Weight Management Midi Health

Weight changes can become more difficult during midlife, even when your eating habits and activity level have not changed significantly.

Hormonal changes, metabolism, appetite, muscle mass, insulin sensitivity, sleep, stress, medications, and lifestyle can all influence weight and body composition during perimenopause and menopause.

Midi Health provides specialized virtual weight-management care designed around women’s midlife health. Instead of treating weight as a simple matter of willpower, Midi clinicians look at your health history, weight history, symptoms, medications, previous treatments, risk factors, and personal goals to create an individualized Care Plan.

Your Care Plan may include lifestyle support, targeted laboratory testing, prescription medications, GLP-1 treatment, hormone prescriptions, non-hormonal medications, and supplement integration when clinically appropriate.

What Is Midi Health Weight Management?

Midi Health’s weight-management service is designed for women experiencing weight changes during midlife, including weight gain associated with hormonal changes and menopause.

The focus is not simply on the number on the scale. Your clinician can also consider:

• Changes in waist size or body composition

• Appetite and food cravings

• Sleep quality

• Energy levels

• Menopause symptoms

• Metabolic health

• Blood sugar

• Cholesterol

• Muscle mass

• Previous weight-loss attempts

• Current medications

• Personal health goals

The goal is to create a plan that fits your health and circumstances rather than using the same treatment for everyone.

Why Does Weight Change During Midlife?

Weight management can become more challenging during perimenopause and menopause.

Hormonal changes can affect several systems involved in weight and metabolism, including appetite, fat storage, muscle mass, and insulin sensitivity. At the same time, aging, sleep changes, activity levels, stress, medications, and other health factors can contribute.

Midi describes these changes as one reason your body may respond differently to the same habits you followed earlier in life.

This does not mean every midlife weight change is caused by hormones. Your clinician looks at the complete picture before recommending treatment.

Is Midlife Weight Gain Just About Willpower?

No.

Weight is influenced by many biological, behavioral, environmental, and medical factors.

During midlife, changes in hormones and metabolism can affect appetite, muscle mass, insulin sensitivity, and where the body stores fat. Sleep disruption and menopause symptoms can also make healthy routines more difficult to maintain.

Midi’s approach is to understand what may be contributing to your weight changes and then build a Care Plan around those factors.

What Can Midi Help With?

Midi’s weight-management service can address concerns such as:

• Midlife weight gain

• Increased abdominal or waist measurements

• Changes in appetite

• Food cravings or persistent hunger

• Metabolic health

• Weight changes during perimenopause

• Weight changes during menopause

• Sleep-related challenges

• Changes in muscle mass

• Lifestyle and nutrition habits

• Difficulty maintaining previous weight-loss results

Your clinician can also consider other menopause symptoms that may be affecting your ability to manage your weight.

How Does Midi Weight Management Work?

Midi’s process begins with a virtual consultation and continues with personalized follow-up care.

1. Complete Your Health Information

Before your visit, you provide information about your health and weight history, current medications, previous treatments, risk factors, symptoms, and goals.

This gives your clinician a better understanding of what has changed and what you want to accomplish.

2. Meet Your Midi Clinician

Your first virtual visit is approximately 30 minutes.

Your clinician will discuss your weight history, health concerns, eating patterns, lifestyle, medications, previous treatments, and goals.

You can also discuss other midlife symptoms, such as sleep problems, hot flashes, mood changes, or low energy.

3. Review Your Health and Metabolic Factors

Your clinician may recommend targeted laboratory testing when appropriate.

Testing can include areas such as blood sugar and cholesterol to better understand your metabolic health and help guide treatment safely.

Not everyone needs the same tests, and laboratory recommendations depend on your individual medical situation.

4. Create Your Care Plan

Your clinician creates a personalized plan based on your health, goals, symptoms, and treatment needs.

Your Care Plan may include:

• GLP-1 medications

• Other prescription weight-management medications

• Hormone prescriptions when clinically appropriate

• Non-hormonal prescriptions

• Lifestyle coaching and support

• Supplements

• Targeted laboratory testing

5. Follow Your Progress

Weight management does not end after the first appointment.

