Personalized physician-supervised weight loss with concierge-level care, advanced diagnostics, and medically guided treatment options.
At HilbertMD, weight loss is never approached as a one-size-fits-all program. Our concierge medical weight loss program is designed for patients who want a more personalized, physician-led strategy that considers the full picture of their health.
As part of our concierge internal medicine practice, weight loss care is integrated with your broader medical history, lifestyle, lab work, metabolic profile, and long-term wellness goals. Whether you are struggling with stubborn weight gain, metabolic resistance, prediabetes, hormone-related changes, or difficulty maintaining progress on your own, Dr. Douglas Hilbert provides individualized support rooted in both medical insight and ongoing physician access.
This is not rushed, generic care. It is a more comprehensive, relationship-based model for achieving sustainable results.
Personalized Medical Weight Loss Within a Concierge Practice
At HilbertMD, medical weight loss includes much more than a prescription. Every plan is developed with a physician’s understanding of how weight affects energy, blood sugar, cardiovascular risk, inflammation, body composition, and long-term health.
Your care may include:
- Comprehensive medical evaluation
- Nutrition and lifestyle counseling
- Lab testing for metabolic, hormonal, or thyroid-related contributors
- DEXA body composition analysis
- Resting metabolic rate and muscle index evaluation
- Ongoing monitoring and plan adjustments
- Prescription weight loss medication when medically appropriate
Because this care is delivered within a concierge medicine model, patients benefit from longer visits, more direct access, and a treatment plan that evolves based on real progress rather than guesswork.
Why Choose Concierge Medical Weight Loss with HilbertMD?
Comprehensive Evaluation
Every plan begins with an in-depth assessment that may include:
- In-office DEXA scan to measure fat mass, lean muscle, and visceral fat
- Full lab testing to identify metabolic, hormonal, thyroid, or inflammatory factors
- Nutritional and lifestyle review
- Resting metabolic rate and muscle index evaluation
Tailored Medical Guidance
Unlike commercial programs or high-volume telehealth platforms, your treatment is:
- Personally managed by Dr. Hilbert
- Adjusted based on lab findings, body composition, and clinical response
- Connected to your complete health history
- Focused on both weight reduction and long-term health improvement
Concierge Access
As a concierge patient, you receive:
- Direct access to your physician for support and questions
- Prompt appointments and follow-up care
- Faster adjustments to treatment strategies
- A doctor who understands your goals, your health history, and your barriers to
success
GLP-1 and Peptide-Based Weight Loss Options
For some patients, medical weight loss may include peptide-based medications that helpregulate appetite, improve blood sugar control, and support steady fat loss when used as part of
a broader physician-supervised plan.
These options may include medications in the semaglutide and tirzepatide categories,
depending on your medical history, treatment goals, and eligibility.
Patients often ask about brand-name medications such as:
- Ozempic
- Wegovy
- Mounjaro
- Zepbound
These medications are not appropriate for everyone, and not every patient needs the same approach. At HilbertMD, treatment decisions are based on your full clinical picture, including your metabolic health, current conditions, risk factors, previous weight loss attempts, and medication tolerance.
Rather than pursuing medication alone, our goal is to use the right tools in the right setting, with physician oversight and a plan that supports lasting progress.
Semaglutide, Tirzepatide, and Compounded Weight Loss Discussions
Patients searching for medical weight loss often want to understand the difference betweenbrand-name medications and compounded options. At HilbertMD, those conversations happen within the context of your full health plan, not as a shortcut or one-size-fits-all solution.
When medically appropriate, Dr. Hilbert can discuss:
- Semaglutide-based treatment options
- Tirzepatide-based treatment options
- Brand-name medications such as Ozempic, Wegovy, Mounjaro, and Zepbound
- Whether a compounded option may be considered in certain circumstances
- Safe dosing, titration, monitoring, and side effect management
follow-up
The Importance of DEXA Scans for Medical Weight Loss
Most weight loss programs rely on the scale alone. A DEXA scan provides a much deeperunderstanding of what is actually changing in your body.
This advanced imaging helps measure:
- Fat mass
- Lean muscle mass
- Visceral fat
That distinction matters. Successful weight loss should focus on reducing fat while preserving muscle. Muscle plays a major role in metabolic health, insulin sensitivity, strength, and long-term weight maintenance.
DEXA scanning also identifies visceral fat, which surrounds internal organs and is associated with increased risk for diabetes, cardiovascular disease, and metabolic syndrome. By tracking these changes over time, Dr. Hilbert can fine-tune your plan more precisely. If fat loss slows, muscle mass drops, or progress plateaus, treatment can be adjusted based on real data.
This gives patients a more accurate and more useful picture of progress than body weightalone.
Nutrition and Metabolic Optimization
Medication is only one possible component of a successful medical weight loss plan. AtHilbertMD, nutrition guidance and metabolic evaluation are central to the process.
We help patients:
- Build sustainable anti-inflammatory eating habits
- Improve protein intake to preserve muscle during fat loss
- Address vitamin and nutrient deficiencies
- Understand how food affects appetite, energy, and blood sugar
- Use lab results and body composition data to guide strategy changes
results and long-term maintenance.
Why This Approach Is Different
Many weight loss clinics focus on speed, volume, or prescription-only care. HilbertMD offers a more complete and personalized model.
Our concierge medical weight loss program is built for patients who want:
- A physician-supervised plan
- More time and access
- Clinical evaluation beyond basic intake forms
- Ongoing adjustments based on progress
- Integration with overall primary and internal medicine care
- Support for long-term health, not just short-term weight loss
within a broader medical relationship
Frequently Asked Questions
What is the difference between concierge weight loss and medical weight loss?
Concierge weight loss refers to weight loss care delivered within a concierge medicine practice, where patients receive more personalized physician access, longer visits, and closer follow-up. Medical weight loss refers to a clinically guided approach that may include lab testing, nutrition counseling, body composition analysis, and prescription medications when appropriate.
Does HilbertMD offer medical weight loss in San Antonio?
Yes. HilbertMD provides physician-supervised medical weight loss in San Antonio and Leon Valley, TX through a concierge care model focused on individualized treatment and long-term health.
Do you prescribe semaglutide for weight loss?
For patients who meet medical criteria, semaglutide-based treatment may be considered as part of a broader physician-supervised weight loss plan.
Do you offer tirzepatide for weight loss?
Some patients may be candidates for tirzepatide-based therapy depending on their health history, goals, and physician evaluation.
What weight loss brands do patients commonly ask about?
Patients commonly ask about Ozempic, Wegovy, Mounjaro, and Zepbound during medical weight loss consultations.
Do you discuss compounded semaglutide or compounded tirzepatide?
Yes. When relevant, Dr. Hilbert can discuss compounded options, how they differ from brand-name medications, and whether they may be appropriate in the context of safe, physician-supervised care.
How is progress tracked?
Progress may be tracked through follow-up visits, body composition analysis, lab work, symptom review, and adjustments to nutrition, activity, or medication strategies.
Is this covered by insurance?
Many lab tests and diagnostics may be covered by insurance. The concierge membership itself is a separate investment that provides added time, physician access, and continuity of care.
Is medical weight loss right for me if I have other health conditions?
In many cases, yes. This model can be especially helpful for patients dealing with high blood pressure, prediabetes, insulin resistance, metabolic concerns, or hormone-related weight changes because weight management is considered in the context of your total health picture.