Welcome to Pivotal
Pivotal Weight Loss & Longevity of Charlotte is your concierge medical partner specializing in weight loss, bioidentical hormone replacement therapy, nutrition counseling, longevity, and surgery optimization.
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.
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.
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. We take the time to understand your symptoms and goals so we can build a plan that helps your body function at its best.
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
Medical Weight Loss
Our program includes customized nutrition plans, physical activity guidance, and support in adopting long-term healthy habits.
Know moreGLP-1 Support
We don't use a one-size-fits-all approach. Our providers work closely with you, in-person or via video, to create a personalized plan.
Know moreHormone Therapy
Pivotal Weight Loss & Longevity offers Bioidentical Hormone Replacement Therapy (BHRT) to optimize energy, mood, and metabolism.
Know moreNutrition Counseling
Your first visit will be with an MD or APP for a detailed medical evaluation, followed by one-on-one registered dietitian support.
Know moreEmily's Weight Loss Journey
Real results with concierge medical support, bioidentical hormone optimization, and personalized nutrition guidance.
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 tailored to your needs.
Begin Your Custom Plan
Start your personalized journey with expert guidance, ongoing support, and a plan designed for long-term success.
Reviews
"Great smooth experience. The staff is attentive and the personalized approach actually works!"
"Pivotal has completely changed my energy and weight journey after years of struggling with hormones."
"Top-notch concierge care in Charlotte! Loved working with the registered dietitian alongside the doctor."
"Very thorough blood work and explanations. GLP-1 support with proper nutrition guidance made all the difference."
"Friendly, compassionate care. I never felt rushed during my consultations."
Membership Plans
SIMPLE & TRANSPARENT PRICING
We believe in clear, straightforward pricing so you know what to expect.
Platinum Membership
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
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 overall costs. (NC & SC residents only).
Prescription Care Plan
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. Does not include membership-exclusive benefits.
FAQs
Schedule Your Discovery Call To
Service Areas
Pivotal Weight Loss & Longevity proudly serves patients throughout Greater Charlotte, NC & SC with in-person visits and convenient telehealth.
How To Find Us:
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