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You’ve tried the diets, the willpower, the “eat less, move more” method. If it didn’t last, it’s not because you failed. It’s because no one looked at why.
Blue Sky MD is a physician-led medical practice that measures what’s happening inside your body and builds a weight-loss plan around your biology.
✓ INSURANCE ACCEPTED
$ AFFORDABLE SELF-PAY OPTIONS
+ IN-PERSON & TELEHEALTH
Asheville • Hendersonville • Greensboro • Winston-Salem • North Charlotte • South Charlotte • Mooresville-Lake Norman
– Laura M.
– Adelle B.
– Kevin S.
– Carol B.
– Bret P.
– Nancy B.
– Kim H.
That's more than double what patients see with weight loss medications like Wegovy alone.
*Average based on a 2025 study of more than 500 Blue Sky MD patients. Individual results may vary.
in 3 months.*
Most of our weight-loss patients arrive tired and a little defeated. They’ve counted calories, cut carbs, walked their steps, maybe tried a medication and watched the weight stall, or come back. Many have been told their labs are “normal” while they still struggle with symptoms like weight gain.
If that’s you, the problem probably isn’t effort. It’s that no one has measured what’s actually working against you.
The first step is the same for everyone: finding out what’s really going on inside your body.
Weight that won't move even when you're doing everything right
Weight gain around the middle, low energy, afternoon crashes.
Diets and programs that worked for a while, then rebounded.
A prescription handed over with no real plan or follow-up.
For most people who struggle, weight is a symptom, not the whole issue. Underneath it are measurable biological factors that diets simply don’t address:
How many calories your body actually burns (often slower than generic formulas assume).
When insulin is high, your body stores fat instead of burning it.
Thyroid, estrogen, progesterone, and testosterone all shape metabolism, appetite, and where you store weight.
Chronic inflammation can blunt metabolism and drive cravings.
Stress hormones encourage fat storage, especially around the middle.
Poor sleep disrupts hunger and fullness signals and slows progress.
When even one of these is off, “eating less, moving more” can be a wasted effort. Most care never looks for them. We start there.
If past programs left you with a plan you didn’t understand (or a prescription and not much else) here’s how Blue Sky MD is different, from the very first step.
✕ What you’ve probably experienced
Many programs start with a prescription or a shot.
✓ The Blue Sky MD approach
We start by measuring what’s driving your weight.
✕ What you’ve probably experienced
Many programs give everyone the same plan.
✓ The Blue Sky MD approach
We build your plan around your labs, metabolism, and life.
✕ What you’ve probably experienced
Many patients are treated before anyone explains the problem.
✓ The Blue Sky MD approach
Understanding before treating, biology before templates, is why our patients lose weight and keep it off. Medication can be a tool in your plan. It is never the only plan.
Most programs start with a prescription. We start with your blood work. Here’s the path from “I’ve tried everything” to lasting results.
Your symptoms can’t tell us why on their own. That’s why every Blue Sky MD weight-loss plan begins with comprehensive testing — and a directly measured resting metabolic rate. We look at all the systems that control how you store and burn fat and how they work together.
Stalled weight, cravings, low energy
20+ biomarkers + resting metabolism
A provider explains the results
We create a plan built for your biology
The result is a map of your individual biology. This is the reason our plans work when generic programs haven’t.
i.e. insulin and glucose. Is insulin resistance working against you?
A slow thyroid can stall your metabolism and worse
i.e. estrogen, progesterone, testosterone. They affect appetite, energy, and fat storage
Cortisol and stress drives mid-body weight accumulation
More hidden factors that could be getting in the way.
Standard ranges catch disease. We map where your levels currently sit, and where you might function best.
The number on the scale matters, but it’s almost never the reason people remember the hard work. What they remember is getting their life back.
That’s the real goal at Blue Sky MD. The weight is what changes first. Everything that comes with it is what lasts.
*Health-marker improvements vary by individual and depend on your starting point and plan. Individual results vary.
Your treatment isn’t pulled from a menu. It’s built from your results. Depending on what we find, your plan may combine:
Real food and a strategy that fits your life, not meal-replacement gimmicks.
Guidance that protects muscle (your metabolic engine), not punishing exercise.
Accountability, support, and pattern-tracking that keep progress consistent.
When labs show thyroid, insulin, or hormone imbalances are in the way, we treat them.
We protect lean mass while you lose fat, so results last.
For some patients, supervised GLP-1 therapy is prescribed, dosed, and monitored as one component of a complete medical program, never a stand-alone fix.
Not sure what your plan should include? That’s what the assessment is for.
Most programs disappear once the weight starts coming off, which is exactly when many people regain it. Blue Sky MD doesn’t stop there. We retest your labs, track your progress, and adjust your plan as your body changes, with a maintenance phase designed to protect your results for the long term. You’ll have a medical team that already knows your story, for as long as you need them.
The plan evolves as your body does.
