Sustainable weight loss requires more than willpower. It takes a plan that respects biology, psychology, and lifestyle. At Cura Mind and Wellness, patients across Houston and Fort Bend County partner with Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board-certified psychiatric nurse practitioner who combines semaglutide and tirzepatide with structured nutrition and mental health support.
With in-person services in Richmond, TX and telehealth across Houston, our program provides evidence-based care that is practical and compassionate.
How Semaglutide and Tirzepatide Work
Both medications belong to a class called incretin-based therapies. Semaglutide mimics the GLP-1 hormone, while tirzepatide acts on both GLP-1 and GIP receptors. These treatments:
- Reduce appetite and cravings,
- Slow digestion so meals feel more filling,
- Improve insulin sensitivity and stabilize blood sugar,
- Support gradual, steady weight reduction.
Unlike fad diets, these medications are part of a clinical plan with supervision, lifestyle strategies, and mental health integration.
Who Is Eligible for Treatment
Not every patient needs or qualifies for medical weight loss medication. Candidates often include those with:
- Clinically indicated body mass index,
- Weight-related conditions such as diabetes, hypertension, sleep apnea, or joint pain,
- Difficulty achieving lasting weight control through lifestyle alone,
- Readiness to commit to nutrition and lifestyle changes alongside medication.
We also carefully review safety. These medications are not used during pregnancy or breastfeeding and are typically avoided in patients with a history of medullary thyroid carcinoma or MEN2. A history of pancreatitis or gallbladder disease requires cautious evaluation.
The Treatment Journey
- Initial Evaluation: We start with a full review of medical history, lab work if needed, and weight-related challenges. Patients often share goals beyond the scale, including more energy at work, better sleep, or reduced joint pain.
- Personalized Plan: Your plan includes a carefully titrated dose of semaglutide or tirzepatide, clear nutrition guidelines, and a realistic movement plan. For patients with ADHD or binge eating patterns, therapy skills are added to strengthen consistency.
- Gradual Dose Adjustment: Doses increase slowly based on tolerance and results. This reduces side effects and helps patients adapt.
- Regular Check-ins: Telehealth makes follow-up easy from anywhere in Houston. Patients who prefer in-person support can be seen at our Richmond office.
- Maintenance Phase: Once goals are reached, we stabilize progress. Some patients stay on a maintenance dose, while others taper with a plan to preserve long-term habits.
Nutrition and Lifestyle: The Foundation of Success
Medication helps regulate appetite, but lasting success comes from daily routines. Our framework focuses on addition, not deprivation:
- Protein at meals to maintain lean muscle and improve satiety,
- Fiber-rich vegetables and fruits for fullness and digestive health,
- Adequate hydration to reduce fatigue and cravings,
- Quality sleep to regulate hunger hormones,
- Movement you enjoy, whether it is walking, strength training, or dance, to support metabolism.
We also teach practical tools: meal prep for busy Houston schedules, grocery strategies, hydration reminders, and simple routines that survive holidays, travel, and long workdays.
The Mental Health Connection
For many patients, weight challenges are tied to stress, mood, or focus. Depression can sap motivation, anxiety can trigger emotional eating, ADHD can disrupt meal planning, and trauma can complicate the relationship with food.
At Cura Mind and Wellness, weight management and psychiatry are integrated. We address emotional triggers, teach strategies for resilience, and coordinate therapy or medication for mental health conditions when needed. This dual focus improves outcomes and prevents relapse into old patterns.
Long-Term Maintenance
Weight loss is only part of the journey. The challenge is keeping results. Our approach includes:
- Stability planning with clear strategies for travel, stress, and busy seasons,
- Booster visits during plateaus or setbacks,
- Gradual tapering of medication if appropriate,
- Relapse prevention skills that reduce guilt after slip-ups, turning “bad days” into quick resets.
Patients who combine medication with consistent nutrition, activity, and mental health support often maintain results far longer than with traditional diets.
FAQs – Medical Weight Loss in Houston and Richmond
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Not always. Some patients continue on a maintenance dose, while others taper off once stable routines are in place.
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Nausea, constipation, or reduced appetite are the most common, and often improve with time and gradual dosing.
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Coverage varies. Some insurers cover treatment when medical criteria are met. We review options before starting.
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We reassess nutrition, sleep, stress, and medication dose. Small adjustments usually restart momentum.
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They can reduce urges and appetite, but therapy tools are also important for lasting change.
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Often yes, but interactions are reviewed. Care is coordinated to ensure stability across conditions.
Why Patients Across Houston Choose Cura
- Clinical Expertise: Led by a board-certified psychiatric nurse practitioner with training in psychopharmacology and holistic care,
- Whole-Person Approach: Programs address biology, behavior, and psychology together,
- Structured Yet Flexible: Clear plans with room for Houston’s real-life challenges, traffic, family schedules, and travel,
- Integrated Support: Access to therapy, psychiatric medication management, TMS, and IV ketamine in the same practice,
- Local Access: In-person visits in Richmond, convenient to Sugar Land, Katy, and Missouri City, plus telehealth for the rest of Houston.
A Healthier Path Forward
If you are ready for a medical weight loss program that pairs semaglutide or tirzepatide with nutrition, lifestyle, and compassionate accountability, Cura Mind and Wellness offers structured, personalized care across Houston, with in-person services available in Richmond.
Your plan will be practical, evidence-based, and sustainable, helping you achieve not just weight loss, but improved energy, health, and confidence.