Most programs chase the number on the scale. HFW builds your plan around what the scale cannot see: body composition, metabolic health, and the muscle and bone that matter more with every decade.
It starts with testing, not guessing. From there, an advanced care clinician personalizes everything that follows: dosing matched to your response when medication is appropriate, accountability and habit coaching, and monitoring built to protect strength while you lose fat.
Led by Our Team of Advanced Care Clinicians
100% Telehealth
Testing Nationwide
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24 pages on advanced testing, clinician-led protocols, and why strategy comes before any single compound.
HFW is built for long-term metabolic optimization.
Most patients work with us through a structured longevity membership model that includes:
There’s a reason your body isn’t responding. Stop guessing and find out what it is.
Where medication fits
When a GLP-1 or another metabolic therapy is clinically appropriate, it is one part of a wider strategy. On its own, appetite suppression tends to cost you muscle and leaves nothing in place for afterwards. These are the things HFW works on alongside it.
Protein and nutrition quality
Appetite suppression without adequate protein is how people lose the wrong kind of weight.
Resistance training
Muscle is metabolically active tissue. Protecting it is part of the plan, not an afterthought.
Lean mass and body composition
We track what the weight is made of, not only what the scale says.
Metabolic monitoring
Glucose, insulin, lipids, liver and thyroid markers, reviewed as the plan progresses.
Accountability
Habit and nutrition coaching, because knowing what to do and doing it are different problems.
Maintenance and discontinuation
A plan for what happens if and when the medication stops. Decided in advance, not improvised later.
Medication access is not guaranteed. Whether any therapy is appropriate for you remains a clinical decision, subject to review and to the requirements that apply where you live.
What sets HFW weight loss care apart
Body composition, not just body weight
The scale cannot tell you whether you are losing fat or losing muscle. HFW tracks body composition so your plan protects lean mass and strength while fat comes down.
Personalized dosing
When medication is part of the plan, the dose is not one-size-fits-all. It is selected for your response, your goals, and your labs, then adjusted through monitoring rather than left on autopilot.
Accountability and habit coaching
A plan only works if it gets implemented. Structured coaching supports habits, nutrition, and training between visits, with regular check-ins so progress does not depend on motivation alone.
Bone density and strength as you age
Poorly managed weight loss can cost bone and muscle, and that matters more with every decade. Your plan is built to protect both, not just to lower a number.
It all starts with testing
Before any plan, HFW establishes a baseline: metabolic markers, body composition, and the context that determines what your plan should actually contain. Testing before guessing.
We do not just help you lose weight. We find out why your body is holding onto it.
| Conventional Weight Loss Care | HFW Longevity | |
|---|---|---|
What they look at |
Calories, BMI, and the scale |
Hormones, insulin, thyroid, cortisol, gut health, inflammation, body composition, cellular energy, and biological aging |
What you hear |
“Eat less and exercise more.” |
“Your body is responding this way for a reason. Let’s find out why.” |
Testing |
Basic labs, often called “normal” |
Advanced metabolic, hormonal, gut, nutritional, and longevity testing |
Treatment |
Generic diets, appetite suppression, or medication-only care |
Correcting underlying contributors plus advanced therapies when appropriate |
Support |
Quick visits and minimal follow-up |
Quarterly labs, regular check-ins, tracking, and protocol adjustments |
Goal |
Temporary weight loss |
Sustainable metabolic health and long-term body composition change |
Access |
Office visits, referrals, long waits |
100% telehealth with at-home or local testing options |
What they look at
Real progress. Real support.
Stella Blanch Apo
It’s been a blessing working with Dr. Landi and his entire team! After getting my test results, Dr. Landi walked me through a number of helpful steps to restore my health. He is very knowledgeable and uses an in-depth functional medicine approach in addressing health concerns. Bernadette is also very kind and thoughtful and I enjoy the interpersonal connection I have built with all of them.
Chase Natale
Fatimah Fahmy
I have been working with Dr Landi for several months now. He is extremely knowledgeable, attentive and responsive. He actually listens which is rare in medicine these days. I’m excited to see what the results are from my protocol in a couple of months. Highly recommend his practice if you’re looking into functional medicine.
Lauren Griffith
Dr. Landi is highly knowledgeable and skilled in the field of functional medicine, but he also possesses a genuine empathy and compassion that is so often lacking in the traditional healthcare system. Dr. Landi connects to each of his patients on a personal level, works with you every step of the way, and makes you feel supported while navigating challenging health obstacles.
Kevin Heckman
I found out about the practice of Functional Dr’e last year and realized this is what I need! Finding Dr Landi so close to home was awesome. We appreciated his candor, knowledge and engaging personality. He exuded caring and interest in me and my situation. I feel he had repeatedly gone the extra mile for me so our collaboration is successful.
