716 Integrative Wellness

716 Integrative Wellness operates in Orchard Park, New York, under the clinical direction of Stephanie Small, MSN, ANP-BC, a board-certified adult nurse practitioner with specialized training in obesity medicine and menopause management. Small holds active memberships in the Obesity Medicine Association and The Menopause Society, credentials that inform her approach to metabolic dysfunction and age-related hormonal decline. The clinic serves patients throughout the Buffalo metropolitan area seeking evidence-based interventions for weight regulation, hormone imbalance, and metabolic optimization through in-person consultation and treatment.

The clinic's peptide therapy program centers on semaglutide, a GLP-1 receptor agonist originally developed for type 2 diabetes management and now widely prescribed for weight reduction in patients with elevated body mass index. Semaglutide functions by slowing gastric emptying, reducing appetite signaling in the hypothalamus, and improving insulin sensitivity, mechanisms that support sustained weight loss when combined with nutritional modification and physical activity. At 716 Integrative Wellness, semaglutide protocols are individualized based on patient metabolic panels, body composition analysis, and concurrent health conditions, with dosing titrated over several weeks to minimize gastrointestinal side effects. The clinic also provides hormone optimization services addressing thyroid dysfunction, adrenal insufficiency, and sex hormone imbalances in both men and women, using bioidentical hormone replacement when clinically indicated. Patients receive baseline laboratory testing before treatment initiation and follow-up monitoring to assess therapeutic response and adjust protocols as needed.

Stephanie Small's clinical background in adult health and obesity medicine shapes the practice's treatment philosophy, which emphasizes root-cause investigation over symptom suppression. Her training through the Obesity Medicine Association includes advanced study of adipose tissue physiology, insulin resistance pathways, and the neuroendocrine regulation of appetite—knowledge she applies when designing weight management programs for patients with treatment-resistant obesity or metabolic syndrome. As a member of The Menopause Society, Small addresses perimenopausal and postmenopausal symptoms including hot flashes, sleep disturbance, mood changes, and bone density loss, often integrating hormone therapy with peptide-based metabolic support. The clinic's approach combines pharmacologic intervention with lifestyle medicine, providing patients with structured guidance on macronutrient timing, resistance training protocols, and stress management techniques that complement peptide and hormone therapies.

Patients attending 716 Integrative Wellness in Orchard Park begin with a comprehensive intake consultation during which Small reviews medical history, current symptoms, previous treatment attempts, and specific health goals. Initial visits typically include discussion of laboratory findings, explanation of proposed peptide or hormone protocols, and education on expected timelines for clinical response. The clinic schedules regular follow-up appointments to monitor treatment progress, adjust medication dosing, and address emerging concerns, with patients reporting improvements in energy levels, body composition, and overall quality of life as treatment progresses. The practice also offers aesthetic services including neuromodulator injections for forehead lines and other facial concerns, allowing patients to address both metabolic health and cosmetic goals within a single clinical relationship. This integrative model appeals to individuals seeking a provider who understands the interconnection between hormonal balance, metabolic function, and visible signs of aging.

716 Integrative Wellness operates exclusively through in-person consultations at its Orchard Park location, providing continuity of care for patients in Erie County and surrounding Western New York communities. The clinic's 4.9-star rating across 83 Google reviews reflects consistent patient feedback regarding Small's thoroughness in answering medical questions, her ability to explain complex physiologic concepts in accessible terms, and the supportive atmosphere maintained by the clinical team. Patients describe feeling heard during consultations and appreciate the time allocated to discuss treatment options, potential side effects, and realistic expectations for symptom improvement. The practice does not currently offer telehealth services, a deliberate choice that allows Small to conduct hands-on physical examinations, perform in-office body composition assessments, and build long-term therapeutic relationships with patients who value face-to-face medical care. For individuals in the Buffalo area seeking peptide-based weight management or hormone optimization under the care of a nurse practitioner with specialized obesity and menopause credentials, 716 Integrative Wellness provides a locally accessible option grounded in evidence-based practice and individualized treatment design.