Medical Notice

Weight loss medications require a prescription and clinician supervision. Tirzepatide is FDA approved for type 2 diabetes and obesity. Retatrutide is investigational, in Phase 3, and has not been reviewed or approved by FDA. All medications are prescribed following comprehensive evaluation and informed consent. Individual results vary.

Arbour Longevity >

Medical Weight Loss, Ann Arbor, Michigan

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Medical Weight Loss · Ann Arbor, Michigan

Weight Loss That Works With Your Biology.

Sustainable fat loss is not a willpower problem; it is a metabolic one. At Arbour Longevity, our clinician-supervised weight loss program combines FDA-approved GLP-1 and GIP therapy, metabolic optimization, personalized health coaching, and the full breadth of our longevity medicine expertise to support results that diet and exercise alone cannot achieve.

Explore the ProgramSchedule Weight Loss Consultation

Tirzepatide FDA Approved
Clinician-Supervised
Health Coaching Included
Ann Arbor, Michigan
Metabolic + Hormone Integration

Medical weight loss program at Arbour Longevity

FDA

Approved Tirzepatide for Obesity

4 Program Components

Triple

Board-Certified Clinician

Ann Arbor

Southeast Michigan

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Why Medical Weight Loss

The Body Has Reasons Willpower Cannot Override.

Most weight loss programs are built around a false premise, that the barrier to fat loss is behavioral. The science tells a different story. Metabolic adaptation, hormonal dysregulation, gut brain signaling dysfunction, and genetic predisposition create biological forces that resist even the most disciplined efforts.

Medical weight loss addresses these forces directly. GLP-1 and GIP receptor agonists work at the neurological and metabolic level, reducing appetite signals generated by the brain, improving insulin sensitivity that drives fat storage, and supporting the hormonal environment that makes sustainable fat loss biologically possible.

At Arbour Longevity, we go further still. Medical weight loss is integrated with our hormone optimization, peptide, and IV therapy programs, because body composition is a whole system outcome. A testosterone deficiency, thyroid imbalance, or cortisol dysregulation can undermine any weight loss program that does not address them. We do.

◆ FDA-Approved Medications

Tirzepatide (GLP-1/GIP dual agonist) · Metformin · Topiramate

◆ Adjunct Protocols

B12 injections · Metabolic IV therapy · Tesamorelin (visceral fat) · Retatrutide (investigational)

◆ Health Coaching

In-house health coach · Clinician-led guidance · Dietitian referral · Lab-guided adjustments

◆ Pricing

All program pricing discussed at consultation · HSA/FSA accepted · Cash pay

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The Arbour Longevity Weight Loss Program

Four Pillars. One Comprehensive Outcome.

Weight loss at Arbour Longevity is not a prescription and a follow up call. It is a comprehensive program built across four evidence based pillars, each essential, each integrated with the others.

GLP-1 / GIP · FDA-Approved Therapy

Medical Therapy

The biological foundation of your fat loss program.

Tirzepatide, FDA-approved for obesity, activates both GLP-1 and GIP receptors to reduce appetite, improve insulin sensitivity, and support meaningful, sustained weight reduction. Prescribed and monitored by our clinical team.

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Tirzepatide (GLP-1/GIP dual agonist)

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Metformin (metabolic support)

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Topiramate (adjunct when indicated)

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Retatrutide (investigational and disclosed at consult)

View GLP-1 Details

FDA-Approved · Clinician-Supervised

Coaching · Nutrition · Accountability

Health Coaching

The behavioral framework that medication alone cannot provide.

In house health coaching, clinician led lifestyle guidance, and dietitian referral work alongside your medical protocol to build the nutritional and behavioral infrastructure for lasting results, not just the duration of your prescription.

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In-house certified health coach

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Clinician-led lifestyle counseling

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Dietitian referral coordination

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Lab-guided protocol adjustments

View Coaching Details

Included in Program

Metabolic · Hormone · Lab Assessment

Metabolic Optimization

What the scale doesn’t show, and what drives everything.

Comprehensive metabolic and hormone assessment identifies the biological factors undermining fat loss, thyroid function, testosterone, cortisol, insulin resistance, and inflammation markers, and addresses them directly alongside your weight loss protocol.

