Services · Medical Weight Loss
Lasting weight loss is metabolic, not willpower. We test what’s really going on and build a physician-guided plan around it — starting with an initial appointment.
True You offers physician-supervised medical weight loss at 904 Princess Anne St, Suite 207, in downtown Fredericksburg, Virginia. Care starts with a 60-minute appointment and lab work. Depending on what the results show, your plan can include nutrition and strength guidance, treatment of a thyroid, insulin or hormone problem, and prescription medication from the GLP-1 family when it is appropriate for you.
We are a cash-based practice and do not bill insurance. The cost of your plan is individualized and is explained at your consultation, before you commit to anything.
True weight loss is about hormones, metabolism, and the root causes that diets ignore. At True You, we start with advanced metabolic and hormone testing, then design a medically supervised plan that may include modern medications, nutrition, and ongoing coaching.
You’re guided by a physician the whole way — with the testing and accountability that make results stick.
How it works
A physician-guided path — not a one-size protocol.
Step 1
We talk through your history, goals, and what’s held results back before.
Step 2
Advanced labs — thyroid, insulin, cortisol, sex hormones — to find the real drivers.
Step 3
A medically supervised plan that may include modern medications (GLP-1), nutrition, and coaching.
Step 4
Regular check-ins so progress doesn’t stall and the results actually last.
What’s included
If you’ve lost the same weight more than once, the problem was probably never effort. Weight is regulated by hormones and metabolism: insulin, thyroid, cortisol, estrogen, and testosterone all influence appetite, where you store fat, and how much energy you burn. When one of them is off, cutting calories alone tends to stall — or backfire.
Medical weight loss starts by finding those drivers. Instead of handing you a generic meal plan, a physician looks at your labs, history, sleep, stress, and medications, then builds a plan that works with your biology. That can mean nutrition changes you can actually live with, strength work to protect muscle, treatment of an underlying hormone or metabolic problem, and modern medications when they’re clinically appropriate.
These are the drivers we test for and address — often more than one at a time.
High insulin makes fat easier to store and harder to burn — especially around the middle.
Learn moreLow or poorly converted thyroid hormone can slow metabolism and drain energy.
Learn morePerimenopause, menopause, and low testosterone can change body composition fast.
Learn moreShort sleep and chronic stress raise cortisol and appetite and blunt willpower.
Less lean mass means a lower metabolic rate — a common reason weight returns.
Not “eating less,” but what, when, and how much protein and fiber you get.
GLP-1 medications have changed what’s possible in weight loss. They work on appetite and blood-sugar signaling, which can make it easier to eat less without constant hunger. For the right patient, they can be a meaningful part of a plan.
They aren’t right for everyone, and they work best inside a broader program. Before prescribing, Dr. Hoff reviews your history, labs, and goals to decide whether a GLP-1 is appropriate. If it is, we monitor how you respond, watch for side effects, and pair it with nutrition and strength work so you lose fat — not just muscle. We also plan for the long term from the start, so you have a strategy for maintaining results rather than starting over.
Who it’s for
Your first visit and lab work happen in person at our downtown Fredericksburg office at 904 Princess Anne St, so Dr. Hoff can get the full picture. After that, many check-ins can be handled virtually — which makes regular follow-up realistic for patients from Stafford, Spotsylvania, King George, and beyond.
True You is cash-based, so your visits aren’t cut short by insurance rules, and we walk through program costs openly at your consultation.
Fast weight loss can take muscle with it, and losing muscle lowers the number of calories your body burns at rest. That’s one reason weight so often comes back. Your plan includes enough protein, strength training matched to your starting point, and regular check-ins on how your body is changing — not just the number on the scale — so the weight you lose is mostly fat and the results hold.
Two medications come up most often when people ask us about weight-loss injections and pills. Each is a medication, not a supplement, and each is used only after Dr. Hoff has reviewed your history and labs, never as an over-the-counter purchase.
Semaglutide is a GLP-1 receptor agonist. It slows stomach emptying and acts on appetite signals, which for many people means feeling full sooner and thinking about food less. FDA-approved products containing semaglutide exist for type 2 diabetes and for chronic weight management.
Tirzepatide acts on two receptors, GIP and GLP-1. FDA-approved products containing tirzepatide also exist for type 2 diabetes and for chronic weight management in adults with obesity, or with overweight and a weight-related condition.
Results in the clinical trials behind these medications varied widely from person to person. We cannot promise any outcome, and we do not prescribe on the basis of what a friend or a social media post achieved.
Some medications in this class are sold as FDA-approved brand products. Others are prepared by compounding pharmacies. The FDA does not review compounded drugs for safety, effectiveness or quality before they are marketed, and the rules about when compounding is allowed have changed more than once as shortages came and went.
Before you start anything here, Dr. Hoff will tell you which form he is recommending, where it comes from, and why. If you are comparing clinics, ask each of them the same question and expect the same clear answer.
