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Seattle-Bellevue · Guide · Medical weight loss

Medical weight loss in Seattle-Bellevue

Your weight is one number, and it leaves a lot out. Here's which tests show what it's doing to your health, where weight loss medicines fit, and which Seattle-Bellevue clinics offer medical weight care.

Main tests
Weight, waist and blood pressure Plus blood sugar and a cholesterol panel
What you do
Measurements and a blood draw Sometimes a scan
You get
What your weight is doing to your health And a plan for eating, activity and any medicine
Seattle photograph by Mark Raptapolus · Unsplash

The tests, in plain English

Start with your regular doctor and the basics: your weight, waist size, blood pressure, blood sugar and a cholesterol panel. Together they show whether your weight is affecting your health. A body scan or a metabolic rate test can add detail. Medicines, including GLP-1 drugs, are an option for some people, alongside changes to eating and activity.

Think of your weight like the balance on a bank statement. It tells you the total, but not where it's going. These tests read the line items: how much of you is fat, where it sits, and what it's doing to your blood sugar, blood pressure and liver.

Weight, BMI and waist

BMI, body mass index, compares your weight with your height. It's a quick screen, but it can't tell fat from muscle or show where fat sits. A waist over 35 inches for women or 40 for men is linked to more health problems.

Blood sugar (A1C)

Shows your average blood sugar over the past two or three months.

Blood pressure and cholesterol

Extra weight can raise your blood pressure and add to the conditions that lead to heart disease.

Liver tests

Fatty liver, when extra fat builds up inside the liver, most often affects people with extra weight.

Thyroid test

An underactive thyroid can bring weight gain and tiredness, but both are common and often have other causes.

Body composition (DEXA)

A low-dose X-ray scan that splits your weight into fat, muscle and bone, region by region.

Cash price: $65 to $249

Resting metabolic rate

Measures how many calories your body burns at rest, by reading your breath while you lie still.

Cash price: $50 to $300

Prices that clinics publish on their own websites, across all the cities we cover. Prices change, so confirm with the clinic.

Weight in Seattle-Bellevue, by the numbers

The rate of obesity in Seattle-Bellevue is lower than the national rate. About 1 in 4 adults in Seattle-Bellevue have obesity, compared with about 1 in 3 nationally. That adds up to roughly 620,000 adults across two counties.

24.7%of adults in Seattle-Bellevue have obesityUS: 33.2%
620,000adults in Seattle-Bellevue have obesityEstimated from CDC county figures
8Seattle-Bellevue clinics list weight careSee them below
Seattle-Bellevue does better than the US on all 3 measures
Share of adults, 2023. Lower is better.
Obesity
No exercise outside work
Diagnosed diabetes
↓ Data
By county
CountyObesityNo exercise outside workDiagnosed diabetes
King22.6%13.9%7.3%
Snohomish30.6%17.8%9.1%
Seattle-Bellevue24.7%14.9%7.8%
United States33.2%25.1%12.1%

Source: CDC PLACES, 2023 county estimates. Seattle-Bellevue = King and Snohomish counties, weighted by adult population.

longevityclinicshub.com

Your regular doctor can check your weight, waist and blood pressure at a routine visit. The tests above add detail if you want a closer look.

Showing 8 clinics that address medical weight loss in Seattle-Bellevue

How we order clinics
Kevin Jones, MD, Flow Wellness, Seattle

Flow Wellness, Seattle

Seattle South Lake Union
Strength, fitness & body compositionAdvanced diagnostics & emerging careMedical weight loss

Flow Wellness runs a South Lake Union clinic alongside its original Bend, Oregon site, with every protocol directed by Kevin Jones, MD. A longevity and wellness visit opens a three to twelve month plan built on body composition analysis and named labs: testosterone, estrogen, cortisol, glucose, insulin, lipids, B12 and vitamin D. GLP-1, hormone, peptide and ketamine therapy sit on the menu. Led by Kevin Jones, MD.

Tests & services

GLP-1 weight loss program Peptide therapy Bioimpedance body composition Supplement programs +4 more
See if it’s a fit
Dr. Jerry MixonDr. Samira Ummat

Longevity Medical Clinic, Kirkland

Totem Lake, Kirkland
2 locations, also in Lynnwood
Genetics & biological ageAdvanced diagnostics & emerging careCancer risk & screening

Longevity Medical Clinic has practised hormone and preventive medicine around Seattle since 1998, and this is its Kirkland clinic. Membership pairs a named panel of testosterone, DHEA-S, IGF-1, thyroid, homocysteine, CRP, APoE and myDNAge biological age with quarterly one-hour physician visits. The higher tier adds the Galleri multi-cancer blood test. Led by Dr. Jerry Mixon, MD.

