A full metabolic workup
A1c, fasting insulin, lipids, thyroid, liver and kidney function — reviewed with you, not emailed as a PDF.
All of California · Telemedicine · Board-Certified Physician
Tirzepatide online, with a real doctor.
Concierge medical weight loss from Dr. Nicolas Maalouf, DO — board-certified internal medicine, licensed in California, seeing patients anywhere in California by secure video. Labs first, medication only when it is the right tool, and a physician who stays with you.
Why Patients Switch
Most programs sell a prescription. This is medicine.
A questionnaire and a shipped pen is not a metabolic evaluation. Elios runs full labs, names the reason the weight is there — insulin resistance, thyroid, PCOS, sleep apnea, medication effects, chronic under-eating — and treats that, with or without a GLP-1.
Serving Los Angeles, San Diego, San Francisco, San Jose, Sacramento, Orange County, Fresno, Santa Barbara, and Palm Springs — and everywhere else in California.
What's Included
Four things that change the outcome.
Standard internal medicine, applied with enough time to do it properly.
GLP-1 therapy when it fits
Semaglutide or tirzepatide with proper titration and monitoring. Zepbound vs. Wegovy →
Nutrition that protects muscle
Protein and fiber targets built for appetite suppression. Fiber calculator →
An actual relationship
Same physician every visit, direct messaging in between, and a plan that keeps getting refined.
Pricing
Membership, plainly.
$500 for the first month — including your comprehensive initial consultation — then $250/month. Labs and medication are billed separately, and we go through realistic costs before anything is ordered. See everything included →
Common Questions
Questions about online GLP-1 care.
Yes. Elios Wellness is a California-licensed telemedicine practice. After a video evaluation and labs drawn near you, Dr. Maalouf can prescribe tirzepatide or semaglutide anywhere in California when it is clinically appropriate.
Yes, when it is clinically appropriate. Dr. Nicolas Maalouf, DO, prescribes semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) after a full metabolic evaluation, then manages titration and monitoring. Prescriptions go to the California pharmacy you choose.
$500 for the first month, which includes the comprehensive initial consultation, then $250 per month. Physician visits, direct messaging, lab interpretation, and dose management are included. Labs and medication are billed separately.
No — Elios is a direct-pay concierge practice. Superbills are provided for reimbursement, HSA and FSA funds generally apply, and medication coverage runs through your pharmacy benefit.
That is a normal goal and it is planned for. Protein intake, resistance training, sleep, and treatment of the underlying metabolic problem are what make tapering possible. Some members never start a GLP-1 at all.
A free 20-minute discovery call is usually available within a few days, with the full 60-minute intake within a week or two.
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: Medical weight loss in Los Angeles · Tirzepatide in Los Angeles · Weight loss doctor in Orange County · Calorie deficit calculator