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Comprehensive metabolic panel

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Hormone evaluation

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Body composition tracking

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Lab-guided protocol optimization

View Metabolic Details

Labs Required · Every Patient

Adjunct · Enhancement · Support

Adjunct Protocols

The Arbour Longevity advantage: every tool available to your program.

B12 injections support metabolic function and energy. Metabolic IV therapy replenishes the micronutrients most depleted during caloric restriction. Tesamorelin may support visceral fat reduction. Each adjunct is clinician-selected based on your individual labs and goals.

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B12 injections (metabolic energy support)

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Metabolic IV therapy

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Tesamorelin (visceral fat)

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Hormone optimization if indicated

Schedule Consultation

Individualized · Lab-Based

The Arbour Longevity Weight Loss Process

Your Transformation Begins With a Complete Picture.

Medical Consultation

Full health history, weight history, metabolic concerns, and goals. Our clinician takes the complete picture, not a quick intake form.

Comprehensive Labs

Metabolic panel, hormone levels, thyroid, inflammation markers, insulin resistance indicators. Your biology drives your protocol.

Personalized Protocol

Clinician designs your complete program, medication, adjunct therapies, coaching structure, and monitoring schedule based on your labs and goals.

Coaching Integration

Health coach onboarding, nutrition framework, activity guidance, behavioral strategies, and accountability check-ins aligned to your medical protocol.

Ongoing Optimization

Lab reviews at 6–12 weeks. Protocol adjusted based on response, lab changes, and emerging goals. Your program evolves as you do.

Who May Benefit

Medical Weight Loss Is Not One-Size-Fits-All.

Strong Candidates: May Be Appropriate When:

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BMI ≥ 27 with at least one weight-related health condition, or BMI ≥ 30

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Difficulty losing weight despite consistent dietary and exercise effort

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Metabolic syndrome, insulin resistance, or pre-diabetes

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Significant abdominal / visceral fat accumulation

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Weight gain associated with hormonal changes (menopause, andropause, thyroid)

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Patients seeking a medically supervised program with comprehensive metabolic support

Requires Careful Evaluation:

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Personal or family history of medullary thyroid carcinoma or MEN 2, GLP-1 agonists may not be appropriate.

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History of pancreatitis, requires thorough evaluation before GLP-1 therapy.

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Pregnancy or planned pregnancy, most weight loss medications are not appropriate.

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Severe gastrointestinal conditions, GLP-1 side effect profile requires assessment.

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Patients on medications with significant drug interactions, full medication review at consultation.

Candidacy is assessed individually at consultation. No medication is prescribed without a complete clinical evaluation and informed consent.

Schedule Consultation

Explore Program Components

FDA-Approved · GLP-1/GIP

Medical Therapy

Tirzepatide · Metformin · Topiramate

Coaching · Nutrition

Health Coaching

In-house coach · Clinician-led · Dietitian

Labs · Hormones · Data

Metabolic Health

Full metabolic + hormone assessment

Results · Outcomes

Patient Transformations

Real patient outcomes · Arbour Longevity program

Frequently Asked Questions

What Patients Ask About Medical Weight Loss.

What is medical weight loss?

Medical weight loss is clinician supervised weight management that combines FDA approved medications, personalized nutrition guidance, metabolic assessment, and health coaching, going far beyond diet and exercise alone. At Arbour Longevity in Ann Arbor, every program is tailored to your specific metabolic profile, hormone status, and health history. No two protocols are identical.

What is Tirzepatide and how does it work for weight loss?

Tirzepatide (brand names Mounjaro® for type 2 diabetes and Zepbound® for obesity) activates both GLP-1 and GIP receptors simultaneously, reducing appetite signals from the brain, slowing gastric emptying, improving insulin sensitivity, and supporting meaningful, sustained weight reduction. Phase 3 clinical trials demonstrated significant body weight reduction at therapeutic doses. It is prescribed and monitored by our clinician at Arbour Longevity following a comprehensive evaluation.

Where can I get Tirzepatide for weight loss in Ann Arbor?

Arbour Longevity in Ann Arbor prescribes and supervises Tirzepatide as part of a comprehensive medical weight loss program. We evaluate your metabolic health, prescribe the appropriate formulation and starting dose, and provide ongoing monitoring and health coaching support throughout your program. We serve Ann Arbor, Ypsilanti, Saline, Plymouth, and greater Southeast Michigan.

How long does medical weight loss take?

