Physician-led · California & New York · Insurance accepted

Stopping your GLP-1?
Don't do it without a plan.

Most patients who stop semaglutide or tirzepatide without a structured protocol regain significant weight within months. Your insurance likely covers a better way out.

Insurance accepted · No referral needed · CA & NY
Book a visit How it works
10+factors assessed
20+medications considered
50+labs offered
Insurance accepted
Most major plans cover your visits.
We verify your benefits before your first visit.
Anthem
Aetna
Blue Cross
Blue Shield
United
Optum
Cigna
Oscar
UMR
Carelon
Out-of-pocket costs depend on your plan and deductible. We walk you through your specific costs before any visit.
Insurance accepted
No referral needed
Physician-led
Medication and behavioral health
Telehealth · California & New York
Why most tapers fail

Your prescriber reduced your dose. That is not a taper plan.

Most GLP-1 prescribers do not have a structured exit protocol. Patients are told to lower the dose and wait, and most regain the weight.

Weight comes back
Studies show 60 to 70 percent of lost weight returns within a year of stopping without a structured protocol. Stopping the medication does not automatically turn its appetite effects into lasting habits.
No real exit plan
Reducing the dose is one step. A real taper addresses the metabolic, behavioral, and psychological factors that actually determine long-term outcomes, none of which fit in a standard visit.
Financial uncertainty
Insurance coverage for GLP-1 medications changes. Prior authorizations get denied. Formularies shift. A structured exit protects your progress regardless of what your plan does next year.
Your protocol is yours

Built around who you are, not a one-size-fits-all dose reduction.

Your physician assesses 10+ individual factors before designing your protocol. Every element, from medications to behavioral strategies to labs, is selected for you specifically. The same doctor handles everything, every visit.

10+
characteristics assessed at intake
20+
supportive medications evaluated and matched to your specific profile, not a default template
50+
labs offered at baseline and at monitoring intervals tailored to your protocol
What we assess at intake
01Age, gender, and hormonal status
02Metabolic health and insulin resistance
03Mental health and stress physiology
04Sleep quality and sleep health
05Food noise and appetite patterns
06Food cravings and specific triggers
07Brain fog and cognitive symptoms
08GLP-1 type, current dose, and duration of use
09Financial considerations and sustainability
10Behavioral patterns and readiness
Plus additional factors assessed at intake
What is included

Medications. Labs. Behavioral health. All in one visit.

Everything is addressed by one physician in every appointment. No referrals, no separate providers, no gaps in your care.

Supportive medications considered

More than 20 medications across multiple categories, selected based on your specific profile.

Appetite modulators Metabolic support Sleep support Mood stabilizers Craving reducers Insulin sensitizers Stimulants Anti-inflammatories Hormonal support Additional options
Prescriptions issued as clinically appropriate. Coverage varies by plan.
Individualized lab testing

Lab panels ordered at baseline and at monitoring intervals specific to your protocol, not a generic screen.

Insulin resistance Thyroid function Inflammation markers Hormonal panel Cardiovascular risk Liver function Micronutrients Sleep hormones Individualized markers
Lab orders placed at clinically relevant intervals. Insurance coverage varies.
How it works

From booking to taper plan in days, not months.

01
Book online
No referral needed. We confirm your insurance coverage before any visit takes place.
02
Complete intake
A detailed questionnaire covering your individual factors, completed before the visit so your physician arrives prepared.
03
First visit
Your physician reviews your intake, orders baseline labs, and builds your taper protocol. Medication and behavioral health are addressed from day one.
04
Taper with support
Regular monitoring visits, prescription management, and lab reviews, all billed to your insurance throughout.
Patient outcomes

What patients say.

★★★★★

"I had been on semaglutide for two years and my regular doctor just said to lower the dose slowly. Within six weeks I had already gained back 11 pounds. My doctor here actually looked at what was driving it, my sleep, my stress, what I was eating, and built a real plan. Eight months later I am down 4 pounds from where I ended the medication."

Sarah M.
47 · Los Angeles · Off semaglutide 8 months
★★★★★

"I tried stopping tirzepatide twice before this. Both times I gained back 18 to 20 pounds within two months. The therapy side of it and the regular check-ins made all the difference. Someone was actually monitoring what was happening and adjusting the plan. Six months out and up only 3 pounds from my lowest."

James T.
52 · New York City · Off tirzepatide 6 months
★★★★★

"Some testing my doctor ordered early on found something with my thyroid that had been making everything harder. Once that was addressed the whole taper went differently. I stopped semaglutide four months ago and have only gained back 2 pounds. My insurance covered every visit and I honestly did not expect that."

Rachel K.
39 · San Francisco · Off semaglutide 4 months
Haran Sivakumar MD, Founder of GLP-1 Freedom
Your physician

The program I built because my patients needed it.

I kept seeing the same pattern. Patients who had worked hard to lose weight, stopped their medication without a structured plan, and watched it come back within months. Their prescribers had not given them an exit strategy because most do not have one.

I am triple board-certified in general medicine, behavioral medicine, and obesity medicine specifically because weight is not a purely physical problem. A taper protocol that only adjusts the dose misses most of what determines long-term success. All three disciplines are applied in every visit, with one physician who knows your full picture.

Haran Sivakumar MD
Founder, GLP-1 Freedom · California & New York licensed
General Medicine Behavioral Medicine Obesity Medicine
Get started

Ready to come off your GLP-1 and keep the weight off?

We confirm your insurance and walk you through exactly what to expect before your first visit.

Book a visit
Telehealth · California & New York · Insurance verified before your visit · No referral needed
Questions

Common questions.

Is this covered by my insurance?
Physician-supervised weight management and medication management are covered by most major plans in California and New York. We verify your benefits after booking so there is no charge to check, and you will know your costs before your first visit.
Do I need to have stopped the medication already?
No, and starting before you stop is better. We design your taper plan while you are still on the medication and execute it on a schedule that makes clinical sense for your specific profile.
What makes this different from just reducing my dose?
Dose reduction is one step. The rest, including appetite changes, metabolic shifts, sleep disruption, food noise, and the behavioral patterns driving weight gain, is what most prescribers do not have a protocol for. Your physician is trained in all three relevant disciplines and addresses each one in every visit.
How many visits will I need?
Most programs start with more frequent visits during the active taper, then move to monthly and eventually quarterly check-ins as you stabilize. The exact schedule is based on your protocol and how your body responds.
Are all visits telehealth?
Yes. All visits are telehealth, available anywhere in California and New York. Lab orders route to your nearest draw site with no additional appointments needed.