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When people evaluate a weight loss program, the first question is often: “How much does it cost?”

Our belief is that is likely the wrong place to start. Not because we don’t believe in accessibility, we very much do, however we think that a better question is “What will be the return on my investment of each of these programs be?” In some cases, the “program” in question is essentially the equivalent to a “medication broker” – doctors who don’t dig deep into your goals or history, but just electronically send medication or write a prescription. 

It’s our belief that the cheapest (of anything, really) on paper is rarely the least expensive in real life as the cost of time, health, quality of life and peace of mind are the equivalent of a high cost. See below for how we break this down: 

Two GLP-1 Program Pathways, Two Very Different Experiences

Today, many people pursue weight loss medications in one of two ways:

  1. Managed dosing with professional support.Think: telehealth companies with a high focus on managed care and data tracking like ours led by Dr. Evan Blum. 
  2. Unmanaged or self-directed dosing, often with minimal guidance. Think: telehealth companies who essentially act as medication brokers blinding prescribing with no care or tracking or somehow worse, in our opinion, gray market peptides that you can order online for “research purposes” and then reconstitute and inject in your body.  

At first glance, unmanaged options can appear more affordable, but when you look at the full picture of risk — money spent, time lost, frustration endured, and results achieved – the ROI often tells a very different story. And that is before you factor in the risk of gray market peptides, which add an entirely different layer. 

Here are the return on investments that we’re comparing: 

Financial ROI: More Results per Dollar Spent

With managed dosing like we do at our practice:

  • Doses are adjusted intentionally and gradually based on your loss velocity
    • Our loss velocity threshold helps navigate increases to avoid frustration and manage expectations of loss pacing, specifically as it relates to side effects. 
  • Clients reach effective doses without overshooting the ideal loss dose (therefore increasing the likelihood side effects)  
    • Because we’re tracking loss velocity, we don’t have to increase dosing and run the risk of increased side effects at a higher dose. 
  • Less medication is wasted due to side effects or abandoned plans
    • Because you are already investing the time and money into starting, you won’t waste medication because you will know that with our team, side effects can be mitigated and minimized with plans. 

Without guidance:

  • Clients often increase too quickly or not enough risking results and side effects 
  • Side effects tend to lead to skipped doses or quitting; I once read that most people who start a GLP-1 quit before their 16th week and that stat blew my mind because we never see that at our practice. 
  • Money is spent on medication that never delivers results. With variables like effectiveness of a medication or if you are reconstituting research peptides correctly, you’ll never run the risk of medication not working. You know that with our partners and the brand name rxes, you’re set up for success. 

The bottom line: Efficient dosing means you get more benefit from every dollar spent.

Side Effect ROI: Preventing the “Hidden Costs”

Side effects don’t just impact comfort, they impact wallets.

Managed dosing helps reduce:

  • Severe nausea
  • Constipation
  • Fatigue that disrupts daily life

That means fewer expenses for:

  • Over-the-counter remedies
  • Additional prescriptions
  • Extra doctor or urgent care visits

Unmanaged dosing often leads to reactive spending, where patients are constantly buying solutions to problems that could have been prevented in the first place.

Bottom line: Preventing side effects is cheaper than treating them.

Time ROI: Time is a Cost You Can Never Get Back

Time is one of the most overlooked aspects of ROI.

With support, patients spend less time:

  • Googling symptoms
  • Second-guessing doses
  • Recovering from avoidable side effects
  • Restarting after stopping

Instead, they spend time:

  • Building consistent habits that set them up for success long after they reach their goals.
  • Seeing steady progress that is predictable and has been communicated by our team. 
  • Living their lives without fear of side effects and the unknown. 

Bottom line: A guided approach saves hours, sometimes weeks, of lost momentum and peace of mind. 

Mental & Emotional ROI: Progress Without the Frustration

Weight loss is not just physical, it’s emotional because most patients have spent years looking for solutions and stressful because it’s an unknown journey. 

Managed programs like ours, see patient often experience:

  • Less anxiety about “doing it wrong”
  • Less frustration from stalled progress
  • More confidence and trust in the process

Unmanaged patients frequently report:

  • Stress around dosing decisions. Ie: Should I go up, even though I feel really bad?
  • Discouragement from side effects. 
  • Guilt or shame when progress slows or stops. The general public are not physicians, they don’t know what to do next. 

Bottom line: Peace of mind is a real return and it compounds over time.

Consistency ROI: Where Results Are Actually Made

Consistency is the single biggest driver of long-term success. 

Managed dosing supports consistency by:

  • Making the program tolerable
    • You’re not aiming for a goal that’s a moving target, and you’re keeping a steady state of medication on call for support. 
  • Adjusting before problems derail progress.
  • Encouraging adherence through accountability.
  • Giving you the support to make lasting, sustainable changes to your nutrition that will stick even when you gradually remove the medication. 

Unmanaged approaches often result in:

  • Skipped doses
  • On-and-off cycles
  • Quitting before results appear

All of these are linked to inconsistent support of blood sugar, inflammation, and then wildly variable appetite, etc. It’s just not a best practice. 

Bottom line: Consistency shortens the path to results—and lowers total cost over time, especially once you reach goal and can maintain on a microdose. 

Outcome ROI: Better Results, Fewer Restarts

When all these factors come together—efficient dosing, fewer side effects, better consistency it creates a very clear picture of overall ROI: 

  • More weight lost per dollar spent; management of weight overtime is easier to maintain at lower doses and microdoses. 
  • Fewer false starts and frustrated plateaus because we can make data supported changes. 
  • Better long-term success

Unmanaged weight loss often looks cheaper upfront, but many clients end up paying twice:
Once for the program they quit, and again for the one that works. Weight loss isn’t just an expense—it’s an investment. And like any investment, the real question isn’t what you spend, but what you get in return.

Managed dosing isn’t about doing more, it’s about losing weight smarter, with fewer setbacks, fewer hidden costs, and better outcomes with the goal, data and transparency that will shed clear light on if and how best it will last. Because the best ROI is progress you can sustain, without sacrificing your time, health, or peace of mind. We are so passionate about getting you to your goals in a safe, sustained and seamless way. Email us if you have questions or book your appointment HERE.

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