Midi provides 15-minute follow-up visits so your clinician can review your progress, discuss side effects, assess your response to treatment, and make adjustments when appropriate.

GLP-1 Medications for Weight Management

GLP-1 medications are one option Midi clinicians may consider as part of a broader weight-management plan.

These medications can affect appetite, fullness, digestion, and blood-sugar regulation.

Midi offers both branded medications, when clinically appropriate and available through a patient’s pharmacy and insurance, and compounded GLP-1 options through Midi Custom Rx.

The decision to prescribe a GLP-1 is based on your medical history, health needs, treatment goals, and clinical eligibility.

Booking a weight-management visit does not automatically mean you will receive a GLP-1.

What GLP-1 Medications Does Midi Offer?

Midi’s current weight-management information includes GLP-1 and GLP-1/GIP treatment options.

Depending on availability, eligibility, and your Care Plan, options can include:

• GLP-1 medications

• GLP-1/GIP medications

• Injectable options

• Sublingual compounded options

• Brand-name medications sent to your pharmacy

The exact medication depends on your medical situation and what your clinician determines is appropriate.

Brand-Name GLP-1 Medications

If a brand-name weight-management medication is appropriate and available through your insurance or pharmacy benefits, your Midi clinician may prescribe it.

Brand-name GLP-1 medications are sent to your pharmacy of choice.

Your out-of-pocket cost depends on your insurance coverage, pharmacy benefits, medication, and plan.

Insurance does not automatically cover every weight-loss medication simply because it covers your Midi visit.

Compounded GLP-1 Medications

Midi also offers compounded GLP-1 and GLP-1/GIP prescriptions for eligible patients.

These may be available in injectable and sublingual formats, depending on the medication and current availability.

Compounded medications are different from FDA-approved brand-name medications.

Compounded GLP-1 medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are made available to patients. Midi states that compounded medications are prescribed only when clinically appropriate and that availability can vary.

How Do GLP-1 Medications Work?

GLP-1 medications can help support weight management through several effects.

Depending on the medication, they may:

• Reduce appetite

• Increase feelings of fullness

• Slow digestion

• Support blood-sugar regulation

• Reduce hunger between meals

GLP-1/GIP medications work on both GLP-1 and GIP pathways and can also affect appetite, fullness, digestion, and blood-sugar control.

Medication works as part of a broader Care Plan and is not a replacement for nutrition, physical activity, or ongoing clinical monitoring.

What Is GLP-1 Microdosing?

Midi offers a microdosing approach for some eligible patients.

Microdosing means using a lower dose than the standard treatment dose, with the exact approach determined by the clinician.

Midi states that microdosing programs are individualized and used when clinically appropriate. The purpose is to find a dose that fits the patient’s needs while allowing the clinician to monitor response and side effects.

Microdosing is not appropriate for everyone, and it does not mean that a lower dose will necessarily produce the same results as a standard dose.

Does Everyone Who Books Weight Management Get a GLP-1?

No.

A weight-management appointment does not guarantee that a GLP-1 or any other medication will be prescribed.

Your clinician evaluates your health history, current medications, previous treatments, risk factors, goals, and overall medical situation before determining whether medication is appropriate.

A Care Plan may focus on lifestyle changes, metabolic health, supplements, hormone treatment, non-hormonal medication, or another approach instead of a GLP-1.

Other Prescription Weight Management Options

GLP-1 medication is not the only prescription option available through Midi.

Depending on your individual circumstances, a clinician may consider other weight-management medications.

Midi’s current weight-gain information lists options including:

• GLP-1 medications

• Metformin

• Contrave

The appropriate medication depends on your medical history, symptoms, medications, risk factors, and goals.

Can Hormone Therapy Help With Weight Management?

Hormonal changes can influence metabolism, appetite, muscle mass, insulin sensitivity, and fat storage.

