Revive and Thrive Medical is a direct-pay practice and does not bill insurance. 

This allows for longer appointments, personalized strategy, direct physician access, and care that is not restricted by insurance limitations.  

Some patients may choose to submit receipts to their insurance provider independently, however, coverage is not guaranteed.  

At this time, services are available to patients located in Washington State.

As a licensed medical provider, I am required to provide care only to patients physically located in the state where I am licensed at the time of their visit.

All virtual appointments must be attended while you are within Washington.

If you are located outside of Washington, my self-guided courses remain available and can provide meaningful education to help you get started.

These courses include the same foundational nutrition, metabolism, and weight loss principles I teach in my 1:1 programs - delivered in a flexible, self-paced format.

Yes. All visits are conducted virtually.

This allows you to attend appointments from your home or office - privately and conveniently - without the hassle of unnecessary travel, parking or waiting rooms.

Unfortunately, not at this time. 

Due to Medicare regulations, providers are restricted in how services are delivered - even in a direct-pay practice.

Because of these limitations, I am not able to accept Medicare patients at this time.  

However, patients with Medicare are welcome to enroll in the self-guided courses. These programs provide the same foundational education on nutrition, metabolism, and sustainable weight loss strategies taught in my 1:1 programs - delivered in a flexible, self-paced format.

Your consultation is a 60-90 minute 1:1 appointment with a physician, focused entirely on evaluating your health history, symptoms and goals.  

It is $350 and is non-refundable.

For patients who enroll in ongoing care, this investment is applied toward the start of your program.

✨For many patients beginning the GLP-1 medical management program, this consultation fee effectively covers your first month of care, including medication cost.✨

If you decide not to proceed with a formal program, your consultation fee may be applied as a time-limited credit toward the purchase of the Complete Weight Loss Course - available separately as a self-guided educational resource.  

Your first appointment is a comprehensive, physician-led evaluation designed to understand the full picture of your health.

After you submit your intake paperwork, your medical history and any recent lab results will be reviewed in advance. During your visit, we’ll discuss your past weight loss experiences, current symptoms related to metabolism and hormones, and your goals moving forward.

Together, we’ll develop a personalized plan that is sustainable, achievable, and aligned with your body.

If clinically appropriate, prescriptions may be provided based on medical judgment and safety considerations.

By the end of the visit, you will leave with a clear next-step strategy tailored specifically to you.

Frequency depends on the program and level of support you choose.

Patients in comprehensive programs typically meet weekly during the first month, followed by biweekly visits to maintain accountability, build confidence, and ensure steady progress as you get started.

Medication-only care follows a structured monthly follow-up schedule to ensure safety, appropriate monitoring, and thoughtful dose adjustments.

GLP-1 medications are prescription therapies that must be prescribed and monitored by a licensed medical provider.

When used appropriately and with proper oversight, they are considered safe for many individuals. Like all medications, they carry potential risks and side effects, which are reviewed carefully during your consultation.

When medications are dosed thoughtfully, and when combined with proper education around nutrition, metabolism and movement - these medications are incredibly effective and carry decreased risk profile.  

Some GLP-1 medications may be compounded and are not FDA-evaluated in the same way as commercially manufactured medications. This is discussed transparently during your visit so you can make an informed decision.

If GLP-1 therapy is appropriate, medication is prescribed after your consultation.

Depending on your plan, prescriptions may be sent to a compounding pharmacy or another appropriate dispensing pharmacy. Specific details are discussed during your visit.

GLP-1 medications are dispensed in 28-day supplies and refilled on a monthly basis.

During the first 3–4 months, refills are issued following a brief 10–15 minute medication check-in appointment. These visits allow us to review tolerability, monitor side effects, and discuss any necessary dose adjustments to ensure safety and steady progress.

Once your medication plan is well established and you’re tolerating it well, we may transition to a simplified monthly check-in option based on your preference. In some cases, this can be completed through a secure online form instead of a formal appointment.

The first several months of structured follow-up are required to ensure safety and proper dose titration. After that, care can become more streamlined while still maintaining appropriate medical oversight.

For patients choosing GLP-1 medical management, the average monthly investment ranges between $350–$450, depending on the specific medication and dose prescribed.

This includes physician oversight, structured monthly follow-up appointments, strategic dose titration, and direct messaging access for medication-related questions between visits.

For those interested in the more comprehensive Metabolic Protection Program - which includes physician-guided medication management, personalized nutrition strategy, metabolic education, muscle-preservation planning, and ongoing implementation support - investment details are discussed during your consultation.

Because this program is tailored to the level of support you need, cost is determined after your medical evaluation and strategy session.

During your consultation, all options are reviewed clearly so you can choose the level of support that feels aligned with your goals.

Yes.

Many patients come to us already using GLP-1 therapy but want better guidance around nutrition, metabolic support, muscle preservation, dosing strategy, or long-term transition planning.

Your current treatment will be reviewed, and a strategy will be built around your specific situation to bridge the gap and help you achieve your goals.  

This varies by individual.

Some patients benefit from shorter-term use as a bridge while building sustainable habits. Others may benefit from longer use depending on medical history and goals.

The goal is always thoughtful, strategic use - not indefinite reliance without a plan.

On average, patients utilize GLP-1 medication therapy for 8-12 months - before successfully tapering off the medication.  

Yes.

GLP-1 medical management and educational courses can be purchased separately from comprehensive coaching programs.

However, personalized coaching provides deeper support around metabolism, muscle protection, nutrition strategy, and long-term sustainability.

Your consultation helps determine the right level of support for you.  

Movement is an important part of metabolic health, but the approach should be realistic and sustainable.

You will not be placed on extreme exercise plans. Instead, we focus on strategies that support muscle preservation, energy, and long-term fat loss - without spending hours at the gym.

Weight loss speed varies based on metabolic health, hormone balance, muscle mass, and consistency.

We focus on steady, sustainable progress - protecting metabolism and lean muscle - rather than rapid weight loss - which ultimately slows metabolism and increases risk of weight regain.

On average - patients on the GLP-1 medication program lose 6-8 lbs per month.  Those following the Metabolic Protection Program average 25-50 lb weight loss over the course of their program.

Most patients see meaningful progress when following their personalized strategy.

We prioritize a balanced, diversified diet with a strong emphasis on adequate protein - while including all food groups.

This is not a low-carb, high-fat, or restrictive elimination plan.

Instead of cutting out the foods you love, we focus on smart modifications, balanced portions, and meal composition that supports fat loss and metabolism.

You’ll learn how to fuel your body properly, manage cravings naturally, and confidently incorporate the foods you enjoy - without constant restriction.

One of the most common reflections we hear:

“I can’t believe I get to eat this much food and still lose weight.”