At Rejuvalife Vitality Institute, we understand that achieving permanent weight loss is a common goal for many individuals, but it can be challenging to achieve without the right tools and support. Dr. Andre Berger believes that a holistic approach to weight loss is the key to long-term success.

By combining lifestyle improvements in diet, exercise, sleep, and stress reduction and gut health optimization, nutraceuticals, and lipotropic injections with the use of Semaglutide and Tirzepatide medications, peptides, hormone replacement therapy (HRT), and naltrexone pellets, we help our clients achieve and maintain their weight loss goals.


A healthy diet is essential for achieving permanent weight loss. Dr. Berger will work with you to create a personalized nutrition plan that meets your unique needs and goals. He recommends a diet that is rich in whole, nutrient-dense foods, such as fruits, vegetables, lean proteins, and whole grains. He also encourages his patients to avoid processed foods, refined sugars, and unhealthy fats.


Regular exercise is another important component of permanent weight loss. Dr. Berger will help you create an exercise plan that works for your lifestyle and fitness level. He recommends a combination of cardiovascular exercises, such as walking, running, or cycling, and strength training, such as weightlifting or resistance band exercises. Dr. Berger also encourages his patients to find physical activities that they enjoy, such as hiking or dancing, to make exercise a more enjoyable part of their daily routine.


Dr. Berger understands that adequate sleep is essential for weight management, as lack of sleep can disrupt hormones that regulate appetite and metabolism. Dr. Berger works with you to identify any sleep issues that may be affecting your weight loss goals and develop strategies to improve your sleep hygiene. He recommends getting at least seven hours of restorative sleep per night and avoiding screens before bedtime.

Stress Reduction

Stress can trigger overeating and make it more difficult to stick to healthy habits. Dr. Berger will help you develop healthy coping mechanisms for stress, such as meditation, yoga, or deep breathing exercises as well as other stress-reduction therapies to help patients manage stress and maintain their weight loss goals.

Semaglutide, Tirzepatide and Tesofensine

Dr. Berger may utilize Medications such as Semaglutide (Ozempic, Wegovy, Rybelsis) and Tirzepatide (Mounjaro) are impactful enough that they can help lower a person’s set point, i.e., the weight your body naturally settles at due to an interplay of genetics, biology, and environment. Dr. Berger in some cases may also prescribe Tesofensine (TE) which acts as an appetite suppressant and which may increase resting energy expenditure, aiding in a more rapid weight loss.

Semaglutide increases insulin secretion, which is good for diabetics, but in higher doses, it acts on centers in the brain and suppresses appetite. Used in conjunction with diet and exercise, Semaglutide helps patients stick to a reduced-calorie diet, enhancing the weight-loss process.

Tirzepatide is only FDA-approved for lowering HbA1c in diabetic patients, not for weight loss. However, clinical studies to date document Tirzepatide’s superiority for weight control compared to Semaglutide. At therapeutic doses, it acts on the brain and suppresses appetite. Used in conjunction with a healthy diet and exercise, Tirzepatide helps patients adhere to a reduced-calorie diet, enhancing the weight-loss process.

Tesofensine has a cause and effect in appetite sensation by patients not feeling as hungry at mealtimes, feeling satisfied eating smaller meal portions, and by having less of a desire for sweet, salty, and fatty foods. I addition it has a slight impact on energy expenditure at night which can contribute to its strong weight reducing effect.


Peptides are a type of protein that can help regulate hormones and promote fat loss. At Rejuvalife Vitality Institute, we offer a variety of peptide therapies that can support your weight loss goals, such as CJC-1295, Ipamorelin, and BPC-157. Dr. Berger will work with you to determine which peptides are best suited for your needs and goals.

Frequently Asked Questions about Peptides

Are there any lifestyle or dietary changes I should make to enhance the effectiveness of peptide therapy?

To enhance the effectiveness of peptide therapy, it is recommended to maintain a balanced diet rich in proteins, healthy fats, and complex carbohydrates to support peptide function and overall health. Regular exercise, including both strength training and cardiovascular activities, can improve the body's response to peptide therapy. Additionally, managing stress through techniques such as meditation or yoga, and ensuring adequate sleep, can optimize the body's ability to benefit from peptide treatments.

How long does it typically take to see results from peptide therapy?

