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Why In-Person Clinics Deliver 2-5X Better Weight Loss

Recent research reports have provided important information on the outcomes of patients taking Semaglutide or Tirzepatide - and how you receive your medine and more importantly the amount of support that source provides can play a 2x to 5x difference in outcomes.


Real-World Discontinuation Rates Are Brutally High Without Support

  • Across dozens of large U.S. real-world studies in 2025, 40–65% of people stop GLP-1s (semaglutide or tirzepatide) within the first year when self-managing or using minimal-oversight telehealth/direct-to-consumer programs.

  • The #1 reason? Side effects (nausea, fatigue), cost, or simply losing motivation when appetite returns and old habits creep back.

  • In contrast, structured programs (especially ones with regular coaching, nutrition counseling, body-composition tracking, and group support) routinely show 20–40% better persistence and 2–5× higher odds of staying on the drug long enough to reach maintenance doses.


Weight-Loss Outcomes Are Dramatically Better When People Actually Stay on the Drug + Change Habits

Scenario (2025 real-world data)

Average 1-Year Weight Loss

% Achieving ≥15% Loss

Persistence Rate

  • Pure self-managed / LillyDirect or NovoCare (Meds delivered to home)

5–9%

15–25%

35–55%

  • Minimal telehealth (med delivered + occasional app check-ins)

8–12%

25–35%

45–60%

  • Structured telehealth with paid coaching (e.g., Fridays, Brello, WW Clinic)

14–18%

40–55%

65–80%

  • In-person clinics (Physical weight loss clinics, concierge/medical clinics supporting weekly visits, body scans, group support mtgs)

15–21%

50–70%

70–90%


The best in-person/academic clinics measured in 2025 are now hitting numbers that match or beat the original phase-3 trials done by the makers of these medications — precisely because they keep people titrating up, manage side effects aggressively, and teach real behavioral skills (protein goals, proper hydration, resistance training, sleep, and stress management).




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