Medical weight loss for people who are already doing the work.
You have counted calories. You have walked, lifted, cut carbs, and tried the plan that worked for everyone else. If the scale will not move, the problem is usually metabolic — and you cannot diet your way out of a hormone or insulin problem you have never measured.
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google
Rated 5 out of 5 stars
Professional. Personalized care. Thorough. Up to date on current science. Best experience I have had in healthcare!!!
Bird Fox · Google
Rated 5 out of 5 stars
I can’t express how grateful I am to Teresa and her staff. It is so wonderful to finally be heard and understood.
Autumn M · Google
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google
Rated 5 out of 5 stars
Teresa is very knowledgable and will shoot you straight. She doesn’t mess around with fluffy talk; she will tell you what she can help you with and she will be honest about where you are at…
Cara Erickson · Google
Rated 5 out of 5 stars
Very thorough. Teresa tailors each regimen to very specific needs of each patient. No cookie-cutter approach.
Jimmy Wolfe · Google
Rated 5 out of 5 stars
Teresa gave me the missing piece of the puzzle to manage my auto-immune symptoms. I’ve been searching for 3 years and several Doctors…
Katy Yates · Google
Rated 5 out of 5 stars
I saw Teresa last week and I finally feel like there are REAL ANSWERS and REAL HELP!…
Mel C · Google
Rated 5 out of 5 stars
Teresa was helpful, informative, and specific to me. So knowledgeable. The ladies up front are kind, helpful, courteous, and seem like old friends. It’s great having the lab on site.
BELINDA Gilmore · Google
Rated 5 out of 5 stars
Since going to Teresa Mealy I feel better and most importantly with the right hormone therapy and other supplements my hair stopped falling out and is starting to regrow,
Pam Sawyers · Google
Rated 5 out of 5 stars
We love Teresa! She has helped us so much. I feel stronger than ever at age 61!!
Kim Bateman · Google
Start here
What medical weight loss actually is.
Medical weight management considers nutrition, activity, health history, and metabolic factors together. At Total Health & Wellness, that means testing, coaching, and body-composition monitoring. We do not prescribe or sell GLP-1 medications; we can work alongside care from an existing prescriber.
GLP-1
The class of medication
Semaglutide acts on GLP-1 receptors; tirzepatide acts on GIP and GLP-1 receptors. We discuss these medications but do not prescribe or sell them.
Medical weight loss
The supervised program
A plan built on metabolic testing and body-composition scans, run by a provider who adjusts it over time. The medication, if any, sits inside it — the testing does not.
Body composition
What the scale can’t see
The split between fat and muscle. It is why rapid loss can backfire: drop weight without protecting muscle and your metabolism slows, which is exactly what scans are for.
In their own words
The pattern we hear constantly
“I eat well and the weight will not budge.”
“I gained it all back after the last program.”
“I crash hard in the afternoon.”
“I am hungry again an hour after eating.”
“It all settles around my middle.”
“My last doctor just told me to eat less.”
“I lose weight and lose muscle with it.”
“My energy is too low to train consistently.”
Every one of these is measurable. None of them is something you have to live with because someone called it normal.
Drawn at our in-office lab · Walk-in lab draws Mon–Thu 7:30–2, no appointment needed
What we measure
Eight markers, plus what happens between visits.
A single late-stage number can read as normal for years while insulin resistance builds underneath it, so we read a full cluster together instead. Then we track what actually happens in your body day to day, with continuous glucose monitoring and InBody body-composition scans.
Fasting glucose
Fasting insulin
A1c
HOMA-IR
Triglyceride : HDL ratio
Uric acid
GGT
Liver enzymes
We test the metabolism before we treat the weight.
Thyroid, insulin, fasting glucose and sex hormones, because weight that will not move is usually downstream of one of them rather than of effort.
“Just eat less and move more” is not a lab result.
If you are doing the work and the scale disagrees, something measurable is in the way. We look for it instead of restating the advice.
How it works
Three steps to weight loss that holds.
This is not a diet someone printed for you. We build it with you around your own labs and glucose data, then sit down and adjust it together as your numbers move.
Step 01
Measure the metabolism
Full metabolic and hormone labs at our in-office lab, plus an InBody scan so we track fat and muscle separately instead of watching one number on a scale.