Before any medication
Who it may not suit
The most common side effects of semaglutide and tirzepatide are nausea, vomiting, diarrhea, constipation, abdominal discomfort and reflux. They tend to be worst when a dose is started or raised, which is why doses go up in steps. Less common but more serious problems include pancreatitis, gallbladder disease, dehydration that strains the kidneys, and allergic reactions. Both drugs carry an FDA boxed warning about thyroid C-cell tumors seen in animal studies.
At each check-in we ask about what you are feeling, review your weight, waist and blood pressure, and look at labs on a schedule suited to your plan. If something is wrong, we change the dose, stop the medication, or refer you to another physician.
How it works
The first visit is in person. Many later visits can be virtual.
Step 1
History, goals, medications, what has and has not worked. Dr. Hoff decides with you which tests to order.
Step 2
Blood work at our Fredericksburg office, matched to your story.
Step 3
Dr. Hoff explains what the numbers show and lays out options with their benefits and risks. A medication is one option, not an assumption.
Step 4
If medication is part of your plan, it begins at a low dose and rises in steps while we track how you feel.
Step 5
Protein targets and strength work are part of the plan so the weight you lose is mostly fat.
Step 6
We talk about maintenance, and about what happens if you stop a medication, from the start rather than at the end.
The honest answer is that it depends, and any clinic that quotes a single number before an evaluation is guessing. Your cost is the sum of the visits and lab work that fit your case and, if one is part of your plan, the medication and its dose. Those differ from person to person.
True You is cash-based, so there is no insurance billing and no surprise statement later. We explain the cost of your plan at your consultation, before you start. If you want to know what applies to your situation, call (540) 701-0407 and ask.
We cannot tell you whether your health plan or a health savings account will reimburse any part of your care. That depends on your plan, so ask your plan administrator.
There are several places to get medical weight loss in the Fredericksburg area, from hospital-based programs to independent practices. The right one is the one you trust with your health, so it helps to ask the same questions of each:
Who prescribes, and do you see them? Ask whether a physician evaluates you and follows your care, or whether you mostly see someone else. Are labs done first? Weight gain from thyroid, insulin or hormones needs different treatment. What exactly is the medication? Ask for the drug, the dose, whether it is an FDA-approved brand or compounded, and where it comes from. How are you monitored? What is the plan when you stop? What is the total cost, including visits, labs and medication?
True You answers all of these directly at the consultation. We are a good fit for people who want a physician, a long first visit and a plan built from their labs. We are not the right fit for someone who wants a prescription without an evaluation.
Weight loss works best when follow-up is realistic. Patients drive in from around the region for the first visit and labs, and keep up the rest from home.
Our office is at 904 Princess Anne St, Suite 207, in downtown Fredericksburg, open Monday through Friday, 9:00 am to 5:00 pm. We serve patients in Fredericksburg, Falmouth and Stafford, Spotsylvania Courthouse and the rest of Spotsylvania County, Locust Grove, Lake of the Woods and Orange, and King George. The first visit and lab work are in person; many follow-ups can be done by video. Book an appointment or call (540) 701-0407.
Weight and hormones are connected. See insulin resistance, thyroid and Hashimoto’s, menopause and perimenopause and hormone therapy.
More at True You
Weight loss often works best alongside the rest of your health.
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Read articlePatient reviews
Rated 4.7 from 46 Google reviews
“The people at True You helped save my life . They have been so supportive from the very first call. Dr. Hoff found the underlying issue that was affecting my health. I had bounced from one primary care office to another and from specialist to specialist, wasting money on copays along the way! I walked into their office with genuine concern about where my health was headed and what the rest of my life would look like. I now feel better than I have in over 20 years! I take any health concern to Dr. Hoff first. My biggest concern used to be whether I would be able to live well enough to remain an active part of my family. Now, my only concern is whether they can keep up with me! Thank you, Dr. Hoff and Tina Hoff! Not only will I get to enjoy watching my grandkids grow up, but I'll also be able to get around and chase them down, too! God bless you both!”
“Dr Hoff goes above and beyond to listen to you and respond with a program that can truly change your life. He’s very down to earth, easy to talk to, a wealth of knowledge, and genuinely cares about improving your life experience. I wish I would’ve found him and his staff sooner. I would give six stars if it were possible, thank you!”
“Dr. Hoff has truly changed my life in less than six months. I went from waking up every morning feeling miserable and constantly bloated to now feeling healthy, energized, and excited to take on each new day and experience life again. More importantly, I genuinely believe he is helping save my life in the long run by focusing not only on treating symptoms, but on improving my overall health and quality of life. Dr. Hoff is exceptionally knowledgeable and highly skilled in his field, but what truly sets him apart is the genuine care and compassion he shows his patients — something that has become far too rare in healthcare today. I’m also incredibly grateful for the entire staff and everyone there for creating an environment where patients feel heard, supported, cared for, and truly valued.”
Reviews shown as published on our Google Business Profile.
