Medical weight loss, led by your doctor
Trio’s physicians prescribe and manage GLP-1 weight loss medications, including semaglutide, tirzepatide and the newer daily pills, for adults in Austin and Dallas-Fort Worth. Your doctor examines you, orders your labs, decides whether a medication fits, sets the dose and stays with you from the first week through maintenance. Visits happen in your home or by secure video.
● Board-certified Emergency Medicine physicians
● The same doctor every visit
● Your cost confirmed before you start
● No membership fee. HSA and FSA accepted
What patients tell us they want
Weight loss that matters
In the major trials, people lost about 12% to 20% of their body weight, depending on the medication.
An appetite that quiets down
These medications reduce appetite and help you feel full sooner, so healthy habits get easier to keep.
A healthier heart
The Wegovy injection is also approved to lower the risk of heart attack and stroke in people with heart disease.
One doctor, one plan
Your doctor sets the dose, protects your muscle and plans how you keep your results.
Results vary from person to person. Your doctor will tell you what to expect for you.
How it works with your doctor
One physician, from the first conversation through maintenance.
Consult
Your doctor takes your full history: your weight over time, what you have tried, your other conditions and medications, and what you want to change.
Exam and labs
A physical exam and baseline bloodwork, typically blood sugar (A1C), kidney and liver function, and cholesterol. The results shape the plan and give a starting point to measure against.
The decision
Your doctor tells you whether a medication fits, which one, and why. Sometimes the right answer is a different first step, and you will hear that too.
Starting and adjusting the dose
Every one of these medications starts low and goes up in steps. Your doctor checks in at each step and slows down if side effects need it.
Follow-up and maintenance
Regular visits to track weight, side effects and labs, and a plan for what comes after you reach your goal. The same physician throughout.
The medications we prescribe
All of these belong to the GLP-1 family. They reduce appetite, help you feel full sooner and improve how your body handles blood sugar. Which one fits depends on your health history, whether you prefer a weekly injection or a daily pill, and what your coverage or budget allows.
Tirzepatide
average body weight lost over 72 weeks, head-to-head trial
Weekly injection (brand name Zepbound). Works on two hormone pathways, GLP-1 and GIP. In the only head-to-head trial, people on tirzepatide lost about 20% of their body weight over 72 weeks, compared with about 14% on semaglutide.1
Semaglutide
average loss on the injection in the same trial
Weekly injection (Wegovy) or a daily pill (the Wegovy pill, approved December 2025). The injection is also approved to lower the risk of heart attack and stroke in people with heart disease.2 The pill is taken each morning on an empty stomach with a small sip of water, then nothing else for 30 minutes.3
Orforglipron
average loss over 72 weeks, highest dose
Daily pill (Foundayo, approved April 2026). Taken any time of day, with or without food. People in its main trial lost about 12% of their body weight over 72 weeks at the highest dose.4
A shot or a pill?
The pills average somewhat less weight loss than the weekly injections. For some people the convenience is worth it, and for others a pill is a way to hold the result after an injection has done the heavy lifting. Your doctor will walk through the tradeoff with you. For a closer look at the two injections, read Is Tirzepatide a GLP-1?
Who it is for
Your doctor decides after a consult and labs. This is the starting point for that conversation.
A good fit
- Adults with a BMI of 30 or higher
- Adults with a BMI of 27 or higher and a weight-related condition, such as high blood pressure, type 2 diabetes, high cholesterol or sleep apnea
- People who have worked on diet and exercise and want medical help to go further
What your doctor reviews with you
- Your personal and family history, including thyroid cancer (medullary thyroid cancer or MEN 2), where these medications are not used
- Pregnancy, plans to become pregnant, or breastfeeding
- Your stomach, pancreas and gallbladder history
- Type 1 diabetes
- Your history with food and eating
Looked after the whole way
Your doctor starts low, raises the dose in small steps and checks in after every change, so you feel well while the weight comes off.
We raise the dose slowly and check in after every change.
We repeat labs when your plan calls for it.
We protect muscle, not just the number on the scale: enough protein, and strength training.
Questions between visits? The line is answered 24 hours a day, and we adjust or pause a medication whenever that is right for you.
