Anise Medical PLLC

Anise Medical PLLC Anise Medical is a trusted metabolic home for patients, supporting sustainable weight loss and providing a comprehensive approach to long-term health.

08/24/2026

When a patient tells me their GLP-1 “isn't working,” the scale is usually the starting point.

But an unchanging number doesn't always give us enough information to judge the treatment.

The scale is one piece of data. If weight has stalled while other factors are changing, I widen the lens before changing the plan.

That's how we decide what needs attention next.

08/20/2026

The number on the scale can be useful information but its not the absolute verdict.

I care about weight because it can tell us something about what's happening metabolically. But I also care about what happens to blood pressure, blood sugar, fitness, strength, sleep and daily function.

Sometimes the scale changes before you notice those improvements. Sometimes those improvements happen without much change on the scale.

The goal is to use the information that helps us make better decisions — and stop giving one number the power to decide whether you're succeeding.

08/17/2026

If you expect your weight to go down every single week, you're going to think you're failing a lot more often than you actually are.

Weight loss is usually much messier than the straight downward line we imagine.

There can be plateaus.
There can be fluctuations.
There can be weeks where the scale goes up.

The question is whether the overall trend is moving in the direction you want.

This is especially important when you're using a GLP-1. Don't let one frustrating number convince you that your treatment has stopped working.

Zoom out and look at the trend.

08/16/2026

My patients have been telling me the same thing lately: “I miss lettuce" and "I’m sick of not having greens.”

With the current Cyclospora outbreak and lettuce recall, you may be wondering what you can still buy at the grocery store.

You don't have to stop eating produce.

In this Reel, I’m sharing some practical options.

Save this for your next grocery trip.

08/13/2026

A GLP-1 can be an extremely effective tool for weight management, but lack of expected weight loss doesn't always mean the medication has failed.

If you recently started taking a GLP-1 and your weight loss has stalled, there are several reasons that can happen.

A stalled scale deserves investigation. It doesn't automatically mean that your medication isn't working.

07/28/2026

Same effort. Same diet. Same workouts. Yet the weight is suddenly all in your midsection.
As estrogen declines in perimenopause, fat storage shifts toward visceral fat, and insulin sensitivity changes with it. The strategy that worked in your 30s needs updating.

This is one of the most common patterns I see. It's addressable with the right approach for this stage.

📍 NY direct pay practice.

07/21/2026

You've built a career most people would envy. You optimize your time, your investments and your team.

This is the one area of your life you've been most likely to put off because you're terrified of failing.

And you've been down that road before.

You already know how to succeed.

You just need a strategy that matches the problem.

07/16/2026

Fat cells don't care whether dinner came from your kitchen or someone else's.

I care much more about whether your approach is realistic enough to repeat next month.

Consistency beats unnecessary struggle every time.

07/14/2026

There was a version of my career where I stayed in the traditional insurance-based system.

I wanted it to work.

But I couldn't practice medicine the way I believed my patients deserved.

When you're given 15 minutes, you're expected to diagnose, prescribe, document and move on. That might work for some problems but it doesn't work for obesity.

You can't unpack years of weight cycling, family influences, cultural traditions, emotional eating, changing metabolism or the realities of daily life in 15 minutes.

Most importantly, you can't build trust in 15 minutes.

So I left.

It wasn't easy. Building an independent practice came with financial risk and uncertainty.

I left because I wanted enough time to listen and understand before I advised. To build a plan that fit the person sitting in front of me instead of the billing rules behind the visit.

That's the practice I have today.

The conversations my patients have now aren't a luxury. They're the kind of care that should have been available all along.

07/13/2026

It takes time to look beyond the scale and understand the factors that are keeping you stuck.

The direct pay model removes the insurance barrier that interferes with a comprehensive approach to weight care.

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81 Willoughby Street
Brooklyn, NY
11201

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