Labs plus an InBody scan
Step 02
See your own data
Continuous glucose monitoring shows how your body responds to your actual meals and routine, so the plan is built around your life instead of someone else’s.
Continuous glucose monitoring
Step 03
Work the plan with a provider
Total Health Coaching is a three-month medically supervised program with two full lab panels reviewed and ten one-on-one visits, so the plan adjusts as your numbers move.
Almost everyone will prescribe a GLP-1 now, which is exactly why where you go matters. The difference is what gets measured and who adjusts it. The honest landscape.
Primary care (PCP)
Will often write a GLP-1, with limited time to build the rest around it.
Metabolic testing
Basic labs, if any
Body-composition scans
Rarely available
Ongoing adjustment
Brief, infrequent visits
Online GLP-1 service
Mail-order injections marketed on price and speed.
Metabolic testing
Little to none
Body-composition scans
None
Ongoing adjustment
Automated refills
Commercial diet program
Coaching and meal plans, usually without medical testing.
Metabolic testing
Not medical
Body-composition scans
Sometimes a basic scale
Ongoing adjustment
Coaching, not clinical
Medically supervised clinic
Where you are
A provider who tests the metabolism first and builds the plan around it.
Metabolic testing
Thyroid, insulin, glucose, hormones
Body-composition scans
InBody, tracked over time
Ongoing adjustment
Re-measured and re-dosed
A GLP-1 is easy to get now; a plan that protects your muscle and finds what stalled your metabolism is not. The difference is testing and follow-up, not the prescription itself. No referral is needed to be seen here.
Who qualifies
Is a medical weight-loss program right for you?
This isn’t decided by a number on the scale. It comes from what your metabolism is doing and what you’ve already tried — but here is the honest shape of who it tends to fit.
Likely a fit if
You’re doing the work — eating well, moving — and the weight won’t move.
You’ve regained after a diet, or after stopping a GLP-1, and want to understand why.
You’re on a GLP-1 already and want to protect muscle and do it with real data.
You want the metabolism tested — thyroid, insulin, hormones — before or alongside any medication.
Not the right starting point if
You’re pregnant or breastfeeding — this isn’t the right time for a weight-loss protocol.
You are seeking a GLP-1 prescription — we do not prescribe or sell those medications.
You have an eating disorder history that needs specialized care first — we’ll say so.
Your weight is stable and healthy and the real concern is something else the panel can surface.
Not sure it applies to you? That’s the normal starting point — the assessment and a metabolic panel decide it together.
Who you'll actually see
Teresa Mealy, APN
There is no rotating staff here. Teresa is the founder and the only clinical provider, which means the person who reads your labs is the same person who builds your medical weight loss plan and the same person you see at every follow-up.
“I am only a consultant. YOU are the leader.”
APN — Advanced Practice Nurse
Licensed in Missouri and Florida
Medically supervised with a board-certified physician
Any number below is one the patient reported themselves. Weight loss differs from person to person, and these reviews are quoted exactly as published.
Rated 5 out of 5 stars
If you are looking for a functional medicine expert, a dietary guide with respect to Carnivore / Ketovore / Proper Human Diet, and/or Hormone Replacement Therapy, then Teresa is your answer!
Shawn Yancey · Google review · June 2025
Rated 5 out of 5 stars
I finally made an appointment with her due to major hormonal issues (PCOS, hot flashes, mood swings, weight gain, hair loss, etc.). Her assessment and supplement recommendations have changed my life. My hot flashes are subsiding, I’m sleeping better, I’m starting to feel like a fully functioning adult again that doesn’t need caffeine to keep me going throughout the day…
Erin Hardy · Google · October 2022
Rated 5 out of 5 stars
Teresa has helped me turn my health around. She checked my bloodwork for multiple indicators, put me on several vitamins and bio hormones, and advised me to cut out sugar and carbs from my diet (keto). I have regained my energy levels and look forward to seeing how cholesterol and sugar and insulin levels are in a few more months. And lost 25 pounds as a bonus so far!
25 poundslost, alongside her energy returning
Sue Edmonds · Google · December 2019
Rated 5 out of 5 stars
My A1c levels dropped from 6.0 to 5.1 over two months on a lchf (Keto) diet.
