Medical Weight Management

Our comprehensive weight loss plan includes consultation and medication selection to help each individual succeed in their own weight loss journey. We have different options to help you succeed. Our compassionate team is invested in seeing you achieve your goals. 

Balance Wellness Weight Loss Program 

At Balance Wellness we believe that weight loss is achievable by ANYONE and we will help you with an integrative approach to not only help you lose the weight, but keep the weight off.  The program includes medication, one-on-one clinician oversight, nutrition advice, symptom management, and quarterly exercise group classes with Richmond area’s top professionals.  We are committed to your success. This is an investment in yourself and your future. You are worth it!!

Semaglutide is a GLP-1 RA better known as Ozempic® and Wegovy.®  There is a reason that this medication is in all the headlines; because it really works. Originally marketed to help diabetic patients, the drug manufacturer quickly realized that this medication far surpassed other weight loss drugs on the market.  The manufacturer completed a series of clinical trials, which demonstrated how effective this medication was for weight loss in patients with and without type 2 diabetes. If you would like to read more about the STEP clinical trials, check out this article which provides a great summary of the series of clinical trials that ultimately helped semaglutide be approved for weight loss in patients over 12 years of age: step trials quick guide. There are also ongoing studies which look very promising about the cardiovascular protective features of this medication.

Our program is unique in that:

·   You are getting a premier, experienced clinician that has documented weight loss success for more than 200 clients in the Richmond area alone. Rachel is one of eastern Virginia’s most experienced clinicians in managing patients and patient outcomes on this medication. She is a resource to other prescribers across the state from Virginia Beach to DC area.  Her passion for client outcomes and her experience will guide your success at Balance Wellness.

·   You have the option to come in-person or take home your medication, depending on your preferences.

·   You will get monthly vitamin injections that help boost your metabolism and counteract the side effects from semaglutide. There is an option to purchase additional vitamin injections for at-home administration. 

·   You will receive a brief prescription for nausea medication to have on hand in case you need it along with other strategies to minimize any negative side effects from the medication.

·   You will be given a guide sheet with tips and frequently asked questions.

·   You will have access to your prescriber 24/7- including optional general/acute health visits. 

·   Periodic emails that help you prioritize yourself and your success. Emails will provide a variety of information including exercise strategies, fitness opportunities, delicious recipes, links to helpful support videos, community resources, and Balance Wellness group events. You will also have access via emails to discounted vitamins and supplements to support your weight loss journey.

·   Quarterly group classes that are optional. With Rachel’s experience and connections in the Richmond wellness community, you will get access to free group wellness classes with your peers in the program. There will be exercise classes for every fitness level, nutrition classes, meditation classes, and more.

In an effort to be as transparent as possible, pricing is listed below, if you have questions, please don’t hesitate to reach out via phone (804-313-9109) or email (

Balance Wellness Weight Loss Program Pricing

Gold Membership                                        $500/month

This includes semaglutide weekly injections, monthly vitamin injections, 24/7 access to your prescriber, prescription for initial nausea medication sent to a pharmacy of your choosing, access to discounted vitamins, periodic support emails, and optional quarterly wellness classes. You may choose in-person or at-home injections with no additional fees.

Silver membership                                     $100/month

This includes monthly vitamin injections, 24/7 access to your prescriber, prescription for initial nausea medication sent to a pharmacy of your choosing, access to discounted vitamins, periodic support emails, and optional quarterly wellness classes. This does not include the cost of your semaglutide medication. For those who are receiving the medication via Balance Wellness Prescription Plan*, this fee will include subsequent monthly prescriptions of semaglutide sent to a pharmacy of your choice.

Bronze membership                                       Varies based on vial size

This is a maintenance plan for members who have been enrolled in the Balance Wellness Weight Loss Plan for more than 6 months. You can purchase semaglutide or tirzepatide by the vial to take home. You still have access to vitamin injections, 24/7 access to your prescriber, access to discounted vitamins, periodic support emails, and quarterly wellness classes. Semaglutide injections will be self-administered at home. Exact pricing will vary depending on the maintenance dose and vial size, but we will try to make it as sustainable as possible for you to continue on this medication for as long as you want or need to.


*Prescription Plan- Initial Appointment      $300

If your body mass index (BMI) is greater than 27 with a health-related comorbidity or greater than 30 with or without a comorbidity, your insurance may approve the medication. If you are not approved for any reason, the money that you spend can be transferred over to the Gold or Silver membership plans.

