Introducing Our New Programs
A Structured, Supported, Long-Term Medical Model
At Cascadia Medical, we don’t believe that weight struggles are a personal failure—or that the solution is stricter rules, packaged diet foods, or trying harder.
We know that weight and metabolic health are driven by many factors: biological, medical, and psychological, and they are deeply influenced by modern life. Our role is to level the biology playing field while building sustainable habits and systems that you can rely on in the long-run. Willpower is never part of the equation.
Our care model is intentionally designed as a step-down pathway, with clear phases of high-touch medical care and ongoing support, and a natural transition into long-term maintenance.
This is medicine built for real life, not perfect conditions, because we know that life will interrupt even the best laid plans. This understanding is baked into our structure, and we are here to meet plateaus and challenges head on.
Step 1
New Patient Consult
Start Here
The New Patient Consult is a standalone medical visit designed to give you real answers—not a sales pitch.
During this visit, we:
- Review your medical history, family history, medications, and symptoms
- Review outside lab work
- Discuss whether GLP-1 or other medications are safe and appropriate for you
- Separate fact from fiction around weight loss medications
- Create a personalized roadmap for your goals and health
You’ll leave this visit knowing:
- Whether medication, including GLP-1 therapy, is recommended for you
- What treatment options exist and which ones make sense for you
- What initial treatment steps would look like if you choose to move forward
There is no obligation to enroll in a program.
You’ll have up to 3 months to decide whether you’d like to proceed.
Step 2
Program Initiation Visit + Follow-up Appointments
3-month Core Program or 6-month Comprehensive Program
Once we have selected the best program for you, we are ready to get started. The Program Initiation Visit takes place after the New Patient Consult, depending on when you complete your lab work.
This visit officially launches your formal program and includes:
- Review of updated labs
- Integration of this data into your personalized treatment plan
- Medication education and side-effect mitigation strategies
- Optional first injection, if you already have your medication on hand
- Metabolic nutrition counseling (we answer the question, “So what should I eat?”)
- Supplement recommendations, when appropriate
- Instructions on how to access and use our dietician and lifestyle support platform, powered by Alterra Health
- Educational handouts & recipe pack to support your first month of treatment
If you are on an installment plan, your first program payment is due at this visit.
Step 3
Continued Care
Long-Term Support for Real Life
Continued Care is the natural next step after completing either the Core or Comprehensive Program. It is the place to receive ongoing medical care and support, but at a more relaxed pace that reflects the less intense nature of the next phase in your care journey.
This phase is designed to:
- Investigate plateaus for root causes and redirect treatment as needed
- Allow life to intervene without panic about the scale
- Provide a clear plan when progress slows or needs change
- Adjust medication as needed
- Walk you through gradual weaning off medication, if desired
- Protect the progress you’ve worked hard to achieve by strengthening habits and systems that will lead you to long-term success
- Provide period check-ins for problem-solving, accountability, and support
Continued Care includes:
- Clinician and support staff access via patient portal and secure two-way texting
- As-needed medical visits (typically 30 minutes; longer visits for lab review as needed)
- Ongoing prescription management in between appointments
- Prior authorization completion, as needed
- Lab ordering and interpretation as medically indicated (often 1–2 times per year)
- Continued access to our lifestyle, nutrition, and exercise platform (powered by Alterra Health), including:
- Ongoing dietitian and lifestyle coaching
- Monthly updated educational content
- Live webinars and masterclasses
- Seasonal and situation-specific resources (travel, stress, holidays, plateaus)
Investment Options
- Monthly: $150
- Annually: One-time , Get 1 month free! $1,650 – Best Value
Why Ongoing Care Matters
From a biologic standpoint, weight loss triggers a very real response called metabolic adaptation.
After weight loss:
- Hunger hormones increase = you feel hungrier
- Satiety hormones decrease = you feel less full
- Daily energy burn is reduced = weight loss stalls
This response can last 6 months to 2 years—and it’s the primary reason weight regain is so common.
This isn’t a failure on your part.
It’s what the body is designed to do. Unfortunately, this process is a maladaptive safety net that was designed hundreds of thousands of years ago during times of food scarcity. And it now works against your progress in today’s modern and calorie-abundant environment.
The struggle to maintain progress is made worse when support drops off too soon. At Cascadia Medical, we build that support in—so you’re not left navigating this phase alone.
