GLP-1 Weight Loss & Microdosing in Bend, Seattle, and by Telehealth in OR, WA, and CA
Personalized GLP-1 Programs For Lasting Results
Board-Certified Obesity & Metabolic Medicine
- Free visit with an experienced GLP-1 clinician
- In person in Seattle, Bend or video in OR, WA, or CA
- No obligation
2025 & 2026 Winner
Best Weight Loss Clinic in Bend
Three Best Rated Weight Loss Centers Seattle
How GLP-1 Therapy Works at Flow Wellness
Flow Wellness offers multiple GLP-1 options tailored to your goals and preferences. Your treatment plan is guided by a clinician who helps you choose the right medication, monitors progress, adjusts dosing when needed, and provides ongoing support throughout your journey.
Semaglutide Programs (Wegovy® & Ozempic®)
Mimics a natural GLP-1 hormone to reduce appetite and slow digestion. Available as compounded* semaglutide, brand-name Wegovy pens, or a daily oral option.
Tirzepatide Programs (Zepbound® & Mounjaro®)
Acts on both GLP-1 and GIP receptors for a dual effect on appetite and insulin sensitivity. Available as compounded* tirzepatide or manufacturer-direct Zepbound vials and KwikPen®.
What every program includes
Free initial consultation with experienced provider
Personalized dosing strategy
Continuous clinician support with monthly follow-ups and unlimited direct provider messaging
Body composition scans to track fat loss and monitor muscle
Pricing
$224 - $499/month for compounded GLP-1 medication program*
$124 - $149/month for manufacturer direct GLP-1 program (medication cost extra)
Body composition scans included
All supplies & shipping included
Start Strong
A 90-day GLP-1 program built around you
Start medication with a plan for everyday life.
Start Strong pairs GLP-1 treatment with practical guidance and ongoing support so you can build habits that fit your goals and routine.
What your 90 days include
Your path forward
After your consultation, start your medication, get your supportive supplement, and meet with your coach each month.
90-day program | $1,249
We’ll help you turn your goal into a plan and make meaningful progress over the next 90 days.
Medication prescribed when appropriate. Results vary.
Manufacturer Direct GLP-1 Weight Loss Program
- Flow Wellness offers manufacturer-direct Wegovy® (semaglutide) and Zepbound® (tirzepatide) for medical weight loss! That means no compounding, no guesswork, just FDA-approved, brand-name medications delivered with expert care. Note that you will pay the manufacturer directly for the medication.
Manufacturer Direct Medication Pricing
Flow Wellness GLP-1 program fee ($149) not included in prices listed below
Zepbound® (tirzepatide)
- $349/month for 2.5 mg dosing
- $449/month for 5, 7.5, 10, 12.5, and 15 mg dosing
- Medication arrives in single use vials and prescriptions must be refilled within 45 days to maintain discounted pricing
Wegovy® & Ozempic® (semaglutide)
- $349 per month for all doses of single use pens
- $199 for first two months of treatment (0.25 and 0.5 mg)
Wegovy® Pill & Foundayo®
Oral (pill) GLP-1 daily treatments
- $149 per month for starting doses
- $299 per month for treatment doses
Care that adjusts as you do.
Everyone responds differently to medical weight loss treatment. Your clinician pays attention to how your body responds and adjusts your plan over time. That might mean changing your dose, adjusting timing, or adding other support like supplements or peptides.
Nothing is one-size-fits-all.
Tracking progress beyond the scale.
Weight doesn’t tell the full story.
Two people can lose the same number of pounds and see very different changes in their body. What’s most important is understanding what your body is losing and what it’s keeping.
Body composition scans at our Bend and Seattle clinic give a clearer picture of your progress by looking at:
- Body fat percentage
- Skeletal muscle mass
- Visceral fat (the fat stored around your organs)
Visceral fat is closely linked to long-term health risks like heart disease and diabetes. It’s not something you can track on a scale, but it’s one of the most important markers of metabolic health.
Over 40 and need help?
