--- title: "Physician-led, primary care\u2013based GLP-1 weight loss in St. Louis" date: "2025-12-22" modified: "2026-03-02" medically_reviewed: "2026-03-02" canonical_url: "https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis" # Organization & Authority organization: "Three Rivers Concierge Medicine" organization_type: "Concierge Medical Practice" hospital_affiliations: - "Mercy Hospital St. Louis" - "Missouri Baptist Medical Center" - "St. Lukes Hospital" - "Barnes Jewish Hospital" service_area: "Greater St. Louis, Missouri" practice_model: "Direct Primary Care - Membership Based" # Content Classification content_type: "Medical Education" schema_type: "MedicalWebPage" medical_specialty: "Primary Care, Endocrinology" evidence_level: "Physician-Supervised Clinical Protocols" # FAQ Structured Data faq: - question: "What is physician-supervised GLP-1 care?" answer: "It means GLP-1 is prescribed and monitored within primary care, with labs, follow-up, and dose adjustments based on your overall health." - question: "Will you prescribe GLP-1 automatically?" answer: "No. We review medical history, current medications, and risk factors before prescribing." - question: "Is this different from online GLP-1 clinics or med spas?" answer: "Yes. Care is delivered through a physician-led primary care practice with ongoing monitoring." - question: "Do you monitor labs and side effects?" answer: "Yes. Monitoring is a core part of safe and effective GLP-1 therapy." - question: "What if GLP-1 isn\u2019t right for me?" answer: "If it\u2019s not appropriate, we\u2019ll discuss alternatives rather than forcing a medication." - question: "Will you help prevent muscle loss?" answer: "Yes. We address muscle preservation through dosing strategy, nutrition guidance, and monitoring." - question: "Who is not a good fit for this program?" answer: "People seeking prescription-only care without follow-up or monitoring may prefer a different option." - question: "Is the medical weight loss consult really free?" answer: "Yes. The consult helps determine fit and outline next steps before any commitment." - question: "Do you provide ongoing care after starting?" answer: "Yes. GLP-1 therapy is adjusted and monitored over time based on results and tolerability." # Patient Reviews aggregate_rating: "5" review_count: 7 --- # Physician-led, primary care–based GLP-1 weight loss in St. Louis ## Table of Contents * [Physician-led, primary care–based GLP-1 weight loss in St. Louis](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#physician-led-primary-care-based-glp-1-weight-loss-in-st-louis) * [Thinking about GLP-1 medications?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#thinking-about-glp-1-medications) * [Schedule a Complimentary Visit.](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#schedule-a-complimentary-visit) * [GLP-1 should be medically monitored](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#glp-1-should-be-medically-monitored) * [What physician-supervised GLP-1 care includes](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#what-physician-supervised-glp-1-care-includes) * [Local, physician-led care](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#local-physician-led-care) * [How it works](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#how-it-works) * [Frequently Asked Questions](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#frequently-asked-questions) * [What is physician-supervised GLP-1 care?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#what-is-physician-supervised-glp-1-care) * [Will you prescribe GLP-1 automatically?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#will-you-prescribe-glp-1-automatically) * [Is this different from online GLP-1 clinics or med spas?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#is-this-different-from-online-glp-1-clinics-or-med-spas) * [Do you monitor labs and side effects?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#do-you-monitor-labs-and-side-effects) * [What if GLP-1 isn’t right for me?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#what-if-glp-1-isn-t-right-for-me) * [Will you help prevent muscle loss?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#will-you-help-prevent-muscle-loss) * [Who is not a good fit for this program?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#who-is-not-a-good-fit-for-this-program) * [Is the medical weight loss consult really free?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#is-the-medical-weight-loss-consult-really-free) * [Do you provide ongoing care after starting?