Weight Loss and Weight Management Coach

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Break Free From The Weight Loss Journey Cycle

Are you tired of losing weight only to gain it back? Have you tried multiple diet plans with little to no success? At SPOKEmed, we understand your frustration. Most of our clients come to us after years of struggling with their weight, feeling stuck in a cycle that seems impossible to break.

Our comprehensive weight-loss program combines medical expertise with personalized support to help you lose weight and keep it off for good. We focus on creating sustainable weight loss through healthy habits that fit your lifestyle, addressing the root causes of weight gain rather than just treating symptoms.

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At SPOKEmed, we don't believe in quick fixes or one-size-fits-all solutions. We take the time to listen to your unique challenges and come up with a plan that works for your body composition and lifestyle.

What makes our approach different:
  • Root Cause Focus: We identify underlying factors contributing to your weight-loss goals, from hormonal imbalances to gut health issues
  • Comprehensive Care: Combining medical interventions with nutritional guidance and accountability coaching for lasting results
  • Personalized Support: Direct access to Michelle Middleton, Certified Physician Assistant (PA-C), your weight loss coach throughout your journey
  • Evidence-Based Methods: Using scientifically-proven approaches that address both physical and behavior change aspects of weight management

Our clients don't just lose weight —they gain energy, improve their sleep, stabilize their moods, and often reduce or eliminate medications for conditions like high blood pressure and diabetes.

A Different Approach To Nutrition And Fitness

The Four Pillars of
Health Needs

Balanced, individualized, high-protein meal plans that stabilize blood sugar and reduce inflammation.

Nutrition

Activity recommendations tailored to your current fitness level and performance goals and habits to create consistency

Exercise

Techniques to reduce cortisol and emotional eating triggers.

Stress Management

Strategies to improve sleep quality, which directly impacts weight, hormonal balance and metabolism.

Sleep Optimization

Our Weight-Loss Program Solutions

We offer several effective approaches to weight management, often combining multiple strategies for optimal results. During your consultation, we'll determine the best options suited to your unique goals and help you find the best path forward.




Our medical weight management program utilizes the latest advancements in weight loss medications, including GLP-1 medications. These innovative treatments help regulate blood sugar, increase feelings of fullness, and reduce cravings.

Unlike older weight loss medications, GLP-1s are not stimulants, so they don't cause anxiety, increased heart rate, or sleep disruption. They work by:
  • Slowing digestion so you feel full (satiety) and stay on track with your nutrition plan
  • Regulating blood sugar levels to prevent cravings
  • Working with your brain's reward center to improve your relationship with food
  • Supporting sustainable weight loss without the side effects of traditional weight loss medications

Before prescribing any medication, we conduct a thorough assessment to ensure you're a suitable candidate and develop a plan to minimize potential side effects.

Medical Weight Management

Good nutrition is essential for successful weight management and overall health and wellness.

Our nutritional support program includes:
  • High-protein, low-glycemic meal options that stabilize blood sugar
  • Easy grab-and-go meals for busy lifestyles
  • Fiber-rich foods that promote healthy eating habits, gut health and satiety (feeling full)
  • Nutritional guidance to help you make better food and nutrition choices

Our meal replacement options provide up to 80% of your daily meals, allowing you to focus on preparing just 1-3 meals per day. This approach helps you develop healthy habits while making the weight loss journey convenient and sustainable. You will learn how to provide a healthy meal for yourself and your family.

Nutritional Guidance & Meal Replacement Options

[Learn more about Michelle]

Your Expert Weight Loss Accountability Coach

Michelle Middleton, PA-C, combines medical expertise with nutrition and lifestyle knowledge to help you achieve your health goals. Unlike working with just a registered dietitian, Michelle's approach as a Physician Assistant addresses the complex factors affecting your ability to lose weight without struggling.
Her specialized training allows her to customize programs that top nutrition coaching can help enhance but rarely match. Michelle's medical background as a physician assistant provides the expertise to help guide and support your weight management journey.

michelle middleton, PA-C
Founder, Spokemed

Changing eating habits is challenging—that's why our health and wellness coaching services are so valuable.

