Medical Weight Loss in New Braunfels & Schertz, TX
Sustainable weight loss backed by medical expertise.
If you have struggled to lose weight through diet and exercise alone, there may be underlying metabolic, hormonal, lifestyle, or medication-related factors making progress harder than it should be. Our medically guided weight loss programs are designed to help you understand what is standing in the way and build a plan that is realistic, personalized, and sustainable.
A personalized approach to weight loss, metabolism, and long-term wellness.
Weight loss is not always as simple as eating less and moving more. Hormones, appetite signaling, insulin resistance, sleep, stress, medication history, muscle mass, and metabolic adaptation can all affect how your body responds to diet and exercise.
At Neighborhood Wellness Clinic & Medical Spa, we build customized medical weight loss programs that may include prescription support, nutrition counseling, lifestyle coaching, hormone evaluation, and body composition monitoring. The goal is not just a lower number on the scale—it is better energy, better confidence, and a plan that supports long-term health.
What Is Medical Weight Loss?
Medical weight loss is a structured, provider-guided approach to weight management. Instead of relying on restrictive dieting alone, your plan is built around your health history, current habits, body composition, symptoms, goals, and whether prescription support may be appropriate.
A personalized plan may include appetite support, metabolic evaluation, nutrition counseling, movement guidance, hormone optimization, and ongoing check-ins to help you stay consistent. Because each patient’s body responds differently, the program is adjusted over time based on progress, tolerability, and clinical judgment.
What Your Program May Include
Your medical weight loss program is customized after consultation. Depending on your health history and goals, your provider may recommend one or more of the following:
Semaglutide
Medication support that may help reduce appetite and improve weight loss response when clinically appropriate.
Tirzepatide
Prescription weight management support that targets appetite and food intake pathways when appropriate.
Hormone Optimization
Evaluation and support for hormone imbalance that may contribute to fatigue, weight gain, or body composition changes.
Nutrition Counseling
Realistic guidance around protein, hydration, meal timing, portions, and food choices that fit your life.
Lifestyle Coaching
Support for habits such as sleep, stress, movement, consistency, cravings, and long-term weight maintenance.
Body Composition Monitoring
Progress tracking that looks beyond scale weight and considers changes in fat, muscle, and overall wellness.
Semaglutide & Tirzepatide for Weight Management
Semaglutide and tirzepatide are prescription medications that may be used as part of a comprehensive weight management plan for qualifying patients. They work through hormone pathways involved in appetite, fullness, and food intake.
These medications are not a replacement for nutrition, movement, or healthy habits. They work best when paired with a structured lifestyle program, consistent follow-up, and provider oversight.
Semaglutide
Semaglutide mimics GLP-1, a hormone involved in appetite and food intake regulation. It may help some patients feel fuller sooner, reduce cravings, and improve consistency with a weight loss plan.
Tirzepatide
Tirzepatide acts on GIP and GLP-1 pathways involved in appetite and food intake. It may be recommended for appropriate adult patients as part of a comprehensive medical weight loss program.
Benefits of a Medically Guided Program
Many patients choose medical weight loss because they want a more complete plan than dieting alone. Our approach is designed to support accountability, education, and better decision-making throughout the process.
Why Choose Neighborhood Wellness Clinic?
Neighborhood Wellness Clinic & Medical Spa combines medical weight loss with broader wellness and aesthetic care. That means your provider can consider the bigger picture: hormones, energy, metabolism, muscle tone, confidence, body composition, and related health goals.
Customized Care
No one-size-fits-all plan. Your program is based on your health history, symptoms, goals, and response.
Medication + Lifestyle Support
Prescription tools may be paired with nutrition guidance, coaching, and realistic habit-building.
Hormone-Aware Planning
Hormone imbalance, fatigue, sleep changes, and age-related shifts may be reviewed when relevant.
Complete Wellness Options
Patients can also explore body contouring, hormone therapy, IV therapy, injectables, and skin services.
Who Is a Candidate?
Medical weight loss may be appropriate for adults who have struggled to lose weight through diet and exercise alone, have experienced repeated weight regain, feel stuck in a plateau, or suspect that hormones, metabolism, appetite, stress, sleep, or medical history may be affecting progress.
Prescription medication may not be appropriate for everyone. A consultation allows your provider to review your medical history, current medications, weight history, prior attempts, lifestyle patterns, and goals before making recommendations.
What to Expect
Your weight loss journey begins with a consultation and plan. From there, your provider may recommend medication support, nutrition changes, lifestyle adjustments, hormone evaluation, body composition monitoring, or additional wellness services.
Consultation
Review your goals, history, symptoms, medications, lifestyle, and previous weight loss attempts.
Customized Plan
Build a realistic strategy that may include medication, nutrition guidance, lifestyle support, and monitoring.
Follow-Up
Track progress, review tolerability, adjust the plan, and support plateaus or challenges along the way.
Maintenance
Create a long-term plan to protect results with sustainable nutrition, movement, and lifestyle habits.
Why Body Composition Matters
Scale weight is only one part of the story. A patient can lose weight but still need support preserving lean muscle, improving hydration habits, increasing protein intake, or rebuilding strength. Body composition monitoring helps guide the plan more intelligently than weight alone.
This is especially important with medical weight loss medications, because nutrition, protein intake, hydration, and resistance training can play an important role in how patients feel during the process and how results are maintained.
Even modest weight reduction may support improvements in markers such as blood pressure, blood sugar, and cholesterol for some patients. Your provider will help define the right goals for your body and health history.
References
Educational references used to support general treatment information:
Medical Weight Loss FAQs
What is medical weight loss?
Medical weight loss is a provider-guided approach to weight management. It may include prescription medication, nutrition counseling, lifestyle coaching, body composition monitoring, and evaluation of factors such as hormones, metabolism, sleep, stress, and medical history.
Do you offer Semaglutide and Tirzepatide?
The program may include Semaglutide or Tirzepatide when clinically appropriate. Your provider will determine whether medication is a safe and appropriate option after reviewing your health history and goals.
Do weight loss medications replace diet and exercise?
No. Prescription weight loss medications are intended to support a broader plan. Nutrition, movement, hydration, sleep, stress management, and follow-up care remain important parts of long-term success.
How much weight can I lose?
Results vary by patient, medication, consistency, medical history, and lifestyle factors. Your provider will help set realistic goals and monitor progress over time.
What happens at the first appointment?
Your provider will review your weight history, medical history, current medications, lifestyle, goals, symptoms, and whether hormone or metabolic factors may be contributing to weight changes.
Is medical weight loss safe?
Medical weight loss can be safe for appropriate candidates when supervised by trained providers. Prescription medications may have side effects or contraindications, so a consultation is required before starting treatment.
Can hormone imbalance affect weight loss?
Hormone changes may affect energy, appetite, body composition, sleep, and weight patterns for some patients. Your provider may discuss hormone optimization if symptoms suggest it could be relevant.
How do I schedule a consultation?
You can request an appointment online or call New Braunfels at (830) 387-4400 or Schertz at (210) 651-1744.