
Physician-led medical weight loss in St. Louis uses medications, metabolic testing, and lifestyle coaching for safe, lasting results.

A Science-Backed Approach to Weight Loss
Losing weight is more than just cutting calories—it’s about finding a sustainable, medically guided solution that works for your body. At Awaken Face and Body Wellness, we take a comprehensive, physician-led approach to weight loss, combining medications including GLP-1 and GLP1/GIP combination therapies, customized nutrition and fitness plans, metabolic testing, and lifestyle coaching to help you lose weight and keep it off. You will be seen and evaluated by Erica Yalavarthi M.D., who is double board-certified in Family Practice and Obesity Medicine. She will review all of your testing and customize a treatment plan for you. Your visits will not be rushed. You will have time to discuss your personal goals, medical history, and previous attempts at weight loss to develop a plan that works for you.
Whether you're struggling with stubborn weight, metabolic resistance, or long-term weight maintenance, our science-based St. Louis medical weight loss program is designed to optimize your metabolism, improve overall health, and create lasting changes for a healthier, happier you.

Semaglutide is a GLP-1 receptor agonist that mimics a natural hormone responsible for satiety and blood sugar control. It acts on:
• The brain - reduces hunger
• The stomach - slows emptying
• The pancreas - improves insulin response
Clinical effects include significant appetite suppression, reduced cravings, improved glycemic control, and increased fat loss. Expected weight loss: 10–15% of body weight. Proper titration minimizes side effects such as temporary nausea and mild GI symptoms.
Tirzepatide activates both GLP-1 and GIP receptors, creating a synergistic metabolic effect with:
• Greater appetite suppression
• Enhanced insulin sensitivity
• Improved fat metabolism
Clinical outcomes show 15–22% body weight loss in many patients, with strong metabolic improvement. Ideal for patients who plateau on semaglutide or need more aggressive results.
Retatrutide targets GLP-1, GIP, and Glucagon receptors. Unlike other therapies, it increases energy expenditure - not just reduces intake - resulting in:
• Increased calorie burn
• Enhanced fat oxidation
• Advanced metabolic reset
Best for high-resistance weight loss cases and patients seeking maximal transformation.
Medication | Mechanism | Weight Loss | Best For |
|---|---|---|---|
| Semaglutide | GLP-1 | 10-15% | First-line |
| Tirzepatide | GLP-1 + GIP | 15-22% | Stronger results |
| Retatrutide | GLP-1 + GIP + Glucagon | 20%+ | Advanced cases |

Insulin is a master regulator of metabolism. When insulin is elevated chronically:
• Fat storage increases
• Lipolysis (fat burning) decreases
• Hunger increases
This creates a metabolic state where your body cannot efficiently access stored fat - even in a calorie deficit.
Leptin is your body's "fullness" hormone. When functioning properly, it signals satiety and regulates energy balance. But in many patients, the brain becomes resistant to leptin, leading to:
• Constant hunger
• Reduced energy expenditure
• Weight regain after dieting
Your body essentially defends a higher weight set point.
Chronic stress leads to elevated cortisol, causing:
• Increased abdominal fat storage
• Higher blood sugar
• Disrupted sleep
Stress alone can block weight loss - even with a perfect diet.
Hormones shape body composition. Key disruptions include:
• Estrogen changes leading to fat redistribution
• Low testosterone causing decreased muscle mass
• Thyroid dysfunction slowing metabolism
This is why menopause and andropause patients often feel "stuck."
Repeated dieting causes:
• Lower resting metabolic rate (RMR)
• Increased efficiency in storing fat
• Resistance to further weight loss
Your body adapts to survive - not to get lean.
Our St. Louis medical weight loss treatment is a science-driven, physician-guided approach that combines safe, effective medications, lifestyle changes, and advanced health analysis to help you achieve and maintain a healthy weight. Unlike fad diets or one-size-fits-all programs, our personalized approach ensures that your plan is tailored to your unique metabolism, lifestyle, and goals.
At Awaken Face and Body Wellness, we utilize:
We serve patients across the St. Louis metro area including:

Hormonal imbalance is often the hidden barrier. Correcting hormones improves fat loss, increases energy, and restores metabolic function. Especially critical for menopause, perimenopause, and low testosterone.


A Personalized Path to Sustainable Results
Your journey begins with a comprehensive evaluation, including advanced testing to assess your metabolism, body composition, fitness level, hormone levels, other biomarkers and overall health. Using these insights, our physician, Erica Yalavarthi, M.D. will craft a custom plan tailored to help you lose weight effectively and sustainably. Incorporating methods like prescription weight loss medications to regulate appetite and metabolism and personalized nutritional and lifestyle coaching to build healthier habits, we’re here to guide you every step of the way.
Our goal is not only to help you lose weight but also to optimize your overall health and maintain your results long-term. Through tools like metabolic testing, body composition, continuous glucose monitoring, and VO2 max assessments, we fine-tune your program for maximum effectiveness. Once you reach your goal weight, we focus on building a sustainable maintenance strategy, ensuring you feel confident in keeping the results you’ve worked so hard to achieve.
A Smarter Approach to Weight Loss
Medical weight loss is ideal for those who:
You may not be a candidate if you:

Optimize Your Health From the Inside Out
Most patients start to see results within a few weeks, with steady, sustainable weight loss over time.
Unlike crash diets, our approach to weight loss creates lasting change.

More Than Weight Loss
At Awaken Face and Body Wellness, we believe in a holistic approach to weight management. In addition to treatments to promote healthy weight loss, you will have access to a broad range of approaches to enhance your overall quality of life.
Book your consultation today and start your journey to lasting weight loss!

Results vary based on individual metabolism, adherence to the program, and lifestyle factors, but most patients experience consistent, sustainable weight loss over time. Most patients lose 10-20% of body weight, with some exceeding that.
GLP-1 and GLP1/GIP medications help regulate hunger hormones, control appetite, and stabilize blood sugar levels for effective weight loss. We also use other medications tailored to your personal history such as phentermine, Phentermine/Topiramate, Bupropion/Naltrexone and others.
Not necessarily. While medications can enhance results, during treatment for medical weight loss St. Louis patients should also expect lifestyle, nutritional, and metabolic optimization strategies for those who prefer a non-medicated approach.
Our program focuses on sustainable changes, metabolic optimization, and long-term coaching to help you maintain results for life.
Our weight loss program starts at $199/month.
Not with proper care. We protect muscle with adequate protein intake, resistance training, and metabolic support.
Moderation is key. Alcohol can slow fat loss.
That is exactly who this program is for.
Yes, when prescribed and monitored by a physician.
No. We build long-term strategies for independence.