Skip to content

Care Path

Weight management with a physician who follows through.

Medication, where it is appropriate, is one part of a plan — not the whole plan. Evaluation starts with your weight history, your health conditions and what has and has not worked before.
Request a Call314-394-1660
Independent, physician-owned St. Louis men’s health practicePersonal care from a consistent physician-led teamServing St. Louis and the Metro East1062 Old Des Peres Road, St. Louis, MO 63131314-394-1660

Overview

Is this worth evaluating?

Men raise weight for very different reasons. These are the ones described most often.

  • Weight that is affecting energy, mobility or confidence
  • Repeated regain after prior efforts
  • Appetite or hunger patterns that feel difficult to manage
  • Concerns involving blood pressure, blood sugar, sleep or metabolic health

None of these establishes a diagnosis on its own. What they do is give a physician somewhere specific to start.

Evaluation

A careful evaluation comes first.

Before anything is prescribed, Dr. Mimlitz reviews the parts of your history that shape what is reasonable and safe:

  • Your weight history and the approaches you have already tried
  • Current medications and health conditions
  • Eating patterns, activity, sleep and alcohol
  • Laboratory information, when it is clinically relevant
  • Your goals and preferences, any contraindications, and your ability to follow up

Options

How the options differ

Where medication is appropriate, these are the categories most often discussed. They work differently and carry different considerations.

The exact product, formulation and dispensing pharmacy are identified before treatment begins, so you know what you are receiving.

Semaglutide

GLP-1 receptor agonist

Acts on the GLP-1 pathway, which is involved in appetite signaling and the sense of fullness after eating. Gastrointestinal effects are common, and the labeling carries important warnings and contraindications.

Tirzepatide

GIP and GLP-1 receptor agonist

Acts through both the GIP and GLP-1 pathways, which are involved in appetite, fullness and metabolic signaling. Gastrointestinal effects are common, and the labeling carries important warnings and contraindications.

Phentermine

Stimulant-type prescription medication

A stimulant-type medication generally used for short-term weight management. Cardiovascular history, blood pressure and interactions with your other medications are reviewed carefully before it is considered.

Safety

Safety, limits and monitoring

These medicines are useful for some men and wrong for others. The distinction is made in the evaluation, not on a website.

  • GLP-1 and GIP/GLP-1 medicines commonly cause gastrointestinal effects, and their labeling carries important warnings and contraindications that are reviewed with you.
  • Phentermine may raise heart rate or blood pressure and is not appropriate for everyone.
  • The specific product, formulation and dispensing pharmacy are identified before treatment, so there is no ambiguity about what you are taking.
  • Compounded medications are not FDA approved. The FDA does not review compounded drugs for safety, effectiveness or quality before they are marketed, and a compounded preparation is not a generic version of, or equivalent to, an FDA-approved product.
  • Where a compounded preparation is discussed, it is discussed as a compounded preparation — not as a substitute for, or the equivalent of, an approved product.

What to expect

What to expect at MMI

Dr. Mimlitz personally conducts every initial evaluation and follow-up visit.

MMI is independent and physician-owned, so the MMI care team coordinating your care knows your plan, communicates clearly and supports consistent follow-through without corporate layers in between. Decisions are individual rather than a standard protocol passed between rotating providers.

  1. 01

    Schedule an evaluation

    Tell us what you are noticing. We schedule a focused visit rather than a rushed one.

  2. 02

    Review symptoms and labs

    Dr. Mimlitz reviews your history, symptoms and lab work with you and explains what they mean.

  3. 03

    Agree on a plan

    If treatment is appropriate, you leave understanding the options, the tradeoffs and the next step.

  4. 04

    Follow through

    Care is adjusted over time based on how you feel and what your follow-up labs show.

Questions to bring to your visit

  • Given my health history, is medication a reasonable part of my plan at all?
  • What side effects should I expect, and which ones should prompt a call?
  • What exactly am I being prescribed, and where is it dispensed from?
  • What does follow-up look like, and how will we judge whether this is working?

Related care

Start with an evaluation, not a package.

Call the office to schedule a focused visit with Dr. Mimlitz.

Request a Call314-394-1660

Clinical references

This page is general education, not medical advice, and it is not a substitute for an evaluation. The information here draws on the primary sources below.