Metabolic Management
Replenish, Restore, & Recharge
Medical Weight Loss & Metabolic Health Program in N. Virginia
​Whether you're just beginning your weight loss journey or looking for support to get back on track, our compassionate team is here to guide you every step of the way. We believe sustainable transformation begins with understanding, encouragement, and personalized care. At Z&Z Wellness, we treat obesity with the science and sensitivity it deserves—providing solutions that support the whole person, not just the symptoms.
Weight loss clinic in Alexandria Virginia, managing weight isn't just about the number on a scale—it's about rediscovering your energy, confidence, and peace of mind. Our approach is rooted in medical expertise and delivered with heartfelt support, using appetite suppressants and weekly Semaglutide or Tirzepatide injections for obesity treatment and cardiometabolic improvements tailored to your unique needs to boost metabolism and activate fat-burning pathways
Why Is Obesity So Difficult to Control?
Obesity is a complex, chronic medical condition that is influenced by a combination of biological, psychological, environmental, and genetic factors. It is not a matter of willpower or personal weakness—it’s a result of the way your body regulates hunger, energy use, hormones, and metabolism over time.
Biological set points: The body tends to defend its current weight through hormonal feedback loops, making long-term weight loss challenging without intervention.
Metabolic adaptation: The metabolism often slows down resulting in reduced energy expenditure, causing your body to burn fewer calories at rest.
Hormonal imbalance: Impact of leptin and ghrelin can influence hunger, satiety, cravings, and fat storage.
Environmental triggers: Sociocultural attitudes, highly processed foods, lack of sleep, and sedentary lifestyles create constant barriers to success.
Emotional and psychological factors: Stress, anxiety, and trauma can drive emotional eating and disrupt healthy routines.
Appetite Suppressants
Effectively reduce hunger and cravings, helping you build sustainable healthy eating habits for long-term weight loss success. These safe, monitored medications provide a gentle, effective nudge toward metabolic balance and weight management.
​
Key Benefits
-
Reduces hunger and snacking urges: Calms constant cravings so you eat mindfully without the daily battle against impulses.
-
Improves focus on healthy eating: Clears mental fog from food obsessions, empowering better nutrition choices and consistency.
-
Supports positive behavior changes: Promotes psychological shifts toward effortless habit formation and goal commitment.
-
Combines with exercise and coaching: Enhances results when paired with lifestyle guidance, movement, and holistic support.
Appetite Suppressants We Offer
Discover effective appetite suppressants for weight loss, including Phentermine, Phendimetrazine, Topiramate combinations, and Contrave. These prescription medications help control hunger, reduce cravings, and support sustainable eating habits. These monitored options pair seamlessly with lifestyle coaching and exercise for optimal results.
​
-
Phentermine: A proven stimulant appetite suppressant that boosts norepinephrine to curb hunger. Ideal for short-term weight loss support in obesity treatment.
-
Phendimetrazine: Targets moderate to severe obesity by resetting unhealthy eating patterns and promoting fullness.
-
Topiramate (in combination): Originally for seizures, excels at controlling binge eating and impulse cravings for better portion control.
-
Contrave: Combines naltrexone and bupropion to diminish reward-driven eating, tackling emotional cravings effectively.
-
​Metformin: Improves insulin sensitivity, reduces appetite via gut hormone modulation and increased lac-phe (anti-hunger molecule), leading to modest weight loss (up to 8kg) and lower calorie intake. Effective adjunct for obesity, especially with insulin resistance
-
​Oral GLP-1 agonists (e.g., oral semaglutide/Rybelsus): Daily pill mimics gut hormones to suppress appetite and enhance satiety. Yields 5-15% weight loss for injection-averse patients.
Glucagon-like Peptide-1 (GLP-1) Therapy
Semaglutide and Tirzepatide offers powerful, sustainable weight loss by mimicking your body's natural gut hormones for appetite control and metabolic health.
​
How GLP-1 Works
Semaglutide and Tirzepatide enhance intrinsic gut hormone GLP-1 activity to regulate appetite, stabilize blood sugar, and optimize metabolism. These weekly injections slow digestion, boost satiety signals from the small intestine and pancreas to the brain, and break cycles of overeating, cravings, and insulin resistance.
Proven Benefits
-
Reduces hunger, food cravings, and emotional eating urges for effortless portion control.
-
Supports insulin function, blood sugar balance, and energy use to target root causes of weight gain.
-
Delivers long-term health gains: lowers cholesterol, improves fatty liver, and reduces heart disease risk.
Treatment Details
Convenient once-weekly dosing fits busy lives, with guided adjustments and weekly flexible follow-ups. Sourced from licensed 503A/503B facilities for quality-assured compounded Semaglutide and Tirzepatide.
Eligibility Criteria
Every patient’s safety and success is our top priority. Here’s who we can help:
-
BMI of 27+ with health conditions such as high blood pressure, obstructive sleep apnea, insulin resistance
-
BMI of 30+ without additional health issues
-
No history of uncontrolled heart disease or severe psychiatric illness (for stimulants)
-
No personal or Family Hx of Medullary Thyroid Carcinoma (MTC), Multiple Endocrine Neoplasia syndrome type 2 (MEN2).
-
Not pregnant or breastfeeding
-
Willingness to engage in lifestyle changes with support