Whole-Person Medical Weight Loss in Florida
Physician-led medical weight loss via telemedicine throughout Florida, addressing the causes of weight resistance with assessment, clinically indicated labs, general nutrition and movement guidance, and FDA-approved medications when appropriate. Individualized meal planning and registered dietitian counseling are optional, separately billed services.
Vandhana Kiswani-Barley, MD
Triple Board-Certified + FACHE · 15+ Years Experience
Is Medical Weight Loss Right for You?
This Is for You If...
- You have a weight loss goal, any size, and want a physician guiding the journey instead of an app or a template
- You've tried dieting and exercise without lasting results
- You're curious about GLP-1/GIP medications (semaglutide, tirzepatide) and want an honest medical answer on whether they fit you (typically BMI 30+, or 27+ with conditions like diabetes or high blood pressure)
- You'd rather build lasting results through nutrition and resistance training, with medication only if clinically indicated
- You want a physician who personally monitors your labs, finds hidden barriers, and adjusts your plan
What Dr. Kiswani-Barley Evaluates
- Comprehensive metabolic labs (insulin, glucose, thyroid, lipids, etc.), individualized to your case
- Body composition and BMI assessment
- Hidden barriers to weight loss: hormonal shifts, insulin resistance, sleep, stress, and medications that cause weight gain
- Medication history and contraindications
- Nutrition status and a realistic plan for protein, movement, and resistance training
- Whether a GLP-1/GIP medication is clinically indicated, and if so, which one (semaglutide vs. tirzepatide)
Weekends
Low-cost labs through our partner, Access Labs, billed separately
Telehealth in FL · Same physician every visit · Why direct pay?
How Dr. Kiswani-Barley Does Weight Loss Differently
This is not a template program. Six things separate physician-led weight loss from a questionnaire and a prescription.
Medications Only When Indicated
GLP-1 and GLP-1/GIP medications are used only when they are clinically indicated and safe, after a proper history and evaluation. Never a template based, one-size-fits-all approach.
Root-Cause Workup
Weight loss resistance usually has a reason. Dr. Kiswani-Barley looks for what is really in the way: hormones, thyroid, sleep, stress, and metabolic issues.
Meds Are Tools, Not the Plan
Medication supports lasting changes in nutrition, lifestyle, and fitness. It is not the plan by itself, which is why results tend to last.
Body Composition Focus
The target is fat loss while keeping and building lean muscle, not just a smaller number on the scale. Your metabolism stays protected.
Resistance Training Emphasis
A real focus on resistance training to preserve and build muscle while you lose fat. Muscle keeps your metabolism strong and your results durable.
Personalized Nutrition
Protein first, macro portions right, healthier carbs and good fats, plenty of greens, less processed food and sodium. Food sensitivity testing when appropriate.
"A GLP-1 is a tool, not a plan. My job is to figure out why your body is holding onto weight, then use the right tools to help you build lasting change: real nutrition, real strength, and a metabolism we protect instead of wreck."
Vandhana Kiswani-Barley, MD
Board-certified in Family Medicine, Obesity Medicine, and Pain Management
Want the full picture?
See what template-driven clinics get wrong, what your journey looks like step by step, and why we track more than the scale.
Read the Full ApproachWhat Makes Thrive RX Different
Physician-Led Care
Every visit is with Dr. Kiswani-Barley, a board-certified physician who personally manages your care and makes every clinical decision.
Root-Cause Diagnostics
When appropriate, tests and assessments help look for underlying contributors so treatment can be individualized.
Time & Thoroughness
Because we don't bill insurance, your physician has room to listen, evaluate, and build an individualized plan with you.
Evidence-Based Protocols
Only FDA-approved medications and clinically validated treatments. No compounded alternatives or unproven shortcuts.
What Is Medical Weight Loss? Root Cause Care via Telehealth in Florida
Medical Weight Loss at Thrive Rx looks beyond the scale. Physician-led care supports sustainable eating habits and lifestyle changes, with FDA-approved medications when clinically appropriate. We evaluate potential contributors to weight resistance, including insulin resistance, metabolic syndrome, and hormonal conditions. Telehealth care combines general nutrition and movement guidance, clinically indicated lab analysis, and individualized medication decisions. For more detailed nutrition support, the optional $599 registered dietitian evaluation and 30-day meal plan is separately billed, with $99 follow-up visits.
