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WEIGHT LOSS OPTIONS

at Silva M.D. Anti Aging and Wellness

AVAILABLE AT CHULA VISTA, CA AND PACIFIC BEACH, CA LOCATIONS

 

Personalized Physician Supervised Weight Loss Options

At Silva MD AntiAging & Wellness, we believe sustainable weight loss must honor your body’s unique biology — not fight against it. We never take a one-size-fits-all approach. Instead, we uncover the hidden barriers that may be sabotaging your progress: insulin resistance, hormone imbalances, nutritional deficiencies, and stress.

Here’s what you can expect when you trust us with your weight loss journey:

Step 1: Comprehensive Health Evaluation

In-Depth Consultation: We start with a thoughtful conversation about your goals, challenges, and medical history. Discuss nutrition and exercise plans that fit your lifestyle.

 

Advanced Laboratory Testing: We assess insulin resistance, thyroid health, sex hormones, cortisol, vitamin levels, and inflammatory markers — because what’s out of balance can hold you back.

Weight Loss
CoolSculpting Abs

Step 2: Integrative Supplements & Nutraceuticals including Sleep Support

We curate only evidence-backed, pharmaceutical-grade supplements including methylated B12 injections, that support fat metabolism, gut health, insulin sensitivity, and appetite regulation — all tailored to your individual needs.

 

Stress & Sleep Support: Poor sleep and unmanaged stress can derail weight loss. We help you optimize both.

Step 3: Cutting-Edge Hormone Therapies

Thyroid Optimization: Thyroid hormone plays a foundational role in both weight regulation and overall hormone optimization because it sets the body’s metabolism. Adequate thyroid function supports efficient energy production at the cellular level, influencing how calories are burned, how fats and carbohydrates are metabolized, and how responsive tissues are to other key hormones such as insulin, cortisol, estrogen, progesterone, and testosterone. When thyroid hormone is low, or when conversion from T4 to the active T3 is impaired, patients often experience weight gain, fatigue, cold intolerance, and difficulty building or maintaining lean muscle despite appropriate nutrition and exercise.

From a hormone-optimization perspective, a healthy thyroid enhances insulin sensitivity, supports adrenal resilience, promotes proper sex hormone balance, and improves mitochondrial function, all of which are essential for sustainable fat loss and metabolic health. This is why effective weight-loss and longevity strategies must include a thoughtful evaluation of thyroid function—not just TSH, but free T3, free T4, and the factors that influence conversion—so the entire hormonal network can work in harmony.

Low-glycemic, antioxidant-rich diet
CoolSculpting Abs

Step 4: Advanced Non-Surgical Body Contouring

FDA-Cleared Technology: EMSCULPT NEO is an advanced non-invasive treatment that specifically targets stubborn visceral fat and reduce overall body circumference. This science backed technology is painless, targets lower abdomen and love handles.

 

Health Canada-Approved Neuro-Technology: EXOMIND (modified TMS therapy) helps patients struggling with food noise and binge eating. This breakthrough technology may help with food cravings and restore healthy eating patterns — safely and gently, without prescription drugs, surgery, and pain.

Step 5: Ongoing Physician Supervision & Accountability

Your journey is supervised by our staff of Physician Assistants, RN and trusted physicians — every step of the way.

 

We regularly review your progress, repeat labs when needed, and adjust your plan to ensure you’re not just losing weight — you’re regaining your health and confidence.

Low-glycemic, antioxidant-rich diet

Semaglutide

Low-glycemic, antioxidant-rich diet

Semaglutide aka Glucagon Like Peptide-1 (GLP-1), is an FDA approved medication for weight loss. Semaglutide is a safe, effective and painless weekly injection that has been clinically proven to reduce cravings and improve glucose control. With the right dose, most people will have their appetite reduced by 50% making this weight loss option effortless. For many patients, this is the first medication to help them with hunger pangs. At Silva MD, we have always uses micro-dosing for patient safety and effectiveness.

