Blogs

Slower than expected, and three days of notes showed why Hey everyone - We recently had a patient whose weight loss was moving slower than either of us expected. Taking the medication on schedule. Showing up to visits. Frustrated, and honestly so were we. So we asked for the one thing that almost always clears it up: three days of food, written down. Nothing fancy. A sheet of paper folded in thirds, lunch and dinner for Friday, Saturday and Sunday. Wow. It told the whole stor

Real clinic outcome examples show why 3D scans, protein, and in-person support matter long after the medication starts working for lasting weight loss.

Hey everyone - Let's talk about the stall. Every one of our patients hits it at some point. The scale sits there for two or three weeks and the thought creeps in: "It stopped working." Most of the time? Nope. It didn't. I know this one personally. I started tirzepatide on March 29, 2024 at 255.2 lbs. Somewhere around 243-245 I got stuck. Not for a week. For about THREE MONTHS. And I am one of the director's at the clinic :-) Here's what my Styku scans showed during that stret

This is the October 2026 edition of Patient Monthly, the newsletter we send to our patients at Pacific Northwest Medical Group in Puyallup and Federal Way. We share it here so anyone curious about in-person GLP-1 care can see what being a patient with us looks like. The holiday stretch starts now. Let's make it your strongest season. Halloween candy shows up in the grocery aisles before the leaves even turn. From here to New Year's is about 90 days, and it's the stretch where

Compare in-person versus mail-order GLP-1 care. See why real coaching, body scans, protein targets, and easy access help patients stay the course longer.

Food noise explained in plain English: why constant thoughts about food are biological, how GLP-1 medication can help, and why support still matters too.

Your daily protein target matters more on GLP-1s than most people realize. Learn why 100 grams protects muscle while weight comes off for lasting results.

Real semaglutide weight loss success examples show what changes when medication, protein, body scans, and in-person support work together over time well.

Maintenance after goal weight is where the real work starts. See how protein, body scans, support, and a plan help keep regained pounds from creeping back.

See how medical weight loss differs when medication comes with in-person guidance, protein goals, body scans, and real accountability each month in clinic.

A medical weight loss clinic review should look past the prescription. See what supervision, protein, scans, and in-person support change when it counts.

The best habits during semaglutide treatment: protein, strength training, hydration, and real support to help weight loss last beyond the shot itself.

Looking for the best protein foods on tirzepatide? Daryl Welsh explains filling, easy choices that support a 100g daily target when appetite is low on busy days at work.

Short version: Losing just 80 minutes of sleep a night for six weeks caused people to gain weight — but not for the reason scientists assumed. The weight didn't come from eating more. It came from moving less. (original research article as always at the bottom of my summary) Columbia University just published this in Annals of Internal Medicine. They took 95 adults who normally sleep 7-8 hours and cut their sleep by about 80 minutes a night for six weeks. That's the sleep pa

An honest body composition scan review from a clinic patient: what Styku tracks, why the scale lies, and how scans keep weight loss honest over time.

What does semaglutide cost? Compare medication, supervision, and support so you can choose a weight-loss program built to last beyond the first month, too.

3D scans versus scales reveal why weight can stall while your body is changing. See how monthly Styku scans help us protect muscle and trust progress.

Clinic care versus med spa injections comes down to medical oversight, honest guidance, and support when life gets busy.

In person versus online weight loss comes down to support, safety, and staying power. See why structured care helps people keep going when motivation fades at home.

Hey folks — Healthline published a good roundup on this and I wanted to share it, because it's the same stuff we talk about in clinic all the time. (Link to the full article at the bottom, as always.) Most people think of GLP-1 medications (Semaglutide and Tirzepatide) as weight-loss shots. Fair. But after 1,300+ patients at our Puyallup and Federal Way clinics, I can tell you the weight is often just the first thing that changes. Here's what the research says is happening un