If you live in Port St. Lucie and you've been searching for a telehealth weight loss consultation, you may be wondering what actually happens on that first call. Will it feel rushed? What will you be asked? Do you have to commit to anything? This guide walks through the process step by step so you know what to expect before you book.
I'm Amanda Walrath, APRN, FNP-BC, a Florida-licensed, board-certified family nurse practitioner and the founder of Nuvo Wellness and Health. I've worked in clinical practice for 17 years. I started Nuvo after my own weight-loss struggle after having kids, and I've taken the same medication I offer, so I know how much courage it can take to ask for help. My goal with every consultation is simple: give you honest information and a safe plan, whether or not medication turns out to be the right fit.
Why telehealth works well for Port St. Lucie families
Port St. Lucie is full of busy people: parents juggling school pickups, commuters heading up and down I-95, and professionals who can't easily take a morning off for an appointment. Telehealth removes a lot of that friction.
–No drive, no waiting room. You meet with me by secure video from home, work or your parked car.
–Flexible scheduling. Nuvo's hours are Monday through Friday 9 to 5 and Saturday 10 to 2.
–Florida-only care. Nuvo is based in Stuart, just south in neighboring Martin County, and serves patients across Florida, including Port St. Lucie and the rest of St. Lucie County.
–Follow-up when you need it. Check-ins happen by telehealth whenever questions come up or at refill time.
Telehealth is not a shortcut around a real medical evaluation. A good virtual visit should be just as thorough as an in-office visit for this type of care, and it should end with a clear answer about whether treatment is appropriate for you.
Before your consultation: what to have ready
A little preparation makes the visit more productive. Before your call, gather:
1.A list of all current medications, vitamins and supplements, with doses if you know them.
2.Your medical history, including past surgeries and any chronic conditions such as diabetes, thyroid disease, gallbladder problems or kidney issues.
3.Family medical history, especially any history of thyroid cancer.
4.Recent lab results, if you have them. They're helpful but not always required for the first conversation.
5.Your goals and your history with weight loss: what you've tried, what worked and what didn't.
6.Your questions. Write them down so nothing gets forgotten.
Find a quiet, private spot with a good internet connection. If you're comfortable sharing your current weight and height, have those handy too.
During the consultation: what we'll cover
The complimentary initial consultation is a conversation, not a sales pitch. Here's what we typically discuss:
–Your health history. I'll ask about current conditions, medications and past experiences with weight-loss medications.
–Safety screening. Some health histories mean GLP-1 medications are not appropriate or need extra caution. We'll go through those carefully.
–Your goals and daily life. Eating patterns, sleep, stress, activity and schedule all shape a realistic plan.
–Treatment options. If medication may be appropriate, we'll talk about compounded semaglutide and compounded tirzepatide, how each works, and how dosing usually starts low and increases gradually.
–Costs. Nuvo is cash-pay with no monthly membership. Pricing is $400 per fill, which includes the consultation, shipping, supplies and follow-up.
–Your questions. There are no silly ones.
Compounded semaglutide and compounded tirzepatide are not FDA-approved, and they are not the same as, equivalent to, or generic versions of Ozempic, Wegovy, Mounjaro or Zepbound. Whether any medication is appropriate for you is decided only after a clinical evaluation.
Who may not be a good candidate
Part of my job is telling people when a medication isn't safe for them. GLP-1 and GLP-1/GIP medications are generally not appropriate for people with a personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), or for anyone who is pregnant, trying to become pregnant or breastfeeding.
A history of pancreatitis, gallbladder disease, kidney problems, diabetic eye disease, or use of insulin or other diabetes medications that can lower blood sugar all need a careful conversation with your provider before starting. Be open about everything on your list, including supplements. That information shapes whether treatment is safe and how it's managed.
If medication isn't the right choice, I'll tell you directly and talk through other options or next steps with your primary care provider.
After the consultation: if treatment is appropriate
If we decide together that treatment makes sense and you choose to move forward, here's how it works:
1.Your prescription is sent to Hallandale Pharmacy, the licensed compounding pharmacy Nuvo works with.
2.Your medication ships overnight, cold-packed, by FedEx directly to your door in Port St. Lucie or wherever you are in Florida.
3.Refrigerate it as soon as it arrives.
4.You'll self-inject once a week. I'll walk you through dosing and injection technique so you feel confident before your first dose.
5.We follow up by telehealth whenever you need to and at each refill to review how you're feeling, any side effects and whether your dose should change.
What the first weeks can feel like
Everyone responds differently, and individual results vary. The most common side effects with these medications are digestive: nausea, decreased appetite, constipation, diarrhea, heartburn or vomiting. They're often most noticeable when starting or after a dose increase, which is one reason dosing starts low.
Eating smaller portions, eating slowly, stopping when you feel full, prioritizing protein and drinking enough fluids can help. Let your provider know if side effects are making it hard to eat or drink, because dehydration can affect your kidneys.
Seek urgent medical care for severe or persistent abdominal pain (with or without vomiting), signs of dehydration, pain in your upper right abdomen or yellowing skin or eyes, a lump or swelling in your neck, trouble swallowing, or signs of an allergic reaction such as swelling of the face or throat or trouble breathing.
How to get started with Nuvo
Getting started is simple, and the first step costs nothing:
1.Book your complimentary initial consultation at nuvowellnessandhealth.com, or call or text (772) 210-4649.
2.Meet with me by telehealth for a clinical evaluation and an honest conversation about your goals.
3.If treatment is appropriate, your medication is prescribed and shipped to your door.
4.Ongoing follow-up by telehealth whenever you need it or at refill.
You can also email nuvowellnessandhealth@gmail.com with questions before you book. There's no monthly membership and no pressure to commit on the first call.
Do I have to live in Port St. Lucie to use Nuvo?
No. Nuvo Wellness and Health is a Florida-only telehealth practice based in Stuart that serves adults throughout Florida. You need to be located in Florida for your visits.
Is the initial consultation really free?
Yes. The initial consultation is complimentary. If treatment is appropriate and you choose to start, care is cash-pay at $400 per fill, which includes the consultation, shipping, supplies and follow-up. There is no monthly membership.
Will I definitely get a prescription?
No. A prescription is issued only if a clinical evaluation shows treatment is appropriate and safe for you. Some people are not good candidates, and that's an important part of the conversation.
How long until I see results?
Individual results vary. Response depends on your health, dose, nutrition, activity and many other factors. We'll focus on steady, sustainable progress and on how you're feeling at each follow-up.
What if I have side effects after I start?
Contact Nuvo by phone or text at (772) 210-4649 during business hours, and we can schedule a telehealth follow-up. For severe symptoms, or anything that feels urgent, seek urgent or emergency care right away.
This article is for educational purposes and is not medical advice. Compounded medications are not FDA-approved. Prescriptions are issued only after a medical evaluation determines treatment is appropriate. Individual results vary.