GLP-1 works best as part of a bigger plan
If weight loss has stalled after 40, our six-month Stronger & Healthier After 40 program uses advanced labs, hormone evaluation, and body-composition scans to combine therapies and reach your goals.
Explore the Sronger & Healthier After 40 program →Microdosing GLP-1 Medications
What Is Microdosing GLP-1s?
Microdosing means using a lower-than-standard dose of medication . Rather than aiming for aggressive weight loss, the goal is to harness the metabolic and anti-inflammatory benefits of these medications while potentially reducing side effects.
This approach may be a good fit if you:
- Are sensitive to side effects
- Want to maintain prior weight loss
- Combine GLP-1s with hormone therapy or lifestyle changes
- Have inflammatory or hormonal conditions like PCOS or Hashimoto’s thyroiditis
GLP-1 microdose pricing ranges from $224-$299 per month*
Flow Wellness GLP-1 Program Pricing
Compounded GLP-1s*
- Flexible dosing
- Microdosing available
- Provider support
- Body composition scans
- $224 - $499 per month
- Medication included
Manufacturer Direct GLP-1s
- Brand-name medications
- Manufacturer fulfillment
- Provider support
- Body composition scans
- $124 - $149 per month
- Medication cost extra
Oral GLP-1s
- No injections
- Manufacturer fulfillment
- Provider support
- Body composition scans
- $124- $149 per month
- Medication cost extra
Why people choose Flow Wellness
Medical weight loss is only as good as the care behind it. At Flow, a board-certified obesity medicine physician leads your program, and your clinician knows your plan, tracks your progress, and answers your questions. More than 1,500 Pacific Northwest patients treated. Voted Best in Bend and Top 3 in Seattle.
Real Stories of Real Progress
Hear From Flow Wellness GLP-1 Patients
Related GLP-1 Resources
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Tips for Starting GLP-1 Medications
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How Many Units Is 2.5 mg of Tirzepatide? Conversion Chart for All Doses
Quick answer: 2.5 mg of tirzepatide equals 25 units on a standard U-100 insulin syringe when your vial concentration is 10 mg/mL — the most
Questions About Medical Weight Loss & Microdosing
What are GLP-1 weight loss injections, and how do they work?
GLP-1 medications like semaglutide and tirzepatide mimic natural metabolic hormones in the body to regulate appetite, reduce cravings, and slow down digestion. While originally developed to manage type 2 diabetes, brand-name versions like Wegovy® and Zepbound® are now fully FDA-approved for chronic weight management. At Flow Wellness, our clinical protocols utilize these mechanisms to help patients achieve sustainable fat loss while protecting lean muscle mass.
Can I get GLP-1 medications for weight loss or microdosing at Flow Wellness?
Yes, Flow Wellness offers fully customized semaglutide, tirzepatide, and alternative GLP-1 protocols designed around your individual health goals. We provide these clinician-guided programs through in-person appointments at our physical clinics as well as secure virtual telehealth visits for residents throughout Oregon, Washington, and California. Whether you require a standard clinical titration or a precision microdosing schedule, our team manages your entire care plan from consultation to script delivery.
What is microdosing for weight loss, and who is it right for?
Microdosing involves administering a much lower amount of GLP-1 medication, typically 10% to 25% of a standard starting dose, to capture therapeutic benefits without aggressive physical changes. This specialized approach at Flow Wellness focuses heavily on reducing systemic inflammation, balancing hormones, and regulating blood sugar rather than rapid weight loss alone. It is an exceptional pathway for individuals sensitive to standard medication side effects, patients managing autoimmune conditions like Hashimoto’s or PCOS, or those looking to maintain prior weight loss long-term.
How do I know if I qualify for a medical weight loss program?
Clinical eligibility for brand-name GLP-1 medications generally requires an adult patient to have a body mass index (BMI) of 30 or greater, or a BMI of 27 or higher paired with a weight-related health condition such as high blood pressure. However, the medical team at Flow Wellness evaluates every patient individually based on comprehensive health histories, metabolic markers, and personal wellness objectives. Even if you do not meet the strict criteria for traditional maximum-dose weight loss, you may still be an excellent candidate for our metabolic support or microdosing options.
