1545 East Avenue Ste 2, Rochester, NY 14610

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What Causes Weight Gain and Difficulty Losing Weight?

Weight changes are rarely about one thing. Some of the most common contributors include:

  • Appetite + craving signals that feel louder than you (your hunger/fullness hormones can get out of sync)
  • Blood sugar and insulin challenges that make fat loss harder and cravings stronger
  • Stress and cortisol that increase hunger, disrupt sleep, and impact metabolism
  • Poor or inconsistent sleep, which can amplify appetite and reduce energy for healthy routines
  • Hormonal shifts (including perimenopause/menopause) that can change where weight is stored and how easily it comes off
  • Dieting history and metabolic adaptation (your body gets efficient… sometimes too efficient)
  • Medications and underlying health factors that can influence appetite, weight, or energy levels
  • Muscle loss over time, which can lower calorie needs and make weight management feel like a moving target

Ready to Feel in Control Again?

You don’t have to white-knuckle this alone. Book a consultation at Refresh Medical to explore medically guided options—so you can finally have a plan that matches your body, your goals, and your real life.

Refresh Medical knows how to support in person medical weight loss

At Refresh Medical, we take a personalized, medically supervised approach to weight loss—because your body isn’t a math problem, it’s a system. During your consultation, we’ll review your health history, discuss your goals, and determine whether GLP-1 weight loss therapy (including semaglutide, tirzepatide injections, and/or oral medication options) may be appropriate for you.

Weight Loss Therapy with GLP-1s GLP-1 medications support weight loss by helping reduce appetite, increase fullness, and calm persistent cravings—making it easier to follow a nutrition plan without feeling like you’re constantly battling hunger.
  • A comprehensive consultation and medical review
  • A plan tailored to you, which may include semaglutide, tirzepatide injections, and/or oral medication options
  • Gradual dose adjustments designed for comfort and tolerability
  • Ongoing progress check-ins and support to help you stay safe, consistent, and on track
  • Guidance for sustainable habits (think: protein, hydration, strength-focused movement, and maintenance planning) 

Laser Skin Tightening MP²

Enhance your weight loss results with firmer skin. For some patients, this can help improve the appearance of skin laxity as the body changes. 

IV Therapy

Can support hydration and nutrient replenishment as your appetite shifts and your routine changes.

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Ready to Refresh?

Book Your Appointment Today
Appointments are just a click away. Book online 24/7, or call (585) 484-9519 and our team will get you scheduled quickly.