Metabolic Vitality & Weight Optimization
Your Weight Journey Deserves More Than a One-Size-Fits-All Plan
Whether you’re experiencing weight regain after bariatric surgery, struggling with a stubborn plateau, navigating midlife metabolic changes, or considering prescription weight-management support, you deserve care that looks beyond the number on the scale.
Opalora provides personalized, evidence-based weight management grounded in medical expertise, compassionate support, and a clear understanding that obesity is a chronic condition—not a personal failure.
Led by Chivas Harris, FNP-C—an obesity-medicine nurse practitioner with more than seven years of experience and a bariatric patient herself.
Virtual care available in select states • HSA/FSA eligible services • Superbills available upon request
You Haven’t Failed—Your Body and Your Needs May Have Changed
Weight loss is rarely a straight line. Hunger can return. Progress can slow. Life, medications, hormonal changes, stress, sleep, insulin resistance, and loss of muscle mass can all influence your results.
For bariatric patients, the rapid-loss phase eventually ends—and many are left without the long-term medical support they need. Regain or a prolonged plateau does not erase your progress or mean your bariatric tool has stopped working. It may simply mean it’s time for additional support.
This program may be right for you if:
You’ve regained weight after sleeve gastrectomy or gastric bypass.
Your weight loss has stalled despite your efforts.
Hunger, cravings, or food noise have returned.
You had surgery elsewhere and no longer have postoperative support.
You’re considering bariatric surgery and want informed medical guidance.
Midlife or menopausal changes have made weight management more difficult.
You’re concerned about insulin resistance or other metabolic risk factors.
You want to explore GLP-1 or non-GLP-1 medication options.
You’re tired of programs that only provide a prescription.
You want compassionate care without judgment, shame, or unrealistic expectations.
Your original tool may still work. You may simply need a new strategy for this stage of your journey.
The Provider I Needed After Bariatric Surgery
Nearly 11 years ago, I underwent sleeve gastrectomy after my insurance denied coverage. I traveled to Mexico for surgery and returned home without the structured follow-up, education, and long-term support that every bariatric patient deserves.
At the time, I was a registered nurse, but I still found myself navigating many parts of recovery and long-term weight management on my own.
Today, I’m a family nurse practitioner with more than seven years of obesity-medicine experience. I’ve helped patients manage weight-loss plateaus, postoperative regain, nutritional concerns, medication options, and the emotional complexity that can accompany a lifelong weight journey.
I understand this experience from both sides—as a patient who has lived it and as a medical provider who treats it.
I created the kind of weight-management care I wish I had when I returned home after surgery.
Comprehensive Care That Looks Beyond the Scale
Your weight is influenced by more than willpower. Medical history, previous bariatric surgery, appetite regulation, nutrition, sleep, stress, medications, hormonal changes, insulin resistance, and muscle mass can all affect your progress.
Your plan is built around your individual needs—not a predetermined protocol.
Your care may include:
Comprehensive Medical Assessment
A detailed review of your weight history, previous treatments, current medications, medical conditions, lifestyle, goals, and barriers.
Bariatric Journey Review
For postoperative patients, we assess your surgery history, lowest weight, pattern of regain or plateau, appetite changes, nutrition, supplementation, and previous follow-up care.
Laboratory and Nutritional Review
Evaluation of relevant metabolic markers and potential nutritional deficiencies that may affect your health, energy, and treatment plan.
Personalized Medication Strategy
GLP-1 or non-GLP-1 prescription options may be considered based on your medical history, goals, previous treatment response, and clinical eligibility.
Nutrition and Lifestyle Guidance
Realistic recommendations for protein, hydration, movement, muscle preservation, sleep, and sustainable habits—without extreme restrictions or shame-based coaching.
Ongoing Medical Support
Regular follow-up, medication monitoring, dosage adjustments, progress evaluation, and changes to your plan as your needs evolve.
The goal isn’t simply to help you lose weight. It’s to help you protect your health, preserve your progress, and build a strategy you can sustain.
