It's not just about the weight — it's about how your body responds. Work with a team of medical weight loss experts with personal weight loss experience. The comfort, the guidance, a plan built around how you live. It's not just about the weight. Work with a medical team that's lived it — the comfort, the guidance, a plan built around how you live.
Five patterns we see most often. The program meets each one with a measured plan — labs, scan, nutrition, training, and aesthetic support where it matters.
Joints stiff. Energy low. Body holding on to weight. We see this pattern often with autoimmune and inflammatory conditions — addressed by the supervised side of the program, not by willpower.
See case study See if you qualify →
Joints stiff. Energy low. Body holding on to weight. We see this pattern often with autoimmune and inflammatory conditions — addressed by the supervised side of the program, not by willpower.
See case studyKaylan and Dana — both providers came to this program as patients first. The program reflects what worked for them, and the pieces a telehealth-only model can't deliver.
The medication side gets all the attention. We'd argue the medication is the smallest piece of a program that actually works.
Your medication is given by our team — in the clinic, by a nurse who knows you and your plan. Every visit, every dose.
Most online programs mail the medication to your door with a quick-start guide and a link to call if something goes wrong. We have you come in. The clinical part is on us — every dose, every visit.
We use a 3D scan to measure muscle, fat, and posture — not just the number on the scale. The scale alone misses too much.
The biggest concern with rapid weight loss is muscle mass loss. The Shape Scale catches it early — every visit, not once at intake. The plan adjusts before you can lose what you'd want to keep.
Weight loss can affect facial volume, hair, and skin. Dana addresses those alongside the program.
Significant weight loss changes the face — facial volume, skin tightness, hair density. We treat those alongside the program, not as a separate appointment with a separate provider months later.
Begins with a free virtual consultation — 20–30 minutes with our NP to see if the program is a fit. If it is, your in-person visit at the clinic is $199, all-inclusive: 3D body composition scan, Wellness IM shot, and a 45-minute consultation. The plan that follows is built for your body, your labs, and your life.
Forty-five minutes with Kaylan. We talk through what's been going on, what you've tried, what you'd like to change. No pressure, no script. You'll have answers before we ever ask you to commit to anything.
We do a 3D body composition scan that reads muscle, fat, and posture — gives us a real picture beyond the scale. The blood panel runs right at the clinic, so we have your numbers the same day. You walk out knowing where you are.
If we're a good fit, we build the plan together. Medication if it's right for you, nutrition we'll walk through, training that fits your life, and follow-ups so we can adjust as you go. Nothing is set once and forgotten.
Weight loss can leave its mark — on facial volume, hair, skin. Dana takes care of that side, in the same building, alongside the same plan. You don't have to go anywhere else.
Images are visual references for the program experience — not before-and-after comparisons or guarantees of specific results. The Bluffs Weight Loss Program is individualised; outcomes vary across patients and depend on health history, plan adherence, and clinical eligibility. Not every patient is a candidate. Treatment plans are calibrated by a licensed provider after consultation, in-house labs, and a body composition scan.
Both Kaylan and Dana came to this program as patients first. Their experience shapes every plan we build today.
Kaylan came to the program post-pregnancy, when nothing she'd recommend to a patient was moving the scale. She runs it now.
Dana managed chronic inflammation from an autoimmune condition. The program changed the scale — and how her body felt.
Provider statements reflecting personal experience. Weight-loss results reflect individual provider experience. The program is individualised — outcomes vary across patients. Shown for educational purposes only.
Step 1 is a free 20–30 minute virtual consultation with our NP. Step 2, if you're a candidate: an in-person visit at the clinic — $199, all-inclusive (3D Body Composition Scan, Wellness IM shot of your choice, and a 45-minute consultation with our team). No pressure to enrol.
Quiet check-in. Brief intake form for your medical history if you haven't filled one in already.
Body composition scan in our scan room. Quick, comfortable, fully clothed.
A conversation with Kaylan. Medical history, what you've tried, what the program could look like for you. Honest assessment of fit.
No pressure to enrol that day. Many patients book a second consultation a few days later.
No obligation. Most patients leave with a clear plan in under an hour.
The Metabolic Optimization Membership is led by Kaylan Estenes, FNP-C. Aesthetic side handled by Dana Cirrone, BSN, RN. Medical oversight by Dr. Dennis Schimpf, MD.
Family Nurse Practitioner, certified. Leads the medically supervised weight loss program at The Bluffs. Conservative dosing, attentive listener, calibrates each plan to fit how you actually live.
Bachelor of Science in Nursing with aesthetic injection training. Handles the aesthetic side of the program — facial volume, hair density, skin laxity — alongside the weight loss plan, never as an afterthought.
Dr. Schimpf is a board-certified plastic surgeon serving as the collaborating physician for The Bluffs Med Spa, providing medical oversight. He reviews protocols across the Metabolic Optimization Membership, advises on candidacy and contraindications, and is available to consult on any treatment plan.
By booking, you agree to our Privacy Policy and Terms of Service. You will receive appointment reminders by email and SMS at the contact details you provide.
If a question isn't here, ask Kaylan at consultation. No question is too small when we're building a plan you'll live with.
See if you qualify
