Sustainable weight loss is medical, not just willpower. At Cura Mind and Wellness, our Boston team offers a clinically supervised program that integrates nutrition, movement, sleep, and medication options such as semaglutide and tirzepatide when appropriate. Care is directed by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Massachusetts, with hospital and outpatient leadership experience. We combine medical insight with compassionate coaching so you gain results that last.
We see patients in person in Boston, and by secure telehealth across Massachusetts for follow ups that do not require in office services. Every plan is individualized, measured, and designed to fit a real Boston week.
Important, medications are offered only when clinically indicated, and they are one part of a whole person plan that includes nutrition, movement, sleep, and mindset supports.
Who this program helps
- Adults with BMI 30 or higher,
- Adults with BMI 27 or higher plus a weight related condition, for example prediabetes, type two diabetes, high blood pressure, sleep apnea,
- Patients who tried diet changes without sustained results and want medical guidance,
- Individuals who prefer private, respectful support that addresses biology, behaviors, and daily routines,
- Patients seeking a coordinated approach that considers mood, sleep, stress, and medications that may affect weight.
We screen carefully to confirm you are a safe candidate and to tailor the plan to your health history.
How semaglutide and tirzepatide work
- Semaglutide targets the GLP, 1 pathway, supporting appetite regulation, slower gastric emptying, and improved glycemic control.
- Tirzepatide targets GLP, 1 and GIP, often producing more robust appetite and metabolic effects for some patients.
Both are used alongside nutrition and movement changes. Doses are increased gradually to improve tolerance. We discuss benefits, timelines, expected plateaus, and how to transition to maintenance.
Safety first, careful screening and monitoring
Your safety guides every decision.
Baseline review
- Medical history, medications, allergies, pregnancy plans,
- Blood pressure, weight, waist,
- Labs as indicated, A1C, lipids, kidney and liver function, thyroid, vitamin levels.
Contraindications and cautions
- Personal or family history of medullary thyroid carcinoma or MEN 2,
- History of pancreatitis,
- Significant gallbladder disease, severe gastrointestinal disease,
- Pregnancy or plans to become pregnant, lactation,
- Careful review when combined with certain diabetes medications due to hypoglycemia risk.
Common side effects
- Nausea, fullness, reflux, constipation, diarrhea, abdominal discomfort,
- Rare risks discussed in detail, with clear stop rules and same day guidance if concerning symptoms appear.
We start low, increase slowly, and schedule follow ups to evaluate benefits and tolerability.
What a real week can look like, Boston edition
- Breakfast, protein, fiber, hydration,
- Midday, packed lunch with color, pre planned snack to avoid late afternoon crashes,
- Commute movement, stairs when safe, a ten minute brisk walk,
- Strength micro set, three moves, squats, push, pull, five to eight minutes,
- Evening structure, balanced plate, devices down, wind down routine,
- Weekend, one planned meal out, one longer walk along the river or neighborhood loop.
Small, repeatable actions build durable results.
Mental health, medications, and weight
Mood, anxiety, ADHD, sleep, and certain medications can influence weight. Because Cura integrates psychiatric care with weight management, we can:
- Review psychiatric medications that may affect appetite or metabolism and discuss alternatives when appropriate,
- Teach skills for stress, urges, and emotional eating,
- Coordinate therapy and medication follow ups so the plan works together,
- Protect sleep, which stabilizes appetite signals and energy.
Progress you can see and feel
- Steadier appetite and fewer cravings,
- Better portion control without white knuckle restraint,
- Improved energy and sleep continuity,
- Clothes fit changes and body composition improvement,
- A plan that survives busy Boston weeks,
- Confidence you can maintain results without extreme rules.
We track weight, waist, weekly behaviors, sleep, and quality of life, then refine based on data and your lived experience.
The Boston program, step by step
Visit 1, Comprehensive intake:
History, goals, prior attempts, food patterns, sleep, stress, and movement. We review labs, create a starter plan, and discuss whether medication is appropriate.
Visit 2, Plan launch, weeks 1 to 4:
- Nutrition framework, simple portions, protein target, fiber additions, balanced timing,
- Movement plan, short brisk walks or strength micro sets,
- Sleep anchors, consistent wake times, light exposure, screen cutoffs,
- Medication education, if prescribed, with a clear dose schedule and side effect playbook.
Visit 3, Optimize, weeks 5 to 8
- Titrate medication if indicated,
- Troubleshoot appetite waves and social eating,
- Add resistance work, two or three short sessions per week,
- Track energy, focus, and mood, adjust supports accordingly.
Visit 4, Consolidate, weeks 9 to 12
- Lock in routines that travel well, meal structure for long days, easy options during call weeks or exam seasons,
- Prepare for plateaus with realistic expectations and data based tweaks,
- Discuss maintenance strategies and when to consider dose holding or gradual de escalation.
The cadence flexes to you. We focus on changes you can sustain.
Insurance, access, and expectations
Coverage for semaglutide and tirzepatide varies. We provide documentation when appropriate and discuss options if a plan denies coverage. We also outline non medication pathways that still produce meaningful change. Expect gradual progress, a slow trend, not a crash. Plateaus are normal and manageable.
Note for Massachusetts, TMS is not offered at the Boston location. This weight page focuses on metabolic care. If mood care or advanced psychiatric options are needed, we coordinate appropriate services and referrals.
FAQs, Medical Weight Loss in Boston, MA
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Not necessarily. Some patients continue long term, others maintain results with lifestyle supports after a period of stabilization. We decide together based on goals and response.
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We adjust the dose, slow the titration, review timing and food strategies, or change the plan. Safety and comfort come first.
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Yes. Many patients succeed with nutrition, movement, sleep, and behavioral tools alone. Medication is optional and based on clinical fit.
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Rates vary. We target steady, sustainable loss. Early weeks focus on tolerance and routine. Faster is not always better for long term maintenance.
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Yes, with your written consent. We share concise updates and align lab monitoring and medications.
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Often, yes, but we coordinate closely and adjust other medications as needed. You will receive specific guidance.
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Yes, many follow ups can be virtual when you are physically in Massachusetts. Certain steps, for example labs, measurements, and injections teaching, may require in person visits.
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Yes. You leave each visit with a simple, actionable plan and a clear schedule for follow ups.
Why patients choose Cura Mind and Wellness in Boston
- Board certified leadership with hospital and outpatient experience,
- Whole person design, nutrition, movement, sleep, mindset, medication when appropriate,
- Measured approach, gradual dosing, close follow up, clear milestones,
- Integrated mental health, therapy and psychopharmacology available within the same practice,
- Respectful care, culturally sensitive, stigma free, private,
- Practical plans, built for commutes, rotations, deadlines, and winters.
Start a plan that respects science and your schedule
With in person appointments in Boston and telehealth across Massachusetts, Cura Mind and Wellness offers medical weight care that is safe, respectful, and realistic. Whether you use semaglutide, tirzepatide, or a non medication path, you will have steady support, clear steps, and measurable progress.