Medical Weight Loss/In-Office Medication

Total Image can help you achieve your weight goals through safe medical weight loss.  We offer several different weight loss plans that can be modified or combined to fit your specific needs.  Our trained physicians monitor your progress through regularly scheduled follow up visits. These visits not only ensure you are staying on track with your weight loss, but allow us to make adjustments to your plan if necessary. Let us help you become a healthier you.
Contact Total Image today to start your weight loss journey!

Phentermine and phendimetrazine are a weight loss drugs used to suppress appetite.  Not only do these drugs allow you to feel full while eating less, they can be used to block certain fats and starches from metabolizing in your blood stream. When paired with diet and exercise, phentermine and phendimetrazine are proven highly effective. After completing a medical evaluation, phentermine and phendimetrazine can be accessed in-office for your convenience. Contact Total Image today to learn more!


The HCG Clean Start Weight Loss® Program includes prescription hormone injections which require a licensed healthcare provider who can prescribe medications. In addition, you will complete a full medical history, and will be required to get lab testing to ensure the program is safe and will work for you. A key part of the program is the injection of “Fat Burning” lipotropic injections.

What makes the HCG Clean Start Weight Loss® Program different from other weight loss programs is that we have numerous treatment programs available, and we will design a program that is customized to you. We don’t just offer one weight loss program, but we will design a customized weight loss treatment plan specifically designed for you. The diet doesn’t include packaged diet food, vitamins or weight loss pills; all of our programs including eating real food you can find in any grocery store. To ensure you safely lose the weight, the program will be supervised by a licensed healthcare provider (either a: Physician (MD), Physicians Assistant (PA) or Nurse Practitioner(NP) ).

Clean Start Weight Loss Explainer Video from IAPAM on Vimeo.


A ketogenic diet is a diet that’s mainly high in fat, moderate in protein and low in carbohydrates.  It allows the body to convert fat to be used as energy.  When you eat food that is high in carbs, your body will produce glucose and insulin.

  • Glucose is the easiest molecule for your body to convert and use as energy, so it will be chosen over any other energy source.  Typically on a normal, higher carbohydrate diet, the body will use glucose as the main form of energy.
  • Insulin is produced to process the glucose in your bloodstream, by taking it around the body.  Since the glucose is being used as a primary energy, your fats would not be needed, and are therefore stored.

By lowering the intake of carbs, the body is induced into a state known as ketosis. Ketosis is a natural process where we produce ketones, which are formed by the breakdown of fats in the liver.

The end goal of a properly maintained keto diet is to force your body into this metabolic state.  We don’t do this through limitation of calories, but though limitation of carbohydrates.  Our bodies are extremely adaptive to what’s put in them -when you overload it with fats and take away carbohydrates, it will begin to burn fat (via ketones) as the main energy source.