What are the most common GLP-1 medications used for weight management?
The most frequently prescribed options in the medical industry are semaglutide (the active compound found in Wegovy® and Ozempic®) and tirzepatide (the active compound in Zepbound® and Mounjaro®). While Ozempic® and Mounjaro® are technically labeled for diabetes management, their weight-loss counterparts utilize the exact same underlying molecules to suppress appetite and improve insulin sensitivity. The clinical team at Flow Wellness reviews your health profile to determine which compound and delivery method align best with your biochemistry.
Are GLP-1 medications safe to use long-term?
When prescribed and continuously monitored by a licensed medical provider, GLP-1 receptor agonists are generally safe and well-tolerated by the majority of patients. This class of medications has a robust clinical track record, having been safely utilized and studied for diabetes care for over two decades. At Flow Wellness, we closely track your safety markers, manage potential side effects like mild nausea, and adjust your personalized dosing schedule at your monthly check-ins. Please note that compounded GLP-1 medications are not FDA approved.
Can GLP-1 therapies be combined with other functional medical treatments?
Yes, combining metabolic medications with targeted wellness protocols frequently yields superior, more comprehensive health outcomes. Flow Wellness specializes in integrated care, meaning your GLP-1 or microdosing routine can be seamlessly paired with bioidentical hormone replacement therapy (HRT), advanced peptide protocols, or specific laboratory testing. This holistic approach ensures that your underlying thyroid, adrenal, and cellular health are perfectly optimized alongside your weight loss.
How effective are medical weight loss programs in clinical trials?
Large-scale clinical trials have demonstrated that these modern metabolic treatments are highly effective, with semaglutide patients losing an average of 15% to 20% of their total body weight over 68 weeks. Furthermore, clinical data for tirzepatide indicates that patients can achieve over 20% total body weight loss when paired with professional nutritional guidance. To help you replicate these successful clinical outcomes, Flow Wellness integrates regular body composition tracking and expert lifestyle support directly into your monthly program. Please note that compounded GLP-1 medications have not undergone similar trials.
What role do diet and exercise play during a Flow Wellness program?
While GLP-1 medications are incredibly powerful tools for rewriting metabolic signaling, they are designed to complement healthy lifestyle habits rather than replace them entirely. Establishing conscious nutritional changes and regular physical activity is absolutely critical for maintaining your fat loss and preventing weight rebound if medication is ever discontinued. Flow Wellness provides direct nutrition consultations and body composition scans to ensure the weight you are losing is strictly body fat, not valuable skeletal muscle.
Will I need to remain on a GLP-1 medication forever?
Not necessarily, as your long-term medication timeline depends entirely on your personal metabolic baseline, genetic factors, and ultimate wellness goals. Some individuals use a temporary course of therapy at Flow Wellness to reset their metabolic health, eliminate chronic cravings, and establish lasting lifestyle habits before gradually tapering off. Other patients prefer to remain on a long-term, minimal maintenance dose or transition into a microdosing schedule to continuously support their insulin sensitivity and reduce inflammation.
Does Flow Wellness accept health insurance for medical weight loss programs?
Flow Wellness operates strictly as a self-pay clinic and does not directly bill health insurance, as the vast majority of commercial plans, Medicare, and regional health programs explicitly exclude weight management services from their coverage. If your specific insurance policy does happen to cover medical weight loss, our staff is happy to provide you with itemized documentation to assist you in submitting a reimbursement claim on your own.
Additionally, patients are welcome to use their pre-tax HSA or FSA funds to pay for our clinical fees, medication costs, and health services. If you have commercial GLP-1 coverage, you are welcome to join our monthly GLP-1 program to obtain concierge weight loss coverage with frequent check-ins, close monitoring, and body composition scans to monitor progress.
What is the next step to begin my medical weight loss journey?