Semaglutide helps insulin to work more efficiently and helps to control sugar levels. This medication was initially used to help diabetics but has also shown to even reverse prediabetes and improve hypertension in patients. It has been very popular to help non-diabetics to lose weight. Semaglutide has been a game changer for many patients when their metabolism slows down due to age or hormonal changes. Appetite is decreased with semaglutide because it slows down the digestion process by helping patients to feel full faster and stay fuller for a longer period of time so patients naturally eat less.

The greatest weight loss benefits were observed when semaglutide was used in conjunction with lifestyle changes, such as consistent exercise and better nutrition choices. The Mediterranean Diet or the low glycemic diet are great diet options to choose when using semaglutide. The most common side effects were nausea which subsided for most patients after few days. Vitamin B12 daily helped to reduce nausea symptoms. Rarely, the nausea can progress to vomiting and diarrhea (which was more common with higher doses and can usually be controlled by decreasing the dosage of semaglutide).

Semaglutide is a safe and affordable option for weight loss. Schedule with Dr. Melinda Silva or one of her associates to see if semaglutide is the right option for you.

Tirzepatide

Tirzepatide offers an added benefit by activating both GLP-1 and GIP pathways, often leading to greater appetite regulation, improved insulin sensitivity, and more robust metabolic support, particularly helpful when weight gain is driven by aging or hormonal shifts. Both medications slow gastric emptying, helping patients feel full sooner and stay full longer, so eating less feels natural rather than forced. At Silva MD, we intentionally use micro-dosing to prioritize safety, tolerability, and long-term success, minimizing side effects such as nausea while still achieving meaningful results. When combined with lifestyle strategies, especially resistance training and a low-glycemic or Mediterranean-style diet, these therapies can be transformative, supporting not only weight loss but also improved metabolic and hormonal balance.

Low-glycemic, antioxidant-rich diet

Why We’re Different

At Silva MD AntiAging & Wellness, weight loss is never just about the scale — it’s about empowering you to feel your best from the inside out.
We investigate root causes, use therapies responsibly within the regulatory landscape, and guide you with compassion, science, and integrity.

You are unique — your weight loss journey should be too.
If you’re ready to take the first step toward a healthier, stronger you, we’re here to walk beside you.

Request a Consultation, or Call Now to get started.

Mediterranean Diet

What is a Mediterranean Diet?

So, what’s the secret of the Mediterranean diet? What do Italians and Greeks know that others don’t?

The Mediterranean diet incorporates more healthy foods like fruits, vegetables, fish, and whole grains, and fewer unhealthy fats. It also incorporates ingredients like olive oil and red wine that, when consumed in moderation, are good for lowering stress levels.

Other characteristics of the Mediterranean lifestyle include eating with family and friends, getting plenty of exercise, and eating your biggest meal of the day at lunch instead of dinner.

According to the Mayo Clinic, studies have shown that eating Mediterranean food reduces the risk of heart disease, cancer, Parkinson’s Disease, and Alzheimer’s Disease. Women who stick to a Mediterranean diet menu supplemented by extra virgin olive oil and mixed nuts are at reduced risk of breast cancer.

For these reasons, most major scientific organizations encourage people to follow a Mediterranean diet or incorporate Mediterranean foods into their diet. Learn more about the Mediterranean diet, and specific recipes here.

Read More About Mediterranean Foods

Lose weight by increasing metabolism
Lose weight by increasing metabolism

silva md detox

Low-glycemic, antioxidant-rich diet

Low-glycemic, antioxidant-rich diet

Eliminating certain foods and focusing on a low-glycemic, antioxidant-rich diet supports well-being and good health. This detox plan goes beyond dietary modification and strives to achieve an optimal health outcome. The detox incorporates very high quality, clinically tested functional food shakes and supplements that contain ingredients that research suggests supports healthy body composition and the body’s natural detoxification mechanisms. Dr. Silva’s detox is a one month plan that helps to remove toxins from the liver, kidneys and intestines. There is also a 7 Day Detox option which consists of liquid superfoods. Removal of these toxins has proven to clear inflammation and fat. Whole food diets which consist of vegetables, fruits and lean meats are highly encouraged when doing our affordable detox programs.