Keeping your results
your plan includes maintenance, so results last as long as the plan does
These are long-term medications, so your plan includes maintenance from the start: the dose that holds your result, the habits that keep it, and a clear decision with your doctor if you want to taper.
What it costs
You pay for your visits with your doctor, and your medication is filled separately. Its cost depends on which medication you use and how it is filled: through insurance, through a manufacturer’s self-pay program, or through a licensed pharmacy. We confirm your expected monthly cost before you start. There is no membership fee, and HSA and FSA cards are accepted.
No membership feeHSA and FSA acceptedCost confirmed before you start
Why a doctor, and not a weight loss storefront
Weight loss medication is easy to buy online. Using it well is a medical job. It means knowing your history before the first dose, catching the side effect that matters, adjusting the plan when your labs or your life change, and having one physician who knows you when you call. Every Trio physician is board certified in Emergency Medicine, and your care is directed by your doctor, not delegated.
Serving Austin and Dallas-Fort Worth
Austin
Ann Czarnik, M.D., FACEP, and Nora Demchur, M.D. In your home or by video across Austin, including Downtown, East Austin, Rosedale, Tarrytown, Zilker, Bouldin Creek, Travis Heights, Northwest Hills, Balcones Park, West Lake Hills and Rollingwood.
Dallas-Fort Worth
Kelsey English, M.D. In your home or by video across the metroplex, including Dallas, Uptown, Downtown Dallas, Deep Ellum, Highland Park, University Park, Preston Hollow, Fort Worth, Downtown Fort Worth, the Cultural District, Southlake, Westlake and Mansfield.
Questions, answered plainly
It varies by person and by medication. In the major trials, average loss ranged from about 12% of body weight on the daily pills to about 20% on weekly tirzepatide, over about 15 to 17 months. Your doctor will give you an honest expectation after your consult and labs.
Not necessarily, but most people regain weight when they stop without a plan. We build maintenance into your care from the start and decide together whether to continue, lower the dose, or taper. In a large semaglutide study, people who stopped after 68 weeks regained about two-thirds of the weight they had lost within a year.5
Weekly injections produce more weight loss on average. Daily pills avoid needles, and one of them has no food or water rules. Your doctor will recommend one based on your goals, your health history and your preference.
Coverage for weight loss medication varies widely by plan. We will help you check, and if it is not covered, we confirm your self-pay cost before you start.
No. Compounded medications are not FDA-approved. If one is part of your plan, we tell you that plainly, explain why it fits you, and use a licensed US pharmacy.
No. Trio has no waiting room. Your doctor sees you in your home or by secure video, and labs are arranged for you.
The most common side effects are nausea, constipation, diarrhea and vomiting, mostly in the first weeks and after each dose increase, and they usually ease as your body adjusts. Less common but more serious risks include pancreatitis, gallbladder problems, dehydration that strains the kidneys, and low blood sugar in people who also take insulin or certain diabetes pills. Tirzepatide and semaglutide carry an FDA boxed warning about thyroid C-cell tumors, and these medications are not used in people with a personal or family history of medullary thyroid cancer or MEN 2. They are also not used during pregnancy or breastfeeding, in type 1 diabetes, or with a history of pancreatitis or severe stomach emptying problems, and a current or past eating disorder needs a careful conversation first. Your doctor reviews your history before the first dose and checks in after every change.4,6
This page is general information, not medical advice for your situation. A Trio physician decides whether a medication is right for you after a consult.
Where these numbers come from
- Aronne LJ, et al. Tirzepatide as Compared with Semaglutide for the Treatment of Obesity (SURMOUNT-5). New England Journal of Medicine, 2025. nejm.org
- U.S. Food and Drug Administration. FDA approves first treatment to reduce risk of serious heart problems specifically in adults with obesity or overweight, March 2024. fda.gov
- Novo Nordisk. Wegovy pill approved in the US, December 22, 2025, and Wegovy pill instructions for use. novonordisk.com
- Foundayo (orforglipron) prescribing information, U.S. Food and Drug Administration, 2026. accessdata.fda.gov
- Wilding JPH, et al. Weight regain and cardiometabolic effects after withdrawal of semaglutide: the STEP 1 trial extension. Diabetes, Obesity and Metabolism, 2022. doi.org
- Zepbound (tirzepatide) prescribing information, U.S. Food and Drug Administration. accessdata.fda.gov