Weight Loss and Hormone Therapy, Together
A physician-monitored membership program combining GLP-1 with menopausal hormone therapy.
Weight Loss and Hormone Therapy Together
A physician-monitored membership for women in midlife, combining GLP-1 medication with the hormone therapy you're already on.
You changed nothing, and your body changed anyway.
That's the version I hear most often. The eating is the same. The walking is the same. But the weight settles differently now — around the middle instead of the hips — and the things that used to work have quietly stopped working. Sometimes the scale barely moves and the shape of you still shifts.
That isn't a failure of discipline. The hormonal changes of midlife alter where your body stores fat, how it handles insulin, and how easily it holds onto muscle. Hormone therapy addresses a great deal. For some women, it doesn't fully address this.
That's what this program is for.
Why I pair these two things
GLP-1 medications are widely available now, and you can get one prescribed online in about ten minutes. What you generally can't get that way is anyone watching what happens next.
My concern with these medications in midlife is specific: weight loss on a GLP-1 isn't only fat loss. A meaningful portion can come from lean mass — muscle. For a woman in her forties or fifties, who is already losing muscle to age and to falling estrogen, that trade can leave her lighter and metabolically worse off than when she started. Muscle is what protects your bones, your blood sugar, and your independence later on.
So this program is built around protecting muscle while the weight comes down. That means measuring body composition rather than only weight, seeing you monthly rather than quarterly, and taking resistance training and protein seriously as part of the treatment instead of as advice tacked on at the end.
It also means I manage the medication alongside your hormone therapy, rather than treating the two as unrelated. They aren't.
Who this program is for
This membership is for women who are already established patients on menopausal hormone therapy and stable on their regimen.
I don't offer GLP-1 therapy on its own. If you're looking for a weight loss prescription without hormone care, I'm not the right physician for that, and I'd rather tell you now than after you've paid for a consultation.
If you're not yet a patient, that's an easy fix — we start with an initial visit, get your hormone care settled, and talk about this when the time is right.
What's included
- FDA-approved GLP-1 and GIP medication, prescribed and monitored by me, and adjusted alongside your hormone therapy rather than in isolation.
- Up to two in-person visits each month, including a required monthly visit where we measure body composition — not just what you weigh, but what the weight is made of.
- A baseline DEXA scan, which is the gold standard for measuring body composition. It's strongly recommended so we can track fat mass and lean mass accurately over time. It isn't mandatory. If you'd rather skip it, we use an in-office BIA scale at your monthly visits instead.
- Resistance training guidance, including handouts if you've never lifted before. This isn't optional decoration — it's the part that protects your muscle.
- Protein-forward nutrition guidance, reviewed at every visit, with a referral to a dietitian if you want more support than I can give in a visit.
Membership
- $200per month
- $525per quarter
- $2,000per year, prepaid
Your monthly visits are included in the membership. There's no separate visit fee for them.
What isn't included: the cost of your medication, laboratory testing, and the DEXA scan. These are billed separately by the pharmacy, lab, or imaging center, and they're your own expense. As an out-of-network practice, I can't guarantee your insurance will cover them.
For reference, the DEXA scan runs about $99 at South Jersey Radiology Associates, though you're welcome to use any imaging provider you like.
Questions women ask me
Is this Ozempic?
Ozempic, Wegovy, Mounjaro and Zepbound are brand names for medications in the GLP-1 and GIP families. I prescribe tirzepatide and, where appropriate, orforglipron. Which medication makes sense for you is a conversation we have at a visit, based on your history rather than on what's in the news.
Can I take a GLP-1 while I'm on hormone therapy?
Yes — and managing them together is the entire point of this program. What I want to avoid is a situation where one physician handles your hormones, an online service handles your weight loss medication, and nobody is looking at the whole picture.
Will I lose muscle?
Some lean mass loss is common with rapid weight loss on any approach, including these medications. The program is designed around minimizing it: monthly body composition measurement so we can see it happening, resistance training guidance, and attention to protein intake. That's why I see patients monthly rather than sending a prescription and checking in twice a year.
Why won't you prescribe a GLP-1 on its own?
Because in midlife, weight and hormones aren't separate problems, and I don't think I can do a good job on one while ignoring the other. It's a clinical judgment about how I practice, not a sales requirement.
Do you take insurance?
Magnolia Midlife is an out-of-network, direct-pay practice. I don't bill insurance, though I'm glad to provide a superbill you can submit to your plan. Whether you're reimbursed is between you and your insurer, and I can't guarantee any amount.
Do I have to come in every month?
Yes. The monthly in-person visit is how we measure body composition, and it's the reason this program works differently from a telehealth prescription. I see patients in Haddonfield, and I know that's a real commitment — it's a deliberate one.
How much weight will I lose?
I won't give you a number. Results vary genuinely and considerably from woman to woman, and anyone promising you a specific outcome is telling you something they can't know. What I can promise is close attention, honest measurement, and a plan we adjust as we learn how your body responds.
Can I cancel?
Yes, with thirty days' written notice. You're not locked into a year.
If this sounds like you
Current patients: we can talk it through at your next visit. If you'd like to come in sooner, text me and we'll see what we can work out.
New patients: start with an initial visit. We'll get your hormone care sorted first, and this conversation follows naturally from there.
Book a visitWith much love,
Dr. Riedel
Jacqueline Riedel, DO, MSCP. This page is for general information and is not medical advice. Whether any treatment is appropriate for you is a decision we make together, based on your history and your goals. Individual results vary, and no particular outcome is promised or guaranteed.