However, hormone therapy should not be considered a stand-alone weight-loss medication.

If you are also experiencing menopause symptoms, your Midi clinician can determine whether hormone treatment may be appropriate for those symptoms and whether it should be part of your broader Care Plan.

Weight management may still require lifestyle support, nutrition changes, physical activity, medication, or other treatments depending on your situation.

Lifestyle Support for Weight Management

Medication is only one part of Midi’s approach.

Your Care Plan may include lifestyle coaching and practical support around the habits that affect weight and metabolic health.

Nutrition

Your clinician may discuss eating patterns, appetite, fullness, food choices, protein intake, fiber, and other nutrition factors relevant to your goals.

Physical Activity

Regular physical activity can support cardiovascular health, muscle mass, strength, and weight management.

Strength Training

Maintaining muscle becomes particularly important during midlife.

Strength training can support muscle mass and physical function while complementing a weight-management plan.

Sleep

Poor sleep can affect appetite, energy, mood, and daily habits.

If menopause symptoms or other factors are disrupting your sleep, addressing those issues may be an important part of your overall Care Plan.

Supplements for Weight Management

Midi’s current weight-management service includes supplement integration as one possible part of a personalized Care Plan.

Its current product offerings include:

• Berberine+

• Daily GLP-1 Support

• Daily Fiber+

• Creatine+

• Metabolic Balance Bundle

• GLP-1 Glow Up Pack

Supplements are not automatically recommended for every patient. Your clinician can consider your health history, medications, symptoms, diet, and goals before recommending a particular product.

Daily Fiber+

Fiber can support fullness and digestive health.

Midi offers Daily Fiber+ as part of its weight-management product range.

Whether a fiber supplement is useful for you depends on your diet, digestive health, medications, and individual goals.

Berberine+

Berberine+ is another product listed in Midi’s current weight-management support options.

Supplements should not be treated as a substitute for prescription treatment or medical care. Your clinician can help determine whether a supplement fits into your Care Plan.

How Does Midi Monitor GLP-1 Treatment?

Starting a GLP-1 is not the end of the process.

Midi’s current program includes follow-up visits during which your clinician can:

• Review your progress

• Discuss side effects

• Adjust your dose

• Assess your response

• Help you work toward your weight goal

• Develop a maintenance approach after reaching your goal

This ongoing monitoring is important because medication response can vary from one person to another.

What Are Common GLP-1 Side Effects?

GLP-1 and GLP-1/GIP medications can cause side effects.

Midi’s current information lists possible effects including:

• Nausea

• Stomach upset

• Constipation

• Diarrhea

• Reduced appetite

Your clinician can help manage side effects and adjust the medication when appropriate.

If you experience severe or concerning symptoms, seek appropriate medical attention.

Will I Need to Take a GLP-1 Forever?

Not necessarily.

The appropriate duration of treatment varies between individuals.

Some people may need ongoing treatment, while others may be able to reduce or stop medication after reaching their goal, depending on their response and health circumstances.

Midi states that once a patient reaches their goal weight, the clinician can create a maintenance plan that may involve adjusting, reducing, or stopping medication when appropriate.

Stopping medication can also result in weight regain for some people, so medication changes should be made with clinical guidance.

What Results Can I Expect From Midi Weight Management?

Results vary from person to person.

Midi currently reports that patients lost an average of 16 pounds after at least six months of weight-management care. This figure comes from a retrospective analysis of 6,958 patients who completed at least two Midi Weight Management Visits over six months or more between May 1, 2025, and April 30, 2026. Weight data were self-reported, patients used a range of treatments and lifestyle strategies, and individual results are not guaranteed.

An average does not predict how much weight any individual patient will lose.

What Happens During the First Midi Weight Management Visit?

Your first virtual visit takes approximately 30 minutes.

Your clinician will discuss:

• Your weight history

• Previous weight-loss efforts

• Current medications

• Health conditions

• Symptoms

• Eating patterns

• Lifestyle factors

• Previous treatments

• Risk factors

• Personal goals

You can also discuss other midlife symptoms that may be connected to your weight-management concerns.