Most patients on GLP-1 and GIP therapy begin to see measurable metabolic changes within 4 weeks of reaching a therapeutic dose. Meaningful body composition changes typically occur over 3 to 6 months of consistent program participation. Our programs are designed for sustainable long term transformation, not rapid short term loss that reverses when medication stops. Individual results vary based on metabolic health, adherence, and program factors.

Is Arbour Longevity's program different from other Tirzepatide providers in Ann Arbor?

The fundamental difference is clinical depth and integration. Many providers prescribe GLP-1 medications without addressing the metabolic and hormonal factors that limit their effectiveness. Arbour Longevity integrates weight loss medication with hormone optimization, metabolic assessment, IV nutritional therapy, and personalized health coaching, creating a program where every biological obstacle to fat loss is identified and addressed, not just the appetite signal.

Is medical weight loss covered by insurance?

Arbour Longevity operates as a cash pay practice. HSA and FSA funds are accepted for eligible services. Some patients may have insurance coverage for brand name tirzepatide when prescribed for an FDA approved indication, we recommend checking with your insurance provider. All program pricing is transparent and discussed in full at consultation.

Medical Weight Loss in Ann Arbor

Arbour Longevity runs a clinician-managed medical weight loss program in Ann Arbor. That means a licensed prescriber evaluates you, orders laboratory testing, and manages your protocol over time — rather than shipping medication after an online form.

GLP-1 and dual GLP-1/GIP medications such as semaglutide and tirzepatide are genuinely effective tools, and they work considerably better inside a program that addresses the reasons weight was difficult to lose in the first place. Insulin resistance, hypothyroidism, low testosterone in men, perimenopausal hormone shifts in women, elevated cortisol and poor sleep all make weight loss harder, and all are treatable.

What the program includes

Comprehensive metabolic and hormone laboratory panel before any prescribing
Medication selection and dose titration matched to your response and tolerance
Management of side effects rather than being left to cope with them alone
Attention to muscle preservation, which matters enormously for keeping weight off
Coordination with hormone optimization where labs indicate it is contributing
A plan for what happens after the medication, not just during it

Why muscle preservation matters

Rapid weight loss on GLP-1 medications costs lean mass as well as fat if nothing is done about it, and lean mass is what keeps your metabolic rate up. Losing it is how people regain weight after stopping. Protein targets, resistance training guidance and, where labs support it, hormone optimization are built into the program for exactly this reason.

Arbour Longevity is at 2217 Packard St #15 in Ann Arbor, serving Ypsilanti, Saline, Dexter, Chelsea and Washtenaw County, with telehealth follow-up across Michigan. Your first visit is $35, applied toward your treatment plan. Medical weight loss programs start at $299/month. HSA and FSA cards accepted. Call (734) 436-3357.

Medical Weight Loss · Ann Arbor

Your Biology Isn't Working Against You. Yet.

Schedule a medical weight loss consultation at Arbour Longevity. We review your complete metabolic picture and design a program that addresses every factor keeping your body from the composition it’s capable of.

Pricing at Consultation
HSA / FSA Accepted
Labs Required
Ann Arbor

Schedule Weight Loss ConsultationView Patient Transformations

All medications are prescribed following comprehensive evaluation and informed consent. Tirzepatide FDA-approved for obesity. Individual results vary.

Clinician-led longevity practice · Ann Arbor, Michigan

Medical & Regulatory Disclosure

Tirzepatide is FDA-approved as Mounjaro® for type 2 diabetes and Zepbound® for chronic weight management in adults with obesity or overweight with at least one weight-related condition. Prescribing is subject to FDA-approved labeling. Retatrutide is an investigational compound in Phase 3 clinical trials that has not been reviewed or approved by FDA for any indication, and is prescribed under informed consent with full regulatory disclosure. Tesamorelin is FDA approved for HIV associated lipodystrophy, and use in metabolic programs has not been reviewed or approved by FDA and is disclosed at consultation. Metformin is FDA-approved for type 2 diabetes, and its use in weight management programs may not have been reviewed or approved by FDA.

All weight loss medications at Arbour Longevity are prescribed by a licensed clinician following a comprehensive evaluation. Treatment suitability varies by individual medical history. No guarantee of results is expressed or implied. Weight loss medications are not appropriate for everyone; contraindications, risks, and alternatives are discussed at consultation. Individual results vary and depend on adherence, metabolic factors, and lifestyle.

