Sustainable weight loss is medical, not just willpower. At Cura Mind and Wellness, patients in Portland and across Oregon receive telehealth medical weight management that integrates nutrition, movement, sleep, and when appropriate, semaglutide or tirzepatide. Care is led by Vivian Emuobe, MSN, BSN, APRN, PMHNP-BC, a board certified psychiatric mental health nurse practitioner licensed in Oregon. Vivian brings hospital and outpatient leadership, whole person planning, and clear education so you know exactly how your plan works and how progress will be measured.
All Oregon visits are virtual, encrypted, HIPAA compliant, and never recorded. You must be physically located in Oregon during your telehealth appointment.
Who this program helps
You may be a good fit if you are an adult with:
- BMI 30 or higher,
- BMI 27 or higher with a weight related condition, for example prediabetes, type two diabetes, high blood pressure, sleep apnea,
- Prior attempts at diet change without durable results,
- Interest in a respectful, private program that addresses biology, behavior, and daily routines,
- Motivation to pair medication with realistic lifestyle supports.
We also consider mood, anxiety, ADHD, sleep, and current medications that can influence appetite or weight. The goal is a plan that supports both physical and mental health.
How semaglutide and tirzepatide work
- Semaglutide acts on GLP, 1 receptors, helping regulate appetite, slow gastric emptying, and improve glycemic control.
- Tirzepatide acts on GLP, 1 and GIP, often producing stronger appetite and metabolic effects for some patients.
Medication is one part of a larger program. Doses are increased gradually to improve tolerance. We explain benefits, timelines, plateaus, and how maintenance works once goals are reached.
Safety first, screening and monitoring
Your safety drives every decision. Before starting medication, we complete a structured review:
Baseline evaluation
- Medical history, medications, allergies, pregnancy plans,
- Blood pressure, weight, waist measurements when available,
- Labs when indicated, A1C, fasting glucose, lipids, kidney and liver function, thyroid, vitamin levels.
Contraindications and cautions
- Personal or family history of medullary thyroid carcinoma or MEN 2,
- Prior pancreatitis, significant gallbladder disease, severe gastrointestinal disease,
- Pregnancy, lactation, or plans to conceive,
- Interactions with existing diabetes medications requiring hypoglycemia precautions.
Common effects and what to expect
- Nausea, fullness, reflux, constipation, diarrhea, abdominal discomfort, typically transient and dose related,
- Clear stop rules and what to do if concerning symptoms appear.
We coordinate labs locally in Oregon and provide written instructions for dose changes, meal timing, hydration, and when to check in between visits.
What a real Portland week can look like
- Morning, protein centered breakfast, hydration, brief outdoor light, a ten minute walk if weather allows,
- Midday, packed lunch with color, a planned snack to prevent late afternoon overeating,
- Movement, stairs when safe, a five to eight minute strength micro set, squats, push, pull,
- Evening, balanced plate, devices down, wind down routine,
- Weekend, one planned meal out, one longer walk on the waterfront or neighborhood trail, prep two simple dinners for the week.
Small, consistent choices add up to meaningful change without perfection pressure.
Mental health and weight, one plan
Because Cura integrates psychiatric care with weight management, we can:
- Review psychiatric medications that may influence appetite or metabolism and discuss alternatives when appropriate,
- Teach practical skills for stress eating and urges,
- Align therapy goals with nutrition and movement targets,
- Protect sleep, which stabilizes appetite signals and mood.
If you are in active treatment for depression, anxiety, ADHD, or sleep issues, we keep your plan coordinated and realistic.
Measuring progress that matters
Numbers are not the only story. We track:
- Weight and waist trends,
- Satiety and hunger ratings,
- Energy, sleep windows, and morning refreshment,
- Blood pressure and A1C when relevant,
- Function and quality of life, fewer afternoon crashes, steadier focus, improved stamina.
Decisions are guided by outcomes and your lived experience, not guesswork.
The Oregon program, step by step
Visit 1, Comprehensive intake
History, goals, prior attempts, food patterns, sleep, movement, and medications that may affect weight. We order any needed labs, outline a starter nutrition plan, and discuss if medication is appropriate.
Weeks 1 to 4, Launch
- Nutrition framework with simple portions, protein targets, fiber additions, and balanced timing,
- Movement plan, brisk walks, gentle cycling, bodyweight micro sets,
- Sleep anchors, consistent wake time, light exposure on rainy mornings, screen cutoffs,
- If prescribed, medication starts at a low dose, with a side effect plan and hydration strategy.
Weeks 5 to 8, Optimize
- Titrate medication when appropriate,
- Troubleshoot appetite waves, social meals, and travel,
- Add short resistance sessions two or three times per week,
- Track energy, focus, mood, and satiety, adjust supports accordingly.
Weeks 9 to 12, Consolidate
- Lock in routines that work during busy Portland workweeks and weekend hikes,
- Prepare for plateaus with data based tweaks,
- Discuss long term maintenance, dose holding, or gradual de escalation when appropriate.
The cadence is flexible. We focus on repeatable actions that survive real life.
Insurance, access, and expectations
Coverage for semaglutide and tirzepatide varies by plan. We provide clear documentation when appropriate and discuss options if coverage is limited. We also outline non medication pathways that still produce meaningful change. Expect gradual, steady progress. Plateaus are normal and manageable with data based adjustments.
Note for Oregon, TMS and IV ketamine are not part of our Oregon program. If mood care requires advanced in person options, we will discuss trusted referrals transparently.
FAQs, Medical Weight Loss in Portland, OR
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Not necessarily. Some people continue long term, others maintain with lifestyle after a period of stabilization. We decide together based on goals and response.
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We slow titration, adjust dose timing and meal composition, or change the plan. Your comfort and safety 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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Often, yes, but we coordinate closely and adjust other medications as needed. You will receive specific guidance and monitoring.
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Yes. All Oregon care is provided by encrypted, HIPAA compliant telehealth. You must be physically in Oregon during your session.
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Yes. Each visit ends with a simple, actionable plan and a clear follow up schedule.
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Yes, with your written consent. We share concise updates so labs, medical conditions, and medications are aligned.
Why Oregon patients choose Cura Mind and Wellness
- Board certified leadership with licensure in Oregon,
- Whole person design, nutrition, movement, sleep, mindset, medication when indicated,
- Measured approach, gradual dosing, close follow up, clear milestones,
- Integrated mental health, therapy and psychopharmacology in the same practice when needed,
- Culturally sensitive care, respectful, private, stigma free,
- Practical plans, built for commutes, remote work, rain, and weekend trails.
Begin a plan that respects science and your schedule
With telehealth available statewide, Cura Mind and Wellness provides medical weight care that is safe, respectful, and realistic for Oregon life. Whether you choose semaglutide, tirzepatide, or a non medication path, you will have steady support, clear steps, and measurable progress.