Medical Weight Loss in Vero Beach, FL

Medically reviewed by Dr. Alita Sikora, MD, Board Certified in Physical Medicine and Rehabilitation | Last medically reviewed: September 1, 2026

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A Clinical Approach to Weight Management

Losing weight, or keeping it off, is difficult despite real effort with diet and exercise. Medical options can help when willpower alone hasn't, and they work best when backed by the right evaluation.

At Sikora Integrative Medicine, weight management begins with a review of your health history, current concerns, and goals. We help determine which medical options may be appropriate as part of a personalized plan for difficult-to-manage weight.

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Weight Loss

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Why Patients Trust Us With Their Weight Loss

Our medical weight loss care combines clinical oversight with personalized support.

Physician-led care

Dr. Alita Sikora, MD, has pursued continuing medical education in medical weight loss through the American Academy of Procedural Medicine since 2017, so your plan is guided by a physician with specialized training in this area.

Experienced weight loss support

Consultations are led by a board-certified nurse practitioner with prior experience in a weight loss clinic, so you're working with someone who has done this before.

Testing-informed plans

Gut, hormone, and micronutrient testing are available when appropriate, so treatment can address what may be affecting your metabolism rather than working from assumptions.

Patient-recognized care

Dr. Sikora is a Patients' Choice 5-Year Honoree, a recognition based on patient ratings given to roughly 1% of physicians nationally, earned across five consecutive years rather than a single one.

Meet Our Medical Team

Reasons Patients Seek Medical Weight Loss

Weight can be influenced by appetite, hormones, metabolism, and other health factors, so the right starting point varies from patient to patient.

Patients often seek care when:

Weight has not responded to diet and exercise
Weight returns after earlier progress
Appetite or cravings are difficult to manage
Metabolism changes with age or hormones
Fatigue, sleep, or digestive concerns may be involved
They want medically supervised weight loss

Not everyone is a candidate. Our team evaluates your health history and may recommend lab testing before discussing suitable options.

Our Personalized Medical Weight Loss Programs

Take charge of your journey with focused, customizable options. Each pathway is guided by clinical research, including the STEP trials on GLP-1 medications, and matched to your goals.

Semaglutide / Tirzepatide Program

A weekly injection that works on appetite, helping you feel full sooner and think about food less often. In clinical trials, adults taking semaglutide 2.4 mg with lifestyle changes lost an average of 14.9% of body weight over 68 weeks. We start at a low dose and increase it gradually to limit side effects, with medication delivered to your home.

See How the Program Works

Peptides for Weight Loss

Small amino acid–based compounds are being studied to reduce hunger and help preserve lean muscle while losing fat. Options include AOD, tesamorelin, sermorelin, and CJC/Ipamorelin. Approval status varies by peptide, so we review the evidence before recommending an option. Free RN consults are available.

Explore Peptide Options

Gut & Hormone Testing for Metabolic Health

For patients who've done everything right and still aren't losing. Advanced functional labs look deeper at your metabolism, using GI Effects to assess gut balance and NutraEval to measure micronutrient levels, so treatment can address what's actually getting in the way.

What the Labs Cover

B-Complex, B12, and L-Carnitine Support

Nutrient injections that support energy, metabolism, and appetite balance help when eating less, but leave you feeling drained. L-carnitine also promotes muscle recovery. Available as injections or IVs in our drip lounge.

See Injection and IV Options

MIC Injections

A lipotropic blend of methionine, inositol, choline, and B vitamins intended to support how your liver processes fat. Typically given weekly, and usually added alongside another program rather than used on its own.

About MIC Injections

Coverage: Not insurance-covered; however, BCBS/Medicare may apply to qualifying labs, like hormone testing.

Your Medical Weight Loss Care Process

Your program is tailored to your health history, goals, and response to treatment. Our team guides you through evaluation, treatment planning, follow-up, and longer-term support.

1. Consultation

We review your weight history, previous efforts, goals, and related health concerns.

2. Testing When Appropriate

Bloodwork, hormone, gut, or nutrient testing may be recommended to better understand factors affecting your weight.

3. Personalized Plan

We discuss suitable options, expected timelines, potential limitations, and costs before treatment begins.

4. Dose Adjustments & Follow-Up

For GLP-1 treatment, doses may be increased gradually while our team monitors your response and side effects.

5. Maintenance

As you approach your goals, we discuss an ongoing plan to help support weight management.

Treatment Safety & Considerations

Side effects can occur: GLP-1 medications commonly cause nausea, diarrhea, vomiting, or constipation.
GLP-1s are not right for everyone: The FDA prescribing information for semaglutide lists a boxed warning for thyroid C-cell tumors and contraindicates treatment for anyone with a personal or family history of medullary thyroid carcinoma or MEN 2. It also advises discontinuing treatment if pregnancy occurs.
Results vary: Clinical-trial averages do not predict individual outcomes, and responses differ from person to person.
Maintenance matters: Longer-term planning is important because participants regained about two-thirds of their lost weight within a year of stopping semaglutide in the STEP 1 extension.

Frequently Asked Questions

The best fit depends on your needs, but look for physician oversight, appropriate testing, and clear guidance on side effects. At Sikora Integrative Medicine, care is overseen by Dr. Alita Sikora, MD, and supported by a credentialed medical team.

It depends on what's driving the weight. If appetite is the main issue, a GLP-1 is often the starting point. If you'd rather avoid one, peptides may fit. If diet and exercise haven't worked and you don't know why, testing comes first.

It varies with your starting weight, habits, and how your body responds. In the STEP 1 trial, adults taking semaglutide 2.4 mg with lifestyle changes lost an average of 14.9% of body weight over 68 weeks. Not everyone responds the same way.

Progress varies by program and individual factors such as diet, activity, and hormone balance. We focus on sustainable, long-term results rather than rapid weight loss.

Nausea, vomiting, diarrhea, and constipation are most common and usually improve as your dose is adjusted. Gallbladder problems and pancreatitis are less common. These medications also carry an FDA boxed warning for a rare thyroid cancer, which we check against your history before prescribing.

Each program is medically supervised, and your provider assesses suitability based on your health history and labs before starting. Every medication carries possible side effects, which we review with you beforehand.

Not necessarily, but weight often returns after stopping. Some patients continue long-term maintenance, while others taper with support from changes in nutrition and activity. We plan for that from the start.

Cost depends on the program, the medication, the dose, and whether lab testing is included. You'll receive pricing at your consultation.

Begin Medical Weight Loss Care

Weight that has not responded to diet and exercise may involve factors worth evaluating. At Sikora Integrative Medicine, we review your history, relevant labs, and goals before recommending a weight loss approach.

Contact our Vero Beach team to discuss which program may fit your needs and what treatment could involve. Most weight loss services are self-pay, and financing through M Lend Financial is available to spread the cost over time.