Weight loss that treats the biology, not the blame.
Lab-driven medical weight loss. When a clinician prescribes medication, that may include semaglutide or tirzepatide, monitored over time and built for how your body actually works.
Start my weight loss assessment
Why weight loss is biology, not willpower.
If diets worked long-term, you would not be reading this. The body defends its weight with hormones and metabolism. The right approach starts with what your bloodwork shows, then treats the actual drivers.
Your metabolic set point
Your body defends a weight range. Diet alone signals starvation, so metabolism slows and hunger climbs. This is biology, not a lack of discipline.
Insulin resistance
When cells stop responding to insulin, blood sugar spikes and the body stores fat instead of burning it. Breaking this cycle is often the real unlock.
Hormones and thyroid
Thyroid, cortisol, and sex hormones all shape how you store and burn fat. A symptom-only approach misses the markers that actually drive the scale.
Appetite signaling
Hunger and fullness are hormonal conversations between your gut and brain. A consult looks at that conversation so the plan is not a fight against your own biology.
A licensed clinician confirms what is driving your weight with lab testing before recommending a plan. If medical weight loss is not the right answer for you, they will tell you, and help you find the right path.
Four steps from curious to optimized.
Take the assessment
2 minutes. Goals, symptoms, medical history.
Clinical-grade intake reviewed by a provider, not a template.
Comprehensive labs
50+ markers. At-home kit or Quest / Labcorp.
Hormones, thyroid, metabolic, inflammation, micronutrients. HSA/FSA eligible.
Consult with your provider
HIPAA video call. AI-transcribed. Recapped.
Licensed clinician reviews your labs, builds your treatment plan, answers questions.
Follow-up from your labs
Your clinician checks in as results come back.
Next steps wait on your bloodwork. Cancel anytime.
How medical weight loss therapy works.
Appetite regulation
Hunger and fullness are signals between the gut and the brain. A clinician-guided plan starts from your history and labs, so eating less is not treated as a willpower problem.
Insulin sensitivity
How your body handles glucose affects fat storage. Labs show whether insulin resistance is part of the picture before anyone recommends a next step.
Metabolic context
Over several months, follow-up looks at body composition and how you feel. The goal is a sustainable plan built from your results. Individual results vary.
A consult and labs come first.
There is no product menu on this page. Your clinician reviews bloodwork and history, then tells you whether a medical weight-loss plan is appropriate.
Metabolic labs
Before any recommendation
Thyroid, insulin, and related markers are drawn so the visit starts from your results, not a template.
Clinician visit
History, goals, and fit
You meet a licensed clinician who reviews the labs and tells you whether a medical weight-loss plan is appropriate. If it is not, they say so.
Whether any next step is appropriate is a clinical decision your provider makes from your bloodwork and history. Individual results vary.
Not a template. A care relationship.
A real clinician, on video
You speak face to face with a licensed clinician before a plan is recommended. Not a chatbot, not a one-way questionnaire.
Lab-driven treatment plans
We run a comprehensive metabolic panel before starting and recheck over time. Your plan follows your biology, not a template.
Muscle-preservation support
Rapid weight loss can cost lean muscle. Your provider pairs your treatment plan with protein and resistance guidance, and layers adjunct support when clinically appropriate.
Root-cause first
Thyroid, insulin, cortisol, and hormones all move the scale. We look for the driver before recommending a next step.
Transparent pricing
You pay for the consult and follow-up. Labs come first. A clinician explains what your results support before any next step.
We say no when it is right
A clinician declines or adjusts the plan when medical weight loss is not the right answer, and tells you what would be instead.
A realistic timeline.
First few weeks
Appetite and energy are what people notice first. Your provider checks in as you settle into the plan.
Weeks 4 to 12
Measurable change, when it happens, shows up over the following weeks. Follow-up labs confirm your metabolic markers are moving the right way.
Months 3 and beyond
The focus shifts to sustainable body composition and protecting lean mass. Your provider adjusts your plan around your labs and how you feel. Individual results vary.
Real clinicians, not a call center.
Your treatment plan is built and monitored by a licensed clinician, the same people who designed KAYU's care model. Named, credentialed, and accountable for your results.
Narine Chilyan
Clinical Director · Functional & Preventive Medicine
Dr. Aram Mkhitarian
Medical Director · Integrative Medicine
How KAYU compares.
A general comparison of care models. Specific offerings vary by provider.
Simple, transparent membership.
Pay for care. Your membership covers provider access, monitoring, and quarterly labs. No insurance required. HSA and FSA may apply to eligible clinical services. Cancel anytime.
Pay for the visit, no membership.
- 30-minute video consult with a licensed clinician
- A plan only if it fits your labs and history
- Credit applies to your first month if you upgrade
Ongoing care and monitoring.
- Everything in Consult
- Ongoing provider oversight
- Quarterly lab panel, KAYU pays Quest direct
- Unlimited messaging
Full optimization with bloodwork included.
- Everything in Root
- Comprehensive hormone + metabolic panel included
- Broader multi-system review when appropriate
- Priority scheduling
Membership covers the consult, monitoring, and labs. Next steps wait on your results.
Medical weight loss FAQ.
What is the difference between semaglutide and tirzepatide?
Semaglutide acts on one incretin pathway. Tirzepatide acts on that pathway and on GIP. Which one fits, if either, is a clinical decision your provider makes from your bloodwork and goals. This page is not a menu of products.
Who is a fit for a weight consult?
Adults who want a clinician to look at weight in the context of labs and history, including conditions such as high blood pressure, type 2 diabetes, high cholesterol, or sleep apnea. Your KAYU clinician makes the final determination. This page is not a menu of products.
What happens before any treatment is discussed?
Labs and a visit. Your clinician reads your history and bloodwork first. A plan is discussed only after that review, and only if it fits you.
What should I expect after the consult?
A clear read on whether a plan fits, based on your labs and history. Your clinician explains the next step, including if the next step is to wait or to look at something else.
What if I have already tried to lose weight and regained it?
That is common, and it is why the visit starts with labs rather than another template. KAYU monitors metabolic markers and builds habits alongside the plan so the approach is not an abrupt stop-start.
How do you protect against muscle loss?
Rapid weight loss can reduce lean mass. Your provider recommends targeted protein intake, resistance-training guidance, and adjunct support when clinically appropriate, and tracks body composition over time.
How does a KAYU weight consult start?
With a conversation and labs, not a product menu. A licensed clinician reviews your history and bloodwork and explains whether medical weight loss is appropriate. Nothing on this page is offered for sale.
How quickly will I see results?
Many patients notice appetite and energy shift in the first weeks. Measurable change, when it happens, often begins around week 4 to 6. Individual results vary, and your provider monitors progress throughout.
Can I use HSA or FSA funds?
Many patients use HSA or FSA funds for eligible clinical services. KAYU provides the documentation your benefits administrator needs. No insurance is required to book a consult.
Can I cancel anytime?
Yes. There is no long-term lock-in. You can cancel your membership at any time.
Ready to feel rooted?
Two minutes to the assessment. One week to your first consult. A treatment plan built on your bloodwork from a provider who knows your name.