Your weight is connected to your whole system.
| What We Evaluate | Why It Matters |
|---|---|
|
Metabolic Health |
Insulin resistance, glucose patterns, and metabolic flexibility can determine whether your body stores or burns fat. |
|
Hormonal Health |
Thyroid, cortisol, estrogen, progesterone, and testosterone all influence cravings, energy, sleep, and fat storage. |
|
Gut Health |
Gut inflammation, dysbiosis, and poor absorption can drive systemic inflammation and weight resistance. |
|
Inflammation |
Chronic inflammation can interfere with insulin signaling, hormone balance, and recovery. |
|
Mitochondrial Function |
Your mitochondria produce cellular energy. When they decline, your metabolism can feel slow and resistant. |
|
Stress & Recovery |
Poor sleep, chronic stress, and cortisol dysregulation can keep your body in fat-storage mode. |
Insulin resistance, glucose patterns, and metabolic flexibility can determine whether your body stores or burns fat.
Thyroid, cortisol, estrogen, progesterone, and testosterone all influence cravings, energy, sleep, and fat storage.
Gut inflammation, dysbiosis, and poor absorption can drive systemic inflammation and weight resistance.
Chronic inflammation can interfere with insulin signaling, hormone balance, and recovery.
Your mitochondria produce cellular energy. When they decline, your metabolism can feel slow and resistant.
Poor sleep, chronic stress, and cortisol dysregulation can keep your body in fat-storage mode.
Every element of your plan is driven by your test results. Nothing is assumed. Nothing is generic.
We test what most weight loss programs ignore.
| Test | What It Can Reveal |
|---|---|
Comprehensive Metabolic Bloodwork |
Insulin resistance, glucose patterns, and metabolic flexibility can determine whether your body stores or burns fat. |
Full Thyroid Panel |
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues |
DUTCH Complete Hormone Test |
Cortisol rhythm, estrogen/progesterone patterns, testosterone activity, adrenal stress, and hormone metabolism |
GI-MAP Stool Analysis |
Gut dysbiosis, pathogens, inflammation, digestion, immune activity, and gut-related metabolic triggers |
Metabolomix+ Nutritional Panel |
Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, and cellular energy patterns |
TruAge + TruHealth Testing |
Biological age, pace of aging, and organ-system health across metabolic, immune, hormonal, and cardiovascular systems |
Bone Density Scanning |
Lean mass, fat mass, visceral fat, skeletal health, and muscle preservation |
Insulin resistance, glucose patterns, and metabolic flexibility can determine whether your body stores or burns fat.
TSH, Free T3, Free T4, Reverse T3, thyroid antibodies, and possible thyroid conversion issues
Cortisol rhythm, estrogen/progesterone patterns, testosterone activity, adrenal stress, and hormone metabolism
Gut dysbiosis, pathogens, inflammation, digestion, immune activity, and gut-related metabolic triggers
Nutrient deficiencies, oxidative stress, amino acids, mitochondrial markers, and cellular energy patterns
Biological age, pace of aging, and organ-system health across metabolic, immune, hormonal, and cardiovascular systems
Lean mass, fat mass, visceral fat, skeletal health, and muscle preservation
Focused Care vs. Membership
Pay per visit · No commitment
$225/month · 12-month initial term
HEAL FROM WITHIN
Ongoing care. Advanced testing. Personalized protocols. Better results. For life.
A year-long, measurement-driven approach to health optimization. 12-month initial term.
Built around your biology. Depending on your testing, symptoms, and goals, your plan may include.
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Digestive and Gut Function
Professional-grade supplementation based on your actual deficiencies and biomarkers. Nothing random. Nothing guessed.
Nutrition + Lifestyle Strategy
We review your symptoms, goals, health history, and prior weight-loss efforts to determine the right next steps.
Testing establishes your metabolic baseline. An advanced care clinician then interprets it alongside your history, symptoms and goals, and builds a prioritized plan.
We address key issues such as insulin resistance, hormones, gut health, inflammation, sleep, and nutrient status.
Your plan may include nutrition, GLP-1 therapy when appropriate, hormone support, peptides, supplements, and ongoing monitoring.
We focus on protecting results through muscle preservation, metabolic health, regular lab review, and long-term support.
No waiting rooms. No referrals. No “come back in six months.”
| We Track | Why It Matters |
|---|---|
|
Weight Trend |
Shows direction, but not the whole picture |
|
Body Composition |
Helps protect muscle and reduce fat mass |
|
Fasting Insulin + Glucose |
Reveals metabolic resistance and fat-storage signals |
|
HbA1c + Lipids |
Tracks blood sugar and cardiovascular risk |
|
Inflammatory Markers |
Shows whether inflammation may be blocking progress |
|
Thyroid Markers |
Helps identify metabolic slowdown or conversion issues |
|
Hormone Patterns |
Shows how cortisol, estrogen, progesterone, and testosterone may affect weight |
|
Gut Markers |
Identifies dysbiosis, inflammation, and digestion issues |
|
Symptoms |
Energy, cravings, sleep, digestion, mood, hunger, and recovery |
Shows direction, but not the whole picture
Helps protect muscle and reduce fat mass
Reveals metabolic resistance and fat-storage signals
Tracks blood sugar and cardiovascular risk
Shows whether inflammation may be blocking progress
Helps identify metabolic slowdown or conversion issues
Shows how cortisol, estrogen, progesterone, and testosterone may affect weight
Identifies dysbiosis, inflammation, and digestion issues
Energy, cravings, sleep, digestion, mood, hunger, and recovery
Advanced care clinicians. Measurement-informed strategy. Long-term optimization.