Long-term success doesn’t come from being perfect.
It comes from following a clear process—one that accounts for biology, life, and the need for support over time.
And that’s exactly what we offer.
Moving Forward
When You're Ready
During your New Patient Consult, we’ll discuss which program is best suited to your medical needs and health goals. If you qualify for either program, we will work together to pick the option that makes the most sense for you.
If, during your New Patient Consult, you decide you’d like to move forward with a formal program, we can take the next steps right away so you’re even closer to starting treatment.
This may include:
- Ordering additional or updated lab work
- Discussing which program best suits your medical and weight loss needs
- Starting the prior authorization process to check on insurance coverage of medication
- Providing additional guidance on “What to Expect” while on a GLP-1 medication
This is how we help you get started on your treatment plan quickly and decisively. You’ve likely waited a long time to get thoughtful, medically grounded help—and once you’re ready, we are too.
Please note: The cost of any medication is separate. We will complete the prior authorization paperwork to see if your insurance covers brand name medication. If it does not, you do have options, including compounded medication from a local, trusted compounding pharmacy. We will discuss these options if needed.
If we complete a prior authorization for you with the understanding that you will enroll in a formal program, but you later decide not to, a $150 admin fee will be applied.
Cascadia Core Program
3 Months | Focused & Streamlined | Limited Eligibility
The Core Program is designed for patients with low medical complexity and modest weight loss goals.
This program may be appropriate if you:
- Have a weight loss goal of ~15 pounds or less
- Do not have prediabetes, diabetes, or PCOS
- Are generally healthy and take no or few medications
- Want medically-guided weight loss without long-term intensity
What’s included:
- Program Initiation Visit
- 3 monthly follow-up virtual medical visits
- Medication initiation and management
- Side-effect monitoring and support
- Metabolic nutrition counseling
- Personalized exercise and activity guidance
- Body composition analysis
- Educational handouts, meal plans, and recipe packs
- Secure two-way text messaging
- Dedicated clinic app for mobile-friendly care
- Patient portal access to book your own appointments online, view visit summaries, and more
- Administrative support (pharmacy correspondence, insurance issues)
- Prior Authorization completion to check for medication coverage
- Full access to our nutrition and lifestyle platform, powered by Alterra Health, including:
- Unlimited text and 1:1 coaching calls with a dietitian and lifestyle coach
- 12-week weight loss success course, on-demand
- On-demand courses on nutrition, exercise, mindset, and lifestyle education
- Exercise videos using bodyweight or dumbbells
- Monthly live webinars and masterclasses, and challenges
- Content library that is updated monthly, including recipes
Investment Options
- Introductory pricing (through March 31, 2026): $1,430 ($150 off – limited time)
- Pay-in-full: $1,355 (save $75)
- Installment plan available: 4 payments of $357.50. First installment due at Program initiation.
Cascadia Comprehensive Program
6 Months | Deeper Support & Accountability | Most Popular
This program is ideal for patients with greater medical or weight loss needs—or for anyone who wants a longer, more supported on-ramp to GLP-1 treatment.
This program is a great fit if you:
- Have prediabetes or Type 2 diabetes
- Have significant insulin resistance
- Have larger weight-loss goals
- Have experienced repeated weight regain
- Want more time for medication titration and habit change
- Or simply want longer-term accountability, more education, and deeper support
Includes everything in the Core Program, plus:
- 6 total monthly follow-up medical visits
- End of program lab work and interpretation
- Optional use of continuous glucose monitor for deeper nutrition insights and guidance
- Precision nutrition strategy refinement over time
- More gradual adjustment of medication
- Expanded education around metabolic health, nutrition, exercise, mindset shifts
- Continued reinforcement of habits and systems that support long-term success
Investment Options
- Introductory pricing (through March 31): $2,310 ($245 off – limited time)
- Pay-in-full: $2,210 (save $100)
- Installment plan available: 7 payments of $330. First installment due at Program initiation.
The Bottom Line
Cascadia Medical is built for real life.
Our model assumes:
- Plateaus will happen
- Motivation will fluctuate
- Biology will fight back
- Life will interrupt even the best plans
And instead of pretending otherwise, we build support, accountability, and medical expertise into every stage—from first consult to long-term maintenance.
This is not quick-fix care.
This is not shame-based medicine.
This is structured, supportive, medically-grounded care designed to last.