Labs repeated as you progress
The plan changes with your body
A phase built to protect results
Blue Sky MD was founded by Dr. David LaMond, MD, and is staffed by a full medical team of physicians, nurse practitioners, dietitians, and wellness coaches. We’ve helped thousands of North Carolinians lose weight and improve their health since 2008.

Medical Director & Founder

Program Director
Most people assume medical weight loss is entirely out-of-pocket. For many of our patients, it isn’t.
Because Blue Sky MD is a physician-led medical practice and not a cash-only program, many office visits, lab tests, and treatments may be billed through your primary-care insurance, depending on your plan, just like any other medical care.
And you don’t have to decipher your benefits alone: we will help you understand what your plan covers before you commit, so cost is never a surprise.
In-network with most major primary-care plans; we'll help verify your benefits.
Clear, straightforward pricing if you're uninsured or prefer not to use insurance.
Use pre-tax dollars toward your care.
Don’t let an assumption about cost keep you from finding out what’s actually going on with your body. Start with the free Health Assessment — no commitment, no pressure.
Seven clinics, one standard of care. See us in person or meet your provider by video.
Low energy, stubborn weight, mood swings and other symptoms are often tied to hormone and metabolic imbalances a standard physical won’t catch. Our advanced hormone panels & metabolic tests find the cause, so your hormone therapy or weight loss plan actually works.
Usually because they treated the symptom, not the cause. Stubborn weight is often driven by measurable factors like metabolism, insulin, thyroid and other hormones, inflammation, sleep, and stress. Things that willpower can’t fix and a generic diet never checks. If it didn’t last, it likely isn’t a discipline problem; it’s that no one looked at why. We start there.
Medical weight loss is physician-supervised care built on your measured metabolism and lab results. Instead of relying on willpower, it addresses the biological reasons weight won’t move (metabolism, insulin, hormones, inflammation, sleep, and stress) and your plan is adjusted by a medical provider over time. It’s a medical process, not a meal plan you’re left to follow alone.
Before we recommend anything, we run a comprehensive metabolic and hormone lab panel and directly measure your resting metabolism — we measure rather than estimate. That’s how we find what’s actually driving your weight (for example, thyroid, insulin, or hormone patterns) and build a plan around your biology instead of guessing. Your provider walks you through exactly what your results mean in plain language.
You sit down with a Blue Sky MD provider who reviews your labs and measured metabolism with you and explains, often for the first time, why the weight wouldn’t move. It’s a real medical consultation — your history, your symptoms, and your results together — and you leave understanding what’s going on and what to do about it. Care can be in person at one of our North Carolina clinics or by telehealth.
It’s built around what your labs and metabolism reveal, so no two plans are identical. Depending on what we find, yours may include nutrition guidance, one-on-one coaching, activity recommendations, hormone or metabolic support, and medication when it’s the right tool. The goal is a plan that fits your biology and your life — not a one-size protocol.
When it’s the right tool for you, yes — supervised GLP-1 medication can be part of a complete medical weight-loss plan. But medication is one tool inside the plan, never the whole plan. We pair it with labs, coaching, and monitoring so results are more durable and your muscle and metabolism are protected, and we only use it when it’s clinically appropriate.
Yes — we’re in-network with most major primary-care plans, and many visits, labs, and treatments may be billed through your insurance depending on your plan. We’ll help verify your benefits before you commit, and we offer affordable self-pay (HSA/FSA-eligible) if you prefer. Your first step — the Health Assessment — is free.
Blue Sky MD patients achieve 10-13% weight loss in just 12 weeks*—that’s nearly 30 pounds in 3 months and more than double what patients see with Wegovy alone.
*Numbers based on a 2025 study of more than 500 Blue Sky MD patients. Individual results may vary.
Yes, we accept most major insurances for our weight loss program! Contact us or text us at +18447551380 to find out if we are able to accept your insurance carrier.
We accept most major types of primary care insurance including Medicaid, Blue Cross, and Medicare.
Because our medical weight loss program is customized for each patient, the length of the Blue Sky MD clinical weight loss program is different for each individual and depends on goal and patient commitment levels. We recommend patients continue the program until they have reached their goal weight—and beyond, if additional support is desired.
Because we are able to bill insurance, out-of-pocket costs for our weight loss program vary. We do offer affordable self-pay options as well, but pricing may vary depending on a patient’s goals. Chat with us through text at +18447551380 to learn more.
The Blue Sky MD program includes weekly in-person meetings with a Wellness Coach, checkups with a medical provider, full access to our mobile app, and prescription weight loss medication prescribed by our doctors (if deemed appropriate).
The Blue Sky MD app also provides a direct line of communication between patients and wellness coaches for daily support between visits. The app also includes food journaling, recipes, activity tracking, and more.
Yes, we offer prescription weight loss GLP-1 medication for qualified patients who may benefit from the additional boost that prescription weight loss GLP-1 medication can provide. Take our free online health assessment to see if you qualify for our prescription weight loss program.
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