Medical weight loss, built on your biology.
Not another diet — a physician-supervised program that treats the hormones, metabolism, and appetite signals behind stubborn weight, for Lakeway, Bee Cave & greater Austin.


Why diets fail — and why this doesn’t.
If willpower were the answer, you’d already be done. The truth is that weight is governed by biology: the hormones that set your appetite, the insulin that decides whether you store or burn, the thyroid that sets your pace, and the sleep and stress that quietly tip the whole system. Diets ignore all of that and ask you to white-knuckle it. They lose because biology always wins.
Medical weight loss starts from the opposite premise. We test what’s actually driving your weight, then use the right tools — which may include GLP-1 medications, hormone optimization, and a sustainable nutrition-and-strength plan — to make the biology work for you instead of against you.
- iTest, don’t guess. Labs reveal the hormones, insulin, and thyroid behind your weight.
- iiThe right tool for you. Medication if appropriate — never the whole plan, never one-size-fits-all.
- iiiBuilt to last. Protect muscle, address hormones, and plan for maintenance from day one.
What’s really driving the scale.
Two people can eat the same and move the same and end up in completely different places. The difference is what’s happening underneath — and that’s exactly what a medical program looks at, where a diet plan never does.
Hormones
For women, the shifts of perimenopause and menopause change where fat is stored and how stubbornly it stays. For men, declining testosterone erodes the muscle that keeps metabolism humming. Balancing hormones doesn’t just help weight — it’s often the missing piece that finally lets the rest of the plan work. That’s why our weight program is connected to hormone therapy, not siloed from it.
Insulin & metabolism
Insulin resistance keeps your body in fat-storage mode no matter how little you eat. GLP-1 medications like semaglutide and tirzepatide help here directly — quieting appetite and improving how your body handles blood sugar — which is why they’ve changed the game for so many people who’d tried everything.
Thyroid
An underactive thyroid can blunt results no matter how disciplined you are. We check it, because treating weight without checking the thyroid is guessing.
Sleep, stress & muscle
Poor sleep drives hunger hormones the wrong way; chronic stress raises cortisol and belly fat; and lost muscle slows everything down. A real program addresses all of it — which is why ours pairs any medication with protein, strength, and lifestyle coaching, not just a prescription.
Your program, in three phases.
Lab-guided, supervised, and built to keep results — not just lose them.
Evaluate
Comprehensive labs and a real consultation — hormones, metabolism, thyroid — so your plan targets what’s actually driving your weight.
- Full metabolic & hormone panel
- Body-composition baseline
- History & goals
- Candidacy for medication
Treat
The right tools for you — GLP-1 medication if appropriate, hormone support, and a sustainable nutrition-and-strength plan, all supervised.
- GLP-1 (semaglutide / tirzepatide)
- Hormone & thyroid support
- Protein & strength plan
- Direct provider access
Sustain
We protect muscle, re-check labs, and build the maintenance plan that keeps the weight off after the medication.
- Progress & lab re-checks
- Muscle preservation
- Maintenance strategy
- Ongoing oversight
The tools we actually use.
Medical weight loss isn’t one product — it’s a toolkit, chosen and combined for you. Here’s what’s in it.
GLP-1 medications
The most powerful appetite tools available today. Semaglutide works on one gut-hormone pathway; tirzepatide on two and, on average, produces greater loss. Your provider helps you choose based on your goals, response, tolerance, and cost — and adjusts over time.
Hormone optimization
Sometimes the fastest path to a lighter, stronger body is fixing the hormones underneath. We integrate weight care with hormone therapy for women and for men so you’re not fighting your own biology.
Peptides & supportive therapies
Where appropriate, peptide therapy and metabolic support can complement the plan — always provider-directed, never a shortcut.
Nutrition & strength
The habits that make it last: enough protein to protect muscle, resistance training, and realistic, sustainable eating. We coach this so that when the medication does its part, you’re building a body that holds the result.
Who it’s for — and who it isn’t
This program is for adults who are done with crash diets and ready for a supervised, sustainable approach — especially when weight is tangled with hormones, metabolism, or thyroid. It isn’t a quick fix, and medication isn’t right for everyone; we’ll always tell you honestly what fits you. Start by booking a consultation or taking the symptom checklist.
The THRIVE difference
Boutique, unhurried care from Kristine Kjolhede, FNP-C with physician supervision, in a private Lakeway clinic — not a volume med-spa or a website. You’re known by name, your plan is built around your labs, and your weight is treated as part of your whole health — for patients across Lakeway, Bee Cave, Lake Travis, and greater Austin.
Medical weight loss, answered.
Straight answers from our provider. If your question isn’t here, we’ll cover it in a consultation.
Ask KristineMedical weight loss, rooted in Lakeway.
Our Lakeway clinic at the edge of Lake Travis serves Bee Cave, Westlake, Spicewood, and greater Austin — private, unhurried, and built around you.
“They found the thyroid and hormone issues two other programs missed. That’s when everything finally changed.”— THRIVE patient, Lakeway TX

Ready to do this the right way?
Start with a consultation and labs. We’ll find what’s driving your weight and build a supervised, sustainable plan around it — no crash diets, no quick fixes, only what works.
Book Your Consultation