Physician-Led · Cash-Pay GLP-1 Care
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. Dr. Miranda reviews every application himself.
Serving patients in Tennessee, Florida, Washington, Ohio, and Georgia. Telehealth only.
If you feel like something has changed, you’re probably right.
Eating the same. Moving the same. Gaining weight anyway. That’s not a discipline problem. Somewhere between your thirties and now, your metabolism shifted, and most weight loss advice was never built for that shift.
Summit exists to find out what actually changed in your body, treat it with the same medications hospitals use, and build a plan to get you off them once your metabolism resets.
Four steps, no waiting room.
Everything after your intake happens on your schedule. No office visits required unless you want them.
01
Complete a short intake
Medical history, current medications, and your goals. Takes about ten minutes. No payment required to apply.
02
Dr. Miranda reviews it personally
Not an algorithm, not a nurse triage queue. Your application goes to the physician who will actually treat you, usually within 48 hours.
03
Establish your baseline
A telehealth consultation covers labs, dosing strategy, and what your first month looks like before anything is prescribed.
04
Monthly follow-ups, direct access
Dosing adjustments, side-effect management, and a running conversation about when and how you’ll eventually come off medication.
Pricing
The program that gets cheaper as you get healthier.
No insurance billing, no surprise claims. Medication is billed separately through the pharmacy at cost.
Maintenance
$99/month
- For patients tapering off medication
- Monthly physician check-in
- Direct messaging access
Active Program
$149/month
- Full dosing management and titration
- Monthly physician consultation
- Unlimited messaging between visits
- Access to the Companion tracking app
HRT + Weight Loss
$399/month flat
- Combined hormone and GLP-1 management
- Labs included — three panels a year, no separate bill
- For perimenopause and andropause overlap
- One physician, one coordinated plan
Starting at $99 to $149 per month depending on program stage. Medication cost through the compounding pharmacy is separate and typically ranges lower than retail brand pricing.
The Ten Commandments of GLP-1
What actually determines your outcome
The medication does maybe forty percent of the work. This is the other sixty.
III
Prioritize Protein
The macro that decides whether you lose fat — or the muscle you’ll wish you’d kept.
III
Prioritize Protein
The macro that decides whether you lose fat — or the muscle you’ll wish you’d kept.
Before you apply
Do you accept insurance?
No. Summit runs cash-pay by design — that’s what keeps Dr. Miranda’s schedule open enough to review every application personally instead of routing you through a prior-authorization queue. Most patients find the flat monthly fee easier to budget than unpredictable insurance costs anyway.
Who actually handles the medication?
Your monthly fee covers the physician side — consultations, dosing decisions, and direct messaging with Dr. Miranda. When a prescription is clinically appropriate, it’s filled and shipped by an independent, licensed 503A compounding pharmacy, billed separately. Summit itself doesn’t sell or dispense medication.
How long will I need to stay on medication?
That depends on your biology and how you respond. The program is built around eventually needing less of this, not staying on it indefinitely — many patients taper down once they’ve reached and held their goals. Dr. Miranda walks through a realistic timeline with you at intake.
How is this different from Ro, Hims, or Found?
Those are volume platforms built around algorithms and rotating nurse practitioners. Summit is one physician’s independent practice — Dr. Miranda personally reviews every application and manages every patient himself. No queue, no chatbot, no hand-off to whoever’s on shift.
Is this fully virtual?
Yes. Summit is a telehealth-only practice — every consultation, follow-up, and check-in happens by video or secure messaging, in every state we serve.
What if I don’t hit my goal?
The plan adjusts. If progress stalls, Dr. Miranda re-evaluates your labs, hormones, and dosing rather than just renewing the same prescription. Medicine doesn’t guarantee outcomes, but you have a physician staying with the problem instead of walking away from it.
Which states do you serve?
Tennessee, Florida, Georgia, Ohio, and Washington. Licensing determines this list, and it expands over time as Dr. Miranda adds states.
What labs do I need?
Labs are ordered based on your clinical picture at intake. Summit Complete includes three comprehensive panels a year at no extra charge; on the other tiers, labs are ordered as indicated and billed separately at cost. Dr. Miranda reads and discusses every result personally.
What does “metabolic hormone axis” mean?
It’s the web of hormonal systems that govern weight and energy — thyroid, cortisol, insulin sensitivity, and sex hormones among them. When one of these is off, weight loss gets much harder no matter how disciplined you are with diet and exercise. Summit looks at the full picture, not just a GLP-1 prescription in isolation.
Is $149/month really all-inclusive?
It covers physician consultations, dosing management, direct messaging, and full care-plan access. Labs outside the Summit Complete tier are billed separately as ordered. The one true add-on across every tier is medication itself, which is billed by the compounding pharmacy, not Summit.
What’s a 503A pharmacy?
A licensed compounding pharmacy that fills individualized prescriptions under FDA and state pharmacy board oversight — distinct from the large 503B facilities. It’s a separate business from Summit; we just work with one to get your prescription filled and shipped when appropriate.
Can I do this if I’ve already tried a GLP-1?
Yes — many Summit patients have. Whether you stopped for cost, side effects, or you regained weight after stopping, Dr. Miranda evaluates your case individually to figure out the right dose and whether it should be paired with a broader hormonal work-up this time around.
Can I cancel anytime?
Yes. The program is month to month with thirty days notice. There is no long-term contract and no cancellation fee.
Paul Miranda, MD
Board-certified in Family Medicine with over twenty years treating patients across primary care and emergency medicine. Summit was built out of a specific frustration: watching patients get started on GLP-1 medication with no real plan for what happens after the weight comes off.
Every application that comes through Summit is reviewed by Dr. Miranda directly. No triage nurse, no algorithm deciding who gets seen.
- 20+Years in practice
- 5States licensed
- MDFamily & Obesity Medicine
Ready to find out what changed?
The application takes ten minutes. There’s no payment required until Dr. Miranda accepts you into the program.