Choices Weight Management

Choices Weight Management operates in Raleigh, North Carolina, where Dr. Josephine R. Brown has led a medical weight loss practice since 2006. Dr. Brown holds board certification through the American Society of Bariatric Physicians and maintains active membership in the American Academy of Family Physicians, bringing nearly two decades of clinical experience to patients seeking physician-supervised weight management. The practice focuses on bariatric medicine combined with functional medicine principles, addressing weight loss within the context of metabolic health, hormonal balance, and chronic disease management. Patients at this Raleigh clinic receive care for conditions including obesity, thyroid disorders, polycystic ovary syndrome (PCOS), and type 2 diabetes, with treatment plans designed around the interconnected nature of these metabolic conditions.

The clinic incorporates semaglutide into comprehensive weight management protocols for appropriate candidates. Semaglutide, a GLP-1 receptor agonist, functions by regulating appetite signals and slowing gastric emptying, and Dr. Brown prescribes this medication as part of structured programs that include nutritional guidance, metabolic assessment, and ongoing monitoring. Patients receiving semaglutide at Choices Weight Management undergo initial evaluation to determine candidacy based on BMI, metabolic markers, and existing health conditions. The practice tailors dosing schedules and combines peptide therapy with dietary modifications specific to each patient's metabolic profile, whether addressing insulin resistance in PCOS patients or optimizing thyroid function alongside weight reduction efforts. This integrated approach distinguishes the clinic from programs offering medication without comprehensive metabolic evaluation.

Dr. Brown's methodology emphasizes identifying and treating underlying factors that contribute to weight gain and metabolic dysfunction. For patients with thyroid disorders, the practice conducts thorough thyroid panel testing beyond standard TSH measurements, evaluating free T3, free T4, reverse T3, and thyroid antibodies to identify subclinical hypothyroidism or autoimmune thyroid conditions that impede weight loss. PCOS patients receive evaluation of androgen levels, insulin sensitivity, and inflammatory markers, with treatment plans addressing hormonal imbalances alongside weight management. Diabetic patients benefit from continuous glucose monitoring integration and medication adjustments coordinated with weight loss interventions. This functional medicine lens means treatment extends beyond calorie restriction to address hormonal, inflammatory, and metabolic root causes specific to each patient's physiology.

Patients attend in-person consultations at the Raleigh office, where initial visits include comprehensive health history review, physical examination, body composition analysis, and laboratory testing to establish baseline metabolic function. Follow-up appointments track progress through objective measurements including weight, body composition changes, metabolic markers, and symptom resolution. The practice provides structured nutrition education focused on sustainable eating patterns rather than restrictive dieting, with meal planning guidance tailored to individual metabolic needs, food preferences, and lifestyle constraints. Patients receive specific macronutrient targets, food lists, and preparation strategies designed to support both weight loss and long-term metabolic health. The clinic's approach to lifestyle modification includes behavioral strategies for stress management, sleep optimization, and physical activity progression appropriate to each patient's current fitness level and medical limitations.

Choices Weight Management maintains a single-location practice model in Raleigh, allowing Dr. Brown to provide continuity of care throughout each patient's program. The practice does not offer telehealth services, requiring all consultations to occur in person at the North Carolina office. This in-person requirement enables hands-on assessment, body composition measurement, and the provider-patient relationship that Dr. Brown considers essential to successful long-term weight management. Patients in the Raleigh area and surrounding Wake County communities access care through scheduled appointments, with program structures ranging from intensive initial phases with frequent visits to maintenance protocols with quarterly follow-ups. The practice accepts various insurance plans for medical visits and diagnostic testing, though patients should verify coverage for specific weight management services and medications including semaglutide, as insurance policies vary in bariatric medicine coverage.