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Improving Healthcare With Modern Technology

A Telemedicine and Telehealth company focusing on Wellness and Mental Health Programs

Improving Healthcare With Modern Technology

A Telemedicine and Telehealth company focusing on Wellness and Mental Health Programs

A comprehensive approach to health and wellness

As we look for people who want to lose weight and change lifestyle. But we specialize in medication management first then we accompany the medication with all the other stuff, exercise programs, calorie counter, and meal programs.

RX
Rx
Nutrition
Movement
Stress & emotional health
Sleep
Patient Portal

Using telemedicine and telehealth solutions,  we are able to medically assess patients’ needs for wellness and mental health programs.

The approach to making your time valuable is finding a solution that fits your schedule and adapting to it.  We provide solutions to get you started today.

With the adoption of telemedicine in wellness,  providers can medically assess and assist patients from where it makes the patient most comfortable.

How it works

Take your first step with MD Exam.

Play Video about Lady Talking With Doctor Via Video Call On Phone Indoors

1. Fill out a short online form

Just a few short questions to help us understand your symptoms.

Getting Started

2. Hop on a video/phone call with your prescriber

Let's chat. Your prescriber will help determine your treatment plan if you qualify.

3. Meet your Care Counselor

Your Care Counselor supports you along your journey - say hello on a video/phone call.

4. Get your medication mailed monthly or pick-up at your local pharmacy.

If prescribed, a mail order pharmacy partner will ship your medication or you can pick up your meds at your local pharmacy, whatever is most convenient.

Every Month

5. Monthly chat with Care Counselor

Chat monthly with your Care Counselor to discuss progress on exercise program from PhysiTrack and nutritional follow-up for best results.

6. Check in with your prescriber

Chat with your prescriber to make sure everything is on track.

Start your treatment journey today

Weight Loss Consultation Fee:

Includes:

Weight Loss Medication Programs

MD Exam studies the science behind weight loss medication to help you make a more informed decision about whether or not to take it.

Discover why MD Exam is the #1 choice for practitioners seeking a proven weight loss program that‘s backed by real data and trusted medical professionals.

78% of our weight may depend on biologicalfactors such as metabolic rate, hormones, and genes

Found members have lost as mch as 12% of their body weight by month 6

Prescription medication doubles to triples the odds of losing 5-10% body weight

Phentermine

As part of MD Exam’s personalized weight care program, the medical team works with each member, if they qualify, to prescribe medication to help reach their weight loss goal. When diet and exercise alone don’t lead to effective weight loss, medication may be able to work with your body to help you lose weight. One of the medications MD Exam offers is phentermine, an FDA approved medication for weight loss.

What is Phentermine?

Phentermine is an FDA-approved medication that’s commonly prescribed for weight loss. It’s used to suppress appetite and is thought to act by decreasing your hunger or making you feel full longer. Medical experts believe phentermine works by increasing neurotransmitter levels in your brain which are your body’s chemical messengers. When your levels of these three chemicals increase, your feeling of hunger decreases.

Like other prescription weight-loss drugs, phentermine is intended to be used as part of an overall weight loss program, which is why it is just one piece of MD Exam’s weight care plan, in conjunction with the other MD Exam pillars such as nutrition, movement, sleep, and emotional health, and prescription medication like phentermine.

Medication and weight loss

Here’s what medical experts have said about prescription medications and weight loss:

  • Prescription medication “doubles to triples the odds of losing 5-10% body weight (or more)” from Obesity Medicine Association
  • systematic review published in the Journal of American Medicine stated “Medications approved for long-term obesity treatment, when used as an adjunct to lifestyle intervention, lead to greater mean weight loss and an increased likelihood of achieving clinically meaningful 1-year weight loss relative to placebo”*
  • Mayo Clinic says “Prescription weight-loss drugs approved for long-term use (more than 12 weeks) produce significant weight loss compared with placebo. The combination of weight-loss medication and lifestyle changes results in greater weight loss than lifestyle changes do alone.”*

*Phentermine is approved for short-term use. The medical team can talk to you about what dosing regimen may be right for you.

Who is phentermine for?

The criteria for those who are eligible for phentermine is:

  • Your body mass index (BMI) is 30 or greater.
  • Your BMI is 27 or greater and you have other risk factors related to obesity, such as diabetes, controlled high blood pressure or high cholesterol.

Although phentermine is an effective weight loss aid, it isn’t appropriate for everyone. The MD Exam medical team evaluates each member to determine what medication, if any, will be appropriate, helping ensure that what is prescribed is safe and effective for the individual.

