Dr. Hoedebecke directs every treatment on the wellness side of myEvergreen. Every hormone pellet, every peptide prescription, every GLP-1 titration, every NAD+ protocol has his sign-off after a lab review and a clinical evaluation.
Most med spas offer wellness services under nursing supervision or under a rotating medical director's paper oversight. At myEvergreen, if you are on the wellness side, you are the physician's patient, not a customer of a menu.
Wellness · Director
The starting point
The starting point for anything wellness-related is a full lab panel and a conversation. If a physician-directed program is not the right answer, that becomes clear at the first visit and you have not committed to a treatment that does not fit you.
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Wellness · Medical Weight Loss
How GLP-1 medications work
Medical weight loss at myEvergreen uses GLP-1 receptor agonist medications, semaglutide and tirzepatide, directed by Dr. Hoedebecke. These medications mimic the body's own GLP-1 hormone, regulating appetite, slowing gastric emptying, and improving insulin sensitivity.
Wellness · Medical Weight Loss
Physician-supervised, not telehealth
The physician-supervised model separates this from over-the-counter or telehealth-only GLP-1 prescribing. It starts with a full metabolic labs panel, history, and physical, and includes a treatment plan with dose adjustments based on response and tolerance.
Wellness · Medical Weight Loss
Maintenance planning built in
Weight regain after GLP-1 discontinuation is documented without a maintenance plan. Dr. Hoedebecke works with each patient on the transition off medication, or onto lower-dose maintenance, to hold the loss.
Wellness · Medical Weight Loss · What to expect
Labs and plan first
The program starts with a full metabolic labs panel, a history and physical, and a treatment plan with Dr. Hoedebecke. A starting dose is prescribed with a titration schedule matched to patient response and tolerance.
Wellness · Medical Weight Loss · What to expect
Dosing and follow-up
Injections are typically weekly and self-administered subcutaneously. Nursing staff teach the injection technique at the first prescription visit. Follow-up visits are monthly during the active weight loss phase.
Wellness · Medical Weight Loss · What to expect
The maintenance transition
The most important part of the program is maintenance planning, which begins from the first visit rather than at the end. Weight regain patterns after GLP-1 discontinuation are well-documented and planned for.
Frequently asked
Frequently asked questions
How much weight will I lose?Typical loss on GLP-1 medications is fifteen to twenty percent of body weight over six to twelve months, though individual response varies. Loss slows as target weight is approached.What happens when I stop the medication?Weight regain after discontinuation is documented without a maintenance plan. Our program includes maintenance planning from the first visit: what your body needs on lower-dose maintenance or off medication entirely.What are the side effects?The most common are nausea, decreased appetite, and gastrointestinal changes, particularly in the first month or during dose titration. Most side effects resolve as the body adjusts.
Wellness
Who directs this
Directed by Kyle Hoedebecke, MD, medical director for hormone therapy, peptides, and medical weight loss.