Over a decade of clinical experience with advanced functional testing, peptide therapy, metabolic optimization, and data-driven longevity protocols.
Medical Director
Let’s find out what your metabolism is actually trying to tell you.
Most weight loss programs optimize for the number on the scale. HFW optimizes for metabolic health and body composition. That means looking at glucose regulation, insulin resistance, lipids, inflammation, hormone context, lean mass, and strength, not just weight. Medication may be one tool in the plan. It is not the plan. Nutrition, adequate protein, resistance training, sleep, accountability, monitoring, and a maintenance strategy are built in from the start.
A GLP-1 may be considered for an appropriate patient after clinical evaluation. It is not guaranteed, and it is not offered as a standalone product. An advanced care clinician reviews your history, metabolic context, risks, goals, and what is available in your state before any medication decision. Availability also depends on clinician authorization, pharmacy requirements, and the specific therapy involved.
HFW does not currently offer semaglutide. HFW evaluates appropriate metabolic options and prioritizes a plan built around metabolic health, lean mass preservation, nutrition, training, monitoring, and sustainable maintenance rather than appetite suppression alone.
No. Many patients make meaningful progress through metabolic evaluation, nutrition, resistance training, sleep, stress and habit work, and correcting contributors identified through testing. Medication is considered when it is clinically appropriate for that individual, not as the default starting point.
The introductory clinician call is $0. Medication and protocol packages are quoted individually after clinical evaluation, because a package price reflects the therapy for a defined duration plus follow-up clinician consultations, standard shipping, standard supplies, and clinical oversight, not the price of a vial. Longevity Membership members and Functional Medicine Corrective Program patients receive 15% off eligible GLP-1 and peptide protocol packages. Conventional bloodwork is billed separately by the laboratory.
Because losing weight and improving health are not always the same thing. If the scale drops while strength and lean mass disappear, the plan needs another metric. Lean mass supports metabolic rate, glucose handling, strength, function, and long-term independence. HFW tracks body composition, strength, and metabolic markers alongside weight so that progress means something durable.
Rapid weight loss of any kind can include lean mass, which is why HFW builds the plan around protecting it. That means adequate protein and total nutrition, progressive resistance training, a measured rather than fastest-possible rate of loss, symptom tracking, and monitoring body composition rather than weight alone. This is a general education point, not individual medical advice.
Clinician-selected testing may include glucose regulation and insulin resistance markers, lipids and lipoproteins, inflammatory markers, thyroid and hormone-related markers, nutrient status, body composition, and blood pressure. TruHealth is frequently used to establish a baseline and to measure change over time. Testing is selected because the result can change a decision, not because it is available.
It is a common and reasonable question. A standard panel may not include markers relevant to insulin resistance, thyroid function in detail, hormone patterns, inflammation, or nutrient status, and a value inside a population reference range is not automatically optimal for you. HFW starts by reviewing what has already been done, then selects testing that could actually change the plan.
Hormone patterns can be one contributor among several to body composition, appetite, energy, sleep, and how a person responds to nutrition and training. They are not the whole explanation, and a hormone result is interpreted alongside symptoms, timing, history, and metabolic context rather than treated as the single answer.
Not necessarily. HFW’s goal is to give you the best reasonable opportunity to maintain progress without unnecessary permanent medication reliance, which is why nutrition, strength, habits, and a maintenance or transition plan are part of the program from the beginning. HFW does not guarantee that every patient can discontinue medication. Some people may need continued treatment or another maintenance strategy, and that decision is clinical.
Your clinician reviews response, body composition, metabolic markers, and how sustainable your current plan is, then builds a maintenance or transition strategy appropriate to you. This is where a lot of weight loss programs end and where HFW’s model is designed to continue, through ongoing monitoring and plan adjustment.
There is no standard dose that fits everyone. When medication is clinically appropriate, your advanced care clinician selects a starting dose based on your history, labs, and goals, then adjusts it based on your response, tolerance, and progress. Dosing decisions are made through monitoring, not set once and forgotten. Medication access is not guaranteed, and every continuation decision remains a clinical one.
Structured check-ins between clinical visits that support nutrition, training, sleep, and follow-through. The goal is implementation. A plan that is not implemented does not change your metabolic health, so coaching is treated as part of the care, not an extra.
Rapid or poorly supported weight loss can cost bone and muscle along with fat, and both are harder to rebuild as you get older. HFW builds plans that prioritize adequate protein, resistance training, and monitoring so that losing weight supports long-term strength and function instead of undermining it.
