We find the cause first
Insulin resistance, hypothyroidism, PCOS, sleep apnea, medication side effects, and chronic under-eating all look identical on a scale. They are not treated the same way. Labs come before any prescription.
Los Angeles · Telemedicine · Board-Certified Physician
Medical weight loss in Los Angeles.
Physician-led weight loss from a board-certified internal medicine doctor — real lab work, a diagnosis before a prescription, and follow-up that keeps going after the first month. Seen entirely by secure video, anywhere in California.
Why It Usually Fails
Most LA weight loss is a transaction.
You fill out a form, someone sends a prescription, and the relationship ends there. Nobody checks your fasting insulin, nobody notices your thyroid is drifting, nobody asks whether the 20 pounds you lost came from fat or from muscle. That is why so many people lose weight in Los Angeles and put it back on within a year.
Elios Wellness is built the opposite way: a small concierge panel, one physician, and a plan that treats the metabolic reason the weight is there in the first place.
How We Practice
Four things we do differently.
None of this is exotic medicine. It is standard internal medicine applied with enough time to actually do it properly.
Muscle is protected, not sacrificed
Rapid weight loss without adequate protein and resistance training costs you lean mass, which lowers your metabolic rate and sets up the regain. Every plan includes a protein target and a strength floor.
Medication is a tool, not the plan
GLP-1 therapy works. It works far better and holds far longer when it sits inside a real metabolic plan with a physician watching your labs.
You keep the same doctor
Concierge means a small panel, direct messaging, and continuity. You are not re-explaining your history to a new clinician every refill.
What's Included
Membership, plainly.
$500 for the first month — which includes your comprehensive initial consultation — then $250/month. That covers your physician visits, direct messaging between visits, lab review, dose management if you are on medication, and the nutrition and training guidance around it. Labs and medication are billed separately, and we go through your real options before anything is ordered.
Want the detail? See exactly what membership includes →
Medication Options
If a GLP-1 is right for you.
We prescribe when the clinical picture supports it — and we manage it closely afterward.
Semaglutide
Ozempic and Wegovy. The longest real-world track record with strong cardiovascular outcome data. Semaglutide in Los Angeles →
Tirzepatide
Mounjaro and Zepbound. Larger average weight loss in head-to-head trials, often preferred when insulin resistance is pronounced. Tirzepatide in Los Angeles →
No medication at all
Plenty of members do this without a GLP-1. Correcting sleep, protein, training, and an untreated metabolic problem moves the needle more than people expect. Our approach →
Service Area
Anywhere in California, from LA.
Elios Wellness is based in Los Angeles and sees patients by secure telemedicine across the state — including Beverly Hills, Santa Monica, West Hollywood, Culver City, Pasadena, Downtown LA, Sherman Oaks, Manhattan Beach, Glendale, and Long Beach, as well as San Diego, the Bay Area, Sacramento, and the Central Valley.
Common Questions
Weight loss care in LA, answered.
A medical weight loss physician treats weight as a metabolic condition, not a willpower problem. That means a full history, lab work (A1c, fasting insulin, lipids, thyroid, liver and kidney function), a diagnosis of what is actually driving the weight, and a plan that may include nutrition, resistance training, sleep and stress work, and medication when it is clinically appropriate. At Elios Wellness, that plan is built and managed directly by Dr. Nicolas Maalouf, DO, a board-certified internal medicine physician.
Most LA weight loss clinics are built around volume: a short intake, a prescription, and a refill schedule. You rarely see the same clinician twice and often never see a physician at all. Elios is a concierge practice with a limited panel — you work with one doctor, you can message him directly, and your labs are actually reviewed with you.
At Elios Wellness it is $500 for the first month, which includes the comprehensive initial consultation, then $250/month. That covers your physician visits, direct messaging, dose management, and ongoing monitoring. Labs and any medication are billed separately, and we walk through your realistic options before anything is prescribed.
Elios is a direct-pay concierge practice and does not bill insurance for visits. We provide superbills and documentation you can submit to your plan, and many members use HSA or FSA funds. Prescription coverage is handled through your pharmacy benefit, which is separate from membership.
No. Every visit is by secure video, and labs are drawn at a lab near you. That removes the traffic, parking, and waiting-room time that keeps most Angelenos from following through on care. Telemedicine is available to patients anywhere in California.
No. Medication is one option, not the plan itself. Some members do very well with nutrition, strength training, sleep correction, and treatment of an underlying metabolic issue. When a GLP-1 like semaglutide or tirzepatide is the right tool, it is prescribed with labs, titration, and muscle-protective nutrition around it.
Most new patients complete a free 20-minute discovery call within a few days and the full 60-minute intake within a week or two, depending on lab turnaround.
This page is general education, not medical advice, and does not create a physician-patient relationship. Prescription treatments require an individual evaluation with a licensed clinician and are not appropriate for everyone.
Also see: Concierge medicine in Los Angeles · Protein calculator · Physician-written articles