Getting started: how do I begin?
Everything at Regal starts with a free, no-obligation consultation. You don't need a referral, and you don't need to know which program you want before you talk to us.
What will we talk about at the free consultation?
A consultant sits down with you (in person, by phone or online) and asks about your weight history, what you've already tried, your health conditions and medications, your schedule and your goal. You'll hear how each type of program works, which ones could fit, and what each costs. There's no pressure to sign up that day. Our consultation guide walks through it step by step.
Do I qualify for medical weight loss?
For prescription weight-loss medication, national guidelines generally look for a BMI of 30 or more, or 27 or more with a weight-related condition such as high blood pressure or type 2 diabetes. Not everyone who qualifies on paper is a good candidate, and not everyone needs medication. Our weight loss calculator is a quick first look; the medical evaluation gives the real answer.
What happens after I say yes?
- Medical evaluation.You complete a health history, and Eric Naifeh, FNP, PMHNP, DC, our Medical Director, reviews it along with your labs.
- Your plan.You get a nutrition plan sized to you and, only if it's clinically appropriate, a medication.
- Weekly check-ins.Your consultant weighs in with you every week, in the office or virtually, and adjusts the plan as you go.
How much weight do clients usually lose?
Many clients lose 20–40 lbs in their first 1–3 months.* Your number depends on where you start, how closely you follow the plan and how your body responds. Weight comes off fastest early on and then settles into a steadier pace.
*Individual results vary based on starting weight, adherence, medication response and lifestyle.
Medications: shots, pills and what's right for you
Medication is a tool, not the program. It's prescribed only when it's clinically appropriate after a medical evaluation, and many clients use it for part of their plan, not forever.
GLP-1 injections
Weekly semaglutide or tirzepatide. They slow stomach emptying and quiet appetite signals, so smaller meals feel like enough.
Daily GLP-1 pills
An option for people who would rather not inject. Pills have their own rules about how and when to take them, which your provider explains.
LipoStat® lipotropic shots
A B12 lipotropic injection (B12, B6, choline and amino acids). Supportive, not a weight-loss drug on its own. More on lipotropics.
Phentermine (Mesquite only)
A prescription appetite suppressant, prescribed only after an in-person visit at our Mesquite office, never by telehealth alone. How phentermine works.
How do GLP-1 medications cause weight loss?
They mimic GLP-1, a hormone your gut releases after eating. Food leaves your stomach more slowly and your brain gets a stronger "I'm full" signal, which is why people describe less food noise. Doses start low and step up over weeks so your body can adjust. Read the full GLP-1 weight loss guide.
Is compounded semaglutide the same as Wegovy?
No. Brand-name Wegovy and Zepbound are FDA-approved. Compounded versions are made by pharmacies and are not FDA-approved, which means the FDA hasn't reviewed them for safety, effectiveness or quality. Your provider will explain which form you'd receive, where it comes from and why.
Can I do the program without medication?
No. Some clients do best with a nutrition plan and coaching alone, and some aren't candidates for medication. Your consultant and provider will tell you plainly which group you're in.
Nutrition and coaching: what the weekly support looks like
Coaching is what makes Regal different from a clinic that writes a prescription and sends you home. Your consultant is the person you see or talk to every week.
Who will coach me?
Marissa, our Certified Nutritionist and Spanish consultant, leads coaching from the Mesquite office and speaks Spanish. Paris, our Chief Consultant, has coached clients at the Fort Worth and Grand Prairie offices since 2019. Virtual clients work with the same team.
What's in the nutrition plan?
Real food, portioned for your body and goal. Plans lean on protein to protect muscle while you lose, plenty of water, and vegetables and fiber to keep digestion moving. If you take a GLP-1, the plan is built around smaller meals, because your stomach empties more slowly. You won't be handed a generic printout.
What happens at a weekly check-in?
- Weigh-in and progress review, so small stalls are caught early.
- Side-effect check if you're on medication: nausea, constipation, fatigue.
- Plan adjustments for travel, holidays, a new work schedule or a plateau.
- Questions answered before they turn into reasons to quit.
Do I have to exercise?
You don't need a gym to start. Movement helps you keep muscle and keep weight off, so your consultant will help you add activity you can actually stick with, at a pace that fits where you are now.
Free, no-obligation consultation
Still have a question? Ask it free.
A free consultation online, by phone or in person is the fastest way to get answers about your own body and goals.
Cost and payment: why we don't post prices
We explain pricing at your free consultation rather than online because the cost depends on which program fits you: whether medication is part of it, which one, and how long your plan runs. A posted number would be wrong for most people.
| Question | Short answer |
|---|---|
| Do you take insurance? | No. Regal is self-pay. |
| Can I use my HSA or FSA card? | Yes. Many clients do. Check eligibility with your plan administrator. |
| Is financing available? | Yes, through a third-party payment-plan partner, for those who qualify. |
| When will I know the full cost? | At the free consultation, before you commit to anything. |
For more on payment plans, HSA/FSA and office hours, see payment and scheduling questions.