After reviewing your information, your clinician can recommend appropriate next steps.

What Happens After the First Visit?

After your initial appointment, your Care Plan may include medication, laboratory testing, lifestyle guidance, supplements, or other treatments.

Returning visits are generally 15 minutes and are used to track progress and make appropriate adjustments.

If you are taking a GLP-1, follow-up appointments can be used to monitor your response and adjust your dose as needed.

Does Midi Require Lab Testing?

Not every patient requires the same laboratory tests.

When clinically appropriate, Midi may order targeted labs to understand metabolic health and guide treatment safely.

The current weight-management service specifically mentions tests such as blood sugar and cholesterol.

Your clinician determines which tests, if any, are appropriate for you.

Does Midi Weight Management Include Menopause Care?

Yes.

Midi’s weight-management service is specifically designed around women’s midlife health.

If weight changes occur alongside hot flashes, night sweats, sleep problems, low libido, irregular periods, brain fog, mood changes, or other menopause symptoms, your clinician can consider those concerns as part of your overall Care Plan.

This allows weight management to be considered alongside other health changes rather than treated as an isolated issue.

Can Midi Help With Weight Gain During Menopause?

Yes.

Weight management is one of Midi’s dedicated care areas, and its clinicians receive specialized training in women’s health, including hormone changes, metabolism, and lifestyle factors.

Your clinician can assess whether menopause-related changes may be contributing to your weight concerns and determine which treatment options may be appropriate.

Does Midi Treat Abdominal Weight Gain?

Midi’s weight-management service specifically addresses changes in waistline and body composition.

Hormonal changes can influence where the body stores fat, but abdominal weight gain can have multiple causes.

Your clinician can consider your overall health, metabolism, activity, sleep, nutrition, medications, and hormonal stage when creating your Care Plan.

Is Midi Weight Management Available Online?

Yes.

Midi provides weight-management care through virtual visits.

You can meet with your clinician remotely, discuss your health and weight goals, receive a personalized Care Plan, and complete follow-up appointments virtually.

Midi currently states that its virtual care is available in all 50 states.

Does Midi Weight Management Accept Insurance?

Midi is in-network with most major insurance providers nationwide, although coverage depends on your specific insurance plan.

Your deductible, copay, and coinsurance may still apply.

Insurance coverage for your visit does not necessarily mean that your weight-management medication will also be covered.

Medication coverage depends on the medication, your pharmacy benefits, and your insurance plan.

How Much Does Midi Weight Management Cost?

Midi currently lists the following visit pricing:

Insurance coverage and out-of-pocket costs vary by plan.

Weight-management medication is priced separately from the medical visit.

How Much Do Midi Compounded GLP-1 Medications Cost?

Midi currently states that compounded GLP-1 and GLP-1/GIP medications start at $164 per four-week supply, depending on the medication, format, and dose.

Pricing includes shipping and supplies.

Current medication pricing can change, so patients should confirm the price for their specific medication and dose before ordering.

Are Compounded GLP-1 Medications Covered by Insurance?

Compounded medications are generally handled separately from insurance-covered medical visits.

Midi lists compounded GLP-1 medications with separate pricing, while brand-name GLP-1 medication costs depend on your insurance coverage and pharmacy benefits.

Your clinician and insurance provider can help clarify which medication options may be covered for you.

Can I Use an HSA or FSA?

Midi states that eligible HSA and FSA funds can be used for Midi visits and services.

Whether a particular medication, laboratory service, or other expense qualifies can depend on your account and applicable rules.

Check with your HSA or FSA administrator if you need confirmation for a specific expense.

Does Midi Have a Membership Fee?

No monthly or annual membership fee is listed for Midi’s weight-management service.

Instead, eligible patients can use insurance for covered visits or use the available self-pay visit pricing.

Medication costs are separate from the visit cost.

What If My Insurance Does Not Cover Weight-Loss Medication?

