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⚖ Integrated Psychiatric Weight Care

Weight Loss, Reimagined
Through Psychiatry

For patients whose weight is tangled up with mood, medications, trauma, or eating patterns. PMHNP-led GLP-1 care across 15 states — because the mind and the metabolism were never separate.

Why Family1st for Weight Care
PMHNP-led — not a prescriber-mill, not a cosmetic clinic
Integrated with your mental health, not separate from it
Tracks mood, eating, and weight together with validated tools
Works well alongside psychiatric medications
Compounded OR brand options — your budget, your call
Medicare participating; OON for commercial with superbill
Available in 15 states; no surprise billing
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PMHNP-LedPsychiatry + weight care in one
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Brand or CompoundOptions for every budget
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Telehealth — 15 StatesNo in-person required
Medicare ParticipatingSuperbill for commercial
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No Surprise BillingTransparent pricing

Who This Program Is — and Isn't — For

Our integrated model is specifically designed for patients at the intersection of weight and mental health. It is not a cosmetic weight-loss service.

✅ This Is For You If...

  • Weight gained on psychiatric medication you don't want to stop
  • Binge eating, emotional eating, feeling out of control with food
  • Depression, anxiety, or ADHD tangled up with eating patterns
  • Lost weight before but regain through stress eating
  • In recovery from alcohol or substances and the pounds crept on
  • Trauma history and food became a coping tool
  • BMI 30+ OR 27+ with a medical condition AND weight affecting mental health

🚫 This Is NOT For You If...

  • Purely cosmetic weight loss without a psychiatric or medical component
  • Active anorexia nervosa or active purging bulimia — eating disorder stabilization must come first
  • Uncontrolled severe mental illness requiring stabilization before adding new treatments
If you're unsure whether you qualify, call us at 775.245.8200 for a free 15-minute eligibility consultation before booking a full intake.

GLP-1 Options We Prescribe

We offer both brand-name and compounded GLP-1 options depending on your insurance, budget, and clinical picture. All prescribing is done by Kristin McKnight, PMHNP-BC — not a telehealth mill.

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Semaglutide

Brand: Wegovy / Ozempic

Once-weekly subcutaneous injection. FDA-approved for chronic weight management (Wegovy) and type 2 diabetes (Ozempic). Covered by Medicare Part D and many commercial plans with prior authorization.

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Tirzepatide

Brand: Zepbound / Mounjaro

Dual GIP/GLP-1 agonist — once-weekly injection with superior weight loss data compared to semaglutide in head-to-head trials. FDA-approved for weight management (Zepbound) and diabetes (Mounjaro).

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Compounded Semaglutide

Compounded Option

Available from PCAB-accredited compounding pharmacies when brand-name is unavailable or cost-prohibitive. Significantly lower cost than brand. Requires clinical discussion about regulatory status and quality sourcing.

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Compounded Tirzepatide

Compounded Option

Compounded option for patients who respond better to dual-agonist mechanism but cannot access brand-name. Available while shortage designations permit compounding under FDA regulations.

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Oral Semaglutide

Brand: Rybelsus

Daily oral tablet — an option for injection-averse patients. Lower bioavailability than injectable, but effective for patients who cannot or will not self-inject. Requires specific administration protocol (empty stomach, water only, 30-min wait).

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Psychiatric Co-Prescribing

Integrated Add-On

We manage your GLP-1 alongside your existing psychiatric medications — monitoring for interactions, adjusting dosing if mood or appetite are affected, and tracking the psychological impact of weight change on your mental health.

What Integrated Weight & Psychiatric Care Looks Like

This isn't a standard GLP-1 telehealth program with monthly check-ins. Every visit integrates weight, mood, eating behavior, and psychiatric medication as one picture.

01

Intake & psychiatric evaluation

Full psychiatric history, eating pattern assessment, validated screening tools (PHQ-9, GAD-7, EDE-Q), current medication review, and GLP-1 eligibility confirmation.

02

Personalized prescription plan

Medication selection (brand vs. compound, agent, starting dose) based on your clinical picture, budget, insurance, and psychiatric medication interactions.

03

Monthly integrated follow-ups

Track weight, labs, mood scores, eating patterns, and psychiatric symptoms together. Titrate GLP-1 and adjust psychiatric medications as your body changes.

04

Behavioral & psychological support

Psychotherapy available alongside medication management — addressing emotional eating, food-trauma connection, body image, and coping skill development as weight changes.

Ready to Treat Weight the Way It Deserves?

Book a free 15-minute consultation — we'll confirm your eligibility, review your psychiatric history, and walk you through your options before any commitment.

📅 Start My Integrated Care