Results from peptide therapy can vary, but many individuals start noticing improvements within 4 to 6 weeks of consistent use. Some people may experience benefits sooner, while for others it might take up to 3 months to see significant changes. The timeline can depend on factors such as the specific peptide being used, dosage, and individual health conditions.

What is the difference between synthetic and natural peptides?

Synthetic peptides are artificially created in laboratories to mimic the structure and function of natural peptides, often allowing for greater control over their properties and effects. Natural peptides, on the other hand, are derived from natural sources such as plants, animals, or humans, and are typically found in foods and the body. The key differences lie in their origin and potential modifications, with synthetic peptides offering more customization for specific therapeutic purposes.

Can peptide therapy be combined with other treatments or supplements for better results?

Yes, peptide therapy can often be combined with other treatments or supplements to enhance results, but it should be done under the guidance of a healthcare professional. Combining peptide therapy with treatments like hormone replacement therapy, nutritional supplements, or specific medications can synergistically improve overall health outcomes. It is important to tailor combinations to individual needs to avoid potential interactions and maximize therapeutic benefits.

Are there any non-injectable forms of peptides available, such as creams or oral supplements?

Yes, there are non-injectable forms of peptides available, including topical creams, oral supplements, and nasal sprays. These alternatives can provide a convenient and less invasive option for those who prefer not to use injections. However, the absorption and effectiveness of these forms may vary, and they should be used under the guidance of a healthcare professional to ensure proper dosing and efficacy.

Naltrexone Pellets

Naltrexone pellets are a type of medication that can help reduce cravings for alcohol and sugar, making it easier to stick to a healthy diet. Dr. Berger can provide naltrexone pellets as part of your weight loss program, along with counseling and support to help you manage any addiction-related issues.

Hormone Replacement Therapy and Bioidentical Hormone Replacement

Hormone replacement therapy (HRT) can also play a role in permanent weight loss. As we age, our hormone levels can decline, leading to weight gain and other health issues. Dr. Berger provides HRT and Bioidentical Hormone Replacement Therapy (BHRT) to balance your hormones and support your weight loss goals.

Gut Health

The health of your gut microbiome can also affect your weight loss efforts. Dr. Berger provides nutritional counseling and probiotic therapy to support a healthy gut microbiome and promote weight loss.

Frequently Asked Questions about Weight Management

What is proper weight management?

Proper weight management involves achieving and maintaining a healthy weight through a balanced diet and regular physical activity. It is important to focus on long-term, sustainable changes rather than quick fixes or fad diets. Monitoring progress and making adjustments as necessary can help individuals maintain a healthy weight and reduce the risk of chronic diseases.

Does weight management help you lose weight?

Yes, weight management can help individuals lose weight by promoting healthy habits and behaviors such as regular exercise and balanced nutrition. However, weight loss should not be the sole focus of weight management, as maintaining a healthy weight is the ultimate goal. Sustainable changes and long-term lifestyle modifications are key to achieving and maintaining a healthy weight.

What is the biggest contributor to weight loss?

The biggest contributor to weight loss is creating a calorie deficit, which means consuming fewer calories than the body burns. This can be achieved through a combination of a balanced diet and regular physical activity. It is important to create a sustainable calorie deficit by making small, gradual changes to diet and exercise habits over time.

What type of diet is best for weight loss?

The best type of diet for weight loss is one that is balanced, calorie-controlled, and sustainable. A diet rich in whole, unprocessed foods such as fruits, vegetables, whole grains, lean protein, and healthy fats can help individuals feel full and satisfied while consuming fewer calories. It is important to find a diet that works for an individuals unique lifestyle and preferences to increase the likelihood of long-term success.

Does drinking water help you lose weight?

Drinking water can aid in weight loss by promoting feelings of fullness and reducing calorie intake. Drinking water before meals may help individuals eat less and reduce overall calorie consumption. Additionally, staying hydrated can support proper metabolism and energy levels, which can aid in exercise and physical activity, further contributing to weight loss efforts.

How many calories should I eat to lose weight?

The number of calories needed for weight loss depends on several factors, such as age, gender, height, weight, and activity level. However, a general guideline is to aim for a calorie deficit of 500-1000 calories per day to lose 1-2 pounds per week. It is important to ensure that calorie intake is not too low, as this can be unsustainable and may lead to nutrient deficiencies and negative health effects.

