kidney health—conditions closely connected with obesity.
It describes the interconnected health of the cardiovascular system, kidneys and metabolism.
No. Medication can be one tool, but the program also emphasizes medical assessment, nutrition, body composition, metabolic testing, coaching and long-term maintenance.
No. Medication is considered only when medically appropriate and consistent with your goals and health.
Yes. Prevention and long-term metabolic health are part of the program.
Call 425-339-5413 or text “I AM READY” to begin intake and scheduling.
We gather health history, medications, weight history, prior treatment and insurance information. Labs may be ordered when appropriate.
Bring an updated medication list, insurance information and relevant records or recent labs not already available to the clinic.
Treatment length is individualized and may transition from active weight loss to long-term maintenance.
Adults with a BMI of 30 or higher may be candidates for comprehensive medical weight management. Adults with a BMI of 27 or higher may also qualify when they have at least one weight-related condition such as high blood pressure, type 2 diabetes, high cholesterol, sleep apnea or cardiovascular disease. Final eligibility is individualized after medical review.
It looks beyond scale weight to measures such as body fat, skeletal muscle, visceral fat, lean mass and hydration.
Weight loss can include both fat and lean tissue, so monitoring composition helps the team focus on healthy, functional weight reduction.
Visceral fat is fat located around internal organs in the abdomen and is relevant to metabolic health.
Resting Metabolic Rate estimates how much energy your body uses while at rest.
It can provide individualized information to help guide nutrition rather than relying only on population-based estimates.
Not necessarily. Testing is used when appropriate to the individualized care plan.
It may be repeated periodically when useful for tracking progress and adjusting treatment.
It may be reassessed when clinically useful, including after meaningful changes in weight or body composition.
Testing is individualized and may include kidney function, electrolytes, glucose, A1C, lipids, liver markers, thyroid testing when indicated and other appropriate studies.
Kidney function can affect medication, nutrition, fluid and electrolyte considerations and overall treatment planning.
Blood pressure is an important cardio-kidney-metabolic measure and is commonly monitored as part of medical care.
When relevant, glucose control is considered within the overall treatment plan and may require coordination with other clinicians.
Sometimes. Changes in weight, blood pressure, glucose, kidney function or symptoms can alter treatment needs. Medication changes should be made with the prescribing clinician.
GLP-1–based and other FDA-approved anti-obesity medications may be considered when medically appropriate.
Yes. Your clinician can review existing treatment and determine an appropriate plan without assuming you must start over.
That is okay. The clinic can evaluate your current treatment and coordinate care when appropriate.
Yes. A plateau may prompt review of medication, nutrition, activity, adherence, body composition and other contributing factors.
Contact your medical team. Side effects should be medically assessed rather than simply tolerated.
There is no single answer. Long-term decisions depend on response, health conditions, risks, benefits and preferences.
The team can review authorization requirements, alternatives and other treatment strategies.
No. Coverage depends on the individual insurance plan, eligibility and insurer requirements.
Dietitian support is an important part of the comprehensive program and is individualized to your care plan.
Not necessarily. Nutrition recommendations depend on kidney function, metabolic health, cardiovascular health and other conditions.
The goal is a medically appropriate and sustainable nutrition strategy individualized to you.
Protein needs vary, especially with kidney disease. Your clinical and nutrition teams can individualize recommendations.
Yes. Nutrition support can be especially useful when appetite or gastrointestinal changes make adequate nutrition challenging.
The wellness coach helps translate the treatment plan into practical habits involving goals, activity, sleep, accountability and long-term behavior change.
Activity is generally beneficial, but recommendations should reflect your health, mobility and current fitness.
Resistance exercise can support strength, function and preservation of lean mass during weight reduction when appropriate.
Regain is treated as clinical information. The team can reassess medications, nutrition, activity, habits and other factors.
Follow-up is individualized. Patients often receive more frequent visits during active weight reduction and less frequent visits once stable.
The team may review weight trajectory, body composition, blood pressure, medication response, side effects, nutrition, activity, labs and goals.
The focus shifts toward maintenance, protecting results, monitoring health and preventing regain.
Coverage varies by plan and service. The team can help review available benefits.
Results vary and no specific amount can be guaranteed.
Progress can include weight and body-composition changes as well as blood pressure, glucose, labs, mobility, function, symptoms and other individualized goals.
You do not need kidney disease. The nephrologist’s lens is the clinic’s advantage—not an admission requirement.