- 100% telehealth: no office visits required anywhere in Florida
- General nutrition and movement guidance, with optional separately billed registered dietitian care
- The goal: keep your new food and lifestyle habits while working toward coming off weight-loss medication under physician supervision
- Personalized medication selection (tirzepatide, semaglutide, metformin, and more) based on your health profile
- Root-cause approach: treating insulin resistance, metabolic syndrome, and hormonal factors
Advanced Metabolic Science
South Florida Metabolic Restoration
Mitochondrial Decline
Mitochondrial efficiency decreases with age, reducing cellular energy production by 8–10% per decade after 40.
Source: Cell Metabolism Journal
Adipose Inflammation
Excess fat tissue releases inflammatory cytokines that worsen insulin resistance, creating a metabolic dysfunction cycle.
Source: Nature Reviews Endocrinology
Metabolic Flexibility
The ability to switch between burning carbs and fat for fuel is trainable and essential for long-term metabolic health.
Source: American Journal of Physiology
Circadian Impact
Disrupted sleep patterns can increase insulin resistance by up to 30%, highlighting the sleep-metabolism connection.
Source: Sleep Medicine Reviews
Chronic Disease Improvement
Sustained weight loss of 5-10% has been shown to reduce blood pressure, improve cardiac health markers, enhance blood sugar control in diabetes, reduce sleep apnea severity, and decrease joint pain, leading to measurable improvements in overall health and quality of life.
Source: NIH NIDDK, American Diabetes Association, American Heart Association
Foundation
Comprehensive assessment, protocol initiation, early metabolic shifts
Acceleration
Peak weight loss phase, lab improvements, body composition changes
Optimization
Fine-tuning protocols, addressing plateaus, deepening metabolic flexibility
Sustainability
Transition planning, maintenance protocols, long-term habit integration
Foundation
Comprehensive assessment, protocol initiation, early metabolic shifts
Acceleration
Peak weight loss phase, lab improvements, body composition changes
Optimization
Fine-tuning protocols, addressing plateaus, deepening metabolic flexibility
Sustainability
Transition planning, maintenance protocols, long-term habit integration
Sources: NIH STEP and SURMOUNT clinical trials • Cardiometabolic risk reduction studies, JAMA 2023 • Mitochondrial function and aging research, Cell Metabolism
Individual results may vary. Consult with a physician for personalized recommendations.
Your Care Experience
Adults seeking a physician who listens, investigates root causes, and provides continuous support with thorough, personalized care.
Personalized Care for Your Needs
Women's weight challenges may involve thyroid dysfunction, perimenopause, or menopause-related metabolic changes. Physician-led care evaluates these factors and supports sustainable habits with general nutrition guidance and FDA-approved medications when appropriate. Registered dietitian services are optional and separately billed.
Common Symptoms We Address:
- Stubborn weight that won't budge despite diet and exercise
- Weight gain around the midsection
- Fatigue and low energy levels
- Sugar and carbohydrate cravings
- Slow metabolism and difficulty losing weight
- Hormonal weight changes during perimenopause or menopause
- Brain fog and poor concentration
- Feeling hungry shortly after eating
How We Help:
- Root-cause approach addressing hormonal factors
- Personalized FDA-approved medication protocols
- General nutrition and lifestyle guidance for sustainable habits
- Comprehensive lab testing and monitoring
- Physician-led care via telehealth
- Improved energy and mental clarity
- Better metabolic health markers
Men's weight challenges may involve insulin resistance, low testosterone, or visceral fat accumulation. Physician-led care evaluates these factors and supports sustainable habits with general nutrition guidance and FDA-approved medications when appropriate. Registered dietitian services are optional and separately billed.
