What should I expect at my first appointment with a weight loss doctor?

First appointments with obesity medicine specialists typically last 45-60 minutes and include comprehensive evaluation. Expect thorough medical history review including previous weight loss attempts, current medications, and obesity-related health conditions. The provider will calculate your BMI, measure waist circumference, and possibly order baseline labs (A1C, lipid panel, liver enzymes, thyroid function, vitamin D). They'll assess eating patterns, physical activity, sleep quality, and stress levels. Many providers screen for depression, anxiety, and eating disorders. You'll discuss goals - both weight targets and health improvements. The provider explains GLP-1 medication options, mechanisms, side effects, and costs. If appropriate, they may prescribe medication or request additional testing first. You'll likely schedule follow-up appointments every 4-8 weeks initially. Bring: photo ID, insurance card, list of current medications, previous medical records if switching providers, and any documentation of previous weight management attempts for insurance purposes.