Choose your path forward.
Program tiers built around real life — from full-access clinical support to essential medication management. Every plan includes shared decision-making, a real provider relationship, and care that fits Wyoming.
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Medically supervised. Clinically monitored. Built around you.
All tiers are built on the same clinical foundation. The difference is the level of access and support between your monthly visits.
- Direct provider access between visits via textSame-day/next-day response
- Weekly check-insWeight, blood pressure, heart rate, body composition
- Scheduled monthly follow-up visitsRequired to continue prescription
- Monthly body composition monitoring
- Personalized nutrition guidance
- Hydration targets & exercise prescriptionUpdated monthly
- Lab monitoring results reviewed and explained personally
- Supplement protocol as clinically indicated
- Mindset coaching & non-scale victory support
- Shared medication decision making at initial consultation
- Scheduled monthly follow-up visitsRequired to continue prescription
- Medication management & clinical oversight
- Shared medication decision making at initial consultation
- Between-visit consultations available$25 per visit
- Available after completing any 6-month program tier
- Continued medication management as appropriate
- Monthly provider visits
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Quick Reference
See exactly what's included in each tier at a glance.
| Feature | Full Program | Essential |
|---|---|---|
| Direct text access between visits | $25/visit | |
| Weekly check-ins | ||
| Scheduled monthly visits | ||
| Monthly visit required to continue Rx | ||
| Body composition monitoring | ||
| Nutrition & exercise prescription | ||
| Lab monitoring & results review | ||
| Supplement protocol | ||
| Mindset coaching | ||
| Shared medication decision making |
The hardest part of weight loss isn't losing it — it's keeping it off. Research shows that without continued support, most people begin regaining weight within 9 months of completing a program. The Maintenance Plan exists because your results deserve to be protected. We strongly recommend a minimum of 12 months on the Maintenance Plan — and we'll be here every step of the way.
Good to Know — All Tiers
A few things that apply across every program.
6-Month Commitment
Full and Essential programs require a 6-month commitment. The Maintenance Plan is month-to-month from day one.
Labs, Medications & Imaging
Billed separately as clinically indicated. These are not included in the monthly program fee.
Shared Decision Making
All tiers include shared medication decision making at your initial consultation — we decide together whether medication is the right fit.
Maintenance Plan Transition
You can transition to the Maintenance Plan anytime after completing your 6-month program. No gap in care.
Wyoming Patients Only
All programs require patients to be present in the state of Wyoming at the time of their visits.
Not Health Insurance
PG Direct Care programs are direct-pay clinical services. They are not health insurance and do not satisfy any insurance mandate.
The first step is showing up.
Ready to get started? Choose the program that fits your life and enroll today. Questions first? Reach out directly — we're here.
Not insurance: The PG Direct Care Weight Management Program is a direct-pay clinical service. It is not health insurance and does not meet any individual health insurance mandate that may be required by federal law. Coverage for medications, labs, and services outside the program scope is the patient's responsibility.
Program disclaimer: Weight management outcomes vary by individual. No specific result is guaranteed. Nothing on this page constitutes medical advice. Treatment plans are individualized and determined in consultation with your provider.