The Metabolic Stack

GLP-1 Agonist + Tesamorelin + Hormone Optimization

For patients working on comprehensive body composition change, combining a GLP-1 agonist (Tirzepatide or Retatrutide) with Tesamorelin for visceral fat, alongside hormone optimization to ensure testosterone, thyroid, and cortisol are not limiting metabolic response. The specific compounds included are determined at consultation based on individual clinical appropriateness and current regulatory availability. Individual results vary.

Full stack composition, pricing, and compound regulatory status discussed at consultation.

What Medical Weight Loss Costs Here

Pricing is tiered by your dose, and the medication is included in the monthly fee. Most clinics quote a program fee and then bill medication separately, which is how a $199 program becomes $600 a month. We don't do that.

Medication included

$299

Per month · 2.5–5 mg

Starting and early titration doses. Where most patients begin.

Medication included

$450

Per month · 5–7.5 mg

Mid-range therapeutic dosing as tolerance builds.

Medication included

$599

Per month · 7.5 mg and above

Higher therapeutic dosing for patients who need it.

You start at the lowest effective dose and move up only if clinically indicated — so most patients begin at $299. The specific medication and dose are determined by your clinician based on your metabolic picture, tolerance, and goals. HSA and FSA funds are accepted.

Semaglutide or Tirzepatide — What's the Difference

We prescribe both. They are not interchangeable, and which one suits you depends on more than which name you have heard of.

Semaglutide

A GLP-1 receptor agonist. It slows gastric emptying, reduces appetite signaling in the brain, and improves insulin secretion in response to meals.

Single-receptor mechanism
Longer real-world track record
Strong cardiovascular outcome data in its FDA-approved indications
Often better tolerated by patients sensitive to GI effects

Tirzepatide

A dual GLP-1 and GIP receptor agonist. Activating both pathways produces additional effects on insulin sensitivity and fat metabolism beyond GLP-1 alone.

Dual-receptor mechanism
Head-to-head trial data shows greater average weight reduction than semaglutide
Often favored where insulin resistance is prominent
GI side effects can be more pronounced during titration

Greater average weight loss in a trial does not mean tirzepatide is the right choice for you specifically. Tolerance, comorbidities, cost, and how your body actually responds all factor in — and switching between them mid-program is entirely reasonable if the first choice isn't working.

What Months One, Three and Six Actually Look Like

Month 1 — Titration and adjustment

You start at the lowest dose and step up gradually. This is deliberate — titrating slowly is what prevents most of the nausea people associate with these medications. Appetite suppression usually becomes noticeable within the first one to two weeks. Weight change this month is modest and is not the point; the goal is establishing tolerance. Some patients experience nausea, constipation, or reflux, most of which resolves as the body adapts.

Month 3 — Therapeutic dose, visible change

Most patients have reached a therapeutic dose and are seeing consistent, measurable weight reduction. This is also where the work shifts. Muscle preservation becomes the priority — without adequate protein and resistance training, a meaningful share of what you lose is lean mass, which lowers your metabolic rate and makes long-term maintenance harder. This is where health coaching earns its place in the program.

Month 6 — Consolidation

Substantial body composition change is typically apparent, and metabolic markers — fasting glucose, A1c, lipids, blood pressure — often improve alongside the scale. Rate of loss usually slows, which is expected rather than a plateau to panic about. The conversation turns to maintenance strategy: what dose to hold, whether to taper, and what the plan looks like long-term.

These are typical patterns, not guarantees. Individual response varies considerably, and some patients respond more slowly or need a medication change along the way.

Honest Limitations

Weight regain is common after stopping. Published data consistently shows most patients regain a substantial share of lost weight once the medication is discontinued without a structured maintenance plan. Anyone who tells you otherwise is selling something.
Lean mass loss is real. Without adequate protein intake and resistance training, a meaningful portion of what you lose is muscle. This is the single most under-addressed issue in GLP-1 prescribing.
GI side effects are common. Nausea, constipation, reflux, and fatigue occur frequently, particularly during titration. Most improve with time and slower dose escalation.
Not appropriate for everyone. Personal or family history of medullary thyroid carcinoma, MEN2 syndrome, a history of pancreatitis, active gallbladder disease, severe gastroparesis, and pregnancy are contraindications or require careful evaluation.
It addresses appetite, not everything. If untreated hypothyroidism, sleep apnea, or a hormone deficiency is limiting your metabolic response, medication alone will underperform. That is why we assess those.

