A physician-led, in-home program for lasting metabolic change.
Not just short-term weight loss. From your first visit you have a physician and a dedicated coach in your corner — real physician oversight, real in-home clinical care, and coaching designed to keep the weight off, not just take it off.
What Makes This Different
Care is directed by Dr. Ilya Rabkin and built around durable change — with the post-medication transition engineered in from the start.
At key milestones, Dr. Rabkin comes to your home for a hands-on evaluation, EKG, and body composition analysis — privately, with no public clinic or waiting room.
In-home phlebotomy, comprehensive lab panels, and multi-frequency body composition tracking — lean mass versus fat — throughout your entire program.
Continuous oversight between visits — medication titration, lab interpretation, and clinical decisions by your physician, reachable through secure, HIPAA-compliant messaging.
The post-medication transition is where many people regain weight. We built the program around it — re-educating hunger cues and preventing rebound, so the change lasts.
How It Works
A structured, physician-directed process from your first consultation to long-term maintenance.
A complimentary visit — at no cost — to confirm your fit, review your health history, and choose the program pathway that's right for you.
An in-home physical examination, EKG, comprehensive lab draw, and body composition analysis. Your physician builds a personalized plan from the results.
Continuous physician oversight and dedicated coaching throughout — including a structured Off-Ramp phase so your results hold after medication ends.
The Coaching Program
Every program includes a dedicated wellness coach whose curriculum is built on three foundations — designed to turn medical results into habits that hold.
We don't follow trends. We return to what has always worked — real food, seasonal eating, and cultural food traditions that have sustained healthy communities for generations.
Movement is not punishment. It is medicine. We build strength, daily activity, and joy of movement — not gym obsession.
Sustainable change starts with identity, not willpower. Every session includes mindset coaching because how you think about food, your body, and yourself determines everything.
"You cannot drink from an empty cup. This journey starts with filling yours."
Program Pathways
Each pathway is direct-pay, billed monthly, with everything listed included — no per-visit or per-vial charges.
12 Months
Our most comprehensive medical tier
6 Months
A high-touch medical kickoff
Higher monthly rate reflects shorter, higher-intensity commitment.
Get StartedSingle Visit
Pay-as-you-go clinical evaluation
A good starting point if you want a physician evaluation before committing to a full program.
Book ConsultationZinovyMed Metabolic Optimization is a direct-pay medical program. It is not health insurance and is not a substitute for it. Compounded tirzepatide is prepared by a state-licensed 503A compounding pharmacy and is prescribed only for an individual patient when clinically appropriate. Compounded medications are not FDA-approved and are not reviewed by the FDA for safety or effectiveness; compounded tirzepatide is not the same as, equivalent to, or a generic version of any FDA-approved medication. Medication is prescribed only when clinically appropriate following an evaluation — not everyone is a candidate — and individual results vary with health status and adherence. This material is for general informational purposes and is not medical advice.
In clinical trials, tirzepatide at its highest dose averaged about 21% total body weight reduction over 72 weeks, and semaglutide about 15% over 68 weeks. Those trials studied people without diabetes; results in patients with type 2 diabetes have been more modest. Your own result depends on dose, adherence, and whether medication is paired with resistance training and adequate protein intake.
SURMOUNT-1, N Engl J Med 2022 · STEP 1, N Engl J Med 2021
This is where many people regain weight, and it is the reason the Off-Ramp exists. Every ZinovyMed program includes a structured post-medication phase built in from the start — re-educating hunger cues and preventing rebound so the change holds after medication ends.
Muscle loss is a real risk with any significant weight loss, including GLP-1 therapy — not something unique to these medications. We track it directly with multi-frequency body composition analysis throughout the program, measuring lean mass against fat rather than watching the scale alone, and adjust protein targets and training accordingly.
No. Metabolic Optimization is available as a standalone program, and the initial consultation is complimentary. Members receive integrated care across all services.
Get Started
Schedule a complimentary consultation to confirm your fit and choose the pathway that's right for you.
📞 (571) 354-7894