GLP-1 Consultation & Medical Weight Management
Physician-guided evaluation for medications such as Wegovy, Zepbound, semaglutide, and tirzepatide — with a focus on health, not just the scale.
Medications like Wegovy, Zepbound, semaglutide, and tirzepatide have changed the conversation around weight management. But they are not a shortcut, and they are not right for everyone. At Bespoke Primary Care in Wellesley, Massachusetts, Dr. Michael Richardson, MD, provides physician-guided evaluation and ongoing management for patients considering GLP-1 medications as part of a broader approach to metabolic health.
Care here is built around the full picture — your medical history, metabolic health, body composition, and goals — not a prescription in isolation. When medication is appropriate, it is paired with nutrition, exercise, and a plan to maintain muscle, strength, and long-term health throughout weight loss.
A Complete Evaluation
What the Consultation Includes
Before any medication is considered, Dr. Richardson conducts a thorough evaluation to understand whether GLP-1 therapy is medically appropriate for you.
Two Pathways
Insurance-Based vs. Self-Pay GLP-1 Care
How your care is covered depends on your insurance plan. Bespoke Primary Care offers two clear pathways so that patients can move forward regardless of their coverage — with transparency about what each pathway does and does not include.
Insurance-Based Medical Weight Management
For patients whose health insurance plan covers medical weight-management counseling and who meet the insurer’s coverage requirements.
- Documentation supporting medical necessity for your insurer
- Visit structure aligned with your plan’s coverage requirements
- Prescription coordination through your pharmacy benefit when criteria are met
- Ongoing monitoring and follow-up as part of your care plan
Self-Pay GLP-1 Consultation & Management
For patients whose insurance does not cover weight-management counseling, or who do not meet the insurer’s coverage requirements.
- A consultation focused on whether GLP-1 therapy is medically appropriate
- Physician guidance on medication options, benefits, and risks
- Ongoing management and monitoring outside of insurance coverage
- Transparent self-pay pricing discussed before you commit
Self-pay consultation does not guarantee a prescription. GLP-1 medications are prescribed only when medically appropriate, based on a complete evaluation. Self-pay covers the consultation and management — not a guaranteed outcome or a guaranteed prescription.
More Than the Scale
Protecting Muscle, Strength, and Health During Weight Loss
Weight loss that comes at the cost of muscle, strength, and metabolic health is not the goal. Dr. Richardson emphasizes maintaining muscle mass, strength, nutrition, exercise, and body composition throughout treatment.
That means GLP-1 therapy here is paired with guidance on protein intake, resistance training, and activity — so that what you lose is what you want to lose, and what you keep is what protects your health for the long term.
Considering GLP-1 or Medical Weight Management?
Schedule a consultation with Dr. Richardson to explore whether medical weight management is appropriate for you.