People with heart disease, coronary artery disease, hyperthyroidism, glaucoma or uncontrolled high blood pressure, or who are pregnant or nursing shouldn’t take phentermine. Those who have a history of substance abuse and those who are taking other weight loss medications or supplements shouldn’t take phentermine.

Common side effects

  • Increased heart rate
  • Tingling or prickling feeling in hands or feet
  • Dry mouth
  • Sleeplessness
  • Nervousness
  • Constipation

Metformin

As part of MD Exam’s personalized weight care program, the medical team works with each member, if they qualify, to prescribe medication to help reach their weight loss goal. When diet and exercise alone don’t lead to effective weight loss, medication may be able to work with your body to help you lose weight. One of the medications MD Exam medical team my prescribe is metformin, an FDA approved medication to control blood sugar in patients with prediabetes and Type 2 diabetes.

What is Metformin?

Metformin is an FDA approved medication to control blood sugar in patients with prediabetes and Type 2 diabetes. With this type of diabetes, insulin normally produced by the pancreas is not able to take up the sugar in your blood properly. Metformin helps your body use insulin better, thereby reducing blood sugar levels. It also decreases the amount of sugar your liver makes and your stomach and intestines absorb.

Diet and exercise are still a critical component to controlling blood sugar levels with type 2 diabetes. To work properly, the amount of metformin you take must be in balance with the amount and type of food you eat and the amount of exercise you do. You should talk to your doctor about testing your blood sugar regularly and regulating it with medication and lifestyle interventions.

*Metformin is approved for patients with prediabetes and Type 2 diabetes to control blood sugar. Consult with your doctor about if Metformin is appropriate for you.

Metformin and weight loss

While metformin has not been approved as a weight loss medication, some studies have shown that people taking the medication may lose some weight, and this applies to diabetic and non-diabetic patients. The mechanism by which metformin induces weight loss is still being uncovered but may be due to decreased food intake as a result of changes in insulin sensitivity.

Medicines used for weight loss can work in different ways and like is the case with metformin, can be used for different types of patients . MD Exam’s medical team matches the mechanism of the medicine to each member’s needs. Not one medicine is appropriate for everyone, which is why MD Exam works with a medical team and pharmacy to provide members access to the widest set of prescription medications on the market.

Common side effects

The criteria for those who are eligible for phentermine is:

  • Abdominal or stomach discomfort
  • cough or hoarseness
  • decreased appetite
  • diarrhea
  • fast or shallow breathing
  • fever or chills
  • general feeling of discomfort
  • lower back or side pain
  • muscle pain or cramping
  • painful or difficult urination
  • sleepiness

The medical team can discuss additional potential side effects. If needed, MD Exam members can work with their medical team to manage side effects by changing the dosage or trying a different medication, as appropriate.

Glucagon-like peptide-1

What is GLP-1?

GLP-1 agonists are used to lower blood sugar levels to treat diabetes type 2 but may also lead to weight loss. These medications copy the way a hormone called glucagon-like peptide 1 works in the body. When blood sugar levels start to rise after someone eats, GLP-1s stimulate the body to secrete more insulin which helps lower blood sugar levels.

Lower blood sugar levels are helpful for controlling type 2 diabetes, but it's not exactly clear how the GLP-1 drugs lead to weight loss. Doctors do know that GLP-1s appear to help suppress appetite. These drugs also slow the movement of food from the stomach into the small intestine. As a result, you may feel full faster and longer, so you eat less.

Facts about GLP-1s

  • Although weight loss can vary depending on which GLP-1 medication you use and your dose, studies show GLP-1 agonists can help with weight loss.
  • Research has MD Exam that some GLP-1s may also lower the risk of heart disease, including heart failure; stroke; and kidney disease.
  • While GLP-1s can be effective, they may not work or be medically appropriate for everyone. MD Exam medical team works with each member individually to evaluate what, if any, medication will be best and can prescribe a variety of types of medications, not only GLP-1s.
  • All GLP-1s except one has to be taken by injection. MD Exam medical team can prescribe the only GLP-1 that is taken orally.
  • There are many brand names of GLP-1s and some can be very expensive which is a turn off for many people trying to lose weight. Wegovy is an FDA approved GLP-1 used to help people lose weight and maintain weight loss. However, Wegovy can be very expensive for some patients which may be a barrier.
  • As with any medication, there is a risk of side effects. Some of the more common side effects include:
  • Nausea
  • Vomiting
  • Diarrhea

Rybelsus is an approved oral doctor-prescribed GLP-1 medication

Rybelsus is a GLP-1 that may be prescribed by MD Exam’s medical team if appropriate. The MD Exam team will work with members to get prior authorization from insurance companies to cover the cost of Rybelsus before the provider prescribes it so no member is left covering the cost out of pocket. If insurance does not cover, MD Exam medical team have a range of other medications they can prescribe.

