Pivotal Weight Loss & Longevity
Welcome to Pivotal
Pivotal Weight Loss & Longevity of Charlotte is your concierge medical partner specializing in weight loss, bioidentical hormone replacement therapy, nutrition counseling and coaching, longevity, and surgery optimization.
We offer both telehealth and in person care at our Arboretum location, in the heart of Charlotte.
Why Pivotal?
Why People Choose Pivotal
This Is More Than Weight Loss
At Pivotal, our goal isn’t just to help you lose weight—it’s to help you change your health for the long term.
We focus on sustainable results by combining medical care, nutrition guidance, and ongoing support to address the root causes of weight gain.
Because real success isn’t measured by how quickly you lose weight—it’s measured by how well you keep it off and how you feel living your life.
Why Patients Choose Pivotal
In a market full of quick-fix weight loss options, Pivotal offers something different—personalized, medically guided care designed for long-term results.
Physician-Led Care:
Your plan is guided by a medical provider who understands how weight, hormones, and metabolism work together—not a one-size-fits-all protocol.
Registered Dietitian Included:
You’ll work with a dietitian to build sustainable habits, improve nutrition, and maintain results—without restrictive dieting.
Concierge, Relationship-Based Model:
We take the time to understand your goals, symptoms, and lifestyle so your plan is truly personalized—not rushed or transactional.
Ongoing Support (Not Just Prescriptions):
You’re not left to figure it out alone. We provide regular follow-ups, adjustments, and access to your care team between visits.
Combination Approach for Better Results:
We don’t rely on one tool. Your plan may include GLP-1 medications, hormone therapy, and lifestyle support to address root causes and improve outcomes.
In-Depth Lab Testing & Root Cause Focus:
We go beyond surface-level care by evaluating hormones, metabolism, and other key markers to guide your treatment.
What We Help With
Your health journey is unique—and your care should be too.
At Pivotal, we take the time to understand your symptoms, goals, and lifestyle so we can build a plan that helps your body function at its best.
No one-size-fits-all protocols. Just personalized, medically guided care designed for long-term results.
Conditions & Symptoms We Help With
If you’re experiencing any of the following, a medical approach to weight loss and hormones may help:
Weight & Metabolism
Weight loss resistance (despite diet and exercise)
Difficulty maintaining weight loss
Slow metabolism or metabolic slowdown
Weight gain related to stress or cortisol imbalance
Hormones
Polycystic Ovary Syndrome (PCOS)
Hormonal weight gain (perimenopause & menopause)
Low testosterone (in men and women)
Postpartum weight retention
Insulin resistance and blood sugar dysregulation
Increased cravings and appetite dysregulation
Longevity
Persistent fatigue and low energy
Brain fog and poor focus
Mood changes, irritability, or low motivation
Loss of muscle mass or strength
Poor sleep and disrupted sleep patterns
Services Overview
How We Help
Medical Weight Loss
Our program includes customized nutrition plans, physical activity guidance, and support in adopting long-term healthy habits.
GLP-1 Support
That’s why we don’t use a one-size-fits-all approach. Our providers work closely with you, either in-person or via video, to create a truly personalized plan.
Hormone Therapy
Pivotal Weight Loss & Longevity is excited to announce the addition of Bioidentical Hormone Replacement Therapy (BHRT) to our suite of services.
Nutrition Counseling
Your first visit will be with an MD or APP for a detailed medical evaluation. Together, you’ll review your health history and create a personalized plan based on your goals.
Why Choose Concierge Care?
Concierge care delivers a personalized, science-based approach to weight loss with dedicated support at every step. You get direct access to your provider, no waiting rooms or rushed visits, and regular check-ins to keep your plan on track. This judgment-free system focuses on your individual success, not a one-size-fits-all protocol.
Get started in 3 simple steps
Schedule a Discovery Call
Connect with our Patient Care Coordinator to discuss your goals and find the care option that’s the best fit for you.
Consult Your Provider
Meet with your provider to review your health history and receive a personalized treatment plan.
Begin Your Custom Plan
Start your personalized journey with expert guidance, ongoing support, and a plan designed for long-term success.
Reviews
Membership Plans
Simple & Transparent Pricing
We believe in clear, straightforward pricing so you know what to expect.
Platinum Membership
$199 every 4 weeks
Best for: Patients who prefer a concierge experience without the hassle of insurance, copays, deductibles, referrals, or claim approvals.
Enjoy predictable pricing and comprehensive physician-supervised care with personalized support from our team every step of the way.
Insurance Membership
$99 every 4 weeks
Best for: Patients with strong insurance benefits or those who have already met their deductible but do not have insurance coverage for GLP-1 medications.
Receive the same comprehensive care and member benefits while using your insurance for provider appointments, helping reduce your overall healthcare costs.
Available to patients in North and South Carolina only.
Prescription Care Plan
No membership fee
Best for: Patients whose insurance covers their GLP-1 medication or those seeking nutrition and lifestyle management without a concierge membership.
Appointments are billed through insurance, and you’ll receive personalized medical care based on your benefits.
Please note: This option does not include membership-exclusive benefits, such as member pricing on peptides and supplements, discounts on select services, or the discounted GLP-1 laboratory panel.
FAQs
Your membership includes provider visits, registered dietitian support, discounted GLP-1s and supplements, tailored lab panels, and ongoing guidance—we’re here to support you every step of the way, not just at appointments.
Yes—when appropriate, we incorporate GLP-1 medications into a medically supervised plan designed around your body and your goals.
We know navigating insurance can be confusing. We accept many plans for eligible services and will help review your benefits before you get started.
We are currently able to treat patients via telemedicine who are residents of North Carolina, South Carolina, and Florida.
Yes. You’ll work with a registered dietitian who helps you build realistic, sustainable habits—not restrictive plans you can’t maintain.
We offer several forms of bioidentical hormone therapy—including pellets, injections, and topical options—so your treatment can be tailored to what works best for you.
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