Medical Weight Management in Mukilteo, WA

What Is Medical Weight Management?

Medical weight management is a comprehensive, evidence-based approach to weight loss and metabolic health that addresses the underlying physiologic drivers of weight gain, including hormones, insulin resistance, appetite regulation, lifestyle factors, sleep, stress, and genetics. Many individuals struggle with weight despite consistent efforts with diet and exercise alone. A medical approach supports safer, more sustainable outcomes.

Comprehensive Metabolic Evaluation

At Hagen Health & Absolute Aesthetics, weight management care is led by Elizabeth Hagen, DNP, ARNP, AGPCNP-BC, an experienced nurse practitioner with advanced training in adult primary care and metabolic health. Care begins with a thorough clinical assessment, including review of weight history, prior treatments, medications, labs, and contributing factors such as insulin resistance, PCOS, thyroid function, perimenopause or menopause, sleep quality, and cardiometabolic risk factors. This comprehensive evaluation allows for a truly personalized treatment plan.

Personalized Treatment Options

When clinically appropriate, Elizabeth offers evidence-based medical weight management strategies that may include GLP-1 and GIP-based medications (Tirzepatide), individualized nutrition guidance, behavior-change strategies, and practical lifestyle interventions. Treatment plans are tailored to your physiology, preferences, and goals, with ongoing monitoring to optimize results while prioritizing safety, tolerability, and long-term metabolic health.

Ongoing Support & Long-Term Weight Maintenance

Sustainable weight loss requires more than short-term intervention. Regular follow-up visits allow for medication titration, monitoring of metabolic markers, and continued support with habit formation, nutrition strategies, and maintenance planning to help prevent weight regain. The focus is on durable, health-centered outcomes rather than rapid, unsustainable weight loss.

Get Started with Medical Weight Management

Whether your goal is weight loss, improved metabolic health, or long-term weight maintenance, you’ll receive patient-centered, medically supervised care tailored to your needs. Contact us today at our Mukilteo, WA office to schedule a personalized consultation with Elizabeth Hagen, DNP, ARNP, AGPCNP-BC, to begin a personalized medical weight management plan in Mukilteo, WA.

Weight Management – Frequently Asked Questions (FAQ)

What is medical weight management?

Medical weight management is an evidence-based, clinician-supervised approach to weight loss and metabolic health. It addresses underlying contributors to weight gain—such as hormones, insulin resistance, appetite regulation, sleep, stress, and lifestyle factors—rather than relying on diet and exercise alone.

Who is a candidate for medical weight management?

Adults who struggle with weight despite lifestyle efforts, have weight-related health concerns, or experience metabolic challenges (such as insulin resistance, PCOS, or perimenopausal weight gain) may be candidates. Candidacy is determined through a comprehensive clinical evaluation.

Do you prescribe GLP-1 or GIP medications (e.g., semaglutide, tirzepatide)?

When clinically appropriate, GLP-1 and/or GIP-based medications may be included as part of a comprehensive treatment plan. These medications are not appropriate for everyone and are prescribed based on medical history, risk factors, and individualized treatment goals.

How much weight can I expect to lose?

Results vary based on individual factors, adherence to the treatment plan, and the therapies used. Many patients experience gradual, sustainable weight loss over time. We focus on realistic goals and long-term metabolic health rather than rapid or extreme weight loss.

How long does it take to see results?

Some patients notice changes in appetite and early weight loss within the first several weeks of treatment, while more significant and sustained results develop over months. Progress is monitored regularly, and treatment plans are adjusted as needed.

Is medication required for weight management?

No. Medication is one tool among several. Some patients achieve meaningful progress with nutrition guidance, behavioral strategies, and lifestyle interventions alone. Medication is considered when clinically appropriate and aligned with patient preferences and goals.

What does the initial evaluation include?

The initial evaluation includes a review of weight history, prior weight-loss efforts, current medications, relevant medical conditions, and contributing factors such as sleep quality, stress, hormonal changes, and metabolic health. Labs may be reviewed or ordered when indicated.

How often will I need follow-up visits?

Follow-up frequency varies depending on the stage of treatment and whether medication is used. Visits are typically more frequent during initiation or dose adjustments and may become less frequent once a stable, effective plan is established.

What happens after I reach my weight goal?

Long-term success focuses on maintenance. Ongoing support may include lifestyle strategies, nutritional guidance, and, when appropriate, maintenance dosing or adjustments to help prevent weight regain and support long-term metabolic health.