Medical Weight Management

A personalized combination of pharmaceutical expertise and nutritional science, built around your health history and long-term goals.

Holistic Framework for Medical Weight Loss Management

Optimizing metabolic health during midlife requires a comprehensive approach that bridges biology, behavior, and cutting-edge medicine. The menopause transition and aging for men and women introduces unique physiological shifts that can make weight management feel like an uphill battle, but understanding these changes allows for highly tailored, effective interventions.

Most effective

Zepbound

Tirzepatide · Weekly injection

Dual-action GLP-1/GIP receptor agonist, among the most effective options currently available.

  • Supports blood sugar improvement
  • Improves cholesterol levels
  • Once-weekly dosing
No injection

Foundayo

Orforglipron · Daily oral pill

A non-injectable GLP-1 option, convenient for patients who prefer to avoid injections.

  • Simple daily pill routine
  • No needles or injection training
  • Easy to travel with
Non-GLP-1

Contrave

Bupropion / naltrexone · Daily oral pill

A combination medication that targets appetite and cravings through a different mechanism than GLP-1 medications.

  • Non-GLP-1 mechanism
  • Targets food cravings
  • Oral, no injection required

This information is for educational purposes only and does not constitute medical advice. Medication suitability depends on individual health history and should be discussed with Dr. McKenzie during a consultation.

Nutrition Pillars
Preserving muscle and metabolic health during treatment
80–110 grams daily intake Daily protein target to prevent sarcopenia (muscle loss)
High Plant Ratio Plant-to-animal protein ratio for optimal muscle preservation
2–3x Weekly Strength training to protect lean muscle mass

Medication is a maintenance tool, not a temporary fix.

The body's natural tendency is to regain weight once treatment stops. Long-term success comes from an ongoing, personalized plan — not a quick course of medication.

Understanding Related Health Factors
Weight, hormones, and mental health are deeply connected. We screen for and address the full picture.

MOSH

Male Obesity-Associated Hypogonadism

Excess body fat can lower testosterone levels in men, leading to fatigue, reduced muscle mass, low mood, and further weight gain — a cycle that can be difficult to break alone. MOSH is often under-recognized and under-treated. We screen for it as part of a comprehensive weight management evaluation, and treatment may include weight loss therapy, hormone evaluation, and lifestyle changes tailored to restore balance.

Mind & Metabolism

The connection between mental health and weight

Stress, trauma, mood, and sleep all influence the hormones that regulate hunger and fat storage — and weight struggles can, in turn, affect mental wellbeing. Our trauma-informed approach considers this full picture: it's about what happened to you, not what's wrong with you. We work with you to address both the biological and emotional sides of metabolic health.

This information is for educational purposes only and does not constitute medical advice. Please discuss your individual health history with Dr. McKenzie.

Obesity Medicine Association

Certified in Advanced Obesity Medicine

Dr. McKenzie holds a Certificate of Advanced Education in Obesity Medicine from the Obesity Medicine Association (60 hours of specialized training). Learn more →

STOP-BANG sleep apnea screening

Answer these 8 questions to get a quick sense of your risk for obstructive sleep apnea. This takes about a minute.

0 of 8 answered
0/8

This screening tool is for educational purposes only and is not a diagnosis. Please discuss your results with Dr. McKenzie or another qualified healthcare provider.

Prediabetes risk check

Enter your most recent lab values to see where they fall. You can enter either or both values.

From a recent blood test, if you have one
From a fasting blood draw, if you have one
Please enter at least one value to check your risk.

This tool is for educational purposes only and is not a diagnosis. Lab values can vary and should always be interpreted by a healthcare provider alongside your full health history.

Weight Management Readiness Check

These questions help us evaluate your physical readiness and goals for healthy weight management.

0 of 10 answered

This screening tool is for educational purposes only and is not a diagnosis. Please discuss your results with Dr. McKenzie or another qualified healthcare provider.

Dr. Serena McKenzie

Request More Info

Phone: (425) 398-9355
Fax: (833) 905-2316

Email: websiteinquiry@drserena.com

Learn More About Healthy Aging

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