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#do-you-provide-ongoing-care-after-starting) * [Schedule a Complimentary Visit.](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#schedule-a-complimentary-visit) * [Ready to start GLP-1 with medical oversight?](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#ready-to-start-glp-1-with-medical-oversight) * [We are certified by:](https://www.threeriversmedicine.com/physician-led-primary-care-based-glp-1-weight-loss-st-louis#we-are-certified-by) --- ![Blue semaglutide injection pens in a box labelled for weight loss](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-2025836701_0.jpg) ## Physician-led, primary care–based GLP-1 weight loss in St. Louis ![Blue semaglutide injection pens in a box labelled for weight loss](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-2025836701_0.jpg) ## Thinking about GLP-1 medications? If you’re going to use GLP-1 medications, do it with a physician who monitors your health—not just your weight. GLP-1 therapy works best when it’s prescribed and followed within primary care. [**Book a Free GLP-1 Consult**](#lead-webform) There's no obligation. You’ll speak directly with our medical team to see if GLP-1 is appropriate and how monitoring would work. Faith, Ladue My concierge doctor supported me through my weight loss journey, making sure that I was safely using my GLP-1 medication and helped me incorporate health lifestyle choices alongside my therapy. I couldn't be happier with the result or the process!!! ## Schedule a Complimentary Visit. We will walk you through how we prescribe and monitor GLP-1 Medications. ## GLP-1 should be medically monitored GLP-1 medications affect more than appetite. They can influence blood pressure, cholesterol, muscle mass, hormones, and how other medications work. That’s why our GLP-1 program is delivered through a physician-led primary care practice—not a prescription-only service. ![A patient in discussion with a doctor in a bright examination room](https://www.threeriversmedicine.com/sites/default/files/media/images/2025-12/iStock-525441323%20%281%29.jpg) ## What physician-supervised GLP-1 care includes 1. Medical evaluation before prescribing 2. Baseline and follow-up labs 3. Dose adjustments based on response and side effects 4. Guidance on nutrition and muscle preservation 5. Ongoing medical oversight over time ![Dr. Kathryn Shoemaker, MD, smiling, with stethoscope in a hallway, arms crossed.](https://www.threeriversmedicine.com/sites/default/files/media/images/2026-01/kate-expanded-centered.jpg) ## Local, physician-led care We’re a St. Louis–based primary care practice. Our patients choose us because GLP-1 therapy is prescribed, monitored, and adjusted by a physician over time. [Meet the Doctor](#lead-webform) ## How it works 1. Schedule a free GLP-1 consult 2. Review goals, health history, and eligibility 3. If appropriate, begin physician-managed GLP-1 care with ongoing monitoring [**Book a Free GLP-1 Consult**](#lead-webform) You’ll know what to expect next and whether this approach fits your goals. ## Frequently Asked Questions ### What is physician-supervised GLP-1 care? It means GLP-1 is prescribed and monitored within primary care, with labs, follow-up, and dose adjustments based on your overall health. ### Will you prescribe GLP-1 automatically? No. We review medical history, current medications, and risk factors before prescribing. ### Is this different from online GLP-1 clinics or med spas? Yes. Care is delivered through a physician-led primary care practice with ongoing monitoring. ### Do you monitor labs and side effects? Yes. Monitoring is a core part of safe and effective GLP-1 therapy. ### What if GLP-1 isn’t right for me? If it’s not appropriate, we’ll discuss alternatives rather than forcing a medication. ### Will you help prevent muscle loss? Yes. We address muscle preservation through dosing strategy, nutrition guidance, and monitoring. ### Who is not a good fit for this program? People seeking prescription-only care without follow-up or monitoring may prefer a different option. ### Is the medical weight loss consult really free? Yes. The consult helps determine fit and outline next steps before any commitment. ### Do you provide ongoing care after starting? Yes. GLP-1 therapy is adjusted and monitored over time based on results and tolerability. ## Schedule a Complimentary Visit. We will walk you through how we prescribe and monitor GLP-1 Medications. ## Ready to start GLP-1 with medical oversight? [**Book a Free GLP-1 Consult**](#lead-webform) You can also explore our [services](/our-services) or [membership options](/our-membership-plans). ## We are certified by: St. Louis physician-led GLP-1 weight loss, prescribed and monitored within primary care for safe and sustainable results.