More Than One Path to Progress
Medication can be a valuable tool, but it should never be the entire program. We’ll discuss the available options, expected benefits, possible side effects, cost, and how each approach fits your medical history.
Your personalized plan may include:
GLP-1 or dual-agonist therapies when clinically appropriate
Non-GLP-1 prescription weight-management medications
Combination medication strategies
Support for appetite, cravings, or persistent food noise
Treatment adjustments for weight-loss plateaus or regain
Bariatric vitamin and nutritional guidance
Protein, hydration, and muscle-preservation strategies
Cardiometabolic risk-factor management
Coordination with your primary care provider, surgeon, or other specialists when needed
Medication disclaimer
Prescription treatment is not appropriate for everyone. Medication selection is based on your medical history, current health, state of residence, clinical eligibility, medication availability, and individualized evaluation. Results vary, and no specific amount or rate of weight loss can be guaranteed.
Medical Expertise Without Judgment
Many weight-management programs are designed around quick prescriptions and standardized protocols. Opalora offers a different experience: thoughtful medical care, realistic expectations, and a provider who understands that obesity requires long-term support.
What makes care OUR different:
Lived and Clinical Experience
You’re cared for by a nurse practitioner who has personally undergone bariatric surgery and has more than seven years of obesity-medicine experience.
No Shame-Based Care
Regain, plateaus, and changes in appetite are addressed as clinical concerns—not character flaws.
More Than Medication
Your program considers nutrition, sleep, stress, metabolic health, muscle preservation, hormonal changes, and the realities of everyday life.
Individualized Options
You aren’t placed into a standard protocol. Your treatment plan evolves according to your response, preferences, and medical needs.
Long-Term Perspective
The goal is not a temporary transformation. It is helping you develop a sustainable strategy for your current stage of life.
1. Submit Your Application
Complete a brief application so we can learn about your goals, medical history, previous bariatric surgery, current medications, and state of residence.
2. Complete Your Medical Evaluation
Meet virtually with Chivas Harris, FNP-C, for a comprehensive assessment of your weight journey, health history, previous treatments, and current concerns.
3. Review Your Labs and Options
Existing recent laboratory results may be reviewed when appropriate. If additional testing is needed, you’ll receive clear instructions before treatment begins.
4. Receive Your Personalized Plan
Your plan may include medication, nutrition and lifestyle recommendations, bariatric support, supplementation guidance, and individualized goals.
5. Continue With Ongoing Support
Your progress, response, side effects, and changing needs are monitored through scheduled follow-up and treatment adjustments.
Your Path to Personalized Care
Submitting an application does not obligate you to enroll or guarantee that prescription treatment will be medically appropriate.
Choose the Support That Fits Your Journey
Your treatment pathway is selected according to your medical needs, preferences, medication eligibility, and goals. Before enrolling, you’ll receive clear information about what is included and any additional expected expenses.
Clinical Weight-Management Membership
For patients seeking medical guidance, accountability, and prescription management without medication included.
Starting at $65 per month or $175 for three months
May include:
Comprehensive initial evaluation
Personalized weight-management plan
Prescription management when appropriate
Nutrition and lifestyle guidance
Bariatric support when applicable
Scheduled follow-up visits
Secure messaging and ongoing adjustments
Medication, laboratory testing, and supplements are billed separately unless otherwise specified.
Weight Management With Medication Included
For eligible patients whose treatment pathway includes medication dispensed through an affiliated pharmacy.
Starting at $85 per month or starting at $199 for three months
May include:
Everything in the clinical membership
Eligible prescription medication
Pharmacy coordination
Direct-to-door delivery when available
Dosage monitoring and titration
Ongoing clinical support
Medication availability and pricing depend on the medication, dosage, pharmacy, state regulations, and individual eligibility.
Listed prices represent starting-dose pathways. Monthly pricing may change according to medication selection, dosage, pharmacy costs, clinical needs, and availability. Your exact monthly investment will be explained and approved before enrollment or any change in therapy.
