Frequently Asked Questions - Dr. César A. Lara Weight Loss & Wellness
Medical Weight Loss Programs
Why am I gaining weight during menopause when I haven't changed my diet?
During menopause, declining estrogen levels cause your metabolism to slow significantly, while shifting fat storage to your midsection. This hormonal change affects insulin sensitivity and increases cortisol production, making weight gain almost inevitable without medical intervention. Our 12-Week Awakening Program specifically addresses these hormonal factors through comprehensive testing and personalized treatment plans.
How do hormones affect weight gain in your 40s?
Hormonal changes in your 40s create a complex web of factors that affect weight management. Multiple hormones shift simultaneously—including testosterone, growth hormone, estrogen, thyroid hormones, cortisol, and insulin—each playing a unique role in metabolism, fat storage, and muscle maintenance. Emotional stress factors also influence these hormonal patterns, due to the intricate relationship between your physical and mental well-being. Dr. Lara's approach is completely individualized and holistic, using comprehensive testing to understand your unique hormonal profile and create a multifaceted, function-based treatment plan that addresses your specific imbalances. Learn more about Important Hormones for Health & Wellness.
What are the side effects of semaglutide for weight loss?
In our practice, we see very few side effects with semaglutide when properly prescribed and monitored. Some patients may experience mild nausea or digestive changes, particularly when starting treatment. Under Dr. Lara's careful medical supervision, we begin with low doses and gradually adjust to ensure your comfort throughout the process. Our patients typically tolerate the medication very well and are thrilled with their weight loss results.
Are weight loss injections safe for women over 40?
Yes, when prescribed and monitored by a board-certified obesity medicine specialist like Dr. Lara. Women over 40 often have excellent success with medications like semaglutide because they address the hormonal and metabolic changes that make traditional dieting ineffective. We conduct comprehensive medical evaluations, including EKG and blood work, before starting any medication program. We also perform blood tests periodically throughout the program to ensure optimal progress and overcome plateaus.
How much does medical weight loss cost?
Our programs are customized to your individual needs, so costs vary based on required testing, medications, and treatment plans. We offer payment options to make our programs accessible. Please contact us at (727) 446-3021 for detailed pricing information. Many patients find this investment worthwhile when considering the long-term health benefits and the cost of ongoing complications from excess weight.
Does insurance cover weight loss medications?
Unfortunately, we cannot bill insurance directly for our weight loss programs and medications. Beyond not billing directly, insurance companies typically do not cover what they consider cosmetic treatments, and they generally do not pay for treatments that are classified as wellness services. However, many patients are able to use their Health Savings Account (HSA) or Flex Spending Account (FSA) to pay for treatment. We also work with patients who can use their insurance for required lab work. Our team will help you understand your payment options and provide any documentation needed for potential reimbursement.
What makes your approach different from other weight loss programs?
Dr. Lara combines board-certified obesity medicine expertise with our heart-centered and science-based philosophy that addresses the root causes of weight gain. Unlike cookie-cutter diet programs that ignore individual factors, we conduct comprehensive testing to identify your unique metabolic, thyroid, and hormonal imbalances. Our approach is completely personalized—no two patients receive the same treatment plan. This unique integration of Western medicine with holistic healing principles—including Dr. Lara's shamanic training—creates lasting transformation, not just temporary weight loss.
How much weight can I expect to lose in the 12-Week Awakening Program?
Our 12-Week Awakening Program is designed to help you release 35-40 pounds. Individual results vary based on starting weight, medical history, and adherence to the program. Patients with significant hormonal imbalances often see excellent results once these issues are addressed. We focus on sustainable weight loss rather than rapid, unsustainable drops.
What's included in the Awakening Program?
The program includes comprehensive lab work, EKG, medical visits, necessary medications (including semaglutide if appropriate), all required supplements, personalized nutrition plans, weekly coaching, and ongoing support. You'll have 24/7 access to our team of specialists and educational resources to ensure your success.
Green Laser Body Sculpting (Formnovélle™)
How does green laser body sculpting work?
Our Emerald Laser uses low-level laser technology to create temporary microscopic pores in fat cells, allowing stored fatty acids to drain naturally. Unlike procedures that destroy fat cells, this process preserves healthy cell function while reducing volume. The released fat is then processed by your lymphatic system or used for energy. Sessions last about 30 minutes with no pain, no downtime, and no side effects.
How is green laser different from CoolSculpting?
Green laser offers several advantages over CoolSculpting. Our Emerald Laser is the only FDA-cleared device for fat loss and volume reduction with its own unique methodology. It's FDA-cleared for patients with higher BMI levels, has no reported side effects (versus CoolSculpting's potential complications), and provides noticeable results more quickly. Most importantly, green laser heals fat cells rather than destroying them, supporting your long-term metabolic health. For a detailed comparison, read our article on CoolSculpting and Green Laser Therapy Differences.
How many treatments will I need?
Most patients need 8-12 treatments for optimal results, typically scheduled twice weekly. Many see initial results after just a few sessions, with some patients noticing changes from their first treatment. We customize treatment plans based on your goals and target areas. The full series usually takes 4-6 weeks to complete.
What areas can be treated with green laser?
Green laser effectively treats stubborn fat in the abdomen, hips, thighs, arms, back, and other areas. Our Emerald Laser can safely treat multiple areas in the same session. We often combine treatments for body contouring that addresses your unique concerns.
Is green laser body sculpting painful?
No, green laser therapy is completely painless. Most patients describe feeling only a slight warming sensation during treatment. There's no needles, no freezing, and no recovery time needed. You can return to normal activities immediately after each session.
How long do green laser results last?
Results are long-lasting as long as you maintain a stable weight. The fat that's removed won't return to treated areas. However, remaining fat cells can still expand if you gain significant weight. We often recommend combining green laser with our medical weight loss program for optimal, lasting results.