When you work with SPOKEmed, you receive:
  • Frequent communication during the critical first weeks
  • Almost daily support in the beginning, tapering to weekly check-ins
  • 10-minute weekly accountability sessions
  • Strategies to overcome emotional eating and food triggers
  • Guidance for navigating social situations and holidays
  • Support for developing a better relationship with food

Our clients tell us that having someone helping them every step of the way makes all the difference in their success. Michelle offers direct access via text or call between appointments so you're never alone on your journey.





Reach Your Goals With Health Coaching

Boost Your Weight Loss with Targeted Supplements & Peptides

What it is: A fat-burning injection with amino acids and a powerful blend of B vitamins.

What it does: Boosts metabolism, supports liver detox, burns fat more efficiently, and increases energy.

Why it matters: Ideal for anyone on a weight loss journey or looking to improve energy and fat metabolism.

What it is: A powerful coenzyme found in every cell in your body.

What it does: Boosts energy, sharpens your brain, supports cellular repair, and slows down aging at the cellular level.

Why it matters: Perfect for anyone feeling fatigued, foggy, or looking to optimize longevity and performance.

What it is: Your body’s master antioxidant.

What it does: Detoxifies the liver, fights inflammation, supports immune health, and helps brighten skin.

Why it matters: Think of it as your body’s internal cleaning crew — especially helpful if you’re stressed, exposed to toxins, or just want a glow-up.

What it is: A naturally occurring peptide bound to copper that your body produces less of as you age.

What it does: Stimulates collagen and elastin, repairs skin, reduces fine lines, improves hair growth, and speeds healing.

Why it matters: Powerful for anti-aging, skin renewal, and tissue repair — ideal for anyone wanting a more youthful, radiant look without needles.

What it is: A healing peptide originally found in the gut.

What it does: Speeds up recovery from injuries, reduces inflammation, and helps repair tissues like joints, tendons, and the gut lining.

Why it matters: Trusted by athletes and high performers to heal faster and stay moving without downtime.

The SPOKEmed Difference In Weight-Loss Goals

What sets SPOKEmed apart is our commitment to your long-term success. We don't just help you lose weight—we help you transform your relationship with food, your body, and your overall health.

Our clients choose us because:
  • We provide nutritional guidance, not just prescriptions
  • We take time to listen and understand your weight-loss goals
  • We offer direct access to your weight loss coach throughout your journey
  • We focus on creating healthy and sustainable changes you can maintain for life
  • We address the root causes of weight issues, not just symptoms
  • We create tailored plans based on your lifestyle and preferences

Most importantly, we give you hope. Many of our clients come to us believing nothing will work for them, but leave feeling empowered and confident in their ability to maintain their results.


This program has helped me transform my lifestyle and shift my mindset. Not only did I lose 25lbs in just a few months, it helped control my PCOS symptoms, I got my energy back, which is huge for me since I’m a truck driver, my bloating has gone away, I don’t have brain fog as often anymore and I just flat out feel alive again. Thank you Michelle for showing me how to get my life back!

X. APONTE

The program has helped me in so many ways. It has helped me stay healthier. I have not only lost the weight I wanted but gained so much more.

M. HELBEIN

The healthy habits I have learned through Michelle Middleton and the Optavia program have improved every aspect of my life… not just maintaining my goal weight but also broadening my definition of overall healthy habits.

M. Valencia

Your Weight-Loss Journey

We'll discuss your health needs, unique goals, and challenges.

STEP 1 : Initial Consultation

STEP 2 →

Getting started with SPOKEmed is simple:

Together, we'll create a customized approach combining medical interventions (if needed) and nutritional guidance. For those who choose coaching, Michelle also provides support and accountability.