Medication is included in the applicable pathway unless otherwise stated. Prescription treatment is subject to medical eligibility and is not guaranteed. Medication availability and delivery may vary by state and pharmacy.
Laboratory testing, supplements, imaging, branded medications, and services outside the selected pathway are not included unless specifically stated.
Already an Opalora Member?
Active hormone or vitality members may qualify for a multi-pathway benefit when adding weight-management care. Contact our clinical coordination team to confirm eligibility and current savings.
Payment information
Opalora is a cash-based practice and does not bill insurance directly. A superbill may be provided upon request for possible out-of-network reimbursement. Eligible HSA or FSA funds may be used depending on the terms of your plan. Coverage and reimbursement are not guaranteed.
FAQ
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A: Yes. Opalora supports eligible patients experiencing weight regain, prolonged plateaus, increased hunger, food noise, or other concerns following sleeve gastrectomy or gastric bypass. Your surgery history, lowest postoperative weight, nutritional status, current symptoms, and previous treatments will be reviewed before recommendations are made.
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A: No. Obesity is a chronic condition, and weight regain can occur for many reasons, including appetite changes, metabolic adaptation, hormonal changes, medication effects, stress, sleep disruption, nutritional patterns, or loss of muscle mass. Seeking additional support does not erase your previous progress.
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A: No. The program is also designed for eligible patients who have not undergone surgery but want individualized medical support for obesity, insulin resistance, midlife weight changes, persistent plateaus, or other metabolic concerns.
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A: GLP-1 and dual-agonist medications may be considered when clinically appropriate. A prescription is never guaranteed and depends on your health history, previous treatment response, contraindications, state of residence, medication availability, and medical evaluation.
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A: GLP-1 therapy is not the only treatment option. Depending on your medical history, non-GLP-1 medications, combination strategies, nutrition support, behavioral interventions, and other evidence-based approaches may be considered.
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A: Some pathways may include eligible medication, while others cover clinical care and prescription management with medication billed separately. You will receive clear information about inclusions and costs before enrolling.
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A: Opalora is a cash-based practice and does not bill insurance directly. Insurance coverage for medication varies by plan and is not guaranteed. A superbill may be available upon request for possible out-of-network reimbursement.
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A: Eligible services, laboratory testing, and prescribed treatments may qualify for HSA or FSA payment depending on your plan. Confirm eligibility with your plan administrator.
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A: Laboratory testing may be required to evaluate your metabolic health, identify safety concerns, and guide your treatment plan. Recent results may be accepted when clinically appropriate. You will be notified if additional testing is needed.
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A: Yes. Visits are completed through secure telehealth for patients who are physically located in a state where Chivas Harris, FNP-C, is licensed at the time of the appointment. (NM, CO, GA, FL, AZ, RI, VT, KS, NV, NJ, NY). More on the way.
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A: Follow-up frequency depends on your treatment pathway, medication, and clinical needs. Your schedule will be reviewed before enrollment.
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A: Results vary. Your response may be influenced by your medical history, previous bariatric surgery, medication, nutrition, activity, sleep, stress, and consistency with treatment. Opalora does not guarantee a particular amount or rate of weight loss.
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A: Potentially. During your evaluation, we will review your current medication, dosage, treatment history, recent laboratory results, and clinical eligibility. Continuing the same medication or dosage cannot be guaranteed until your evaluation is completed.
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A: No. Opalora provides specialized medical weight-management support but does not replace your primary care provider, bariatric surgeon, gastroenterologist, or emergency care. Coordination with your established healthcare team may be recommended.
Your Next Chapter Doesn’t Require Starting Over
Whether you’re protecting the progress you made after bariatric surgery, addressing weight regain, navigating midlife metabolic changes, or considering medical treatment for the first time, you deserve a plan built around your body, history, and goals.
Let’s create a strategy for where you are now—without judgment and without pretending this journey is simple.

