Weight regain
Difficulty losing weight, or weight that returns after dieting — the pattern that signals metabolic drivers, not failed willpower.
Sieveking/Functional Medicine/Medical Weight Loss
Medical Weight Loss & Body Composition
Physician-Supervised · Body Composition First · Sustainable
Medical weight loss through the Ageless Solutions program at Sieveking Plastic Surgery in Franklin, Tennessee, focuses on improving body composition rather than simply moving the number on the scale — reducing excess body fat while preserving lean muscle, optimizing metabolism, improving insulin sensitivity, and lowering your long-term risk for chronic disease.
Lose weight. Improve your health. Transform your future.
- 01Consultation
- 02Protocol
- 03Progress
- 04Maintenance
Weight gain is more than a lack of willpower.
Many people blame themselves when traditional diets fail. The truth is that obesity is a complex metabolic disease influenced by hormones, genetics, insulin resistance, inflammation, stress, sleep, nutrition, and lifestyle. If you have tried countless diets only to regain the weight, you are not alone — the program works to identify and address the underlying metabolic factors contributing to weight gain rather than relying on restrictive dieting or short-term solutions.
Two people may weigh exactly the same but have dramatically different health risks, because body composition — the ratio of body fat to lean muscle — is a far better indicator of metabolic health than body weight alone. Led by Dr. Sieveking, the physician-supervised program combines advanced metabolic evaluation, evidence-based medications, personalized nutrition, exercise guidance, and lifestyle optimization. The goal is not simply weight loss; it is helping you live a longer, healthier, more active life.
The approach
Advanced GLP therapy, responsibly prescribed.
A new generation of medications has transformed the treatment of obesity, insulin resistance, and metabolic disease. GLP-based therapies work by supporting the body’s natural appetite regulation, improving blood sugar control, slowing stomach emptying, and helping patients feel satisfied with less food — helping many patients lose significant body fat, improve blood sugar control, reduce insulin resistance, and build healthier long-term habits.
Dr. Sieveking believes these therapies represent one of the most significant advances in longevity and metabolic medicine in decades. Today’s options extend beyond first-generation GLP-1 medications to newer multi-receptor treatments, including Tirzepatide and Retatrutide, designed to target several metabolic pathways simultaneously. As one of the early adopters of emerging metabolic therapies, the practice remains committed to providing access to evidence-based advances as they become available and appropriate.
Because sustainable weight loss requires more than a prescription, every program is designed to create lasting lifestyle change: nutrition coaching built around sustainable habits rather than restriction, exercise designed to preserve lean mass, and hormone optimization when appropriate — all under ongoing physician monitoring.
Who is a good candidate for medical weight loss.
Whether your goal is losing 20 pounds or addressing significant obesity, candidacy is established through a detailed consultation and clinical assessment.
Prediabetes and diabetes
Prediabetes, Type 2 diabetes, or insulin resistance — conditions where body composition change directly lowers risk.
Metabolic syndrome
The cluster of increased abdominal fat, high cholesterol, and high blood pressure that compounds long-term risk.
Abdominal fat
Increased visceral fat around the midsection — the fat most closely linked to metabolic disease.
Fatty liver disease
A frequently silent consequence of metabolic dysfunction that improves as body composition improves.
Hormone-related gain
Weight gain driven by hormonal change, addressed alongside hormone optimization when appropriate.
Why body composition matters
Lose fat — not muscle.
Improving the ratio of body fat to lean muscle changes far more than a number on the scale.
-
Visceral fat reduction
Reducing the abdominal fat most closely linked to metabolic disease, while protecting the muscle that drives metabolism.
-
Muscle preservation
Adequate protein, resistance training, and body composition monitoring protect strength, metabolism, and independence.
-
Insulin sensitivity
A central driver of long-term metabolic health, improved as fat decreases and activity rises.
-
Energy and mobility
Increased energy, better sleep, improved mobility, less joint discomfort, and better exercise tolerance.
