All of Dallas–Fort Worth · Seen by video · Delivered to your door

A real doctor's office, without the drive. Anywhere in DFW.

Physician-led weight loss treatment, managed by a board-certified obesity medicine physician. Seen by video, delivered to your door, one flat price every month no matter your dose.

Dual board-certified, Internal & Obesity Medicine
Insurance or cash — both work here
Never have to come in

Most places selling you this are not a medical practice.

They are a checkout page with a prescriber attached. If you've already tried one, some of this will sound familiar.

You never actually spoke to a doctor

A form, a photo, and a prescription appears. Nobody looked at your history, your other medications, or why the weight came on in the first place.

The price climbs with your dose

You start at one number and discover months later that titrating up means paying more, right when quitting is easiest.

No labs, no follow-up, no one to call

The nausea hits on a Tuesday night and you're typing into a chat box that answers in three business days.

Nothing carries over when you stop

No physician who knows you, no record, no plan for keeping the weight off. The subscription was the product.

The difference

Synergy is a clinic that happens to deliver.

You will probably never set foot in our office, and that is fine. It is still the same physician, the same chart and the same phone number as the patients who do.

A real practice behind it

Dr. Essam Rashad is dual board-certified in Internal Medicine and Obesity Medicine, with a licensed clinic in Lewisville you are welcome to visit. Most patients never need to.

One price, every month

Your medication costs the same in month nine as it did in month one. Dose changes don't change the bill.

Visits and labs go through insurance

We're in network with most major plans in Texas, so the medical side is billed like any other doctor's appointment.

Entirely from home

Visits by video, medication at your door for $10 a month, cold-packed. Anywhere from Frisco to Arlington to Rockwall. Pick up in Lewisville instead if you'd rather, free.

Someone answers

Message the team between visits and get a human who has your chart open. Side effects are handled, not survived.

Primary care, if you want it

Blood pressure, cholesterol, thyroid, prediabetes — the things that usually come with the weight can be treated in the same place.

The whole price, on one screen.

This is what the medication costs each month. It does not change when your dose does.

Weekly injection — first option
$145
/ month

The long-established weekly treatment, paired with B12. Includes a month of medication plus every syringe, needle and alcohol pad you need.

Weekly injection — newer option
$195
/ month

The newer dual-action weekly treatment, paired with B12. Same inclusions — a month of medication and all of your supplies.

Which one is right for you isn't a menu choice — it depends on your history, your other medications and what you've already tried. We name both and talk through the difference on your first visit.

Delivery anywhere in DFW — $10 a month
Cold-packed to your door. Free if you'd rather pick it up at the Lewisville office.
Office visits and labs are separate
Both are billed to your insurance, the same way any other appointment would be. Labs are ordered only when they're needed.
No insurance? Still simple.

The visit costs the same either way — you just pay it directly.

No membership, no enrollment fee, no charge for the months we don't see you. The medication price above doesn't change either.

First visit
$250
cash price

A full evaluation — history, medications, exam, and the decision about whether medication belongs in your plan at all.

Every visit after
$125
cash price

Dose review, side effects, weight and vitals, and whatever else has come up since.

$95
Labs, all in, if you're paying cash
One price for the whole panel we run before starting and along the way. No separate draw fee, no surprise bill from an outside lab. Covered by insurance if you're using it.

And here's how often you'll actually be seen.

Close at the start, while we're titrating your dose. Further apart once you're steady. Same schedule either way — insurance or cash.

Months 1–4
Every month

The titration window. Every dose increase gets looked at by the person who prescribed it.

Months 5–8
Every 8 weeks

You're on a working dose. We're watching the weight curve and the labs that go with it.

Month 9 onward
Every 12 weeks

Maintenance. Still your doctor, still your chart — and still reachable between visits.

This is the typical schedule. Some people need to be seen sooner, and we'd rather bring you in early than have you tough something out at home.

Four steps, about a week, none of them a drive.

