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Max Weight Loss Physician-Led Program
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Program overview

Physician-led rapid weight loss for Californians.  Max Weight Loss has money back guarantee.  Lose 30-35 lbs in 3-4 months.  Guaranteed 

Max Weight Loss is a physician-run medical weight loss program serving patients across California, with a focused presence in Central California. We pair modern GLP injections with  other prescription support, hormone therapies (especially thyroid), nutrients and vitamins, with proven weight loss methods no one else has.  This program has been refined over the last 20 years and is unique.  From Fresno to Bakersfield, you are less than 1.5 hours away.  But it is worth the trip from anywhere in California.

Max Weight Loss is implemented in small group meetings to give you the most inexpensive weight loss program in the USA, with the best weight loss results anywhere.  We have the lowest price on GLP-1 semiglutide  anywhere.  Compounded in the USA, no foreign "junk" semiglutide.  No weight loss program in America today gets the results of Max Weight Loss.

What makes the program different

Lose 30-35 lbs in 3-4 months or your money back.  Whatever amount of weight you don't lose will be paid back.  No program in America gets these results or promises money back. 

Modern GLP therapies

We use GLP medications in a unique manner that gives unmatched results because we combine GLP meds synergistically with proven medications and hormones of the past 20 years.  Result:  Unmatched weight loss results.

Long-term strategy

We have the best weight maintenance program in America.  It is natural, practical, and maintains your weight better than anything you have tried.

How the program works

A clear, physician-led path to fast, measurable progress

Our program combines modern GLP options and prescription support including 2 very safe time tested medications to amplify weight loss as needed.  Furthermore, using hormones to restore optimal health are essential in weight loss.  In this case, thyroid hormone (the energy hormone) is commonly needed.  Americans are epidemically low in thyroid hormone.  Why? Because our lifestyle causes thyroid deficiency with age.  Furthermore, thyroid blood testing cannot diagnose most thyroid deficiencies.  Patients have obvious symptoms of low thyroid (which are being tired, fat, brain fog, cannot exercise, and more.)  But your doctor says your blood test is normal so you cannot be low in thyroid.  That is not true.  You are low in thyroid and I will treat you.  (go to the thyroid page on this website below to fully understand hormone deficiency)  Why am I talking so much about thyroid hormone?  Because you cannot effectively lose weight or keep it off if you are low in thyroid hormone.  A major part of the epidemic obesity in America today is low thyroid.  The epidemic tiredness of Americans is low thyroid.  Not fixing thyroid is dooming you to failure.  Finally, we uniquely use vitamins, minerals, and nutrients to support your weight loss.  Plus, very soon, other protein peptide therapies will be available in standardized medical treatment programs, and most likely you will get them here first.

Step 01

Evaluation

Receive a physician-led evaluation & plan

 Even though it is a group approach your plan is tailored to your current medical situation and history.  Everyone fills out a short medical history form and a  physical exam is performed as needed.  How we use GLP's and other medications are explained below.  But custom nutritional supplements are needed for every patient.  Nutrients alone account for 5-10% increase in weight loss.  Thyroid hormone is commonly needed for patients over 35 years old and it alone is worth 15% of your weight loss as I mentioned above.  Plus low thyroid hormone is the main cause of patients inability to maintain weight loss.  The greatest metabolic cause of reoccurring weight gain is low thyroid.  But testosterone, estrogen, progesterone, and growth hormone analogs (protein peptides) can be used.  These hormones become more relevant with age.   This  program is based on 20 years of weight loss experience and 25 years of hormone therapies.  Hence, I give you the money back guarantee.  

Step 02

Treatment

How the program works

The program is implemented in a group format of about 10 people.  After the initial visit, at each visit you will answer a few questions on how you did the previous 6 weeks and get weighed in.  I review this info for each of you.  Then I gave  a 5-8 min lecture educating you on successful weight loss and then eventually educate you on maintenance  living.  Then, question and answer time.  I will answer any questions you have.  It's very helpful.  But  during the question and answer session you will also start the check out process.  This is how it goes every 6 weeks.  Other programs see you every four weeks but that is not necessary.  You must be seen in the office.  It takes about 1 hour or less to do the entire group and check out.  Why not telemedicine to start?  Telemedicine weight loss programs are  a joke.  Too much is left out on telemedicine.  They are structured to fail for many reasons.   But once you are established here as a patient (see below for details), in office visits are alternated with telemedicine visits so your journey here is every three months.    So how long can you do weight loss?  Most patients do weight loss for 3-6 months.  Then you take a break for 1 month or longer.  During the break cycle, you practice maintenance eating.  But more on that later.  It's up to you  how long you do a maintenance cycle  Then, you restart a new losing cycle again for 3-6 months.  However, I have patients that have gone up to 11 months straight.   Losing up to 100 lbs in that time.  No other plan can offer these results.  (Generally when first starting the program you must be seen the first 2-3 visits in office to be "established" with max health and then I will allow telemedicine follow up's)                                                                

