Midwest Health & Wellness

Midwest Health & Wellness operates in Des Moines, Iowa, under the clinical direction of Nathan Skeries, ARNP, delivering hormone optimization, weight management, and medical cannabis certification services to patients throughout the state. The clinic provides both in-person consultations at its Des Moines location and telehealth appointments for patients who require remote access to care. With a 5.0-star rating across 17 Google reviews, the practice has established a reputation for addressing testosterone replacement therapy (TRT), hormone replacement therapy (HRT), and patient education through detailed consultations that prioritize individualized treatment planning.

The clinic's peptide therapy program centers on semaglutide for weight management, prescribed as part of comprehensive metabolic health protocols that include dietary guidance, body composition monitoring, and ongoing dosage adjustments based on patient response. Semaglutide, a GLP-1 receptor agonist, is utilized to support appetite regulation and sustainable weight reduction in patients who meet clinical criteria for pharmacologic weight management intervention. Midwest Health & Wellness integrates semaglutide treatment with baseline metabolic panels, thyroid function assessment, and nutritional counseling to address underlying factors that contribute to weight gain and metabolic dysfunction. The clinic's hormone optimization services include testosterone replacement for men experiencing hypogonadism symptoms such as fatigue, reduced libido, and loss of muscle mass, as well as hormone replacement therapy for women navigating perimenopause and menopause-related hormonal changes. Treatment protocols are tailored to each patient's lab results, symptom profile, and health history, with regular follow-up appointments to monitor therapeutic response and adjust dosing as needed.

Nathan Skeries, ARNP, brings advanced practice nursing expertise to the clinic's patient care model, conducting initial consultations that include comprehensive health histories, symptom assessments, and discussion of treatment goals. His approach emphasizes patient education, ensuring individuals understand the mechanisms of action for prescribed therapies, potential side effects, and the importance of adherence to monitoring schedules. The clinic's medical cannabis certification service provides qualifying Iowa patients with access to the state's medical cannabidiol program, following thorough evaluation of conditions that meet Iowa Department of Public Health criteria. This certification process includes review of medical records, discussion of symptom management goals, and guidance on product selection and dosing strategies within the legal framework of Iowa's medical cannabis regulations.

Patients at Midwest Health & Wellness begin with an initial consultation—available in-person at the Des Moines clinic or via telehealth—during which Nathan Skeries reviews medical history, current symptoms, and prior treatment attempts. For hormone optimization candidates, this visit typically includes ordering baseline laboratory work such as total and free testosterone, estradiol, thyroid panel, complete blood count, and comprehensive metabolic panel. Results are reviewed in a follow-up appointment where treatment options are discussed, risks and benefits are outlined, and a personalized protocol is established. Weight management patients undergoing semaglutide therapy receive instruction on subcutaneous injection technique, guidance on managing potential gastrointestinal side effects, and a structured follow-up schedule to track weight loss progress and adjust dosing. The clinic's telehealth platform allows patients across Iowa to access Nathan Skeries' clinical expertise without travel to Des Moines, with prescriptions sent electronically to the patient's preferred pharmacy and lab orders coordinated at facilities convenient to the patient's location.

Midwest Health & Wellness differentiates itself through its combination of peptide-based weight management, comprehensive hormone optimization, and medical cannabis certification under one clinical roof in Des Moines. The practice's telehealth capability extends specialized care to rural Iowa communities where access to hormone and metabolic health providers may be limited, while maintaining the option for in-person visits for patients who prefer face-to-face consultations. Nathan Skeries' patient-centered approach, reflected in the clinic's perfect Google rating, focuses on answering questions thoroughly, setting realistic expectations, and providing ongoing support throughout treatment. The clinic does not accept insurance for most services, operating on a transparent fee-for-service model that allows for extended appointment times and direct provider access between visits, ensuring patients receive the attention and follow-through necessary for successful outcomes in hormone optimization and weight management.