The initial appointment includes screening for medication, first month prescription for medication, any prior authorizations, letters or additional paperwork needed by your insurance company, and your first month of Silver membership. You will pay Silver membership monthly fees to continue receiving medication prescriptions through Balance Wellness after the first month.

Lipotropic-Plus Injections

This formulation of water-soluble vitamins and amino acids improves liver detoxification, helps your body break down and release your stored fat, and enhances your metabolism. They can also improve mood, improve mental clarity, improve liver and gallbladder function, aid in the preservation of lean body mass, and enhance the absorption of essential nutrients.

Our preferred formulation of vitamins is specially prepared by a local Virginia compounding pharmacy. This formulation contains:

·   L-Carnitine: An amino acid made in the human brain, liver and kidneys that assists your body in transforming fat into energy. L-carnitine is important for heart function, brain function, and muscle movement amongst other things. L-carnitine supplementation has been demonstrated to lower cholesterol and triglyceride levels in some patients. When administered via injection, nutrients like L-carnitine can be better absorbed by your body.

·   Niacinamide (Vitamin B3): A water-soluble vitamin that your body uses to create energy and maintain overall cell health. Niacinamide’s ability to repair damaged DNA was even demonstrated to reduce the risk of patients developing new skin cancer or precancerous spots in one randomized controlled trial published January 2023 in ScienceDirect. It can aid in weight loss by helping to boost the body’s basal metabolic rate.

·   Pyridoxine (Vitamin B6): A water-soluble vitamin that supports brain function, the immune system, and the transport of oxygen around the body. It helps to create neurotransmitters like serotonin and dopamine to positively impact your mood. Vitamin B6 can assist in weight loss by reducing cravings and stimulating the thyroid (especially helpful in women with hormone imbalances).

·   Thiamine (Vitamin B1): A water-soluble vitamin that is sometimes referred to as the “anti-stress” vitamin because it strengthens the immune system and improves your body’s ability to withstand stressful conditions. It can help with mental acuity. Thiamine assists in weight loss because it is responsible for helping to convert carbohydrates into energy.

·   Hydroxocobalamin (Vitamin B12): A water-soluble vitamin that helps to keep your body’s blood and nerve cells healthy and helps to make DNA. It boosts your metabolism by assisting in the conversion of food to energy. Vitamin B12 also improves digestion and protein synthesis, which can aid in muscle growth.

·   Methionine: An amino acid that is a powerful antioxidant that helps to breakdown fat in the liver, helps to lower cholesterol and is one of the main amino acids the body uses to produce creatinine, which is essential for energy production and muscle building. Methionine helps in preventing and relieving fatigue.

·   Inositol: A type of sugar that helps to make cell membranes regulate insulin levels. Inositol reduces cholesterol and participates in the action of serotonin, which regulates mood and appetite.

·   Choline: An essential nutrient that is used by your brain and nervous system to regulate memory, mood, muscle control and other functions. It functions to build healthy cell membranes and to help the liver remove waste products efficiently. It supports weight loss by helping your body use fats (emulsifies and dissolves fats).

These lipotropic injections are given intramuscularly at weekly, biweekly, or monthly intervals. They contain lidocaine, which makes the patient experience more comfortable. Lipotropic-PLUS injections can be purchased in a series to save.

Lipotropic-PLUS injections

These intramuscular injections are one of our most popular treatments. Clients love the increased energy and weight loss support. You may have heard of these referred to as "MIC shots," but our formulation contains so much more!!

Lipotropic-PLUS injection                                                $30 per shot

Package of 6 Lipotropic-PLUS injections                       $150 

At-Home Package of 10 Lipotropic-PLUS injections    $225 

Vitamin Selection

Making sure you are selecting the right vitamins to support you in your weight loss journey is KEY for your success. We have partnered with Fullscript to offer discounts to our clients on quality vitamins and supplements and created protocols to support you along the way. Access our patient portal on Fullscript here:  Balance Wellness on Fullscript

General Acute Care Visit or Medication Refills         $50

FOR CURRENT CLIENTS ONLY. Be evaluated virtually or in-person for common ailments such as sinus infection, urinary tract infection, yeast infection or general medication refills. Same-day appointments often available.