VITAMIN b12 Injections

Lose weight by increasing metabolism

Lose weight by increasing metabolism

Vitamin B12 has numerous health benefits, including improving digestion, supporting heart and brain function, boosting your immune system, and helping you lose weight by increasing your metabolism. Dr. Silva offers pharmaceutical-grade methylated Vitamin B12 combinations to fit your specific needs. She will customize your B12 injections to help you with weight loss, energy, stamina, sleep, focus, and concentration.

enzyme nutrition

Packed with vitamins, minerals, and enzymes

Enzymes are a natural component in our food supply that are responsible for digestion, absorption, metabolism, and energy. Enzyme Nutrition is packed with vitamins and minerals, including a wide array of other nutrients that are necessary for the body, such as cofactors and phytonutrients. Enzyme Nutrition helps the body properly digest and absorb vitamins and minerals. We have affordable organic and vegetarian-based high-quality digestive enzymes to help with metabolism and digestion.

lady taking enzyme

Frequently Asked Questions

 

For weight loss, do you only offer medication?

At Silva MD, we understand that meaningful, lasting weight loss goes far beyond just taking a pill/injection. We take a truly holistic approach to weight management—blending nutrition counseling, personalized fitness guidance, sustainable lifestyle shifts, and, when appropriate, the thoughtful use of weight loss medications—while also addressing underlying factors like stress, sleep quality, hormonal balance, and emotional well-being. Every plan is tailored to you—your body, your goals, your life—because that’s what creates real, lasting change.

When would I be considered a new patient?

If this is your first time coming to see me—whether it’s for hormone replacement therapy, weight loss, or any of the other services we offer—you’ll be considered a new patient. And that’s a beautiful place to start.

We’ll begin with a thorough, one-on-one consultation where our medical providers will take the time to really listen. We’ll go over your health history, your goals, and any concerns you have. This gives us a strong foundation to create a personalized treatment plan that’s tailored just for you.

Our goal is to make sure you feel seen, supported, and empowered—because your journey to better health should feel like a partnership. And we'll be right here to guide you every step of the way.

What is the process for getting started with a weight loss program?

We take a truly personalized approach to weight loss. Our programs combine nutrition counseling, fitness guidance, lifestyle modifications, and, when appropriate, weight loss medications, all tailored to your unique needs. We begin with a thorough consultation where we’ll dive into your health history, discuss your goals, and identify any challenges you may be facing. From there, we’ll create a customized plan designed to help you achieve lasting, sustainable results. You’re not alone in this journey—we’ll be with you every step of the way.

Meet Our Expert Team

At Silva M.D. Anti-Aging and Wellness, our expert team is dedicated to helping you achieve sustainable weight loss and total body transformation. Through personalized, medically guided programs, we target the root causes of weight gain to help you burn fat, boost energy, and feel your best. We’re with you every step of the way so you can get leaner, stronger, and more confident in your body.

Dr. Melinda Silva - Armida Banquiles Profile

Dr. Melinda Silva

Regenerative Medicine

Longevity Specialist

Dr. Rafael Silva

Regenerative Medicine

Longevity Specialist

Dr. Melinda Silva - Armida Banquiles Profile

Dr. David Anzaldua, MD

Board Certified Physician          

Sports Medicine

Sheila Llanes

Angelica

RN, BSN

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About Dr. Melinda Silva: Woman with long dark hair wearing a black jacket with gold buttons, smiling and standing against a plain white background.

Sheila

RN

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Which Health and Cosmetic Treatments Are Right for You?

Contact Dr. Silva’s office today to book an appointment and discuss your health and wellness needs.

Our friendly staff is ready to help.

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