6.0 → 5.1A1c, in two months
CW Powell · Google · October 2019
Rated 5 out of 5 stars
Teresa and her staff are very professional and are doing great things with Hormones and Weight loss for me and some of my friends. My health is much better, I feel amazing! I am losing weight and ready to take on new adventures…
Freddie Barber · Google · October 2019
Rated 5 out of 5 stars
Everyone in the clinic was so kind and considerate. They went out of the way to make me feel welcome. Teresa spoke to me like I was a human. She explained everything from the moment I sat down. She is very easy to talk to…
Emma Wasson · Google · February 2026
Rated 5 out of 5 stars
This place is truly amazing. Teresa helped me after I couldn’t answers for years with severe migraines. The staff is very nice and helpful too.
Topaz_FineArts · Google · February 2026
Quoted word for word, trimmed only at sentence breaks. 4.9 out of 5 across 126 Google reviews as of July 2026. Read them on Google.
Individual results vary. These are personal experiences, not a promise of any particular outcome.
After your assessment
Exactly what you get for $799.
Most clinics won't tell you the price of a weight-loss program, let alone what arrives with it. Here is the whole list.
Total Health Coaching
$799 3 months · 10 appointments
Ten one-on-one appointments with your provider
Two full metabolic lab panels
A Lingo continuous glucose monitor (CGM)
A Keto-Mojo ketone & glucose meter
Two InBody body-composition scans
Supplements, additional labs, Lifeline cables, and extra CGMs are not included.
Start with the $299 Total Health Assessment — credited in full toward any program you start.
Common questions
Questions about medically supervised weight loss.
Do you prescribe semaglutide, tirzepatide, or other GLP-1 medications?
No. Total Health & Wellness does not prescribe or sell GLP-1 medications. If another clinician already prescribes one, we can support nutrition, metabolic assessment, and body-composition monitoring alongside that care. Medication decisions and dosing stay with your prescribing clinician.
How is this different from a commercial weight-loss program?
Our approach begins with your history, lab testing, glucose data, and body-composition scans. We use those findings to discuss nutrition, activity, and realistic goals, with follow-up to assess your response. We can explain exactly what our program includes so you can compare it with other options without assuming every program works the same way.
What does the weight-loss program cost, and what comes with it?
Total Health Coaching is $799 for three months and ten appointments with your provider. That includes two full metabolic lab panels, a Lingo continuous glucose monitor, a Keto-Mojo ketone and glucose meter, and two InBody body-composition scans. Supplements, additional labs, and extra monitors are not included. Membership is not required — though Optimization members start at $100 registration plus $499 for the same three months. Everyone begins with the $299 Total Health Assessment, credited in full toward the program.
Will I lose muscle along with fat?
That is exactly why we scan body composition rather than tracking scale weight alone. Protecting lean mass while fat comes off is part of how the plan is built and monitored.
What are GLP-1 medications like semaglutide and tirzepatide, and do I need one?
Semaglutide acts on GLP-1 receptors; tirzepatide acts on both GIP and GLP-1 receptors. These medications affect appetite and blood-sugar regulation and can help eligible patients manage weight alongside lifestyle changes. Benefits, risks, and suitability depend on the medication and your history. We do not prescribe them here; discuss starting or changing medication with a prescribing clinician.
I am already on a GLP-1. Can you work with that?
Yes, and it is a good time to have real data. The most common problems we see on a GLP-1 are muscle loss from rapid weight loss and eating too little to hold onto lean mass. Body-composition scans show whether what you are losing is fat or muscle, labs show what your thyroid and insulin are doing underneath, and your provider builds the protein, training and nutrition side around the medication you are already taking.
What are the downsides of GLP-1 medications?
The common ones are nausea, constipation and reflux, especially while the dose is increasing. The one people underestimate is body composition: fast weight loss without enough protein and resistance training takes muscle with the fat, which lowers your resting metabolic rate and makes the weight easier to regain. Appetite also tends to return when the medication stops, so what happens next depends on whether the underlying metabolic picture was ever addressed. That is the part we can measure and work on with you.
Have a question that is not here? Call (417) 771-5277 and talk to a real person.
Often connected to
One system, not separate problems.
These rarely show up alone. Teresa treats them together, in one plan, rather than as separate departments.
It all starts with the $299 Total Health Assessment — a full lab panel, a one-hour results review, and a plan built around you. The fee credits fully toward any program you start.