-
Cardiovascular health
Improved blood sugar control, reduced inflammation, and lower long-term disease risk as composition improves.
-
Confidence
Greater self-confidence and a healthier, more active future — the benefits beyond the scale.
Optimal health is not achieved through one medication alone. It comes from improving the entire metabolic system — which is why the program integrates hormone optimization, supplementation, peptide therapy, sleep, stress, and preventive health strategies when appropriate.
How the weight optimization program works.
01
Consultation
Evaluation and baseline
Physician consultation with comprehensive laboratory evaluation and body composition analysis — establishing the baseline from which progress is actually measured, in fat and muscle rather than pounds alone.
02
Protocol
A personalized plan
Nutrition coaching built around sustainable habits, exercise recommendations designed to preserve lean mass, lifestyle work on sleep and stress, hormone optimization when appropriate, and GLP-based medications when clinically indicated.
03
Progress
Tracked in composition
Body composition is re-measured as treatment progresses, so you can see fat falling and muscle holding — and your physician can adjust medication, nutrition, and training accordingly.
04
Maintenance
Built to last
The focus is creating sustainable habits and improving metabolic health so long-term success extends beyond the medication itself. Treatment duration depends on your health profile, response, and goals.
Why Sieveking
Meet Dr. Sieveking
Why choose Sieveking for medical weight loss in Franklin, TN.
Directed by Dr. Sieveking · Led by Jan Stanley RN, MS
Dr. Sieveking combines decades of surgical experience with advanced training in functional and regenerative medicine to help patients improve not only how they look, but how they feel and function. The philosophy is simple: weight loss should improve your health, not simply your appearance.
Sieveking Plastic Surgery at 1200 Old Hillsboro Road in Franklin, Tennessee, is the only practice in Middle Tennessee that integrates world-class plastic surgery, advanced medical aesthetics, and clinical functional and longevity medicine under one physician at a single address — helping patients throughout Franklin, Brentwood, Williamson County, and greater Nashville build healthier bodies from the inside out.
If you are ready to move beyond fad diets and take a science-based approach to weight management, the team is here to help.
Membership & investment
Cost of medical weight loss in Franklin, TN.
Cost varies based on your individualized plan — including laboratory evaluation, medication selection, and your ongoing monitoring schedule. A personalized estimate is provided during consultation, once the clinical team has a clear picture of your needs and goals.
Ageless Solutions is structured for continuity, with membership options that keep monitoring and refinement continuous rather than episodic. HSA and FSA funds are accepted.
Questions, answered.
The questions most prospective patients ask before booking a consultation.
-
No. While these medications were originally developed to treat type 2 diabetes, they are now widely used for physician-supervised weight management in appropriately selected patients.
-
Muscle preservation is a key priority in the program. We emphasize adequate protein intake, resistance training, body composition monitoring, and individualized treatment plans designed to support lean muscle while reducing body fat.
-
Results vary based on your starting weight, overall health, medication selection, nutrition, physical activity, and adherence to your personalized plan. During your consultation, realistic expectations are discussed and goals tailored to you.
-
Not necessarily. Treatment duration depends on your individual health profile, response to therapy, and long-term goals. The focus is on creating sustainable habits and improving metabolic health so that long-term success extends beyond the medication itself.
-
Cost varies based on your individualized plan, including laboratory evaluation, medication selection, and ongoing monitoring schedule. A personalized estimate is provided during your consultation once the clinical team has a clear picture of your needs and goals.
More in Functional Medicine.
Hormones & Vitality
Metabolism & Regenerative
Begin your journey
Begin physician-guided medical weight loss in Franklin, TN.
Move beyond fad diets and take a science-based approach to weight management. Schedule a consultation at the Franklin office to discover how physician-guided medical weight loss and body composition optimization can help you improve your health, restore your confidence, and enjoy more healthy years ahead.
1200 Old Hillsboro Road, B2 · Franklin, Tennessee
Mon–Thu 9–4:30 · Fri by appointment