Is 30 minutes exercise a day enough to lose weight?

Thirty minutes of exercise per day can contribute to weight loss efforts by burning calories and increasing metabolic rate. However, the effectiveness of exercise for weight loss depends on various factors such as intensity, type of exercise, and individual factors. To achieve significant weight loss, it is recommended to combine regular exercise with a balanced diet and create a calorie deficit.

What exercises burn fat the fastest?

High-intensity exercises that elevate heart rate and require maximal efforts, such as sprinting, interval training, and plyometrics, are effective for burning fat quickly. Resistance training exercises that target multiple muscle groups and elevate heart rate, such as circuit training or compound movements like squats or lunges, can also contribute to fat loss. However, it is important to choose exercises that are appropriate for individual fitness level and goals and to incorporate a variety of exercises to prevent injury and plateau.

How do you lift a saggy stomach?

To lift a saggy stomach, a combination of exercises that target the abdominal muscles and reduce body fat may be effective. Examples of abdominal exercises include crunches, planks, and leg raises. Cardiovascular exercises such as running, swimming, or cycling can help reduce overall body fat, which may contribute to a saggy stomach. Strength training exercises that target the core and other muscle groups can also help improve posture and muscle tone, which may contribute to a flatter stomach appearance.

How to flatten your stomach?

To flatten your stomach, a combination of regular exercise and a healthy diet can be effective. Cardiovascular exercises such as running, cycling, or swimming can help burn excess calories and reduce body fat. Core-strengthening exercises like planks, sit-ups, or yoga can help tone and tighten the abdominal muscles. Eating a balanced diet that includes whole, unprocessed foods and limiting processed foods and sugar can also aid in weight loss and reduce bloating.

Does sleep help weight loss?

Yes, sleep can help with weight loss in several ways. Sufficient sleep supports hormonal balance, including the regulation of hunger hormones, which can help control appetite and reduce cravings. Sleep also supports physical and mental energy levels, making it easier to stay active and make healthy food choices throughout the day. Chronic sleep deprivation, on the other hand, can increase the risk of weight gain and obesity.

What sleep habits cause weight gain?

Poor sleep habits, such as inadequate sleep duration, irregular sleep patterns, and disrupted sleep, can contribute to weight gain in several ways. Inadequate sleep can lead to hormonal imbalances, such as increased levels of the hunger hormone ghrelin and decreased levels of the satiety hormone leptin, which can lead to overeating and weight gain. Poor sleep quality and duration can also increase stress levels and decrease motivation for exercise and healthy eating, further contributing to weight gain.

Can stress cause you to lose or gain weight?

Stress can cause both weight gain and weight loss in different individuals. Chronic stress can lead to increased levels of cortisol, a stress hormone, which can increase appetite and contribute to weight gain in some individuals. In others, stress may lead to decreased appetite and unintentional weight loss. Additionally, stress can lead to unhealthy coping mechanisms such as overeating, binge eating, or comfort eating, further contributing to weight gain.

What medication is most commonly used for weight loss?

There are several medications that may be prescribed for weight loss. A commonly used medication is Orlistat, which works by blocking the absorption of dietary fat in the intestine. Other medications that may be prescribed include Semaglutide (Ozempic, Wegovy, Rybelsus), Tirzepetide (Mounjaro), Tesofensine, and naltrexone, which work by suppressing appetite or increasing feelings of fullness. However, medication should only be used as part of a comprehensive weight loss plan that includes a balanced diet, regular exercise, and lifestyle modifications, and only under the guidance of a healthcare professional.

How do I ask my doctor for weight loss pills?

If you are interested in weight loss medication, it is important to schedule an appointment with your healthcare provider to discuss your options. During your appointment, you can express your concerns about your weight and ask your doctor if weight loss medication is appropriate for you. Your doctor may ask you questions about your medical history, current medications, and lifestyle habits to determine if medication is the best course of action for you.


With over 25 years of experience in the medical field, Dr. Berger has geared his practice towards the soothing and therapeutic side of cosmetic medicine. By specializing in anti-aging treatment along with cosmetic enhancement, his goal is to help each patient live a long, healthy, and beautiful life. Call us, or complete the form on this page.


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