STEP 2 : Individualized Plan

STEP 3 →
Getting started with SPOKEmed is simple:

Medical consultations and regular follow-ups every three weeks, plus direct access to your health coach (if you choose coaching) between appointments.

STEP 3 : Ongoing Support

STEP 4 →
Getting started with SPOKEmed is simple:

As you progress towards your goals, we'll adjust your plan to ensure continued success and help you maintain your results.

STEP 4 : Sustainable Results

Getting started with SPOKEmed is simple:

Frequently Asked Questions

Working with a health and wellness coach can significantly enhance your weight loss journey. We provide personalized guidance, accountability, and expertise to help you reach your goals. Unlike generic diet plans, we customize our approach based on your unique needs, preferences, and lifestyle factors. Many clients find that having professional support makes the difference between temporary results and sustainable weight loss.

Our weight loss coaches have extensive experience in nutrition and health. Michelle Middleton, PA-C, has a background in medical weight management with years of experience helping our clients achieve meaningful results. In addition, Michelle draws on her personal journey with weight loss and her clinically-proven, science-based approach.
Unlike many top weight loss programs that focus solely on calorie restriction, we take a comprehensive approach that addresses the root causes of weight gain. We combine medical supervision, nutritional guidance, and behavioral support to create lasting change. Our program is similar to top nutrition coaching programs but with the added benefit of medical oversight, mindset work and prescription options when appropriate.
Yes! Our online weight loss services make it easy regardless of your location. Through telehealth, you can access the same quality care and personalized attention you'd receive in person, without the commute. This convenient approach allows you to fit appointments into your busy schedule while still receiving the guidance you need to want to lose weight effectively.
While personal training can complement our weight loss program, it's not required to see results. Many of our clients lose weight without intensive exercise, especially in the beginning stages. As you progress, we may suggest incorporating fitness coaching or specific activities that align with your goals and preferences. Our focus is on finding sustainable movement that you enjoy rather than demanding workout regimens.
No need to drive! Our online consultations take place via secure video conferencing. During these sessions, you'll discuss your progress, challenges, and goals with your coach. We'll review your food logs, discuss strategies for upcoming situations, and make adjustments to your plan as needed. Many clients find online services more convenient than in-person appointments while still providing the accountability and support needed for success.
Absolutely! Our comprehensive approach can help you achieve both modest and significant weight loss goals. Whether you want to lose 10 pounds or have more substantial goals, we customize our approach to your specific needs. We focus on creating sustainable changes that lead to long-term results rather than quick fixes that often lead to regaining weight.

Developing a better relationship with food is central to our coaching programs. We help you understand emotional eating triggers, recognize hunger and fullness cues, and find enjoyment in nutritious foods. Rather than promoting restriction or guilt, we focus on building positive associations with healthy eating. This mindset shift is often what allows clients to maintain their results long-term.
Our services are not billed through insurance. However, if you have an FSA (Flexible Spending Account) or HSA (Health Savings Account) card with a credit card logo like Visa or Master Card, you can use it to pay for services and medications.

Lab testing coverage may vary depending on your individual insurance plan—many labs will bill your insurance directly, and coverage is subject to your policy.
Online weight loss coaching provides personalized guidance, accountability, and expertise that generic diet plans simply can't offer. Our health coaches adapt strategies to your specific needs, help you navigate challenges, and provide the motivation and support needed for long-term success. Research shows that people who work with a health coach to help them lose weight are significantly more successful than those who try to do it alone.

Health Coaching

Get the accountability coach and support you need for lasting change

Gut Health & Microbiome Testing

Discover how your gut health may be affecting your weight loss efforts

Hormone Replacement Therapy

Address hormonal imbalances that can make losing weight challenging

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Ready To Transform Your Health?

Don't spend another day feeling frustrated with your weight. SPOKEmed offers the comprehensive support you need to achieve lasting results. Schedule your consultation today and take the first step toward a healthier, more energetic you.



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