Weight Gain & Insulin Resistance — Treat the Root Cause Online

Reverse insulin resistance, balance blood sugar, and lose weight with medications and virtual care from HLTHi clinicians.
For: Ages 18+ (Under 18 with parental consent)
Estimated wait time: 5 minutes or less
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See All Weight‑Loss Options
What Is Insulin Resistance?

Insulin resistance happens when your muscle, fat, and liver cells stop responding to the hormone insulin, forcing your pancreas to produce more just to keep blood sugar stable. Chronically high insulin levels tell the body to store energy as fat—especially around the abdomen—making weight loss nearly impossible without medical intervention.

Central (belly) obesity despite diet/excersise
Fatigue after carb‑heavy meals
Cravings for sweets or constant hunger
Acanthosis nigricans (dark neck or armpit patches)
Family history of type‑2 diabetes, PCOS, or metabolic syndrome

How We Diagnose Insulin Resistance Online

Needle‑free note: If you already have qualifying labs from the past six months, we waive the draw.

Lab Review or E-Order

Upload recent labs or let us order a fasting insulin, glucose, A1C, and full CMP via Quest Diagnostics.

HOMA-IR Calculation

Your provider calculates Homeostatic Model Assessment to quantify insulin resistance.

Lifestyle & Medication Audit

SSRIs, steroids, or antipsychotics can worsen insulin resistance; we adjust plans accordingly.

Treatment Options

Insulin Resistance Programs: Check if you qualify

Sublingual Semaglutide

Mechanism
  • GLP-1 agonist
  • Lowers glucagon
  • Slows gastric emptying

Ideal for BMI ≥ 30 or ≥ 27 + comorbidity

How HLTHi delivers

Daily dissolvable tablet shipped

Oral Semaglutide (Rybelsus®)

Mechanism
  • GLP-1 agonist
  • Lowers glucagon
  • Slows gastric emptying
  • In pill form

Ideal for BMI ≥ 30 or ≥ 27 + comorbidity, and Needle‑averse patients

How HLTHi delivers

Local pharmacy pickup

Metformin

Mechanism
  • Improves hepatic insulin sensitivity

Ideal for Pre‑diabetes, and PCOS

How HLTHi delivers

Local pharmacy pickup

Phentermine / Topiramate

Mechanism
  • Appetite suppression & craving control

Ideal for short-term plateaus


How HLTHi delivers

Added for 12‑week cycles if HR & BP allow

Effective online treatment for Insulin-Resistance

HLTHi connects you with licensed providers who prescribe FDA‑approved or 503A‑compounded medications and deliver ongoing coaching—entirely online.

Pick up your prescription at your local pharmacy or have it shipped discreetly to your door.

Sublingual Semaglutide
Once Daily

Dissolves under the tongue; mimics GLP‑1 hormone to reduce appetite and slow gastric emptying
Oral Semaglutide
Once daily

Tablet absorbed in the stomach; same active ingredient as Wegovy® injections.
Tirzepatide
Weekly

DualGIP/GLP‑1 agonist for enhanced glucose control and weight loss.
Phentermine / Topiramate
Once Daily

Appetite suppressant + craving control.
Metformin (adjunt)
Once or twice daily

Improves insulin sensitivity, especially in PCOS or pre‑diabetes

How Online Medical Weight Loss Treatment Works

From your first click to ongoing follow‑ups, the entire process is handled through our HIPAA‑secure platform. No waiting rooms, no unnecessary appointments just evidence‑based care delivered to your schedule.

Step 1.
Complete a 3‑minute intake, pick a convenient time, and meet a licensed HLTHi provider to discuss goals and eligibility.
Step 2.
Your clinician analyzes your health history, current medications, allergies, and lifestyle factors to tailor the safest weight‑loss plan.
Step 3.
Already have labs? Securely upload them during the visit.

