Change. Physician-led medical weight management and metabolic health, from Harpeth Family Medicine.

You've thought about it for a while now. Your weight. Your energy. The direction things are heading.

See how I'm ready

Telehealth-first. Lifestyle change guided by a physician, with GLP-1 medication considered only when it is clinically appropriate for you.

Eat differently.
Move more.
Sleep better.
Lose weight.
Lower the risk.
You already know this.

Knowing isn't changing.

If information were enough, this would be easy. It isn't, and that's not a character flaw. Biology, habit, and life all push back. Change needs more than advice.

Another diet, or a medical strategy.

The loop most people know

Diet.
Willpower.
Lose.
Regain.
Repeat.

It works until it doesn't. Then it starts over, a little harder each time.

The way we practice

Understand.
Measure.
Treat.
Change.
Sustain.

Doctor-supervised weight management, built to hold past the first result.

The number matters. The trajectory matters more.

Weight
Blood pressure
Blood sugar
Sleep
Energy
Mobility
Heart health
The next ten years

Weight rarely moves alone. When it changes, other things tend to change with it. That's why we look at the whole picture, and where it's heading, not just what the scale says today.

Medicine can change the equation.

A prescription can start something.

It cannot do everything.

For appropriate patients, GLP-1 medications are a serious medical tool for weight management. They can quiet the constant pull of appetite and make the hard part more possible.

But this is not a GLP-1 program. The medication is one possible tool inside physician-led care: a plan, real measurement, and the daily changes that hold whether or not medication is part of it.

Treatment is recommended only after a medical evaluation. Eligibility depends on your individual clinical circumstances. Risks, benefits, contraindications, and alternatives are reviewed as part of care, with ongoing monitoring throughout.

This is why we built Spa.

Not a cosmetic med spa. A physician-led medical weight-management and metabolic-health service, for people who have decided something about their health needs to change and want a doctor in the room while it does.

Physician-led.
Telehealth-first.
Cash-based.
Built for lasting change.

Spa grows out of Harpeth Family Medicine, a primary care practice in the Nashville area built on prevention, communication, and continuity of care. Physician evaluation and medical oversight are provided by Srinivas Nimmagadda, MD, board-certified in Family Medicine.

What we're really trying to change isn't just ~~your weight~~

your habits
your trajectory
your metabolic health
your relationship with food
how much you move
how well you sleep
your confidence in managing your own health
your future risk

Weight loss is where we start. Change is where we're going.

Where we're starting

Physician-guided GLP-1 weight management

Our first program: telehealth weight management with a physician, cash-pay, and built around your plan rather than a single medication.

Physician evaluationA telehealth consultation with Dr. Nimmagadda covering your history, health, and goals before anything is recommended.
An individual planWritten for you, not a template.
Medication when appropriateGLP-1 therapy if it is clinically right for you, with risks and alternatives reviewed together.
Lifestyle guidanceFood, movement, and sleep, in practical terms you can actually keep.
Ongoing follow-upRegular check-ins, monitoring, and adjustment as your body and life change.

Enrollment details are on Let's Go. Payment does not guarantee a prescription; treatment decisions are made only after evaluation.

Change needs a How.

See how I'm ready → Let's Go

Change How Let's Go

Harpeth Family Medicine Spa is a service line of Harpeth Family Medicine. This site is for general information and is not medical advice. Treatment recommendations are made only after an appropriate medical evaluation, and results vary from person to person.