Tests & services

Biological age testing GLP-1 weight loss program Multi-cancer early detection blood test Supplement programs +5 more
See if it’s a fit
Dr. Jerry MixonDr. Samira Ummat

Longevity Medical Clinic, Lynnwood

Alderwood Business Campus, Lynnwood
2 locations, also in Kirkland
Genetics & biological ageAdvanced diagnostics & emerging careCancer risk & screening

Longevity Medical Clinic has practised hormone and preventive medicine around Seattle since 1998, and this is its Lynnwood clinic. Membership pairs a named panel of testosterone, DHEA-S, IGF-1, thyroid, homocysteine, CRP, APoE and myDNAge biological age with quarterly one-hour physician visits. The higher tier adds the Galleri multi-cancer blood test. Led by Dr. Jerry Mixon, MD.

Tests & services

Biological age testing GLP-1 weight loss program Multi-cancer early detection blood test Supplement programs +5 more
See if it’s a fit
Frank Marinkovich, MDFrederick Starr, MD

Optimum Peak Wellness

134th Court NE, Redmond
Strength, fitness & body compositionAdvanced diagnostics & emerging careBrain & cognition

Optimum Peak Wellness is a physician-led wellness and performance practice in Redmond, with internist Frank Marinkovich, MD as medical director. It measures first: qEEG brain mapping, VO2 max testing, SECA body composition analysis and the Kinetisense AI 3D body scan. What follows is neurofeedback, peptide therapy, medically guided weight loss and rehabilitation. Led by Frank Marinkovich, MD, Frederick Starr, MD.

Tests & services

GLP-1 weight loss program Peptide therapy VO₂ max testing Compression therapy +4 more
See if it’s a fit
Daniel RasmussenMaria Lorah

Pinnacle Integrative Health

Olive Way, Downtown Seattle
Advanced diagnostics & emerging careGenetics & biological ageGut & digestive health

Pinnacle Integrative Health sits on Olive Way in downtown Seattle, and it opens with numbers: a functional blood panel it names marker by marker, plus the clinic's own HeartThreat Scan. From there the team builds peptide protocols by name, BPC-157, TB-500, Semax, alongside stem cell and exosome therapy, acupuncture and IV work.

Tests & services

Biological age testing Hormone panel Peptide therapy IV vitamin therapy +10 more
See if it’s a fit
Erik Marks, DNP, Vitality Medical PNW

Vitality Medical PNW

Lynnwood
Advanced diagnostics & emerging careHormones & energyMedical weight loss

Vitality Medical is a single-provider Lynnwood practice built around hormone, peptide and performance medicine, led by Erik Marks, DNP. It names its molecules rather than its categories: sirolimus, quercetin, SS-31, sermorelin, GHK-Cu, methylene blue and NAD+ each get their own page. Semaglutide and tirzepatide weight programmes and bioidentical hormone therapy sit alongside.

Tests & services

GLP-1 weight loss program Peptide therapy Menopause hormone therapy Methylene blue (off-label) +6 more
See if it’s a fit

Apex Health & Wellness

Bellevue
Advanced diagnostics & emerging careMen’s health & testosteroneNutrient status & deficiencies

Apex Health & Wellness is a single-physician Bellevue practice led by Chancellor Harn, ND, MS, built on advanced lab work. Its testing page names ApoB, Lp(a), cortisol, DHEA, IGF-1, organic acids and DUTCH panels, and its menu names its molecules: enclomiphene, HCG, semaglutide, tirzepatide, NAD+, high-dose vitamin C and methylene blue. Care starts with a 60-minute visit and a free phone consult.

Tests & services

GLP-1 weight loss program Hormone panel Peptide therapy Health & nutrition coaching +8 more
See if it’s a fit

Next Health, Bellevue

Bellevue
Advanced diagnostics & emerging careWhole-body baselineCancer risk & screening

Next Health's Bellevue centre sits in Lincoln Square North and runs on functional biomarker testing plus a wellness-technology suite. The published menu covers therapeutic plasma exchange, hyperbaric oxygen, EBOO ozone, cryotherapy, infrared and NAD+ therapy, with executive physicals alongside. A Medicine 4.0 membership opens up hormone and weight optimization.