Bioidentical Hormone Replacement Therapy (BHRT)
How long does BHRT take to work for weight loss?
BHRT is not a weight loss treatment—it's designed to restore hormonal balance for overall health and wellness. Most patients notice initial improvements in energy and mood within a few weeks of starting BHRT. While BHRT itself doesn't cause weight loss, when hormones are properly balanced, some patients find that maintaining a healthy weight becomes easier. If weight loss is your primary goal, we recommend our dedicated medical weight loss programs, which can be used separately from or in conjunction with BHRT depending on your individual needs. Learn more about What is Bioidentical Hormone Replacement Therapy.
Are bioidentical hormones safer than synthetic?
Bioidentical hormones have the same molecular structure as hormones your body produces naturally. Dr. Lara's 30+ years of BHRT experience and advanced certification ensure safe, effective treatment protocols. Safety depends largely on proper medical supervision and individualized dosing, which is our specialty.
Will BHRT make me gain or lose weight?
BHRT doesn't directly cause weight gain or loss, but it addresses hormonal imbalances that affect metabolism, fat storage, and muscle mass. Many patients find weight management becomes easier as hormone levels normalize. Women often notice improved body composition and energy levels, while men may see increased lean muscle mass.
How do I know if I need hormone therapy?
Common signs include unexplained weight gain, fatigue, mood changes, difficulty sleeping, low libido, and feeling like you're aging rapidly. We conduct comprehensive hormone testing to identify imbalances. Dr. Lara reviews your symptoms, medical history, and lab results to determine if BHRT is appropriate for your situation.
What's the difference between compounded and FDA-approved hormones?
Compounded hormones are custom-made combinations of active ingredients prepared by a compounding pharmacy that tailors the prescription to each individual patient's specific needs. The individual ingredients used in compounding are FDA-approved. FDA-approved pharmaceutical hormones, on the other hand, are manufactured by pharmaceutical companies that hold patents for the production and sale of those specific hormone compounds in the medical marketplace. Both approaches have their place in hormone therapy. Dr. Lara helps you choose the best option based on your specific needs, medical history, and treatment goals, and we'll discuss all available options during your consultation.
Red Laser Pain Therapy (FX 405)
How effective is red laser therapy for pain relief?
Clinical studies show that most patients experience significant pain reduction with red laser therapy. Our FX 405 laser combines red and violet wavelengths to reduce inflammation and promote healing at the cellular level. Many patients notice improvement after just one session, with benefits building over time.
How many laser therapy sessions do I need?
Most patients need several sessions for chronic conditions, with acute issues often resolving more quickly. Sessions are typically scheduled 2-3 times per week initially, then spaced further apart as improvement occurs. Each session lasts 10-20 minutes depending on the treatment area and condition severity.
Is red laser therapy FDA approved?
Yes, our FX 405 laser system is FDA-cleared for pain relief and inflammation reduction. Low-level laser therapy has an excellent safety record when used properly by trained professionals.
What conditions respond best to red laser therapy?
Red laser therapy is particularly effective for chronic low back pain, neck and shoulder pain, plantar fasciitis, arthritis, and post-surgical recovery. It's also beneficial for sports injuries and other musculoskeletal conditions. The therapy works by increasing cellular energy production and reducing inflammation at the source of pain.
About Dr. César A. Lara & Our Practice
What are Dr. Lara's qualifications?
Dr. César A. Lara is board-certified in Obesity Medicine by the American Board of Obesity Medicine and is a Fellow of the Obesity Medicine Association. He has over 30 years of experience in weight management and age-related medicine, with advanced certification in Bioidentical Hormone Replacement Therapy. Dr. Lara graduated from the University of Iowa Carver College of Medicine and also holds certification in Shamanic Energy Medicine, allowing him to integrate holistic healing with evidence-based medical care.
Where are your clinics located?
We have convenient locations in St. Petersburg (135 1st St S.) and Palm Harbor/Dunedin (2323 Curlew Road, Suite 1A). Both locations offer the full range of services including medical weight loss, green laser body sculpting, BHRT, and red laser pain therapy. We serve patients throughout the Tampa Bay area including Tampa, Clearwater, Largo, Seminole, and surrounding communities.
How do I schedule a consultation?
You can schedule your consultation by calling (727) 446-3021 or booking online at drlaraweightloss.com. We offer consultations to discuss your health goals and determine which services are right for you. During your visit, we'll review your medical history, discuss treatment options, and create a personalized plan for your success.
What should I expect during my first visit?
Your initial consultation includes a thorough review of your health history, discussion of your goals, and explanation of appropriate treatment options. For weight loss programs, we recommend lab work including hormone panels, metabolic testing, and other assessments. Dr. Lara takes time to understand your unique situation and answer all your questions before recommending any treatments.
Do you accept insurance?
Unfortunately, we cannot bill insurance directly for our weight loss programs and treatments. Insurance carriers do not cover wellness-related treatments. However, many patients are able to use their Health Savings Account (HSA) or Flex Spending Account (FSA) to pay for treatment. We also have patients who are able to use their insurance for required lab work. We'll work with you to explore all available payment options and provide the documentation you need for reimbursement when possible.
Why have you been voted #1 by Tampa Bay Magazine?
Our award-winning practice has been voted #1 for healthy weight loss by readers of Tampa Bay Magazine for over 1510 years. This recognition reflects our commitment to providing exceptional care, proven results, and the unique combination of medical expertise with holistic healing that sets us apart in the Tampa Bay community.
Ready to start your transformation? Contact Dr. César A. Lara Weight Loss & Wellness today at (727) 446-3021 or schedule your consultation online. Our experienced team is here to help you achieve your health and wellness goals.