Medical Weight Loss & Metabolic Optimization in Warren, OH
If diet and exercise haven’t worked the way they “should,” you’re not alone—and it doesn’t mean you’re failing. Fuel by Design offers a clinical, personalized approach that combines advanced labs, nutrition strategy, and weight loss medication options when appropriate to support sustainable fat loss while protecting energy, strength, and long-term health.
In-person: Warren, OH • Serving Youngstown, Boardman, Poland, Canfield • Telehealth: available across Ohio
Initial consultation is $299. Labs, medications, and ongoing care vary by plan and clinical needs.
“Is This You?”
Signs You May Need Metabolic Support (Not Just “More Willpower”)
You might be a fit for a medical weight loss evaluation if you’ve noticed:
Weight gain (or no progress) despite consistent effort
Strong cravings, especially at night
“Stuck” belly fat or stubborn fat loss
Low energy, low motivation, or brain fog
Poor sleep or stress that derails your plan
Blood sugar swings, hunger spikes, or frequent snacking
Rapid regain after dieting
Perimenopause/menopause changes affecting weight (for women)
Low drive + weight gain patterns (for men)
These are common patterns—not a diagnosis. A clinical consult and labs help clarify what’s driving them.
Led by Alexis Valentino, NP
Alexis Valentino, NP, is passionate about helping high-performing adults achieve balanced hormones, better metabolic health, and optimized long-term performance.
Clinical Focus Areas
- Male Testosterone Optimization
- Female Hormone Optimization (Perimenopause & Menopause)
- Weight Loss + Metabolic Performance
- Longevity / Semi-Invasive Therapies
What Is Medical Weight Loss & Metabolic Optimization?
Medical weight loss is a clinician-guided approach that looks deeper than calories. We assess metabolic, hormonal, and lifestyle factors that can make fat loss unusually difficult—then build a plan that may include nutrition strategy, movement targets, sleep/stress support, and FDA-approved weight-management medications when clinically appropriate.
What makes it “metabolic optimization”?
- We’re not chasing short-term results—we’re improving the systems that influence hunger, energy, blood sugar, and body composition over time.
Your plan is personalized to your labs, health history, and goals (not a generic “eat less, move more” script).
How Weight Loss Medication Fits (And What It’s Not)
Weight loss medication can be a powerful tool for certain patients—but it isn’t a shortcut and it isn’t for everyone. Used correctly, medication may help reduce appetite, improve satiety, and support adherence to a calorie deficit alongside nutrition and activity changes. It should be selected based on your medical history, goals, and risk profile.
Common clinician-prescribed options for chronic weight management (examples):
Semaglutide (Wegovy) and tirzepatide (Zepbound) are among FDA-approved options used for chronic weight management in appropriate adults, alongside lifestyle changes.
Other FDA-approved long-term options also exist (your clinician will determine fit and safety).
Important safety note: Avoid “too good to be true” online products, “research peptides,” or unverified sources marketed as weight-loss drugs—quality and safety can be a serious concern.
The Process
How It Works (Simple, Structured, Clinical)
Step 1 — Request
Tell us your goals and history.
Step 2 — Intake
Health questionnaire + baseline review.
Step 3 — Labs
Comprehensive labs to assess metabolic and hormonal drivers.
Step 4 — Plan
Personalized protocol (nutrition + movement + medication options if appropriate).
Step 5 — Optimize
Follow-ups and adjustments to keep progress steady and safe.
What you’ll leave with
A clear, realistic plan you can follow—plus a clinical strategy to support consistency.
Medical approach (what’s different):
- Medication decisions are based on clinical criteria and safety screening
- Your plan includes nutrition + behavior + follow-up (not one product)
- Progress is tracked and adjusted over time
Reality check (helpful for conversions + compliance):
There is no single “best” or “strongest” prescription pill for everyone. The safest and most effective option depends on your health history, goals, and what you can tolerate—so the right answer is personalized.
Weight Loss Medication Vs. “Strong Fat Burners” and Crash Diets
If you’ve tried aggressive diets, detox teas, or “strongest fat burners,” you’ve probably seen the same cycle: fast drop → fatigue → cravings → rebound.
Frequently Asked Questions.
Fast loss isn’t always the safest loss. We prioritize steady progress that protects muscle, energy, and metabolic health. Your clinician will recommend an approach that matches your body and goals.
There isn’t a universally “strongest” option. FDA-approved medications have different mechanisms, indications, and side-effect profiles. The best choice is the one that’s safest and most effective for you, based on clinical evaluation and labs.
If appropriate, we may discuss clinician-guided medication options as part of a complete plan. Medication is never the only strategy—it’s used alongside nutrition, activity, and ongoing monitoring.
Yes. We offer telehealth services across Ohio when clinically appropriate, and in-person visits in Warren, OH (with service to nearby communities).
You’ll review goals, symptoms, history, and prior attempts. If labs are needed, we’ll outline the next steps and what we’re looking for—so you understand the “why” behind your plan.
Timelines vary based on labs, adherence, sleep/stress, and individual physiology. We focus on realistic milestones and consistent tracking rather than promises.
No. Some patients do well with structured nutrition + metabolic support alone. If medication is considered, it’s because it’s clinically appropriate—not because it’s mandatory.
The $299 covers the initial clinical consultation. Labs, medications, and ongoing care vary by plan and clinical needs.
Educational only. This information is not medical advice or a diagnosis. Treatment decisions require a clinical evaluation and appropriate lab testing. Results vary