You've been eating right, exercising, and doing "everything you're supposed to do"—but the scale won't budge. Or worse, it keeps creeping up.
You've tried calorie counting. Keto. Intermittent fasting. Maybe even an expensive online program. And you're starting to wonder if something is seriously wrong with you. Nothing is wrong with you. Something changed in your body—and nobody told you about it.
After 40, you lose muscle mass every decade—and muscle is the engine that burns calories at rest. Less muscle means slower metabolism, even if you eat less than before.
Estrogen, insulin, cortisol, and thyroid shifts alter where your body stores fat, how it processes food, and why cravings hit harder than ever before.
Insulin resistance, sleep apnea, vitamin D deficiency, and chronic stress—these are medical problems that no diet app will ever diagnose or fix.
I'm Dr. Kamyar Farhangfar—board-certified in internal medicine and an obesity medicine specialist with over 25 years of clinical experience.
I've worked with hundreds of women who are smart, disciplined, and successful in every other area of their lives—but can't figure out why their bodies stopped cooperating after 40.
Here's what I've learned: the answer is almost never "try harder." It's almost always a hidden metabolic or hormonal barrier that nobody looked for.
My job is to find what's blocking you, build a plan that matches your actual physiology, and walk with you until the results match the effort you've been putting in all along.
This isn't a diet program. This is medicine—personalized to your body, your labs, and your life.
Most weight loss programs treat symptoms. We diagnose causes.
Before we recommend a single change to your diet or exercise, we look at what's actually happening inside your body—because until those barriers are identified and addressed, no amount of effort will produce lasting results.
Our comprehensive approach evaluates the full spectrum of metabolic and hormonal factors that influence weight after 40. We run the tests other providers skip and interpret results in the context of your unique physiology, not just lab "normal ranges."
When you remove what's blocking you, your effort finally has somewhere to go.