Step 03

Treatment

Details on  GLP-1 and -2 therapies

Treatment GLP-1 and -2 therapies have changed the landscape of weight loss.  But after using them for nearly 3 years and watching the standard approach doctors are using here is my conclusion:  The standard medical use of glp's is tailored for doctors and the drug companies to make money, and not for your successful weight loss.  How many of you reading this have lost good weight on a glp and then just began to gain it back when you stopped taking it.  So what is the answer this problem?  Well, the doctor/drug company's answer is to do a maintenance dose of a glp to stop the weight gain.  Oh, what a great solution!  Why didn't I think of that!  Now you are committed to taking an unnecessary drug for how long???  Forever!!  According to doctor/drug companies.  It is madness!  You have to learn how to maintain weight naturally (which you will with Max) so you don't need "fake drug therapies to be healthy".      Using glp's in conjunction with the other proven weight loss techniques of the last 20 years allows patients to do 11 months of continuous weight loss. Getting the best ever weight loss.  But none of the weight loss medications should EVER BE USED DAILY OR WEEKLY TO MAINTAIN YOUR WEIGHT!  But doctors, pharmacists, drug companies are going to push the agenda of staying on the glp drugs forever because they are just "Koolaid".  They make up the concept that glp meds are preventative drugs.  There is no such thing.      So back to how long can you use glp medications.    The "standard doctor way" for glp meds is that they generally work great for about 6 months.  You can continue after 6 months but generally you lose 1-3 lbs a month.  Not worth the money.  But at Max, just about anyone can go 11 months with effective weight loss.  Why, because i combine the best of the last 20 years with the glp's to amplify the results.  In the last 2 years so many patients are getting to ideal body weight, not just a lesser "fat" weight.        Regarding the types of glp's.  Semiglutide, Trezepatide and Retatrutide.  I mostly use semiglutide because it is nearly one third the cost of trezepatide and retatrutide.  Trezepatide and retatrutide give you 10% more weight loss at best. Can you do math??!!  It is not worth it.   I have used semiglutide and trezepatide for years now, and it is just social media hype that says trezepatide is way better than semiglutide.  However, I can get trezepatide cheaper than most clinics, but you are wasting your money.  Finally, there is a  social media lie that runs around that trezepatide and retatrutide have less side effects.  That is only minimally true because some doctors don't know how to give semiglutide without side effects.  You wont have that problem at Max.  Even if you are very sensitive to semiglutide we compensate with a great anti-nausea medication plus dosing SEMIGLUTIDE CORRECTLY IS CRITICAL TO AVOID SIDE EFFECTS.  This works  amazing when used  this way.  And generally you will not need any nausea medication after 1 month. 

Step 04

Progress

 Maintenance eating

Maintenance eating has been the bigger problem for weight control for  the last 65 years.  Americans have lost weight for 65 years just to gain it all back and even more.  People under 30 today are the fattest Americans in the history of our country.  That is because of the insane amount of carbs in their diet starting in childhood.  Add the fact that Americans under 30 have generally 1/3 the activity level of a normal humanwhich is a prescription for obesity, and here we are.  But back to maintenance, no one until now has come up with a practical plan that is healthy, natural, and maintains weight, to stop the recurring weight gain.  No daily drugs or weekly shots needed to keep the weight off.  Until now.  I have spent 20 years working on this maintenance approach.  It works!  Is it easy? No No No!!  It will take you 2 years of active trying to master maintenance.  But during that time you get more and more efficient at gaining weight back slower and slower.  Success is when you only need to see me for one month a year or less to get off that vacation/holiday weight that took you a whole year to gain.    The components of maintaining weight you learn at max weight loss will change your life forever.  So come to the office and start your journey.                                                                          

See pricing & appointments

Pricing & Appointments

Choose a medically guided path that fits your goals

Every plan is supervised by a physician and designed for fast, measurable progress.

To book an appointment call            559-793-1008

Starting Program Costs

Initial visit, medication add-ons, and follow-ups are reviewed after your medical evaluation and goal-setting session.

