Weight Management for Women

Real Support. Science-Based Solutions. No Subscriptions

If you’ve been told to "just eat less and move more," you’re not alone — and you're not wrong for needing more than that. At Optima Vida Healthcare, we take a medical approach to weight management that considers hormones, metabolism, and your lived experience as a woman.

We offer evidence-based treatment through affordable telehealth visits — with no memberships, no judgment, and no overpriced medication markups.

What We Offer:

One-on-One Telehealth Visits with a Licensed Provider

• Telehealth Visits with a Licensed Provider

• Personalized Prescriptions When Appropriate
  (GLP-1s, metformin, topiramate, bupropion, and more)

• Prescriptions Sent to Your Pharmacy of Choice — not locked into subscriptions

• Support for PCOS, perimenopause, hormonal weight gain, and emotional eating

• Optional Labs & Supplements to personalize your plan

Is This Right for You?

WE HELP WOMEN WHO ARE:

• Struggling with stubborn weight despite eating well

• Experiencing hormonal changes impacting their body

• Feeling burnt out by dieting cycles that don’t work

• Dealing with PCOS, insulin resistance, or mood-related weight changes

• Tired of being dismissed or told it’s just “lack of willpower”

What to Expect

• Book Your Telehealth Visit – Just $50, or $39 for a limited time

• Discuss Your Goals and Challenges – We’ll listen and create a plan just for you

• Get Prescriptions and Labs if Needed – Sent to your preferred pharmacy or lab

• Check In When You Want – No auto-renewals, no pressure

Feel Heard. Get Results.

You deserve a treatment plan that respects your biology and your experience. Whether your weight gain started after pregnancy, during menopause, or seemingly out of nowhere — we’re here to help you get back in control, on your terms.

Sarina Helton, FNP-C

a board-certified Family Nurse Practitioner with advanced training in obesity medicine, hormone health, and sexual wellness. After overcoming her own struggles with weight and metabolic health, she founded Optima Vida Healthcare to provide science-based, compassionate care that treats the whole person — not just symptoms.

Weight Optimization

Medications by Obesity Phenotype

Obesity isn’t one-size-fits-all. Different biological pathways contribute to how and why weight gain happens. At Optima Vida Healthcare, we identify your unique phenotype to personalize your treatment plan.

Hungry Brain
Involves dysfunction in the central nervous system's appetite regulation and reward pathways. Patients often experience constant food thoughts, poor satiety, and compulsive or impulsive eating behaviors.

Hungry Gut
Driven by abnormalities in gut hormone signaling (GLP-1, GIP, ghrelin). These individuals feel physically hungry often and struggle with portion control or early satiety.

Slow Burn
Linked to metabolic and hormonal dysfunction, such as insulin resistance, low energy expenditure, or thyroid and growth hormone imbalances. Weight gain is often gradual and stubborn.

Emotional Hunger
Related to neurochemical and emotional regulation pathways involving dopamine, serotonin, and GABA. Eating is often triggered by stress, sadness, anxiety, or trauma, rather than physical hunger.

Hungry Brain

Characterized by constant thoughts about food, poor satiety signals, compulsive eating, and reward-seeking behavior.

Hungry Gut

Marked by excessive appetite, strong physical hunger, and poor meal satisfaction.

Emotional Hunger

Eating in response to stress, boredom, sadness, or anxiety, rather than physical hunger.

Naltrexone (Standard Dose) – Reduces reward-driven eating and food obsession.

Low-Dose Naltrexone (LDN) – Supports mood, reduces compulsive cravings, and may calm emotional reactivity.

Bupropion – Helps with motivation, mood, and appetite control; often combined with other agents.

Topiramate – Decreases cravings, impulsive eating, and promotes fullness.

Zonisamide – May reduce binge and compulsive eating in select patients.

Baclofen – Targets GABA receptors to reduce urges and compulsive food behaviors.

Fluoxetine or Other SSRIs – Can support emotional regulation and reduce emotionally triggered eating.

Semaglutide (Compounded) – Mimics GLP-1 to reduce appetite, slow digestion, and enhance fullness.

Tirzepatide (Compounded) – Targets two gut hormones (GLP-1 and GIP) to control hunger and cravings.

Liraglutide (Compounded) – Daily GLP-1 that reduces hunger signals and increases satiety.

Oral Semaglutide (Compounded) – A daily capsule alternative that supports satiety and hunger control.

Pramlintide – Slows gastric emptying and enhances fullness after meals.

Phentermine – Suppresses appetite and enhances energy levels.

Topiramate – Reduces physical hunger and helps patients feel full sooner.

Low-Dose Naltrexone (LDN) – Calms the nervous system, reduces obsessive food thoughts, and supports emotional resilience.

Bupropion – Boosts mood and motivation while reducing stress-related eating.

Naltrexone (Standard Dose) – Reduces emotional and reward-driven eating patterns.

Baclofen – May help interrupt the cycle of emotionally triggered overeating.

Fluoxetine or SSRIs – Address underlying depression or anxiety that may fuel overeating.

Topiramate – Dulls the emotional drive to eat and helps promote a sense of satiety.

Metformin – Improves insulin sensitivity and may support modest weight loss.

SGLT2 Inhibitors – Promote glucose excretion, support fat loss, and improve metabolic function.

Acarbose – Reduces carbohydrate absorption and helps manage post-meal blood sugar.

Sermorelin – Stimulates natural growth hormone release to support fat loss and muscle maintenance.

Sermorelin/GHRP Blends – Enhance metabolic function, recovery, and lean mass preservation.

Tirzepatide (Compounded) – Improves both glucose and fat metabolism through dual hormone action.

Topiramate – May provide metabolic support and appetite suppression, especially in combination plans.

Slow Burn

Driven by a sluggish metabolism, insulin resistance, or low energy expenditure.