Weight Management

At Northeast Medical Practice, our Weight Management Program is grounded in lifestyle medicine and designed to help patients achieve and maintain a healthy body weight while improving long-term health, energy, and quality of life.

Led by Dr. Berger, a board-certified physician in Internal Medicine and Obesity Medicine by the American Board of Obesity Medicine, the program combines evidence-based medical treatment with sustainable lifestyle change. The focus is not only weight loss, but improving metabolic health, preserving muscle mass, and reducing long-term disease risk.

A Comprehensive, Personalized Approach

Every patient receives a structured, medically guided program that may include:

Medical Weight Management Visits
Ongoing care with Dr. Berger focused on identifying root causes of weight gain and metabolic dysfunction, and developing a personalized treatment plan tailored to your health goals.

Advanced Body Composition Analysis
Using SECA four-point bioimpedance technology, we assess:

• • Fat mass (subcutaneous and visceral)

  • Skeletal muscle mass across the trunk and extremities

This allows us to track true health improvements—not just scale weight—while ensuring preservation or improvement of lean muscle mass, which is strongly linked to longevity, metabolic health, and physical resilience as we age.

Comprehensive Laboratory Evaluation
Targeted testing to evaluate for underlying contributors to weight gain and metabolic imbalance, including:

• Insulin resistance

• Fatty liver disease

• Thyroid dysfunction

• Cholesterol and cardiovascular risk markers

Diagnostic Imaging (When Indicated)
Advanced evaluation of organs such as the thyroid or liver when clinically appropriate.

Medical Therapy When Appropriate

When indicated, Dr. Berger may prescribe FDA-approved and evidence-supported pharmacotherapy. Treatment plans are individualized based on each patient's medical history, goals, and insurance coverage.

FDA-approved Injectable Medications:

• Ozempic, Wegovy (semaglutide) and Saxenda (liraglutide) – GLP-1 receptor agonists

• Mounjaro, Zepbound (tirzepatide) – dual GLP-1/GIP receptor agonist

FDA-Approved Oral Combination Therapies:

• Contrave (naltrexone/bupropion extended-release)

• Qsymia (phentermine/topiramate extended-release)

Other Oral Medications:

Additional oral medications with weight-favorable properties may be incorporated into an individualized treatment plan when clinically appropriate. These include medications such as metformin, topiramate, and bupropion, which, while not FDA-approved specifically for weight management, have demonstrated weight loss benefits and may complement a comprehensive treatment approach — particularly in patients with related conditions such as prediabetes, migraines, or depression.

Medication is used as a tool—not a replacement—for foundatioinal lifestyle change.

Nutrition & Lifestyle Optimization

Patients receive structured nutrition support including:

• Personalized meal planning with recipes, calorie targets, and macronutrient guidance

• Education focused on sustainable dietary habits and metabolic health

We also offer access to medically supervised meal replacement options through Robard Corporation, a physician-dispensed program with over 45 years of clinical use in structured weight loss programs.

In certain structured protocols, patients may use meal replacements for select meals while maintaining a balanced, lower-calorie dinner approach to support meaningful and sustained weight reduction.

Health Coaching for Long-Term Success

Patients are supported by a certified health and well-being coach who helps translate medical recommendations into daily habits.

Clinical experience shows that structured coaching significantly improves adherence and long-term success rates by providing accountability, behavioral support, and consistency over time.

Exercise & Fitness Prescription

Each patient receives a customized fitness plan developed in collaboration with a certified exercise physiologist.

The program is tailored based on medical history, baseline fitness, and body composition data, with specific attention to:

• Preserving and increasing muscle mass

• Improving cardiovascular fitness

• Reducing injury risk and physical limitations

Plans are continuously updated to ensure progress, adaptation, and long-term sustainability.

A Health-Centered Model of Weight Loss

This program is not focused on short-term dieting. It is a structured, medical lifestyle intervention designed to improve metabolic health, restore energy, preserve strength, and support long-term weight maintenance.

The goal is simple: help patients achieve a healthier body composition, better metabolic function, and a higher quality of life that lasts.

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