Starting with why it has been difficult for you specifically — thyroid, hormones, insulin, medications — rather than handing you another plan to fail at.
Most people arriving here have already lost weight before and regained it. That is not a character failure — it is the predictable outcome of treating weight as purely a willpower problem when there are frequently physiological factors involved.
We start with testing, because several genuinely treatable conditions make weight loss disproportionately hard:
If one of these is present and untreated, a diet plan is fighting your physiology. Finding it changes the entire approach.
Laboratory work covering thyroid, fasting glucose and HbA1c, insulin, a lipid panel, hormones, vitamin D and iron — plus a full history of your weight, previous attempts, medications and sleep.
Where clinically indicated, prescription weight loss medication may form part of your plan. These medications are genuinely effective for many patients, and they are also genuinely medical — they have side effects, contraindications, and require monitoring. They are not appropriate for everyone, and we will tell you if they are not appropriate for you. See our prescription weight loss programme for detail.
If thyroid function is low, that is treated. If testosterone is genuinely deficient, hormone therapy may be part of the answer. If insulin resistance is present, the nutritional approach is built around that.
There is no single correct diet. Insulin resistance often responds well to lower-carbohydrate approaches such as structured ketogenic planning; other patients do better with a different structure. What matters more than the specific plan is whether you can sustain it.
Follow-up every four to six weeks initially, with adjustments based on results and how you are tolerating the plan.
No medication is prescribed here on the basis of a stated goal alone. Treatment begins with comprehensive laboratory work, a clinical history, and a physical examination. Symptoms like fatigue, weight change, and low libido have many possible causes — thyroid disease, anemia, sleep apnea, depression, and medication side effects among them — and treating a hormone that is not actually deficient helps nobody.
Dr. Daniel Moghadam oversees your weight programme personally, from interpreting your initial panel through dose adjustments. Hormone therapy is real medicine with real risks, and it needs a physician's judgment rather than a protocol.
Levels are re-checked after starting treatment and periodically thereafter. Doses are adjusted based on how you feel and what your bloodwork shows — the two do not always agree, and both matter.
Hormone therapy has genuine benefits and genuine risks, and those differ by age, sex, personal history, and family history. You will hear both. If you are not a good candidate, we will tell you that.
Sustainable loss is roughly one to two pounds per week for most people. Faster loss is achievable but tends to cost more lean muscle and is harder to maintain. Programmes promising dramatically more are usually producing water and muscle loss.
Maintenance is the hard part, not the loss. Your body defends against weight loss — metabolic rate falls somewhat and appetite hormones shift toward hunger. This is physiology, not weakness, and it is why we plan for maintenance from the start rather than treating goal weight as the finish line.
Muscle matters enormously. Losing weight without resistance training means losing a meaningful proportion as muscle, which lowers your metabolic rate and makes regain easier. Protein intake and strength work are part of every plan we build.
Body sculpting is not weight loss. Cryo body sculpting and similar treatments address localized fat pockets in people already near their goal weight. They are contouring tools and we will not present them as anything else.
The starting point. Commercial programmes hand everyone broadly the same plan. We begin with laboratory work and a clinical history to find out whether something physiological is making weight loss disproportionately hard for you — thyroid dysfunction, insulin resistance, PCOS, low testosterone, sleep apnea, or a medication you are taking. If one of those is present, treating it changes everything about the approach.
Where it is clinically appropriate, yes. These medications are genuinely effective for many patients. They are also real medicine with side effects, contraindications, and monitoring requirements, and they are not suitable for everyone. Whether they form part of your plan depends on your assessment, and we will tell you honestly if they are not appropriate for you.
Sustainably, roughly one to two pounds per week for most people. Faster loss is possible but typically costs more lean muscle and is harder to maintain. Your individual rate depends on your starting point, what the labs show, and whether an underlying condition is being treated alongside.
Because your body actively defends against weight loss. Metabolic rate falls modestly and appetite-regulating hormones shift toward hunger and away from satiety, and these changes can persist well after the weight is lost. This is physiology rather than a failure of discipline, and it is why we plan for maintenance from the beginning rather than treating goal weight as the end.
It is common enough that we test for it routinely. Hypothyroidism, insulin resistance, PCOS, low testosterone, cortisol dysregulation and obstructive sleep apnea all make weight loss substantially harder, and several are frequently undiagnosed. Certain medications — including some antidepressants, steroids and beta blockers — also promote weight gain.
No. There is no single correct diet, and the best one is the one you can actually sustain. Structured ketogenic planning often suits patients with insulin resistance particularly well, but other patients do better with a different structure. The nutritional approach follows from your assessment and your life.
No, and we are careful about this. Body sculpting treats localized fat pockets in people already close to their goal weight — it is a contouring tool, not a weight loss treatment. If your goal is losing weight, this programme is the right route and we will say so.
Typically every four to six weeks at the start, so the plan can be adjusted based on your results and how you are tolerating it. Bloodwork is repeated periodically. Once you are stable, visits become less frequent.
Patients travel to our Beverly Hills office for weight care from across Los Angeles:
Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.
8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211
Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed
Before any plan, we find out what is actually making weight loss hard for you. Consultations are complimentary.