Custom Health Waco operates as a metabolic and hormonal health clinic in Waco, Texas, where family nurse practitioner Amanda Burke, FNP, provides medically supervised weight management programs centered on GLP-1 receptor agonist therapy. The clinic specializes in semaglutide protocols for patients seeking physician-guided weight reduction combined with metabolic optimization strategies. Burke's practice model integrates peptide-based pharmacotherapy with comprehensive metabolic assessments, addressing the underlying hormonal and physiological factors that contribute to weight gain and metabolic dysfunction in Central Texas residents.
Semaglutide administration at Custom Health Waco follows individualized dosing protocols based on patient response, body composition analysis, and metabolic markers including fasting insulin, hemoglobin A1c, and lipid panels. Burke prescribes semaglutide as part of structured programs that include baseline laboratory evaluation, dose titration schedules, and regular follow-up visits to monitor therapeutic response and adjust treatment parameters. The clinic's approach to GLP-1 therapy extends beyond weight reduction to address insulin sensitivity, appetite regulation, and cardiovascular risk factors associated with obesity and metabolic syndrome. Patients receive education on the mechanism of action of semaglutide, including its effects on gastric emptying, satiety signaling, and glucose-dependent insulin secretion.
Amanda Burke brings family practice training to her work in metabolic medicine, applying clinical assessment skills to identify candidates appropriate for semaglutide therapy and to screen for contraindications including personal or family history of medullary thyroid carcinoma and multiple endocrine neoplasia syndrome type 2. Her practice methodology includes evaluation of thyroid function, adrenal status, and sex hormone balance as contributing factors to weight management challenges. Burke conducts in-person consultations at the Waco clinic location, performing physical examinations and reviewing medical histories to develop treatment plans that address each patient's specific metabolic profile and health objectives.
Patients initiating semaglutide therapy at Custom Health Waco undergo structured onboarding that includes injection technique training, side effect management protocols, and nutritional guidance to support medication efficacy. The clinic monitors for common GLP-1 therapy effects including nausea, gastrointestinal changes, and appetite suppression, adjusting dosing schedules when necessary to optimize tolerability. Follow-up visits track weight trends, body composition changes, and metabolic improvements through repeat laboratory testing. Burke's programs incorporate discussions of sustainable lifestyle modifications, protein intake requirements during weight loss, and strategies to maintain metabolic gains achieved through semaglutide treatment.
Custom Health Waco requires in-person visits for all consultations and follow-up care, serving patients throughout McLennan County and the greater Waco metropolitan area. The clinic's focus on hormonal health extends to evaluation of how thyroid disorders, cortisol dysregulation, and reproductive hormone imbalances intersect with weight management efforts. Burke's practice provides continuity of care through regular monitoring appointments, allowing for real-time adjustment of semaglutide protocols based on patient response and emerging metabolic data. This localized, hands-on approach to GLP-1 therapy distinguishes the clinic's model from remote prescribing services, offering Central Texas residents direct access to a nurse practitioner who manages all aspects of their metabolic health program.
Amanda Burke· FNP
Amanda Burke, FNP
Family Nurse Practitioner
Amanda Burke is a family nurse practitioner with over 13 years of experience providing care across the lifespan. She is a Waco native and attended graduate school at Texas A&M Corpus Christi. Amanda currently serves as a clinical instructor at Texas State University's Saint David's school of nursing for their nurse practitioner programs. She is married and has two sons, and enjoys the typical central Texas outdoor activities and sports events! Amanda strives to empower her patients to live healthy lifestyles and intentionally focuses on empathizing with patient interactions.
Janyce Haskett, RN
Client Advocate and Chief Nursing Officer
Janyce Haskett serves as a client advocate and chief nursing officer for Custom Health Waco. Janyce has almost 30 years of experience as a registered nurse and has worked in various settings, including intensive care units, cardiac care, and perioperative care. For the past eight years, she has been a part owner and patient care provider at Waco Body Sculpt. Janyce and her husband, Rich, share a family which includes five children, two daughters-in-law, and three grandchildren. They enjoy attending school sporting events, spending time with friends and family, taking long walks in Cameron Park, and having the occasional cheat meal at Double R or El Con.
Nancy Baird, BBA in Management with specialization in HR
Patient Care Coordinator
Nancy serves as a patient care coordinator at Custom Health Waco. She holds a BBA in Management with a specialization in HR. Nancy spent the last nine years as part owner and patient care provider at Waco Body Sculpt. She is excited to continue in both roles and be able to offer varying methods of individualized patient care. In her spare time, she loves watching her son play baseball and visiting her daughter in college. She is a native of San Antonio, but has spent the last 24 years in Waco and loves the community.
Initial Evaluation
Comprehensive Assessment, Evaluation for Medication, MIC B Injection
Monthly Cost
Bi-Weekly Visits with Care Team, Prescription Management, Personalized Coaching, All Educational Materials
Initial Metabolic Lab Assessment
Not included with Initial Evaluation
MIC B Injection
Single Injection
Bundle of 5 Injections
If needed
GLP-1 Program
Comprehensive Evaluation, Personalized Coaching, All Educational Materials, Cost of Medication
Semaglutide Program
Initial Evaluation with Bi-Weekly Visits, Personalized Coaching, All Educational Materials, Cost of Medication
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