First visit: $125, includes starting products for the basic program.  You can start with the basic plan and add semaglutide later if you like.

Semaglutide add-on: $110 for the first 6 weeks.  So it is $235 total to start the advanced program with semaglutide.  I also get trizepitide cheaper than most clinics.  If you want to use it ask when you come.

Follow-up visits are every 6 weeks: $105 per visit or $100 actual cash.  Semaglutide vials: After the first vial, the replacement vials are three times bigger and  last at least 3 months or more  and cost $170.

Cash or card only; no insurance accepted. Thyroid and other hormones are prescribed to your pharmacy and you pay them directly  (most insurance covers the hormones and if you are cash, the prices are reasonable).

Your program timeline, milestones, and medication options are finalized after the first evaluation.

Call 559 793-1008 to start

Information about program costs

The basic program typically begins with 1–3 products to suppress appetite and support metabolism. Semaglutide is recommended but not essential.  That means you will still lose 20-30 lbs. in 3-4 months without semaglutide.

Semaglutide add-on:                  Semaglutide will noticeably increase your weight loss.  Your results will justify the cost of semaglutide.  The program cost even with Semaglutide  is still the most inexpensive plan in the USA.

There are 2 vitamins and 2 minerals that amplify weight loss and help energy.  I tell you the brands that work or you can buy them here. All name brand vitamins are junk.  They are made in china.  Even if it says made in USA they are lying.  One-a-day, centrum, and most of the rest are junk in my experience. I promote 2 American vitamin  companies.  I am not part of these companies or paid by them in any way.  I use them because over the past 20 years their products get results for my patients.  

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Physician Bio

Meet Dr. Martin Falappino, Founder of Max Weight Loss

A board-certified family practitioner of 40 years with a focus on optimizing patients' health,  Dr. Falappino approaches weight loss as one meaningful chapter of a broader lifelong plan to help patients achieve optimum health at all decades of life.

Credentials & Experience

  • Credentials: Board Certification in Family Practice
  • Clinical focus: Family Medicine, Preventive Care, Certified Wellness Coordinator
  • Practice location: Porterville, CA/ Telehealth

 

PERSONAL STATEMENT                                                                                                                                                                                                                                                                                             I have spent 30 of my 40 years as a physician studying optimal human health and not just medical disease.  Physicians are basically licensed disease treaters and learn nothing about human health.  That is why medicine has failed to make people healthier. The lifestyle traits you need to know in order to stay healthy over the course of your life are outside the scope of medicine.  Doctors study medical science, not human health science.  We study disease.  So if you do what a "licensed disease treater" tells you to do for health, you will get a diseased based outcome.  How can that be true?  Here is the proof of this statement: As Americans we are dramatically weaker physically and mentally since 1960.  Every decade it gets worse.  The 1960's was the beginning of the American public being "propagandized"  by  "licensed disease treaters(doctors)" to do what they said you needed to do to be healthy.   And so look at the outcome today.  America spends more money on "healthcare" than any modern nation in the world and we are the sickest and weakest people of all modern nations.  It is not healthcare, it is disease care! Physicians have been telling patients for 66 years to do the things that help you identify the early onset of disease.  That is true.  And early detection is good.  But doctors call this prevention.  It is not prevention, it is early detection.  You still get the disease.  You just found it earlier.  Physicians are not teaching patients the things that will actually prevent disease because it is not a part of medicine.  Doctors don't know what makes you optimally healthy at all decades of life.   It is outside the scope of medicine.  Ok, now that I have beat up my kind,  the doctor kind, what are the top lifestyle traits you need to MASTER in order to stay optimally healthy at all decades of life and not get disease?  There are about 10 categories of things you must do to be optimally healthy.  Too much to even review here.  But here are the top 2 things most Americans need to do:  Master exercise and master carb control.  Not just do them  a little, but master those 2 things.  MASTER!!!  That will do more for your long term health than any other lifestyle traits you engage in.  It sounds too simple to be true, but this is the conclusion based on irrefutable human health science of the last 60 years.  Again, not medical science, but the science of studying what keeps humans free of disease and allows you to die of old age (95-105) with great quality of life all the way there.  So why I am saying all this on my weight loss website? Glad you asked!  What are you going to get really good at following the max weight loss plan.  Exercise and carb control!!!!  You will master exercise and carb control over the next 2-5 years (if you apply yourself) and have a great body weight plus have great motivation, energy, endurance and strength at all decades of life.  That is what I have been doing with my patients for the last 15 of my 40 years as a physician.  So begin your journey today.

