Weight Optimization

Semaglutide is a GLP-1 receptor agonist that works by regulating appetite, slowing gastric emptying, and improving insulin sensitivity — giving your metabolism the reset it needs to start responding again.

Under Dr. Pestana's direct supervision, semaglutide is dosed clinically and adjusted based on how your body is actually responding — not a preset titration schedule designed for the average patient. Paired with personalized nutrition guidance and regular physician follow-ups, this program is built to produce results that last beyond the medication itself.

This is real medical supervision. Not a telehealth script with no follow-through.

The shift: from effort without results → to steady, predictable progress with a physician who understands the full metabolic picture.

Tirzepatide is a dual GIP and GLP-1 receptor agonist — meaning it works on two metabolic pathways simultaneously, making it one of the most effective tools currently available for weight optimization and glucose regulation.

For patients who have tried semaglutide without adequate response, or whose metabolic profile suggests a dual-agonist approach will be more effective, tirzepatide may be the right clinical choice. Dr. Pestana evaluates your labs, your history, and your goals before recommending any medication — and monitors your response throughout with regular physician visits and personalized nutrition support.

The shift: from a stalled metabolism → to a treatment approach matched to your actual physiology.

 Most nutrition plans fail for the same reason — they are built around assumptions about what your body should be doing, not what it is actually doing.

Precision Nourishment starts differently. Visit one is a comprehensive ninety-minute foundation session — body composition analysis, resting metabolic rate calculation, personalized macronutrient targets based on your lean mass and goals, and a culinary medicine-informed dietary plan that is practical, sustainable, and built around food you will actually eat. 

This program works in any direction. Lose weight, gain muscle, recompose, or simply eat with more precision and intention. The plan follows your goal.

The shift: from following someone else's rules → to understanding your own metabolism and fueling your body with purpose.

Everything in Precision Nourishment, with private health coaching sessions added throughout the year for patients who want ongoing accountability, meal planning support, and hands-on guidance between physician visits.

Working with Michele Baron, PCW's Integrative Health Coach, Guided patients have a dedicated support touchpoint every other month — translating Dr. Pestana's nutrition plan into daily habits, troubleshooting what isn't working, and keeping momentum between visits. For patients who know they do better with structure and accountability alongside their physician care, this is the version built for you.

The shift: from knowing what to do → to actually doing it, consistently, with support.