*Rybelsus is approved for use with patients with diabetes to lower blood sugar. The medical team can discuss medication options that are right for you.

Treatments we provide

Studies show that medications work very well for many mental health conditions. However, they are not right for everyone. We take into account your preferences and best practices to deliver amazing care.

  • Stimulants (e.g. Adderall)

    FOR ADHD

Stimulants work very well for ADHD. If ADHD is the diagnosis, we typically use these for first-line treatment.

  • SSRI's (e.g. Lexapro)

    FOR DEPRESSION

These are the most commonly used medications for depression. There are many available.
  • SNRI's, others

    FOR DEPRESSION

Aside from SSRI’s, there are many other agents that can be used for depression. Our providers are experts in all of them.
  • SSRI's, SNRI's, others

    FOR ANXIETY

Anxiety medications include SSRI’s and SNRI’s which are for regular, longer term treatment. Benzodiazepines (i.e. Klonopin) can be helpful in the short term.

We take a holistic approach to your mental wellness, and incorporate many non-medication treatments to personalize your care.

  • Tailored counseling

    ALL CONDITIONS

Whether it’s sole treatment or a supplement to medication, our providers can offer brief talk therapy or schedule longer counseling sessions with you.
  • Psychotherapy

    ALL CONDITIONS

Our providers also understand more formal methods of therapy. When starting let us know if you prefer this.
  • Naturopathics

    ALL CONDITIONS

In many situations herbals, vitamins, and other natural treatments can be very effective and helpful. If interested, our providers can discuss these options.
  • Lifestyle coaching

    ALL CONDITIONS

We frequently work with MD Exam members on tactics and techniques that can be incorporated from the very first appointment.

Quality Healthcare Starts with Quality Doctors.

Talk to a MD Exam specialist today.

Meet your care team of which is made up of 150 medical professionals from different backgrounds.

LEADERSHIP

Dr. James O. Hill II

Chief Medical Director

James O. Hill II, DO, Medical Director of MD Exam in Miami, Florida, is a specialist in osteopathic medicine, board-certified emergency physician, and HRT. With a background in the military and in addiction treatment, Dr. Hill brings invaluable experience, specialized training, and a compassionate attitude to every patient he treats. The leadership displayed by Dr. Hill is what is making MD Exam a top niche telemedicine service.

After graduating from Nova Southeastern University College of Osteopathic Medicine in Fort Lauderdale, Florida, Dr. Hill completed his specialty training at the Jackson Memorial Hospital and Mount Sinai Hospital, both in Miami. During his time in the United States Army, Dr. Hill served as an ER physician in the 86th Combat Support Hospital in Baghdad. His other positions during his time in uniform included flight surgeon, commanding officer of Emergency Medical Services, and director of the Emergency Department of the 121st Combat Hospital in Seoul, South Korea.

Since leaving the military, Dr. Hill has practiced medicine in a variety of capacities, as an ER physician, a specialist in hyperbaric wound care, and a director of medicine. But his most impactful experience since leaving the Army has been his time as the founder and director of the North Star Treatment Center for Addiction. As an addiction specialist, Dr. Hill has seen firsthand the danger that prescription painkillers like opioids and benzodiazepines can have on patients, and this has led him to turn to alternatives to these traditional options.

Dr. Hill provides the highest quality care available with military precision and the compassion of an experienced doctor to the people that he and his staff treat and service in all states that they are currently licensed in. Currently Dr. Hill hold over 40 state board of medicine licenses and over 38 active DEA licenses.

JANET ANN DEAN

Nurse Practitioner

Experienced Nurse Practitioner with a demonstrated history of working in the medical practice industry. Experienced in pain management chronic and post operative. Trained and experienced in Bio-identical Hormone Replacement using pellets. Facial aesthetics with fillers and Botox. Experienced in demonstrating how to properly run weight loss and fitness program that incorporate wellness to get optimal results for patients.

DOUG MITCHELL

Psychiatric Nurse Practitioner, PMHNP-BC, DNP

Dr. Mitchell, PMHNP- BC, DNP and retired USAF Veteran. As a Psychiatric provider, he aims to identify, address and modify conditions, limiting patterns and behaviors that diminish function and suppress growth. Dr. Mitchell’s philosophy is Bio-Psycho-Social; He acknowledges the whole dynamic being and maintains the explicit intent of fostering personal accountability, growth and development. He approaches each therapeutic encounter as a unique opportunity to facilitate the process of expanding awareness and elevating consciousness. He believes illuminating barriers is the first step toward eliminating them.

