Medical Weight Loss Clinic Serving the Tri-Cities, TN

At Peak Performance in Johnson City, most patients pay $300 to $500 per month depending on medication and dose. That includes the evaluation, labs, medication, follow-ups, and body composition monitoring. There are no contracts or cancellation fees.

Many online programs advertise a low monthly price. Before you compare, check what that price covers. Are labs included? Does a provider review them with you? Will anyone measure whether you are losing fat or muscle? Can you reach someone when side effects hit?

At Peak Performance, most patients pay $300 to $500 a month. That includes your evaluation, labs, medication, follow-up visits, nutrition guidance, and body composition scans, with no contracts or cancellation fees.

Peak Performance prescribes GLP-1 medications, including semaglutide and tirzepatide, at our Johnson City clinic after an evaluation and lab work. Eddie Hughes, FNP-BC, manages your dose over time. Patients come from Kingsport, Bristol, Elizabethton, Greeneville, and across the region.

Yes. Bring what you are taking, your current dose, and how it has been going. Eddie reviews your history and labs and decides whether to continue your current dose, adjust it, or change medications.

People often switch when insurance drops their coverage, when progress stalls, or when they want a provider they can actually see.

Anyone who wants to lose weight can start with a consultation, lab work, and a body composition scan. Whether medication is part of your plan depends on your numbers and your health history.

Wegovy and Zepbound are FDA approved for adults with a BMI of 30 or higher, or 27 or higher with a weight-related condition like high blood pressure, type 2 diabetes, or sleep apnea. GLP-1 medications are not used if you or a family member has had medullary thyroid cancer, if you have MEN 2, or during pregnancy.

Yes. Keep your primary care provider for your other health needs, and let them know what you are taking. As you lose weight, what you need from other medications can change, especially diabetes and blood pressure medications. GLP-1s also slow digestion, which can affect how some pills absorb and matters before any surgery or anesthesia.

Eddie reviews everything you take before prescribing, and your weight loss care works alongside your regular doctor.

In a 72-week head-to-head clinical trial of adults with obesity who did not have type 2 diabetes, tirzepatide produced an average weight reduction of about 20 percent, compared with about 14 percent for semaglutide, at the maximum tolerated doses used in the study (SURMOUNT-5, PubMed). That does not mean tirzepatide is the right medication for everyone. Your health history, side effects, coverage, cost, and response to treatment all matter when choosing an option.

Physicians and board-certified nurse practitioners can both prescribe weight loss medication in Tennessee. At Peak Performance, Eddie Hughes, FNP-BC, a board-certified family nurse practitioner, evaluates you, orders labs, and manages your prescription.

You will eat less because you are less hungry, but what you eat still matters. In the clinical trials, medication was paired with a reduced-calorie diet and more physical activity.

Eating enough protein and strength training also help protect your muscle. Eddie gives you protein and meal guidance built around your numbers.

The most common side effects are nausea, diarrhea, constipation, and vomiting, mostly while your dose is going up. Doses start low and increase gradually to keep these manageable.

If they show up anyway, call or message us. We have specific ways to handle them and can slow your dose increases. There is no reason to push through it alone.

Most people notice their appetite drop and the food noise get quieter within the first few weeks. Some also have mild nausea, constipation, or fatigue while the dose settles in.

Eating smaller, slower meals, getting protein first, and drinking plenty of water help. If anything feels off, call or message us, and we can adjust your plan.

Some of the weight lost on any diet is muscle. Eating enough protein and strength training 2 to 3 times a week both help you keep it.

We scan your body composition at your visits, so you can see whether you are losing fat or muscle, and we can adjust your plan before it becomes a problem.

Plateaus are normal, and they are one of the main reasons to have a provider. Eddie looks at your dose, your eating, your activity, and your body composition scan, and changes the plan.

You work through it with us instead of guessing on your own.

Most people regain weight if they stop without a plan. Studies that followed people after they stopped semaglutide or tirzepatide found most regained a large share of what they had lost within a year.

That is why we plan maintenance from the start and keep checking in while you come off or move to a lower dose.

Not always. Some patients hold a lower maintenance dose long term, the way you would manage blood pressure. Others taper off after they have built the habits that keep the weight off.

Eddie will be honest with you about which fits your situation, and you make the decision together.

There is no reliable 20-pound timeline. Weight loss depends on your starting weight, dose, response to treatment, nutrition, activity, and side effects. Semaglutide starts at a low dose and increases gradually, so weight loss usually builds over months instead of following a steady weekly rate. Eddie tracks your weight and body composition and adjusts your plan to how you respond.

Sometimes. Coverage depends on your plan and often on your BMI and conditions like type 2 diabetes, high blood pressure, or sleep apnea.

If your insurance covers a brand-name option, Eddie can prescribe Wegovy or Zepbound. If it does not, he will walk you through your other options and the monthly cost.

Yes, Kingsport has several. Many Kingsport patients also drive about 30 minutes to Peak Performance in Johnson City for provider-led care with labs and body composition tracking. Our Kingsport weight loss page covers what that looks like.

Yes. Patients from Bristol, Virginia, and Abingdon are seen at our Johnson City, Tennessee clinic.

No. Most patients give themselves their weekly injection at home. You come in for follow-ups, dose adjustments, and scans on a schedule Eddie sets with you.