Virtual care: can I do this from home?
Yes. Virtual visits by video, phone or WhatsApp are available anywhere in Texas, and online programs are also offered in Arizona, California and Florida. We also serve clients in McAllen and the Rio Grande Valley.
Is virtual care the same program?
Same medical evaluation, same nutrition plan, same weekly check-ins with a consultant. The difference is that you weigh in at home and talk to us on screen or by phone. Many clients mix the two: an office visit when it's convenient, a video check-in when the week gets busy.
Is there anything I can't do virtually?
Phentermine. It's prescribed only after an in-person visit at the Mesquite office. SculpSure body contouring is also an in-office treatment. Everything else, including GLP-1 medication when it's appropriate, can be managed virtually.
Safety: who's watching, and what to watch for
Medical weight loss is safest when a licensed provider screens you first and someone checks in with you every week afterward. That's the structure at Regal.
Who supervises the medical side?
Eric Naifeh, FNP, PMHNP, DC is our Medical Director. He evaluates clients, reviews labs and approves prescriptions across every Regal location. Regal is LegitScript certified.
What side effects should I expect from a GLP-1?
Mostly digestive: nausea, diarrhea, constipation and vomiting, usually in the first weeks and after a dose increase. Every client on medication gets our written protocols for nausea, constipation and fatigue. See semaglutide side effects for what's normal and what needs a call.
Who shouldn't take GLP-1 medication?
People with a personal or family history of medullary thyroid cancer or MEN 2, and anyone who is pregnant. Your provider also reviews any history of pancreatitis, gallbladder disease, kidney problems and eating disorders. The full list is in our guide to semaglutide contraindications.
How do you know if a medication is working?
Your provider looks at your progress on a full dose over time. NIH guidance is that if you haven't lost at least 5% of your starting weight after 12 weeks on the full dose, it's time to talk about stopping or switching. Weekly check-ins mean that conversation happens on time.
Beyond weight loss: other care at Regal
Weight is often tangled up with hormones, energy and body shape, so Regal offers a few related services under the same medical oversight:
- Women's hormone care for perimenopause and menopause symptoms that make weight harder to manage.
- Testosterone therapy for men with low testosterone, after lab work and evaluation.
- SculpSure body contouring, a non-surgical laser treatment for stubborn fat pockets.
Ask about any of these at your consultation. They're separate from the weight loss program, and your consultant will tell you whether they're worth considering for you.
Frequently asked questions
How much does Regal Weight Loss cost?
What is Regal Weight Loss’s success rate?
How long has Regal been in business, and how many people has it helped?
Is Regal Weight Loss a medical clinic?
Regal Weight Loss LLC is a coaching-led medical weight loss practice that works as a medical referral service. Medical services, such as evaluations and prescriptions, are provided by independent licensed providers under our Medical Director, Eric Naifeh, FNP, PMHNP, DC. Your coaching, nutrition plan and weekly check-ins come from Regal's consultants.
Will I gain the weight back if I stop my medication?
Some regain is common when GLP-1 medication stops, because appetite tends to return. That's why the program pairs medication with a nutrition plan and weekly coaching from day one: the habits you build are what hold the result. Your provider and consultant plan any taper with you instead of stopping abruptly.
Do you work with men too?
Yes. Many of our clients are men, and the program works the same way: medical evaluation, a nutrition plan sized to your body and weekly coaching. Men with symptoms of low testosterone can also ask about our testosterone therapy, which starts with lab work and an evaluation by our Medical Director.
Should I keep seeing my regular doctor?
Yes. Keep your primary care provider and specialists in the loop, especially if you have diabetes, high blood pressure or take daily medications, since some of those doses may need to change as you lose weight. Bring a current medication list to your evaluation so our provider can check for interactions.
Is Regal involved in clinical trials?
No. Regal Weight Loss doesn't run paid clinical studies or free clinical trials. If you've seen an ad suggesting otherwise, it isn't ours. Every Regal program starts with a free consultation, and medication is prescribed only when it's clinically appropriate after a medical evaluation.
What if I hit a plateau?
Plateaus are normal, especially after the first couple of months. At your weekly check-in your consultant looks at what's changed: portions, protein, water, sleep, activity and, if you're on medication, your dose and timing. Small adjustments usually restart progress. If they don't, your provider reviews whether your medication plan should change.
Medically reviewed by
Eric Naifeh, FNP, PMHNP, DC
Medical Director at Regal Weight Loss. Reviews labs, evaluates patients and approves prescriptions across every Regal location. This page was reviewed for medical accuracy on November 2, 2026. It is general education, not medical advice: your provider decides what's right for you after an evaluation.
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