Professional portrait of a warm, approachable family physician in a modern clinic setting

Dr. Martin Falappino, D.O.

Family Medicine • Health Optimization • Weight Management

Focus: Building lasting metabolic health, energy, and confidence through medical guidance and consistent accountability.

Space for future content

Add a longer biography, training highlights, or patient philosophy here when ready.

Educational Information

Understanding Hormone Therapies

Hormone therapies are critical for long-term health and wellness.  Humans can start to underproduce hormones in their early thirties depending on genetics and lifestyle.  Thyroid, without a doubt, is the most common hormone to become clinically deficient for women/men by the mid thirties/forties.  That means you have the symptoms of low thyroid which are  (1)mentally tired for no good reason and/or (2) physically tired or both.  Your body is tired, you want to exercise but just can't make your body "go".  Your mind is tired, but you want a nap in the afternoon at 35 years old!!!.  Not normal.   One or both of these symptoms are the main low thyroid symptoms.  Then "brain fog" is number (3) on the list.  You  just feel mentally slow or dumb especially in the afternoon.  Then, there are other low thyroid symptoms:  constipation, hair falling out, feeling cold for no reason, cannot lose weight when dieting, and more.  If you have 2 of these symptoms or more, you need thyroid hormone replacement therapy.  Here is the problem.  Your blood test for thyroid will be normal 90% of the time.  So your doctor will  say that you cannot be low in thyroid because your blood test is normal.    That is crap!! Not true!! Medicine has been teaching us doctors the wrong hormone science for 60 years.  The belief that the blood level of a hormone reflects the tissue level (your body level) is FALSE!!!!!  There has never been one medical study in the history of medicine that showed the blood level of a hormone correlated with the tissue level of that hormone and also correlated with a specific set of symptoms at the time of the blood test.  (that is a mouthful, read it again)  Here is another way to say it.   Three things must be measured simultaneously to evaluate what any hormone blood test means.  In this case, blood levels of thyroid, tissue levels of thyroid, and current symptoms.  NEVER BEEN DONE IN 65 YEARS OF BLOOD TESTING.  So how then does a doctor correctly diagnose hormone deficiency?  Symptom analysis.  What is the patient feeling. Here is the proof of this:  How many of you reading this have the low thyroid symptoms I listed above, and had your doctor say your blood test is fine, so go away you cannot be low in thyroid.  A lot of you, that's how many.  However,  for 60 years the doctors that ignored the blood test result and treated the patients symptoms anyway, those doctors got the results and  fixed the patients energy problems.  I learned this 25 years ago from the doctors that came before me.  And now I get all the great results too.  Once a doctor starts treating patients symptoms that doctor never goes back to the failed blood test solution.  It is not that blood test are useless, they are important, which I will explain below.    So in your weight loss journey with me, I will treat you if needed.  Hormone therapies are natural and good for you in every way.  It is a life changing experience to go from deficient thyroid to optimal thyroid.  Furthermore, hormone therapies are more complicated than I am saying here.  Blood testing is critical for treating hormone deficiencies, it us just not useful in  diagnosing a hormone deficiency.   I have just given you an oversimplified  but accurate explanation of complex metabolic reactions.    So Finally, to conclude, there are  reasons doctors are taught wrong.  It's not a conspiracy process to keep you fat and tired.    So to give you evidence that what I am saying here is true, here is one of the many reasons why we doctors are taught wrong:  This is why we are taught that the blood level of a hormone equals the tissue level of a hormone.  We learned 60 years ago (when hormone blood tests started) that high thyroid blood levels always correlated with high thyroid symptoms.  That is true.  The symptoms proved the tissue levels were high and the blood test confirmed it.  Because 90 percent of the time these 2 things happen together.  So then we assumed as doctors that since high blood levels meant high tissue levels, then normal blood levels meant normal tissue levels.  And so therefore low tissue levels of thyroid would always produce low blood levels of thyroid.  But that was an assumption based on how high thyroid levels worked(without any tissue science to back it up).  It implies then if you have normal blood levels of thyroid then your tissue levels cannot be low.  So your low thyroid symptoms cannot be from low thyroid because your blood test for thyroid is normal.  But that is not true 90% of the time.  You are low in thyroid.  But doctors in this case just cannot get past the false belief about blood testing. So why don't  low tissue levels of thyroid show up in the blood?  That is complex physiology and cell molecular biology.  But a simple answer that is accurate is just this:   The causes of high thyroid are different than the causes of low thyroid. The actual mechanisms that cause the thyroid gland to over produce thyroid and cause high thyroid symptoms are completely different mechanisms that cause a thyroid gland to under produce thyroid hormone and therefore cause low thyroid symptoms.  The blood test only works for the high thyroid mechanism.  Not the low thyroid mechanisms.  Basically we would have to get physical evidence from your body(tissue samples) at the time of the blood test to validate blood testing.  NEVER BEEN DONE IN THE HISTORY OF MEDICINE.   There is much more to this.  But i cannot explain it here.   The final message is this:  We will fix your hormone problems if needed because weight is intimately connnected to multiple hormones, thyroid being most dominant.          

