Physician-Supervised Medical Weight Loss — Done Right.
GLP-1 therapy. Board-certified physician oversight. The only program that gets cheaper as you get healthier.
Dr. Paul Miranda, MD reviews every application personally. No algorithms. No nurse queues. No chatbots. Just board-certified obesity medicine and a plan built around your metabolic biology.
Serving patients in Tennessee, Florida, Georgia, Ohio, and Washington — in person and via telehealth.
If You Feel Like Something Has Changed
You’ve tried to be responsible.
You’ve cleaned up your diet.
You’ve joined a gym.
You’ve told yourself you just need to be more consistent.
And maybe you are consistent.
But the results don’t match the effort.
The weight feels harder to lose than it used to.
Energy feels less predictable.
Recovery is slower.
Your body feels different than it did even a few years ago.
It can start to feel frustrating — or discouraging.
You may wonder if it’s age.
Or stress.
Or hormones.
Or something you’re simply supposed to accept.
Summit was built for adults who sense that shift and want clarity.
Because weight gain and metabolic change are rarely about willpower alone.
They are often signals — hormonal changes, muscle loss, or metabolic slowdown.
This practice exists to address those signals with structured, physician-directed care.
Not blame.
Not extremes.
Not quick fixes.
This practice exists to answer the question your last doctor didn't have time to ask: what is actually happening inside your body — and what do we do about it?
Summit was built for adults who sense that shift and are ready for a real answer.
How It Works
A structured process designed for clarity, accountability, and sustainable progress.
Find Out If You Qualify — No Commitment
Complete a brief medical intake. Takes less than five minutes. No payment required until you're accepted and ready to begin.
A Real Doctor Reviews Your Case
Dr. Miranda personally reviews your intake within 48 hours. If you're a clinical candidate, you'll be invited to schedule your consultation.
Your Personalized Plan, Built for You
A physician-led telehealth visit to establish your baseline, review labs if indicated, and design a metabolic strategy built around your body — not a template.
We Stay With You Every Step
Monthly follow-up visits, medication management, and direct messaging with Dr. Miranda — not a call center. Your progress is tracked. Your plan evolves with you.
Ready to Begin?
Applications are reviewed within 48 hours
Pricing
Weight loss medication done right — physician-led, fully managed, one flat monthly price.
Dr. Miranda reviews every application personally and builds your program around your complete metabolic picture. Where clinically relevant, that includes your full hormone axis — not just a GLP-1 prescription.
One program. One price. The goal is always to need less of this over time.
Starting at $149/month — including physician consultations, direct messaging, personalized dosing, and full care plan management. Medication billed separately through a licensed compounding pharmacy.
The Ten Commandments of GLP-1
Every Summit patient receives this physician-designed framework. Because clinical care is only part of the answer.
I. Be Consistent — Stay on schedule with your treatment plan.
II. Hydrate Daily — 1–2 liters minimum, every day.
III. Replenish Electrolytes — Add sodium daily, especially early in treatment.
IV. Prioritize Protein — 0.8–1.2g per pound of goal body weight.
V. Lift Weights — Strength train at least twice weekly to protect muscle.
VI. Progress Thoughtfully — The lowest effective dose always wins.
VII. Eat Slowly — Stop at 80% full. Your hunger signals are changing.
VIII. Avoid Ultra-Processed Foods — Choose whole inputs whenever possible.
IX. Guard Your Bowels — Hydrate, add fiber, and stay ahead of constipation.
X. Measure Beyond the Scale — Track strength, waist circumference, and energy.
Structure drives transformation.
Common Questions
Still have questions? Take a look at the FAQ or reach out anytime. If you’re feeling ready, go ahead and apply.
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No. Summit is a cash-pay practice. This is intentional — it allows Dr. Miranda to prescribe based on what's clinically right for you, not what an insurance company will approve. No prior authorizations. No delays.
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No. Summit allows for telehealth consultations, follow-ups, and messaging are all handled virtually.
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Summit currently serves Tennessee, Georgia, Florida, Michigan, Washington, and Ohio. Additional states will be added as capacity grows.
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Yes. Enrollment is month-to-month. Cancel with 30 days notice.
About Dr. Miranda
Paul Miranda, MD is a board-certified Family Medicine physician with over 20 years of clinical experience, including extensive work in emergency medicine, geriatrics, and chronic disease management.
Summit Metabolic Health was built because Dr. Miranda kept seeing the same pattern: patients doing everything right and still losing the battle against metabolic dysfunction. Properly managed clinical intervention changes that equation. Summit exists to manage it properly.
Board Certified — American Board of Family Medicine
Active medical licenses across multiple states
Telehealth provider across TN, GA, FL, WA, and OH