Frequently Asked Questions

Our initial patient consultation start as low as $60. They last 15-20 minutes since our providers review your information and think about your medical history ahead of time. The initial appointment is for listening to you, crafting a treatment plan together, and reviewing your goals. We don’t waste your time.

After your initial appointment, you will have 2 months of our refills program which we charge $125/mo. The program fee includes follow-up appointments, access to our care team and providers thru the patient portal 24/7, and convenient refill for pickup. You will be sent a weekly assessment form that must be filled out for continued program refills.

Medication costs are not included in these prices. Out of pocket costs for the medication ranges from $15-$40/monthly as all medications prescribed are generics and we do offer the GoodRx card for discounts.

We do not accept insurance for telehealth appointments or medicine fees.

Step 1.
Fill out and submit the initial medical assessment form on the home page and see if you qualify for a treatment program. Please answer truthfully as your provider will use your responses to understand your medical condition.

Step 2.
If you are qualified,  you can purchase your Mental Health Assessment or Weight Loss Assessment Program.  After submitting the payment, you will receive a welcome call and an email to register into our patient portal at and schedule a virtual doctor’s appointment with the next available provider.

Any additional medical information will be requested via text or email.

Step 3.
If treatment is issued,  you will choose and pick up your medication at a local pharmacy.

Step 4.
Now that your initial consultation is complete, you will receive a link to Physitrack.  This fitness program will guide you for the next 90 days.

We do not accept insurance for appointments.

After your initial appointment, you will have 3 monthly refill fees of $99 for the Mental Health Assessment or Weight Loss Assessment Program. Below are what’s included in the monthly medication fee:

Care team and physician messaging – Your provider and our care team will be in constant communication with you. In order to assure that you and your treatment plan have the best compatibility, we will ensure that your provider is aware of any major fluctuations in your health. Of course, if you have any questions, you are welcome to reach out directly and our care team and providers will respond within 24 hours.

Online refills and reminders – Refills will be picked up at the same location from your initial prescription monthly for 2 months after initial pickup.

Pick up your treatment orders – We give you access to pick up the medication at your local pharmacy for easy access and convenience.

Referrals – Should you ever need additional support for therapy or more involved treatment for an eating disorder, we will help coordinate additional support. We have partnered with therapists to ensure that your medical data is shared in a secure and HIPAA-compliant manner. Therapists having your data will ensure that they have the most up-to-date information to guide you emotionally.

Health dashboard – Monitor your health with our dashboard. You can track your symptoms to make sure you are staying on course with the program’s calorie intake suggestions. You can also message your doctor and chat with us about any questions

Yes – if you want to have continuing care and monthly refills.

If you complete the initial appointment and are provided a treatment plan, you qualify for the monthly refill program. In order to continue with your treatment plan, you are required to be part of the monthly refill program, which is $99 per month for 3 months,  so that you are covered for the full program duration and do not need to request a refill as long as you fill out the weekly assessment forms that are sent by the EHR system by SMS to your mobile phone.

Continuous Care
Our providers will continue to review your assessments and treatment plan as long as you’re part of the monthly refill program. You will be able to schedule follow-ups at your convenience.

Online Refills
Treatment for our Mental Health Assessment and Weight Loss Assessment Programs only grant 30-day prescriptions at a time to prevent potential abuse.

In order to have access to online refills, you are required to give your provider an update on your health. This is routinely done with a follow-up appointment but may also be done with answering the assessment questionnaires sent by text to you.

Cancel Anytime
You may cancel the monthly medication program at any time. However, in order to reactivate the monthly medication fee program,  you are required to start over with the initial appointment.

Rescheduling & Cancellation
You may reschedule or cancel your appointment up to 2 hours before the appointment time. Your provider needs to prepare for your appointment so this policy is to respect their time. There are no refunds 2 hours before the appointment.

Late
Your provider will wait for you for 10 minutes. If you arrive past this time, your provider will mark your appointment as a no-show. Since the appointment is 15-25 minutes, tardiness impacts their abilities to properly consult and diagnose you.

No Show
There are no refunds or rescheduling for no-shows. We send plenty of reminders through email and texts, including one at the start of your appointment. You may reach out to our support team at ask@mdexam.com for options.

Refunds
You may request a refund up to 48 hours before your appointment by canceling your appointment.

Still, have questions? Get support.