ERA Metabolic Medicine

Medical Weight Loss starting at $199/mo.

Lose Up to 20% of Your Body Weight with GLP-1 Treatment.*
*Treatment requires medical evaluation and eligibility.

Comprehensive consultation

Medication options

Personalized dosing

Laboratory testing

Nutrition & activity guidance

Side-effect assistance

Care from a licensed provider, not a script.​

Direct Provider Access
NP Elina will be with you every step of the way, with regular follow-ups and direct communication throughout your treatment. You will have direct way to contact your provider.
Convenient Appointments
In-person care in Virginia Beach, plus telehealth for eligible patients located in Virginia.
Continued Monitoring
We help manage side effects, navigate plateaus, and plan for maintenance.

What GLP-1 treatment may help with:

Weight management is not simply a matter of willpower. Genetics, insulin resistance, hormonal changes, medical conditions, sleep, stress, medications, and metabolism can all make losing weight difficult.
Fewer cravings

Reduce hunger and food cravings.

Smaller portions

Feel satisfied with less at each meal.

Sustainable weight loss

Gradual, steady progress over time.

Quality of life

Less health risks associated with excess weight

Your path to treatment, in five steps.​

1.
Schedule

Book an in-person or telehealth consultation.

2.
Evaluate

We review your health history, goals, and eligibility.

3.
Review options

Discuss medication, cost, and insurance together.

4.
Begin treatment

Start low, adjust gradually based on your response.

Semaglutide or tirzepatide?

Your provider will review your health history, previous treatments, current medications, goals, possible contraindications, and insurance benefits before recommending an option.
Semaglutide

A GLP-1 receptor agonist that helps regulate appetite, promote fullness, and slow gastric emptying.

Tirzepatide

Acts on both GIP and GLP-1 receptors. This dual action may offer additional appetite and metabolic support.

How GLP-1 medications work:

Appetite regulation

Stronger signals to the brain that you've eaten enough.

Slower digestion

Feel full longer, reducing snacking between meals.

Blood-sugar support

Healthier insulin and glucagon response to food.

Less food noise

Fewer repetitive thoughts about food and cravings.

How Much Weight Can I Expect to Lose?

Results vary. Weight loss typically develops gradually over several months, with protein, hydration, and activity helping protect lean muscle along the way.
Supporting your results
Common side effects
Nausea, constipation, or diarrhea, abdominal discomfort or heartburn, decreased appetite, fatigue.

Real patients. Real results.​

My experience with ERA Metabolic Health has been truly life-changing. After my stroke in 2024 and entering perimenopause, I struggled with significant weight gain and changes in my health and confidence. In less than a year, Elina Reynolds, NP, has been an incredible source of support and guidance. With her personalized approach and genuine care, I have made meaningful improvements in my health, lost weight, and, most importantly, regained confidence in myself. I am so grateful for her encouragement, expertise, and the positive impact she has had on my journey.
Annamaria M.
NP Elina Reynolds is absolutely wonderful! She is caring, knowledgeable, and truly takes the time to listen and understand her patients. Since I started seeing her, I genuinely feel better and have noticed a positive difference in my overall health and well-being. I’m very grateful for her care and would highly recommend her to anyone looking for a compassionate and attentive provider.
NP Elina Reynolds is absolutely wonderful! She is caring, knowledgeable, and truly takes the time to listen and understand her patients. Since I started seeing her, I genuinely feel better and have noticed a positive difference in my overall health and well-being. I’m very grateful for her care and would highly recommend her to anyone looking for a compassionate and attentive provider.
Krista

Frequently asked questions:

Am I a candidate for GLP-1 treatment?​
Eligibility depends on your BMI, weight-related health conditions, medical history, and treatment goals. A medical consultation determines whether treatment is appropriate.
Semaglutide works through the GLP-1 receptor; tirzepatide acts through both GIP and GLP-1 receptors. They differ in mechanism, dosing, cost, and individual response.
Coverage varies by plan. Self-pay options are available for patients without coverage or whose plans exclude weight-loss medication.
Increased hunger and weight regain can occur after stopping. Some patients benefit from longer-term treatment or a structured maintenance plan.
Yes, for eligible patients physically located in Virginia at the time of their visit. Some situations require an in-person evaluation.

Ready to take the next step?

Schedule a personalized consultation to learn whether medical weight-loss treatment is right for you.

The information on this page is educational and is not a substitute for individualized medical advice. Prescription treatment is provided only after an appropriate medical evaluation and when clinically indicated. Medication availability, eligibility, pricing, and insurance coverage may change. Results vary, and no particular amount or rate of weight loss can be guaranteed.
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness, or quality in the same manner as FDA-approved medications. They may be prescribed only when legally available and medically appropriate for an identified patient.

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