What hormone therapies are

Hormone therapies are controlled by physicians because the main hormones are prescribed by physicians.  But hormone therapies actually are natural therapies.  Because a natural hormone means it is bioidentical to what your body makes.  How it is made is irrelevant.  It is the same structure as what your body makes.  Supplementing with hormones is good for you in every way when done correctly.  But doctors are licensed disease treaters and most don't know how to use hormones for optimizing health.  This is why patients get so frustrated with the way the average doctor uses hormones.  Plus there are drug copy cat hormones that doctors use but they should never be used for long term health.  But you will be frustrated and fail to manage your weight if you don't fix your low thyroid levels.  That is why I talk so much about this.

Energy, metabolism, and wellness

Thyroid hormones influence energy levels, appetite regulation, and metabolic efficiency.  80% of your perception of mental and physical energy is due to thyroid tissue levels.  This is why it is critical in weight management.

Ongoing Support after weight loss

WEIGHT Maintenance and health optimization care

Maintenance plan

Maintaining weight loss has been the biggest problem with weight control.  Everyone is focused on losing weight, but for 65 years Americans just keep gaining back all the weight they lose during a weight lose cycle.  This is because no one has figured out how to keep the weight off practically and naturally.  And now it is even worse because the GLP-1 meds are being "pushed" by the drug companies as the "way to keep weight off".  You just do a maintenance dose of a GLP "forever" to keep the weight off.  That idea is catastrophic for Americans.  Because you are building no life skills to keep it off naturally.  So how do you keep the weight off?  With the max weight loss maintenance plan that I have been perfecting for 20 years.  This plan focuses on prioritizing where you apply your will power to get the most effective results.  Because everyday, Americans have only so much will power that you can devote to any specific area of your life.  If you waste your will power on weight maintenance techniques that produce very little success, that equals failure and weight gain back.   That is the legacy of the last 65 years in America.  So what is the most important thing you do to "NOT GAIN THE WEIGHT BACK!!!!!".  Learn weight practicality.  What is weight practicality? What does that mean?  It is the activities you need to do for successful weight maintenance that actually fits into how we live.  Not forcing you to do something that is impossible based on how we live.   We have been trying for 65 years to pound a square peg into a round hole.  We have been trying to do a "weight maintenance plan" that is impractical for our actual American lives.  It does not work.  Here is one example of this:  Nutritional science says if you need 10,000 calories a week to maintain weight then don't eat over 10,000 a week and you will be successful.  Basically doing  a "keto" diet or a calorie restricted to keep the weight off.  Wrong, wrong, wrong.  We over eat in America nearly everyday.  Double the carb's and double the calories.  We cannot stop.  We are food whores.  So balancing your caloric intake or doing "keto" all the time is not the answer.  It does not work.  The answer is to get better at being more efficient in eating less carbs and to eat less overall.  Which you can do.  But then, when you are doing your best, you will still be eating at least 50% too much.  So since you are still over eating, you will gain weight.  Then what?  Well you can't do any better with carb control because you are doing your best.  It's like saying to a runner just run faster and you will start winning races.  But the runner is running as fast has he can so its dumb advice.  should the runner take methamphdiemine to run faster?  Not a good idea.  You  cannot eat any better when you know what to do and are doing your best.  So what do we do?  Glad you asked.  You alter your lifestyle to increase your metabolic rate and do more of something called futile metabolic reactions.  When you do that, you will not gain weight anymore.  What are futile metabolic reactions?  The common term is carb wasting.  to learn more, come and do the program.  There are 5 lifestyle modifications you will learn at max weight loss that will change your life.  Futile metabolic reactions is just one.      Is maintenance easy? No, no,no.  It will take you about 2 years of trying to get good at maintenance.  But you will get more and more efficient at gaining weight back slower and slower until you don't really gain anymore.  I have been doing this a long time.  The last few years have shown me what patients have to do naturally and practically keep the weight off without drugs.  So come and start your journey.

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