Total Health Cincinnati

Total Health Cincinnati operates from Covington, Kentucky, under the medical direction of Dr. Michael Rohs Jr., MD, focusing on metabolic healthcare through evidence-based peptide therapies and structured lifestyle intervention. The clinic addresses weight management, type 2 diabetes, and metabolic syndrome using pharmacotherapy protocols that integrate GLP-1 receptor agonists with individualized nutrition and fitness programming. Dr. Rohs established the practice to serve patients across the Greater Cincinnati metropolitan area who require medical supervision for chronic metabolic conditions that have not responded adequately to conventional diet-and-exercise approaches alone.

The clinic's peptide therapy program centers on two FDA-approved incretin mimetics: semaglutide and tirzepatide. Semaglutide, a GLP-1 receptor agonist, is prescribed for patients requiring appetite regulation and improved glycemic control, while tirzepatide—a dual GIP/GLP-1 receptor agonist—is utilized for patients who may benefit from enhanced insulin sensitivity and greater weight reduction potential. Dr. Rohs conducts initial metabolic assessments that include laboratory evaluation of hemoglobin A1c, fasting insulin, lipid panels, and thyroid function to determine appropriate peptide candidacy. Dosing follows established titration protocols, with patients typically starting at lower doses and advancing based on tolerance and response. The clinic partners with a compounding pharmacy to ensure medication access and works within insurance parameters when coverage applies, while also offering self-pay options for patients seeking treatment outside traditional reimbursement models.

Dr. Michael Rohs Jr. brings his medical degree and clinical training to a practice model that emphasizes physician-guided metabolic optimization rather than quick-fix weight loss. His approach incorporates regular monitoring of patient progress through scheduled follow-up appointments, adjustment of peptide dosing based on clinical response, and coordination with the clinic's nutrition counseling team. Patients receive structured dietary guidance that aligns with their peptide therapy, focusing on macronutrient balance, meal timing, and strategies to manage the appetite suppression effects common with GLP-1 agonists. The fitness guidance component addresses exercise prescription appropriate to each patient's current conditioning level, with progressive programming designed to preserve lean muscle mass during weight reduction phases. This integrated model recognizes that peptide therapy produces optimal outcomes when combined with behavioral modification and lifestyle restructuring.

Patients at Total Health Cincinnati in Covington begin with a comprehensive intake consultation where Dr. Rohs reviews medical history, current medications, previous weight loss attempts, and metabolic health markers. The clinic offers hybrid consultation options, allowing patients to choose between in-person visits at the Covington location or telehealth appointments for follow-up care and ongoing management. Initial visits typically occur in person to establish baseline measurements including body composition analysis, blood pressure assessment, and physical examination. Subsequent appointments may be conducted via telemedicine for patients who have demonstrated stable response to therapy and require primarily dosage management and progress monitoring. The wellness coaching component provides patients with accountability support between medical visits, addressing common challenges such as medication side effects, dietary adherence obstacles, and motivation maintenance during weight plateaus.

Total Health Cincinnati differentiates itself in the Northern Kentucky and Greater Cincinnati market through its physician-led model that maintains medical oversight throughout the treatment continuum rather than delegating peptide management to non-physician providers. The clinic's partnership with a compounding pharmacy enables consistent medication supply and competitive pricing structures for self-pay patients, while the practice also navigates insurance authorization processes for patients with coverage for obesity or diabetes medications. Dr. Rohs structures treatment plans with defined endpoints and transition strategies, recognizing that long-term metabolic health requires sustainable lifestyle patterns beyond peptide therapy alone. The Covington location serves patients throughout Kenton County, Campbell County, and the Cincinnati metropolitan area, with telehealth access extending care to patients across Kentucky who require specialized metabolic medicine services not readily available in their local communities.