More Than Weight Loss. A Whole-Person Approach.

Weight management isn't always as simple as eating less and moving more. Nutrition, sleep, physical activity, stress, medical history and other health factors can all play a role.

At Top Deck, we take the time to look at the bigger picture.


Our approach begins with a conversation about your health history, daily habits, concerns and goals. When appropriate, your provider may recommend laboratory testing to better understand factors that could influence your treatment plan.



We believe patients deserve to feel informed, supported and actively involved in their care.

What Does Our Medical Weight Management Program Include?

Your treatment plan is developed around your individual needs and may include:


  • Comprehensive Consultation: A thoughtful review of your medical history, lifestyle, current concerns and personal goals.
  • Nutrition Guidance: Conversations about food choices, nutritional quality and habits that support your overall health.
  • Lifestyle Support: Education surrounding sleep, physical activity, stress and other factors that can influence weight management.
  • Medical Evaluation: Review of relevant health information and laboratory testing when clinically appropriate.
  • Medication Management: For eligible patients, prescription weight-management medication may be considered as part of a broader treatment plan.
  • Ongoing Monitoring: Follow-up appointments to review your progress, discuss challenges and adjust your plan as needed.
  • Our goal is to help you make informed decisions about your health with guidance from a medical team that takes the time to listen.
  • Is Medical Weight Management Right for You?
  • There's no single path that works for everyone.
  • Some patients are interested in understanding factors that may be affecting their weight. Others are exploring medically supervised treatment options or looking for professional guidance to complement their existing nutrition and exercise habits.
  • During your consultation, we'll discuss your concerns, review your health history and determine which options may be appropriate.
  • You don't need to have all the answers before your first appointment. That's what we're here to help you explore.
  • Weight Management Medication: One Part of the Bigger Picture


For some patients, prescription medication may be an appropriate part of a medically supervised weight management plan.

At Top Deck, medication decisions begin with an individual evaluation of your health history, treatment goals, potential benefits and risks.

When medication is prescribed, our approach also emphasizes nutrition, lifestyle education and ongoing follow-up.

Because long-term wellness involves more than any single treatment.


Care That Meets You Where You Are


We understand that conversations about weight can feel personal.


Our approach is grounded in respect, education and open communication. We want you to feel comfortable asking questions, discussing concerns and participating in decisions about your care.


Whether you're taking the first step or continuing an existing wellness journey, our team is committed to helping you navigate your options with confidence.


More Than a Med Spa


At Top Deck Medical Aesthetics and Wellness, our commitment to wellness goes beyond appearances.


We believe looking and feeling your best begins with care that considers your health, your goals and your individual needs.

That's why our approach combines medical knowledge with personalized attention, education and ongoing support.

Personalized care from the inside out.


Begin With a Conversation



Discover a more personalized approach to medical weight management at Top Deck Medical Aesthetics and Wellness.

Serving Butte and Billings, Montana.

Frequently Asked Questions

  • What happens during my first weight management appointment?

    Your provider will review your medical history, lifestyle, nutritional habits, physical activity, sleep, stress and personal goals. Laboratory testing may be recommended when appropriate. Together, you'll discuss potential next steps.

  • Does everyone receive weight management medication?

    No. Medication is considered only when clinically appropriate. Treatment recommendations are individualized and may include nutrition guidance, lifestyle changes, ongoing monitoring and other options.

  • Do I need to be a primary care patient to receive weight management services?

    Top Deck offers medical weight management separately from its direct primary care membership. Contact the team to discuss eligibility and appointment options.

  • Where is medical weight management available?

    Top Deck serves patients in Butte and Billings, Montana. Contact the team to confirm appointment availability and service options at your preferred location.