What We Treat at Vineyard: Understanding Our Virtual Care Services

At Vineyard, we provide high-quality, evidence-based virtual medical care designed to support adults in achieving better health and wellness, offering care related to obesity, weight management (such as GLP-1s) and other weight-adjacent conditions.

Medical Weight Management

Services include:

Comprehensive assessment of medical history, lifestyle, weight-related conditions
Prescription medications (GLP-1 receptor agonists, Contrave, FDA-approved treatments)
Insurance Navigation Specialists and documentation for Prior Authorization
Lifestyle coaching (nutrition, movement, stress, sleep)
Ongoing follow-ups and medication management
Registered Dietitian support
Peer support via private Facebook group and virtual Support Group Events

Weight-Related Conditions

Managed conditions:

High Blood Pressure (diagnosis, medication management, counseling)
High Cholesterol (lipid testing, statins, nutrition support)
Prediabetes and Type 2 Diabetes (screening, medications including Metformin, GLP-1s, SGLT2 inhibitors)
Sleep Apnea Concerns (screening and home sleep study referrals)

Hair Loss Treatment

We provide virtual assessments and treatment options for common conditions like androgenetic alopecia and telogen effluvium. Services include:

Evaluating causes of hair loss
Prescribing topical treatments (minoxidil) or oral medications (finasteride)
Nutrition and lifestyle guidance
Progress monitoring

Skin Health

We offer virtual skincare consultations focused on anti-aging. Services include:

Assessment of fine lines and wrinkles
Prescription of topical tretinoin
Guidance on safe treatment use
Follow-up monitoring

Women's Hormone Therapy

Addresses hormonal imbalances from perimenopause/menopause through:

Symptom and history review with labs
Personalized treatment plans (bioidentical or traditional hormones)
Regular monitoring for safety (blood clots, heart disease, breast cancer risks)

Mild Anxiety and Depression

We can support you if you are dealing with mild, stable forms of anxiety or depression. Treatment options:

SSRIs (Selective Serotonin Reuptake Inhibitors)
SNRIs (Serotonin and Norepinephrine Reuptake Inhibitors)
Wellbutrin (bupropion)
Naltrexone (when appropriate)

Hypothyroidism (Select Thyroid Conditions)

If you have a stable diagnosis of hypothyroidism and need help adjusting your thyroid medication, especially during weight loss, we can help. Services:

Lab monitoring and symptom review
Medication adjustments (levothyroxine, liothyronine, NP thyroid)
Virtual follow-ups

General Wellness, Longevity & Chronic Disease Prevention

Topics addressed: nutrition, physical activity, sleep, stress, mental well-being, substance use cessation, dietary supplements, and prevention strategies for heart disease, diabetes, osteoporosis, kidney disease.

What We Don't Treat

Examples of Conditions We Do Not Treat:

Acute concerns: Colds, UTIs, sinus infections, sports injuries, STDs
Severe chronic illnesses: Advanced heart disease, heart failure, liver cirrhosis, asthma, COPD, kidney failure, IBS/IBD, uncontrolled diabetes
Severe mental health conditions: Bipolar disorder, schizophrenia, severe depression
Reproductive care: Pregnancy, breastfeeding, fertility, IVF
Other conditions: Pain management, cancer, HIV/AIDS, POTS, Ehlers-Danlos syndrome, autoimmune conditions, ADHD, active eating disorders

Services Not Provided: preventive screenings (mammograms, colonoscopies, wellness exams), vaccinations, controlled substances (testosterone, phentermine, Adderall, benzodiazepines, pain medications), specialized Medical Nutrition Therapy.