You did everything right.
And the scale did not move. There is almost always a measurable reason for that — and finding it is where we begin.
In person in Bryn Mawr, or virtual. You choose when you book.
Lose the weight
Comprehensive labs, medication only where it helps, and food you actually want to eat.
How it works
Find the root cause
Normal labs and still not well? Comprehensive testing for what nobody has looked at yet.
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your medical team
We test before we treat.
The thing new patients tell us most often is that they were not sure what the first visit would actually be. So here it is, in order. Most weight programs hand you a plan and hope your body agrees. We start with fasting insulin, cortisol, leptin and a full hormone panel — the markers almost nobody else orders — and build the plan from what comes back.
Your first visit
Body composition, vitals and a full history. In person in Bryn Mawr if you want the scale and the handshake, virtual if that is easier - you choose when you book.
Your labs, ordered that week
Fasting insulin, cortisol, leptin, full thyroid and hormone panel. The markers that explain why it has not been working.
Your physician reads them with you
Dr. Constable or Dr. Bravo writes the plan from what your results actually say - not from a template.
Your dietitian, the same week
Our registered dietitian turns the plan into food you will genuinely eat. You leave with it in writing.
Adjusted every two weeks
Your medical team meets you virtually and changes the plan as your body changes.
And a plan for coming off it
A taper guided by your leptin and insulin, not an abrupt stop. Planning for after is part of the program.
The questions everybody asks first.
Is the first visit in person or virtual?
Either - you tell us when you book. Locally, most people come to Bryn Mawr for the first one so we can do body composition and vitals properly, then meet the physician on video the same week.
Will you talk to my regular doctor?
Yes, and we would rather do it at the start than after. We send your PCP a letter explaining what we are doing and why, so nobody is surprised and your records stay in one place.
Do you take my insurance?
We are not in-network, so visits are paid directly. We give you an itemised superbill to submit for reimbursement, and we handle medication prior authorisations with your insurer on your behalf.
What happens when I stop the medication?
This is the question we get most, and it is the right one. We taper you down using your bloodwork - leptin and insulin - rather than stopping abruptly, which is what causes the regain you have read about. Planning for after is part of the program, not an afterthought.
People who had tried everything.
“I am a volume eater. I love to eat. Simple as that. I eat more now than I used to - and lost +67lbs.”
“I have struggled with my weight all of my life. I have PCOS and an elevated A1C that I was never previously able to get down. Happy to say I DID IT!”
“My blood sugar used to be over 11. It is now at 5.4. I have lost over 50lbs and I am not even at goal yet.”
We don’t treat the weight. We treat what is causing it.