Need new labs? We e‑order a panel through Quest Diagnostics; average turnaround is 24‑48 hours.
Step 4.
Once labs are cleared, you’ll receive an in‑app notification confirming eligibility. Your medication—sublingual semaglutide, oral GLP‑1, or another approved therapy—is shipped to your door or made available for local pickup.
Step 5.
Track weight, side‑effects, and questions in the HLTHi app. A follow‑up visit is automatically scheduled for three months after your start date to adjust dosing and optimize results.

Common questions you may have about insulin resistance

Can insulin resistance be reversed?

Yes—weight loss of 5‑10 % often restores insulin sensitivity. GLP‑1s lower fasting insulin, while metformin reduces hepatic glucose release, giving your pancreas a rest. Speak with a HLTHi provider today to discuss reversing your insulin resistance.

Do I need an in-person exam?

No. Intake, video visit with a HLTHi provider, and prescription are all online. Labs are the only offline step, and many Quest centers offer walk‑in service in <15 minutes.

How does sublingual semaglutide work for weight loss?

Sublingual semaglutide is a GLP‑1 receptor agonist formulated to dissolve under the tongue, bypassing the GI tract’s first‑pass metabolism that can diminish tablet potency.

Once absorbed, it mimics the natural hormone GLP‑1 released after you eat, triggering three weight‑friendly actions:

(1) slower gastric emptying—you feel full longer;

(2) reduced hunger signals in the hypothalamus;  

(3) improved insulin sensitivity, which curbs fat storage.

Clinical data on injectable semaglutide shows average losses of 15 % of body weight at 68 weeks; early pilot studies on sublingual forms suggest similar pharmacokinetics when properly compounded, though large phase‑3 trials are ongoing. Most patients notice appetite reduction in week 1‑2, with measurable weight loss by week 4‑6 when paired with a modest calorie deficit.

Common side‑effects (nausea, mild reflux) usually fade in two weeks and can be minimized by starting at a low micro‑dose and titrating every 4 weeks under provider supervision. Because sublingual semaglutide is compounded, it’s not yet FDA‑approved; we work only with 503A/503B‑certified pharmacies to ensure sterility and potency.

Can I do medical weight loss entirely online?

Yes. Your intake, video consult, prescription management, and follow‑ups all happen through our HIPAA‑secure telehealth platform. No in‑person visits are required unless you need new labs, which you can complete at any local draw station.

I already have recent labs—can I use them?

Absolutely. Upload any labs drawn within the last six months (A1C, lipid panel, TSH, CMP, etc.). Our clinicians will review and only order additional tests if something is missing or outdated.

I’m working with another provider—can I switch to HLTHi?

Yes. During signup, list your current medication and dose. We’ll request your records (with your permission) so we can continue or optimize therapy without a break in treatment.

Do you accept HSA/FSA or insurance?

We accept HSA/FSA cards for visits and pharmacy charges. Insurance reimbursement depends on your plan; we provide an itemized receipt you can submit for out‑of‑network benefits.

I'm already on metformin-can I add a GLP-1?

Yes. Combining metformin with semaglutide is common and safe; your provider will titrate doses to minimize GI side‑effects.

I’m needle‑averse—are there non‑injectable options?

Yes. We offer sublingual and tablet GLP‑1 formulations as well as oral appetite suppressants, so you can avoid injections entirely.

Do I have to follow a strict diet plan?

No crash diets here. We recommend a sustainable 300–500 kcal daily deficit, balanced macros, and 150 minutes of weekly activity. A nutrition coach in the app helps you tailor meals to your lifestyle.

Is the program safe if I’m planning a pregnancy?

Weight‑loss medications—including GLP‑1s and phentermine—are not approved during pregnancy or while trying to conceive. Let us know your timeline; we’ll design a safe plan and discuss when to pause therapy.

What if I don’t lose weight?

Plateaus happen. Your provider will review adherence, adjust dosing, or add adjunct meds such as metformin. If medical therapy isn’t effective, we’ll refer you to an in‑person specialist.