Metabolic & Obesity Medicine.

Weight management using biology, not willpower.

Obesity is a chronic disease driven by hormones, metabolism, genetics, and environment—not moral failure. Dr. Mira is board-certified in Obesity Medicine, bringing medical expertise to a challenge that conventional "eat less, move more" advice consistently fails to solve.

This is not about diets. It's about understanding why your body resists weight loss, and using evidence-based tools—including medications, metabolic testing, and behavioral strategies—to work with your biology, not against it.

Our Approach

  • •
    Comprehensive Metabolic Assessment

    Insulin resistance, thyroid function, sex hormones, cortisol, inflammation markers

  • •
    Anti-Obesity Medications (When Appropriate)

    GLP-1 agonists (semaglutide, tirzepatide), phentermine, combination therapies

  • •
    Nutrition Strategies That Work

    Low-carb, Mediterranean, time-restricted eating—personalized to your life and preferences

  • •
    Body Composition Analysis

    DEXA scans to track muscle vs. fat loss (not just scale weight)

  • •
    Behavioral & Psychological Support

    Stress, sleep, emotional eating, habit formation—addressing the whole picture

GLP-1 Medications

Medications like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) have transformed obesity treatment. They work by regulating appetite, slowing gastric emptying, and improving insulin sensitivity.

We prescribe them when medically appropriate—not as a quick fix, but as part of a comprehensive metabolic strategy that includes nutrition, movement, and long-term planning.

  • ✓ Medically supervised titration and monitoring
  • ✓ Side effect management
  • ✓ Insurance navigation (when possible)
  • ✓ Transition planning for long-term maintenance

Who This Is For

This is for people who:

  • • Have tried diets that worked temporarily but always gained the weight back
  • • Suspect there's a metabolic or hormonal component to their weight struggles
  • • Want to understand the "why" behind their body's resistance to change
  • • Are open to medications as a tool (not a crutch)
  • • Want a doctor who sees obesity as biology, not character

Get Started

Metabolic & obesity medicine is available to DPC members and à la carte patients.

Schedule an Initial Consultation →