The only GLP-1 program built to end.
Physician-supervised weight loss with a plan to get you off medication — not keep you on it for life.
I review every application and manage every patient myself. No queue, no chatbot, no hand-off.
Eating the same. Moving the same. Gaining weight anyway. That’s not a discipline problem.
Something in your metabolism changed. We find out what, treat it with the same medications hospitals use, and build a plan to discontinue once your metabolism resets.
Find what changed
Baseline labs and a full metabolic workup — so treatment targets the real cause, not a guess.
Treat it properly
GLP-1 medications, dosed and monitored by a physician — the same tools used in a clinical setting.
Build the exit
As your metabolism resets, we taper you down and off — the endpoint most programs never mention.
The same active ingredients as the brands you’ve heard of.
When your evaluation supports treatment, Dr. Miranda prescribes compounded semaglutide or tirzepatide — prepared for you individually by an independent, state-licensed U.S. 503A compounding pharmacy and billed at the pharmacy’s cost, with no markup from Summit.
Compounded Semaglutide
The active ingredient in Ozempic® and Wegovy®. Once-weekly GLP-1, titrated to your response — typically $50–$200/month at pharmacy cost, versus $650–$1,100+ for the branded pens without insurance. Prescribed only if clinically appropriate after your evaluation.
About semaglutide →Compounded Tirzepatide
The active ingredient in Mounjaro® and Zepbound®. A dual GIP/GLP-1 for patients who need it — typically $50–$200/month at pharmacy cost, versus $650–$1,100+ branded without insurance. Prescribed only if clinically appropriate after your evaluation.
About tirzepatide →Conditions
What Dr. Miranda evaluates and treats
Treatment begins with a physician evaluation, and no outcome is promised.
Every medication, one page each. See all medications →
Not sure which medicine fits you? Take the short quiz →
Compounded medications are not approved or evaluated by the FDA for safety, effectiveness, or quality; they are prepared for an individual patient by prescription at an independent, state-licensed 503A compounding pharmacy operating under FDA and state board of pharmacy oversight. Ozempic®, Wegovy®, Mounjaro® and Zepbound® are trademarks of their respective owners; Summit is not affiliated with Novo Nordisk or Eli Lilly. Membership is a flat $149/month — no first-month teaser pricing, and medication is never marked up. If a brand-name product is the better fit for you, that’s what Dr. Miranda prescribes.
A real clinic, run by one doctor.
Apply
A short, focused intake — no waiting room, no referral.
Physician review
Dr. Miranda personally reviews your application and history.
Baseline labs
Bloodwork establishes exactly what to treat and how.
Monthly follow-ups
Direct messaging and check-ins adjust your plan — through taper.
Paul Miranda, MD
Board-certified in Family Medicine, with over twenty years treating patients across primary care and emergency medicine. Summit is his independent practice — every application, every plan, every adjustment goes through him. No sales funnel, no mystery pricing, no hand-off to a chatbot.
Treating hormones and weight together.
Weight and hormones change at the same time, so Dr. Miranda looks at both. Pick the guide that fits you.
GLP-1 and testosterone, in one plan.
Low T and extra weight often travel together. See how Dr. Miranda checks both, protects your muscle, and keeps one physician on your chart.
Read the men’s guideFor womenGLP-1 and perimenopause: hormones, muscle and bone.
Weight, sleep and hot flashes can shift all at once. See how Dr. Miranda coordinates GLP-1 care with your hormone care so nothing gets handled twice.
Read the women’s guideTools that do the work between visits.
Five free tools, open to anyone, patient or not. Three are built around the Ten Commandments framework to keep your protein up, your muscle on and your plan on track. Two help you choose a medication and check coverage before you ever apply.
Meal Planner
Physician-aligned meals that hit your protein target while you’re on treatment.
Open freeExercise Planner
Strength-first routines that protect muscle as the weight comes off.
Open freeCompanion App
Your plan, doses, labs and check-ins in one place between visits.
Open freeWhich GLP-1 Quiz
A few questions to help you decide which medication to ask your provider about.
Open freeMedicare GLP-1 Navigator
Check what Medicare may cover for GLP-1 medications and what to ask next.
Open freeThe supplements I actually recommend.
A curated dispensary of professional-grade supplements, hand-picked by Dr. Miranda to support your metabolic health, muscle retention, and treatment — third-party tested and shipped straight to your door.
Pay for the physician. Not the paperwork.
One monthly membership covers your care at every stage. No insurance billing, no surprise claims.
On Medicare? See whether the $50 Medicare GLP-1 program covers you before you decide.
- Monthly physician check-ins
- Direct messaging with Dr. Miranda
- Dosing, titration & monitoring
- Lower-cadence physician care
- Dose reduction & weaning plan
- Keep results without staying on meds
- Everything in The Summit Program
- Full HRT / hormone management
- Three lab panels a year, included
Membership covers physician care, management and monitoring. Medication is billed separately through a compounding pharmacy at your cost — no insurance billing, no surprise claims.
Questions, answered.
What does “built to end” actually mean?
Most GLP-1 programs are designed to keep you on medication indefinitely. Summit’s goal is the opposite: reset your metabolism, then taper you down and off. The Maintenance phase exists specifically to help you keep your results without staying on the drug forever.
Who actually treats me?
Dr. Paul Miranda — board-certified in Family Medicine with 20+ years in practice. This is his independent practice, so he personally reviews every application and manages every patient. No queue, no chatbot, no hand-off.
Where is Summit available?
Care is fully virtual for patients in Tennessee, Florida, Georgia, Washington and Ohio. Everything — application, labs, visits and follow-ups — happens online.
How is medication billed?
Your monthly membership covers physician care. Medication is billed separately through a compounding pharmacy at your cost. There’s no insurance billing and no surprise claims — you always know what you’re paying.
Is this safe?
The active ingredients we prescribe — semaglutide and tirzepatide — are the same ones in FDA-approved medications like Wegovy® and Zepbound®. Summit typically prescribes compounded versions, prepared for you individually by an independent, state-licensed 503A compounding pharmacy operating under FDA and state board of pharmacy oversight; compounded medications themselves are not FDA-approved. And no GLP-1 is right for everyone — which is exactly why a physician screens your history for contraindications, orders baseline labs, and monitors you throughout, rather than shipping a prescription off a form. Whether treatment is appropriate for you is decided during your evaluation.
What are the side effects?
The most common are digestive — nausea, reflux or constipation — usually early and dose-related. A big reason Summit titrates slowly and checks in monthly is to keep side effects manageable and adjust your dose when they aren’t.
I’m already on a GLP-1 or I’ve plateaued — can you help?
Yes. Dr. Miranda will review your current regimen and labs, look at what’s actually stalling progress, and adjust the medication, dose or approach — including a path toward tapering when the time is right.
What’s not included?
The medication itself, which is billed separately at cost through a compounding pharmacy, and anything that requires in-person care. Everything else — physician time, monitoring, dose management and the member apps — is covered by your flat monthly membership.
How do I start?
Apply online in a few minutes. Dr. Miranda reviews your application, orders baseline labs, and builds your plan — usually within a week.
Which GLP-1 is right for me?
Dr. Miranda decides that with you after your application. To get oriented first, take the short quiz. It saves nothing and asks for no health information.
A program with a finish line.
Apply in about five minutes. Dr. Miranda reviews every application himself — you’ll hear back from a physician, not a form.
Available to patients in TN, FL, GA, WA & OH. By applying you agree to Summit’s Terms and Privacy Policy.