Common Symptoms We Address:
- Stubborn belly fat that won't budge
- Fatigue and low energy levels
- Difficulty losing weight despite exercise
- Sugar and carbohydrate cravings
- Slow metabolism
- Brain fog and poor concentration
- Low motivation and drive
- Feeling hungry shortly after eating
How We Help:
- Root-cause approach addressing metabolic dysfunction
- Personalized FDA-approved medication protocols
- General nutrition and lifestyle guidance for sustainable habits
- Comprehensive lab testing and monitoring
- Physician-led care via telehealth
- Improved energy and mental clarity
- Better metabolic health markers and body composition
How Our Physician-Led Telehealth Program Works
Our precision approach uncovers the root causes of weight resistance and restores your metabolic health, all via telemedicine throughout Florida.
Discover
We uncover metabolic imbalances through comprehensive labs and a deep understanding of your symptoms, health history, and weight-loss goals.
Recalibrate
We help your body rebalance with FDA-approved medications, personalized nutrition guidance, and lifestyle interventions tailored to your unique metabolic profile.
Restore
We rebuild your metabolism and confidence through ongoing monitoring, dose adjustments, and physician-guided support every step of the way.
Thrive
Sustainable weight management: lasting results, improved energy, and health independence. You feel like yourself again, but better.
Outstanding medical care and professional staff
"I highly recommend Dr. Kiswani-Barley to anyone looking for a compassionate and professional physician. The level of medical expertise and attentiveness is unmatched. Staff included provide exceptional care. They take the time to answer all questions and never make you feel rushed."
Originally posted on Google
Can't say enough good things
"I can't say enough good things about Dr. Kiswani! I am currently a hormone therapy patient of hers, but she has gone above and beyond to help me with my health. She truly cares about her patients and takes the time to listen and understand your concerns."
Originally posted on Google
Individualized Meal Planning & Registered Dietitian Counseling
Personalized nutrition for your goals, health needs, activity level, and lifestyle. Improve everyday eating habits, manage weight, address nutrition needs related to a medical condition, or pursue athletic goals such as building muscle, supporting training, or changing body composition. You do not need to be seeking weight loss to benefit.
The registered dietitian conducts her own intake and an independent nutrition evaluation. Your plan is developed after this evaluation and review of relevant medical information, including completion of any physician evaluation, laboratory testing, or diagnostics needed to guide appropriate recommendations.
$599 · Evaluation & Individualized 30-Day Meal Plan
- Registered dietitian intake and initial nutrition evaluation.
- Assessment of goals, preferences, dietary restrictions, activity and training demands, lifestyle, and relevant health information.
- Personalized nutrition targets, meals, portions, recipes, grocery-planning tools, and practical guidance.
$99 · Registered Dietitian Follow-Up Visit
Review progress, address challenges, and adjust nutrition recommendations as your needs evolve. Frequency is individualized and agreed upon with you. Each visit is billed separately; the fee covers counseling, not separately billed revisions to the written plan.
Meal-Plan Adjustments & Revision Fees
- Included minor adjustments · First 14 calendar days
- Small food substitutions or limited dietary-preference adjustments requested within 14 calendar days after delivery of your original plan are included. This does not include multiple recipe replacements or substantial restructuring.
- $99 · Minor Revision
- Changes beyond the included allowance, such as multiple recipe replacements or substantial updates to meals, ingredients, or preferences that retain the plan’s overall goals and structure. Minor adjustments requested after 14 days also carry this fee.
- $199 · Comprehensive Revision
- Significant restructuring due to changes in health or major adjustments after a nutrition, weight-management, or athletic-performance milestone.
Revision fees are additional to follow-up visit fees. We explain the scope and obtain your agreement to charges before revision work begins. Separately needed physician visits, labs, and diagnostics are not included in the $599 fee.
General nutrition and movement guidance remain included in physician-led Medical Weight Loss care. This individualized plan and registered dietitian counseling are separate, optional, pay-per-service offerings, not limited to weight loss. Nutrition services do not replace medical care. No specific weight-loss, health, or athletic-performance outcome is guaranteed.
Get started with registered dietitian servicesFrequently Asked Questions
All services are billed per visit. No memberships or hidden fees.