1
Book a visit

Video, from your kitchen or your car, on your schedule. In person in Lewisville if you'd rather. Have your insurance card handy either way.

2
Get evaluated properly

History, medications, labs where they're warranted. This is where we find out whether medication is even the right tool for you.

3
We prescribe, the pharmacy prepares it

A licensed compounding pharmacy fills it. You pay the price on this page — nothing else gets added later.

4
It arrives each month

Delivered across DFW for $10, or waiting for you at the front desk. We check in as your dose moves.

It's smaller than you think.

The needle is about half an inch and thinner than the one used to draw blood. It goes into the fat of the abdomen or thigh once a week and takes a few seconds.

The whole thing can be done without ever coming in — we walk you through the first one on video. If you'd rather have someone standing next to you the first time, come by the office and we'll do it together. No charge for that.

Who this is and isn't for.

A good fit if you
Live anywhere in the Dallas–Fort Worth metro
Have tried losing the weight on your own and it keeps coming back
Want a physician managing it, not a chat window
Also have blood pressure, cholesterol or sugar numbers worth watching
Not the right call if you
Are pregnant, nursing, or planning a pregnancy soon
Have a personal or family history of medullary thyroid cancer or MEN2
Want medication without any evaluation or follow-up
Live outside the DFW delivery area
From our Google reviews

What patients say.

Unedited from our Google profile.

★★★★★

“I've seen at least 11 doctors and 4 ER visits over the last year and a half and was convinced doctors like Dr. Rashad didn't exist. He listens intently, gets to business on your health. Doesn't rush, doesn't overbook.”

— Patrick D.
★★★★★

“He listened and responded to my questions directly. He is extremely knowledgeable about this field and made sure all my concerns were addressed. The office response in general is very quick.”

— Leanna V.
★★★★★

“The attention to detail during visits does not go unnoticed. They go out of the way to listen and solve any medical problems you could bring up. This is elite primary care.”

— Jordan R.

Read all our reviews on Google →

Questions people actually ask.

Is this the same as the brand-name injections?

No. These are prepared by a licensed compounding pharmacy. They are not FDA-approved and are not the same product as the brand-name versions. We walk you through exactly what the difference is at your visit, so you decide with your eyes open.

Which insurance do you take?

Most major plans in Texas — Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Baylor Scott & White, Curative, First Health and Medicare. We do not accept Medicaid. Insurance covers your visits and labs; the medication is the flat price above either way.

Am I locked into anything?

No contract and no membership. You pay month to month and you can stop whenever you want. We'd rather talk first about tapering so the weight doesn't come straight back.

How far do you deliver?

Anywhere within about 40 miles of our Lewisville office, which covers most of the DFW metro. $10 a month, cold-packed. Pickup at the office is free, and if you're just outside that range, call us — we'll work something out.

What are the side effects?

Nausea, constipation and reflux are the common ones, and they're worst in the first weeks after a dose increase. Most of it is manageable, and managing it is the part a real clinic does well.

Do I ever have to come in?

No. The whole thing can run by video. The office is at 1850 Lakepointe Dr, Suite 100 in Lewisville if you want to be seen in person, with free parking.

What if I need to reschedule?

Change or cancel it yourself from the confirmation email. We just ask for 24 hours' notice so someone else can take the slot.

Can I talk to someone before I commit?

Yes. Book a free five-minute call — no card, no forms. Ask whatever you want and decide afterward.

Two ways to start.

Ready now, or want to ask a few things first. Both end up in the same place.

I'm ready — sign me up

Pick your appointment, enter your insurance, and you're on the schedule. Takes about three minutes.

Books straight into our scheduling system, same as any other patient. Pick a telehealth slot and you're set.

Book my first visit
I have questions first

Five minutes on the phone with our team. No card, no forms, no intake paperwork.

Ask about your insurance, your other medications, whether you'd even qualify — then decide.

Book a free 5-minute call

Or just call us: (469) 246-4600