Clinician-Guided Weight Loss That Delivers Real Results. Personalized GLP-1 + peptide protocols, built for long-term transformation — not just short-term fixes.

We offer a range of options that may include appetite suppressants, craving-modulating medications, and metabolic support compounds. These may include, but are not limited to, Cagrilintide , Phentermine, and combination therapies such as Naltrexone SR/Bupropion SR (commonly known as Contrave-style therapy). Final recommendations are always individualized and based on medical evaluation.

Yes, phentermine is one of several tools we may use for appropriate patients. Phentermine can be highly effective for appetite suppression and short- to intermediate-term weight loss when used correctly and monitored closely. At Top Tier, phentermine is never prescribed as a standalone, one-size-fits-all solution — it is considered within the context of your metabolism, cardiovascular health, labs, and long-term goals.

Many clinics prescribe phentermine with minimal evaluation or follow-up. Our approach is data-driven and medically supervised. We assess labs, body composition, blood pressure, heart rate, and overall risk profile, then determine if phentermine is appropriate and how it fits into a broader, sustainable weight loss strategy. Dosing and duration are individualized, and patients are monitored closely with regular follow-ups.

Cagrilintide is a peptide that works through appetite-regulating pathways involved in hunger signaling. It may help reduce appetite and support caloric control, particularly for patients who struggle with hunger or early satiety issues. It can be used as part of a comprehensive weight loss or metabolic optimization plan.

This combination therapy targets appetite, cravings, and reward pathways related to food. It is often helpful for patients who struggle with emotional eating, food noise, or cravings rather than purely physical hunger. This option may be used alone or alongside other therapies depending on individual needs.

Yes. Many of our weight loss medications and peptides are compounded to allow for precise dosing and customization. We work with reputable, high-quality compounding pharmacies that meet strict standards for safety, sterility, and quality control.

When sourced appropriately and prescribed responsibly, compounded medications can be safe and effective. We only partner with trusted pharmacies and prescribe compounded therapies when customization offers a clinical advantage. Patients are monitored regularly to ensure safety and effectiveness.

Medication selection is based on a comprehensive evaluation that includes your health history, symptoms, labs, body composition, metabolic health, and weight loss goals. We also consider prior medication experiences, side effects, and lifestyle factors. The goal is not maximal medication — it’s the right medication for your body.

Yes. In many cases, medications such as phentermine, peptides, or craving-modulating therapies are thoughtfully combined with other treatments to enhance results while minimizing side effects. Combination strategies are always intentional and medically supervised.

Weight loss medications are tools, not shortcuts. Our goal is to use them strategically to support fat loss, metabolic health, and behavior change while preserving muscle and minimizing rebound weight gain. Treatment duration and approach are personalized and adjusted over time.

We combine data, hands-on provider oversight, and time. You are seen in person, sit across from a clinician who knows you, and receive ongoing adjustments based on labs, body composition, and real-world results. This level of care allows us to achieve better outcomes than medication-only or remote programs.