Tests & services

Comprehensive biomarker panel Blood-filtration therapy Botox & fillers Executive physical +13 more
See if it’s a fit

How a weight care visit usually goes

  1. Your history first

    How your weight has changed, what you've tried, your medicines, sleep and family history.

  2. The testing

    Usually measurements and a blood draw, sometimes a scan. Ask what's included and what costs extra.

  3. Your results, explained

    What your weight is doing to your blood sugar, blood pressure and liver, and what may be behind it.

  4. A plan and a date

    Eating, activity, sleep, any medicine, and when to check in again. Ask if your doctor gets a copy.

If you gain weight fast with swollen feet or shortness of breath, or lose weight you can't explain, see your doctor soon. That needs a diagnosis, not a weight program.

Go deeper

Common questions

Which clinics in Seattle-Bellevue address medical weight loss?

8 in our Seattle-Bellevue guide: Flow Wellness, Seattle, Longevity Medical Clinic, Kirkland, Longevity Medical Clinic, Lynnwood, Optimum Peak Wellness, Pinnacle Integrative Health, Vitality Medical PNW, Apex Health & Wellness and Next Health, Bellevue.

My BMI says I'm overweight, but I'm muscular. Does it still count?

Maybe less than it looks. BMI can't tell fat from muscle or show where fat sits, so doctors read it alongside other signs, like your blood pressure. Your waist size adds a lot, and a DEXA scan can show how much of your weight is actually fat.

What about GLP-1 weight loss medicines?

They copy a gut hormone that makes you feel full. Several are FDA-approved for adults with a BMI of 30 or more, or 27 or more with a weight-related condition. With a lifestyle program, people lose more than with lifestyle alone. Nausea is common, and weight often returns after stopping.

Are compounded versions the same as the approved medicines?

No. Compounded drugs are mixed by a pharmacy, and the FDA doesn't review them for safety, effectiveness or quality before they're sold. It has received reports of people taking the wrong dose, some needing hospital care. If you're prescribed one, the FDA advises filling it at a state-licensed pharmacy.

I just want a DEXA scan. Where do I start?

Our DEXA scan page lists the clinics near you that offer it. If you plan to repeat it to track your progress, ask how often makes sense and who will go over the results with you.

What does this cost, and will insurance cover it?

It varies. Blood sugar, cholesterol and blood pressure checks are often covered when your doctor orders them. Body scans and metabolic rate tests are usually self-pay, and coverage for weight loss medicines depends on your plan. Our guides on cost and insurance go deeper.

How do you decide which clinics appear on this page?

A clinic appears here when its own published material shows it offers this kind of care at that location.

Sources (16)
  1. U.S. Preventive Services Task Force, Weight loss to prevent obesity-related morbidity and mortality in adults: behavioral interventions (2018)
  2. Centers for Disease Control and Prevention, About body mass index (BMI)
  3. National Institute of Diabetes and Digestive and Kidney Diseases, Waist circumference (health dictionary)
  4. National Institute of Diabetes and Digestive and Kidney Diseases, Health risks of overweight and obesity
  5. Centers for Disease Control and Prevention, Diabetes testing
  6. National Institute of Diabetes and Digestive and Kidney Diseases, Insulin resistance and prediabetes
  7. National Institute of Diabetes and Digestive and Kidney Diseases, Diagnosis of NAFLD and NASH
  8. National Institute of Diabetes and Digestive and Kidney Diseases, Hypothyroidism (underactive thyroid)
  9. MedlinePlus, Weight gain (unintentional)
  10. MedlinePlus, Weight loss (unintentional)
  11. Centers for Disease Control and Prevention, NHANES dual-energy X-ray absorptiometry (DXA) whole body data documentation
  12. Direk and colleagues, The relationship between DXA-based and anthropometric measures of visceral fat and morbidity in women, BMC Cardiovascular Disorders, 2013
  13. Frankenfield and colleagues, Comparison of predictive equations for resting metabolic rate in healthy nonobese and obese adults: a systematic review, Journal of the American Dietetic Association, 2005
  14. National Institute of Diabetes and Digestive and Kidney Diseases, Prescription medications to treat overweight and obesity
  15. MedlinePlus, GLP-1 agonists
  16. U.S. Food and Drug Administration, FDA's concerns with unapproved GLP-1 drugs used for weight loss

This page is educational information, not medical advice, and it is not a recommendation to have or to skip any test or treatment. What is worth testing depends on your age, your history and your health, so discuss it with a clinician who knows them. If you gain weight quickly with swelling or breathlessness, lose weight you can't explain, or have another symptom that concerns you, seek a medical evaluation rather than a weight program.

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