You may still have other treatment options.

Your clinician can review your medical history and discuss available approaches, which may include lifestyle changes, supplements, other prescription medications, or compounded medication when clinically appropriate and available.

The appropriate option depends on your health and treatment goals.

What Should I Bring to My Weight Management Visit?

Before your appointment, it can help to have:

• Your current weight and height

• Previous weight history

• Current medications

• Current supplements

• Previous weight-loss treatments

• Relevant medical conditions

• Recent laboratory results, if available

• Information about your eating patterns

• Exercise and activity habits

• Sleep concerns

• Menopause symptoms

• Your weight-management goals

You do not need to have everything prepared. Your clinician can guide the discussion during your appointment.

Frequently Asked Questions About Midi Weight Management

Does Midi prescribe GLP-1 medications?

Yes, GLP-1 medications may be prescribed when clinically appropriate. Your clinician decides whether a GLP-1 is suitable based on your health history, symptoms, medications, risks, and goals.

Will I automatically receive a GLP-1 if I book an appointment?

No. Booking an appointment does not guarantee a prescription. Your clinician must first determine whether medication is appropriate.

Does Midi offer compounded semaglutide?

Midi currently offers compounded GLP-1 prescriptions, including compounded semaglutide options, in eligible cases.

Does Midi offer compounded tirzepatide?

Midi currently offers compounded GLP-1/GIP treatment options, including compounded tirzepatide, when clinically appropriate and available.

Are compounded GLP-1 medications FDA-approved?

No. Compounded GLP-1 medications are not FDA-approved. The FDA does not review compounded medications for safety, effectiveness, or quality before they are made available to patients.

Can I take GLP-1 medication without injections?

Midi currently offers certain compounded GLP-1 and GLP-1/GIP medications in sublingual formats in addition to injectable options, depending on medication and availability.

Does Midi offer GLP-1 microdosing?

Yes. Midi offers individualized microdosing programs for eligible patients when clinically appropriate.

Can Midi help me maintain weight after losing it?

Yes. Follow-up care can include a maintenance plan after reaching your weight goal. The plan may involve adjusting, reducing, or stopping medication depending on your individual situation.

Can menopause cause weight gain?

Menopause can contribute to changes in body composition, appetite, metabolism, muscle mass, and fat storage. Other factors can also contribute, so Midi considers the complete health picture.

Can hormone therapy help with weight loss?

Hormone therapy may be appropriate for menopause symptoms, but it should not be viewed as a primary weight-loss medication. Your clinician can determine whether hormone treatment belongs in your overall Care Plan.

Does Midi offer weight-management care without medication?

Yes. A Care Plan can include lifestyle coaching, supplements, targeted testing, and other non-medication approaches when appropriate.

How often are weight-management follow-ups?

Midi currently lists returning visits as approximately 15 minutes. Your clinician determines the appropriate follow-up schedule based on your treatment and needs.

Start Your Midi Health Weight Management Care

Midlife weight changes can be frustrating, particularly when the habits that worked before no longer seem to produce the same results.

Midi Health approaches weight management through the broader lens of women’s midlife health.

Your clinician considers your weight history, symptoms, medications, lifestyle, metabolic health, hormonal stage, risk factors, and personal goals before creating a Care Plan.

That plan may include GLP-1 medication, other prescription treatments, hormone or non-hormonal options, targeted laboratory testing, lifestyle support, and supplements when appropriate.

There is no single weight-management plan that works for everyone. The right approach depends on your health, your goals, and how your body responds to treatment.

Medical Disclaimer

This page provides general educational information about weight management and Midi Health services. It is not a substitute for medical advice, diagnosis, or treatment from a qualified healthcare professional. Prescription medications, GLP-1 treatments, hormone therapy, supplements, laboratory testing, and other services may not be appropriate for everyone. Individual results vary, and insurance coverage and medication availability can change. Discuss treatment options with a qualified healthcare professional before starting, changing, or stopping any medication.