Initial Physician Evaluation
Comprehensive assessment and medical planning
Follow-Up Physician Visit
Typically monthly during active treatment
Registered Dietitian Evaluation & 30-Day Meal Plan
Optional, separately billed service
Registered Dietitian Follow-Up
Per visit; written plan revisions separate
Blood draw (one fee per lab set)
Low cash-pay Access Labs rates shown. If you prefer using insurance, we can provide a Quest requisition. Coverage and out-of-pocket costs depend on your plan.
Compare all lab panels and prices- Comprehensive initial physician evaluation and medical planning
- Metabolic laboratory testing at initiation and quarterly intervals
- Monthly physician visits for evaluation, treatment planning, and monitoring
- General nutrition and movement guidance; registered dietitian evaluation and meal planning are separate
- Medication oversight and dose adjustments (medication costs separate)
Note: Medication costs are separate. Itemized insurance invoice (called a superbill) provided for potential reimbursement.
Ready to address the root causes of weight resistance? Schedule your telehealth consultation to begin your physician-led metabolic transformation from anywhere in Florida.
Start Medical Weight Loss via TelehealthTransparent pricing for every visit type
Initial Consultation
Every new patient starts here, for any service
Follow-up visits
Acute Visit
UTI, sinus, rash, refill, etc.
Primary Care
Up to 3 chronic conditions
Complex Care
4+ chronic conditions
No subscriptions. Pay only when you're seen.
Transparent, Pay-Per-Service Pricing
Thrive RX is a cash-based practice. We do not accept or bill insurance of any kind. After each visit, we provide an itemized insurance invoice you can submit to your insurance for potential out-of-network reimbursement.
Targeted diagnostics available at transparent cash-pay rates.
- Home Sleep Apnea Test (HSAT)$199
Convenient at-home sleep study with Board-Certified Physician read-out.
- Food Sensitivity Test (286 Antigens)$310
Discover how your immune system responds to 286 food antigens.
- allergE+ Allergy & Sensitivity Panel$540
Comprehensive IgE testing for 295 food and environmental allergens.
What to Expect with Medical Weight Loss via Telehealth in Florida
From booking to ongoing care, here's exactly how your journey works so you know what's coming at every step.
Book Your Visit
Register through our patient portal, complete your intake forms, and add a card on file. No upfront deposit required.
Share Your Health History
Dr. Kiswani-Barley personally reviews your full medical history, current medications, past treatments, and health goals before your appointment.
Comprehensive Lab Work
Get labs at our partner labs (Access Labs or Quest Diagnostics). Walk-in appointments included, or mobile phlebotomy at your home or office ($129 instead of the $75 walk-in draw).
Your Telehealth Visit
Meet face-to-face with Dr. Kiswani-Barley via secure video. She takes the time to listen, ask the right questions, and truly understand what's going on.
Your Personalized Treatment Plan
Receive a detailed plan grounded in your lab results, health history, and personal goals. Every recommendation is evidence-based and tailored specifically to you.
Ongoing Physician-Led Care
Dr. Kiswani-Barley remains your physician at every follow-up, tracking your progress, adjusting your plan, and making sure you're reaching your goals.
New patient visits are $250. Follow-ups are $200. No hidden fees, no surprises.
Get StartedVideo Coming Soon
Dr. Kiswani-Barley on camera
Meet Dr. Kiswani-Barley
Hear directly from Dr. Kiswani-Barley about her approach to patient care: why she chose medicine, how she practices, and what makes root-cause healthcare different.
Dr. Kiswani-Barley is board-certified in Family Medicine, Obesity Medicine, and Pain Management, plus a Fellow of the American College of Healthcare Executives (FACHE), with over 15 years of clinical experience. She personally manages every patient's care, because complex clinical decisions deserve physician-level training and continuity.
Book a ConsultationWeight Loss Across Florida
Thrive RX provides telehealth weight loss services throughout Florida. Based in Weston, we serve patients across South Florida and statewide.
View all Broward County locations • Miami-Dade County • Palm Beach County
Ready to Experience the Difference?
Find the right program for you in under 2 minutes, or book directly with Dr. Kiswani-Barley.