Sleep & recovery
Poor sleep can increase hunger and make healthy choices feel harder—willpower alone often is not enough.
When your appetite, energy, and weight stop making sense
Physician-led metabolic health and weight management—not a medication menu. Board-certified clinicians help adults understand what may be driving weight gain, cravings, and low energy.
Care available in California · Texas · Pennsylvania · Florida
Trusted by 2,200+ adults for physician-led care
4.8★ average Google rating 600+ verified patient reviews
2,200+ patients treated
“For the first time, someone helped me understand why I was struggling in the first place.”
— Verified weight management patient
- Whole-person evaluation—not just a prescription conversation
- Support for food noise, emotional eating, and regain cycles
- Ongoing follow-up with a licensed clinician
Does This Sound Like You?
Recognition and reassurance—not judgment.
Constant food noise
Cravings and mental chatter around food make it hard to feel in control.
Weight keeps returning
You’ve lost weight before—but regain keeps happening.
Always tired
Afternoon crashes make healthy choices harder than they should be.
Tried every diet
You start strong, then lose momentum after a few weeks.
Emotional eating
Stress-driven eating feels automatic after hard days.
Slow progress despite effort
You work hard without seeing the same results as others.
How to Get Started
Three calm steps from first conversation to a plan you can understand.
Step 1 
Tell us what’s been going on
- Share weight history and what you’ve tried
- Discuss cravings, energy, and appetite
- No form dump required
Step 2 
Metabolic evaluation
- Review patterns and medical history
- Labs when appropriate
- Identify metabolic contributors
Step 3 
A plan that makes sense
- Nutrition and lifestyle support
- Behavioral strategies
- Medication only when clinically appropriate
Why weight management can be more complicated than calories
For many adults, more than one factor is in play. Maybe there is a reason this has been so difficult.
Stress & emotional eating
Stress and hard days can drive eating that has little to do with physical hunger.
Food noise & cravings
Persistent thoughts about food—even when you are not hungry—can make control feel out of reach.
ADHD & impulsive eating
ADHD can affect planning and impulse control—showing up as skipped meals, impulsive eating, or hard-to-sustain routines.
Insulin resistance & metabolism
When the body has trouble using insulin effectively, weight can stay stubborn even with real effort.
Hormones, medications & medical conditions
Thyroid issues, hormonal changes, and some medications can affect weight, appetite, and energy.
We look at which factors may apply to you—not a one-size-fits-all plan. Educational only; a licensed clinician evaluates your individual health.
Program Overview
Three pillars of care—medication is one option among many, not the whole program.
Medication-Assisted Care
When clinically appropriate, your clinician may discuss GLP-1 therapies or other evidence-based options. Prescribing decisions depend on your medical profile, goals, and ongoing follow-up—not a standard menu for every patient.
Behavioral & Mental Health Support
Address cravings, emotional eating, impulsive patterns, and stress-driven habits. When relevant, we explore underlying conditions—such as ADHD or mood concerns—that may affect weight management.
Lifestyle & Wellness Optimization
Nutrition guidance, movement strategies, sleep and stress support, and long-term habit building—designed to work alongside medical care, not replace it.
Who This Program Is For
If any of this sounds like you—you’re not alone, and you’re not failing.
- You’ve lost weight before—but keeping it off has been the hard part
- Cravings or food noise take up too much mental space
- You work hard at diets and workouts without seeing the same results as others
- You suspect sleep, stress, hormones, ADHD, or metabolism may be involved
- You want something sustainable—not another short-term fix
Suggested Reading
Educational resources from Siya Health—so you can learn at your own pace before or after a visit.
Transparent pricing
- Initial evaluation: $149
- Weight / metabolic follow-up: $79/month
- Medication management (when appropriate): included in follow-up plan
Medication costs (including GLP-1s when prescribed) are separate. Availability may vary by state.
A Message From Dr. Sneh Pandey
Metabolic care without shame—structured, evidence-based, and human.
“Weight is not a character flaw. It deserves the same careful evaluation as any other medical concern.”
— Dr. Sneh Pandey, MD
Dr. Sneh Pandey, MD · Medical Director · Internal Medicine · Obesity Medicine.
Many adults arrive after years of being told to try harder. We look at appetite, sleep, stress, medications, and metabolic patterns together—then build a plan you can follow.
Medication may be part of care when clinically appropriate. It is one tool, not the entire program.
Frequently Asked Questions
We prescribe evidence-based medications when appropriate, including GLP-1 therapies and other options based on your medical profile.
Availability depends on clinical appropriateness and regulations. Your provider will guide you through safe and compliant options.
In many cases, yes. Lab work helps ensure safe and effective treatment. We guide you through any required testing.
Ongoing care includes follow-ups, medication adjustments, and support tailored to your progress.
Yes. All treatment plans are provider-led and based on evidence-based guidelines, with safety as a priority.
Meet the clinicians behind your care
Our team includes physicians and advanced practice providers with experience in obesity medicine, ADHD, primary care, metabolic health, and long-term behavior change.
Dr. Sneh Pandey, MD
Adult ADHD & metabolic care · CA, TX, PA, FL
View profile →
Dr. Vanessa Urbina, MD
Family medicine & ADHD (FL) · FL
View profile →
Derek Timbs, FNP-BC
Weight loss & men's health · TX (OH license only)
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Wendy Delgado, PA-C
Medical weight loss & metabolic telehealth · CA, TX, PA, FL
View profile →Baseline metabolic labs (such as A1c, lipids, or thyroid testing) may be appropriate before or during weight management. Explore A1c & metabolic lab options, then how to read results—and stay on a follow-up plan when ongoing care fits.
Still wondering why nothing seems to work?
No pressure. No obligation. Just a conversation about what may be getting in the way.