The process begins with a simple, pressure-free conversation to review your health goals and evaluate your primary metabolic options. You can easily schedule a complimentary initial consultation with an experienced clinician through the secure Flow Wellness online booking portal. During this introductory session, we will discuss a sustainable treatment plan that works for your body.
What is the main difference between Semaglutide and Tirzepatide?
While both options are highly effective, the primary difference lies in how they interact with your body’s metabolic receptors. Semaglutide mimics a single natural hormone called GLP-1 to reduce appetite and slow digestion. On the other hand, tirzepatide targets two distinct pathways by mimicking both GLP-1 and GIP for a dual action effect on blood sugar and deep fat reduction. During your initial evaluation at Flow Wellness, our medical team will help you look at your health history and timeline to determine which medication matches your body’s chemistry best.
How quickly will I see weight loss results with a GLP-1 program?
Many patients at Flow Wellness begin noticing a steady reduction in their daily appetite and food cravings within the very first week of starting their custom titration protocol. However, sustainable clinical weight loss is a steady progression, with most individuals seeing measurable and significant changes in scale weight and body composition within 4 to 12 weeks of consistent treatment. Because everyone’s metabolism adapts uniquely, our clinicians continuously track your progress during monthly check-ins to make sure you are losing stubborn fat while successfully protecting lean muscle mass.
What are the most common side effects of GLP-1s, and how are they managed?
The most frequently reported side effects of GLP-1 receptor agonists include mild nausea, temporary constipation, occasional diarrhea, and minor fatigue as your digestive system adjusts to the new medication. At Flow Wellness, we minimize these symptoms by starting you on a low, conservative dose and gradually stepping it up only as your body signals it is ready. Additionally, our all-inclusive programs provide built-in anti-nausea prescriptions sent directly to your pharmacy and unlimited clinical messaging support to ensure you stay comfortable throughout your treatment. We also offer premium prescription supplements to manage side effects and optimize your GLP-1 program.
Do I need to complete diagnostic lab work before starting a program at Flow Wellness?
Lab evaluation is done on a case by case basis. If you have not had recent labs or your Flow Wellness provider recommends additional screening, we offer a significant cash pay discount for labs or you can bill your insurance for lab work. Our GLP-1 lab protocol includes key markers such as thyroid health, kidney function, and blood sugar levels.
GLP-1 Podcast with Flow Wellness Medical Director
Key takeaways from the GLP-1 podcast
- Dr. Kevin Jones explains that GLP-1s help reduce appetite, slow digestion, and quiet “food noise.”
- Medical supervision matters because dosing, side effects, muscle loss, and long-term maintenance need to be monitored.
- Common side effects include nausea, constipation, diarrhea, and appetite changes.
- Flow Wellness tracks body composition to help patients lose fat while protecting muscle.
- Healthy lifestyle habits still matter, especially protein intake, strength training, hydration, sleep, and nutrition.
- Many patients use GLP-1s to feel more confident, move better, reduce cravings, and improve long-term metabolic health.
- Weight maintenance is individualized: some patients stop, some cycle back on, and others stay on a lower maintenance dose.
Transcript of the podcast
Citations
- ICER Draft Evidence Report, Sept 2025 (head-to-head + cardiovascular outcomes) — https://icer.org/wp-content/uploads/2025/09/ICER_Obesity_Draft-Report_For-Publication_090925.pdf
- Tirzepatide vs. semaglutide comparative meta-analysis, 142,000+ participants (PMC) — https://pmc.ncbi.nlm.nih.gov/articles/PMC12151102/
- Long-term GLP-1 RA systematic review, 2018–2025 RCTs (PMC) — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361690/
*Compounded formulations of GLP-1s are not reviewed by the FDA for safety, efficacy, or quality. Cited papers do not apply to compounded medication. Compounded medications are only indicated for patients when a prescribing practitioner determines that the compounded preparation produces a significant difference for their patient compared to the FDA-approved product. Microdosing and alternative dosing of GLP-1s has not been studied nor is FDA approved.