Common Questions

How much does medical weight loss cost in Ann Arbor?

At Arbour Longevity, pricing is tiered by dose with medication included: $299 per month at 2.5–5 mg, $450 per month at 5–7.5 mg, and $599 per month at 7.5 mg and above. Most patients start at $299. There are no separate medication charges. HSA and FSA funds are accepted.

Is the medication included in the price?

Yes. The monthly fee covers the medication, clinical oversight, and dose management. This is different from clinics that quote a low program fee and bill medication separately.

Which is better, semaglutide or tirzepatide?

Head-to-head trial data shows greater average weight reduction with tirzepatide, but the better choice depends on your tolerance, insulin resistance, comorbidities, and how you respond. We prescribe both and will switch if the first choice isn't working for you.

What happens if I stop taking it?

Most patients regain a substantial portion of lost weight after discontinuation without a structured maintenance plan. This is why the program includes coaching on nutrition, protein intake, and resistance training — the goal is a body composition change you can hold, not a number you rent.

Will I lose muscle along with fat?

Some lean mass loss occurs with any significant weight reduction, and it is more pronounced with GLP-1 therapy than most patients expect. Adequate protein intake and resistance training substantially reduce it, which is why both are built into the program rather than left to chance.

Start at $299 a Month

Medication included. Clinician-supervised. No surprise billing.

Book a Consultation

Arbour Longevity · 2217 Packard St #15, Ann Arbor, MI 48104 · (734) 436-3357

Reviewed by Gandhi Bhattarai, FNP-BC, PMHNP-BC, Anti-Aging/Functional Medicine BC — triple board certified nurse practitioner

Last updated: August 3, 2026

This page is provided for educational purposes and is not a substitute for individualized medical advice. Whether a treatment is appropriate for you is determined during consultation.

Medical Weight Loss Across Washtenaw County

Clinician-supervised weight loss in Ann Arbor, serving Ypsilanti, Saline, Dexter, Chelsea, Milan, Pittsfield Township and Whitmore Lake. GLP-1 and GLP-1/GIP prescribing with metabolic labs, not a prescription pad — and we will tell you when the amount of change you need sits beyond what medication delivers. If you are searching locally, we also have pages on semaglutide in Ann Arbor and weight loss shots in Ann Arbor.

GLP-1 Weight Loss Ann Arbor Weight Loss Therapy Options Metabolic Health & Insulin Resistance Health Coaching Ann Arbor Hormone Therapy Ann Arbor Longevity Clinic Southeast Michigan

Medical Weight Loss by Town

We are on Packard Street in Ann Arbor and see weight loss patients from across Washtenaw County. These pages cover the drive, the first visit and the practical details for each town.

Medical Weight Loss Dexter MI Medical Weight Loss Saline MI Medical Weight Loss Chelsea MI Medical Weight Loss Milan MI Medical Weight Loss Ypsilanti MI Medical Weight Loss Pittsfield Township MI

What you are actually paying for

There are cheaper GLP-1 programs than ours. It is worth understanding what has been removed to get the price down.

A clinician, in a room, who knows your history

Prescribed and managed by Gandhi Bhattarai, FNP-BC, PMHNP-BC — triple board certified, and the owner of the practice. Not a form you fill in, not a prescriber you never meet, not a different person each time.

Labs before anything is prescribed

Comprehensive metabolic panel, hormone levels, thyroid, inflammation markers and insulin resistance indicators. Then a lab review at six to twelve weeks, with the protocol adjusted to what your results actually show.

Health coaching, included

An in-house certified health coach, clinician-led lifestyle counseling and dietitian referral coordination are part of the program, not an upsell. The medication changes appetite. Coaching is what determines whether the change holds once the medication stops.

Medication from a pharmacy that purity-tests its product

We know where what we prescribe comes from and we can tell you. Ask any provider the same question — who is supervising this, and where does the medication come from. The answers vary more than people expect.

A cheaper program is usually cheaper because there is no examination, no lab work, no coaching and nobody accountable for the outcome. That is a reasonable trade for some people. It should just be a choice you make knowingly rather than one you discover later.