Stubborn belly fat: physician-led care

Sound familiar?

Diet and the gym move everything but your middle.

Your waist keeps growing even when your weight doesn’t.
Your trousers are tight at the waist, loose everywhere else.
Diet and exercise worked once. They don’t now.
A doctor has mentioned blood sugar, blood pressure or cholesterol.
Midlife changed where your body stores fat.

Bowls of vegetables, grains and fruit seen from above — Eating well counts. When it stops showing at the waist, a medical plan can take it the rest of the way.

What’s happening in your body

Not all belly fat is the same.

There are two layers. The one you can pinch is not the one that worries physicians most.

A · Under the skinSubcutaneous fat: the soft layer you can pinch.
B · Around the organsVisceral fat: packed between the intestines and around the liver. You can’t pinch it, and it is the fat most tied to blood sugar, blood pressure and cholesterol problems.
What moves itSustained weight loss. Physician-led GLP-1 treatment helps many people get there and stay there.

An illustration, not to scale. Visceral fat was more strongly tied to metabolic risk than fat under the skin: Fox CS, et al. Circulation 2007 · PMID 17576866.

The evidence

What the research shows.

Published averages

Fat around the organs carried more risk than fat under the skin.

Framingham Heart Study, 3,001 adults scanned by CT; odds of metabolic syndrome for each one-standard-deviation increase in fat. Source: Fox CS, et al. Circulation 2007 · PMID 17576866.

Published averages

With semaglutide, the average loss was six times placebo’s.

STEP 1 trial, 1,961 adults, both groups with lifestyle support; average change in body weight at 68 weeks. Source: Wilding JPH, et al. (STEP 1) N Engl J Med 2021 · PMID 33567185.

What we do

A medical plan for the fat that matters.

ShredRx™ Medical Weight Management

Tirzepatide or semaglutide under a physician, weekly check-ins, weekly metabolic labs, anti-nausea strategies and a personal nutrition and exercise plan. Weekly, monthly and quarterly plans: the longer the plan, the bigger the discount. Your physician sets out the price at your consultation.

See ShredRx™

Support & Accountability Team

$89

Peer support alongside your program.

No Regain: Life After GLP-1

The daily program for the months after the medicine: food noise, cultural cuisine, strength and a physician in the loop.

noregainapp.com

What waiting costs

What waiting costs.

In 359,387 Europeans followed for almost ten years, those with the largest waists had about twice the risk of dying of those with the smallest (2.05× for men, 1.78× for women), even at the same BMI.Pischon T, et al. N Engl J Med 2008 · PMID 19005195
Each step up in visceral fat raised the odds of metabolic syndrome 4.7-fold in women and 4.2-fold in men.Fox CS, et al. Circulation 2007 · PMID 17576866
Treatment works: in STEP 1, weight fell 14.9% on semaglutide against 2.4% on placebo, with greater improvement in cardiometabolic risk factors.Wilding JPH, et al. (STEP 1) N Engl J Med 2021 · PMID 33567185

Questions

Common questions

Why won’t my belly fat move with diet and exercise?

Fat around the organs responds to sustained weight loss, and for many people that is hard to hold on effort alone. That is where medical treatment helps: in the STEP 1 trial, adults on semaglutide with lifestyle support lost 14.9% of body weight on average, against 2.4% on placebo.

Who prescribes and watches the medicine?

A physician, with weekly check-ins, weekly metabolic labs and a personal nutrition and exercise plan, under ShredRx™.

What does it cost?

Weekly, monthly and quarterly plans are available: the longer the plan, the bigger the discount. Your physician sets out the price at your consultation.

What happens when I stop the medicine?

Plan for it from the start. No Regain is our daily program for the months after the medicine: food noise, cultural cuisine, strength and a physician in the loop.

Decide today

Start with the fat that matters most.

A physician, a plan, and measurements that show it working.

Call 844-FIT-MD4U

Educational, not medical advice. A physician makes the final decision at your visit. Not for emergencies: call 911.

Belly fat that won’t budge?