Medical Weight Loss in San Diego

Medical weight loss, built around youPhysician-supervised prescription weight loss in San Diego.Your first visit is a 30-minute conversation with our founder.

Desiree Pierce · Founder
Watch: Your first visit at Evolve0:00 / 0:00
Contact Us

We specialize in personalized, medically supervised prescription weight loss, including GLP-1 medication programs, with a plan built around your body, your health, and your goals.

Desiree, founder of Evolve Medical Services

Every first meeting is with our founder, Desiree. Not a sales rep.

Patient reviews

Real change,
quietly felt.

“From day one, Desiree has been caring, responsive, knowledgeable and incredibly informative. She takes the time to answer questions and explain everything thoroughly.”

Teresa Vo

“Desi is the sweetest and always available to answer questions and provide guidance when needed. Definitely would recommend.”

Elena Viktoria

“Had a great experience here. The staff was really friendly and took the time to answer all my questions without making me feel rushed. Everything felt very professional and welcoming.”

Lucas Yeager

Individual results vary. These are individual patient experiences, not a guarantee of results.

A better beginning

Simple steps.
Meaningful change.

01

Consultation

A private, 30-minute conversation to understand your health, goals, and what's been getting in the way.

02

Personalized plan

Your provider maps the right treatment, dosage, and support around your body and your real life.

03

Ongoing support

Check-ins, adjustments, and a direct line to your care team as you build momentum.

The problem

Why Losing Weight Feels Harder Now

Your body can change, especially after 30 years old, even when your habits have not. Hormonal shifts, stress, disrupted sleep, pregnancy-related changes, and the natural loss of muscle can make weight easier to gain and harder to lose. It is not a lack of willpower.

Caregiver burnoutChronic stressEmotional eatingFood cravingsHormonal shiftsInsulin resistanceMenopauseMuscle lossPerimenopausePoor sleepPostpartum changesRepeated dietingSlower metabolismThyroid changesWeight regain

Mental health impact

The Emotional Toll
No One Talks About

Weight gain can affect more than your physical health. It may change how you feel in your clothes, how confidently you show up in relationships, and how fully you participate in everyday life.

Anxiety

Depression

Fear of judgment

Hopelessness

Insecurity

Loss of control

Low energy

Low self-confidence

Negative self-image

Reduced intimacy

Self-consciousness

Shame

Social withdrawal

The hidden price

What This Is Really Costing You

Personal costs

The impact of weight gain is not always measured on a scale. Lower energy, reduced confidence, and physical discomfort may affect how you work, socialize, date, and participate in the experiences that matter to you.

Missed opportunities
Distanced relationships
Avoiding dating
Reduced intimacy
Withdrawing from social activities
Loss of confidence
Low hope

Health risks

As weight increases beyond a healthy range, your body may work harder to perform everyday functions.

High blood pressure
Type 2 diabetes
Heart disease
Sleep apnea
Joint pain
Chronic inflammation
Fatty liver disease

Financial impact

The financial impact of weight gain can extend far beyond food. Medical appointments, medications, specialist care, and missed work can add up over time.

Medical appointments
Prescription medications
Specialist care
Lost productivity
Higher insurance costs
Long-term disease management

The turning point

You Do Not Have to Keep Fighting Your Body Alone

You have probably tried eating less, cutting certain foods, exercising more, or starting another plan with the hope that this time would be different.

When the weight comes back, it is easy to feel discouraged or blame yourself.

But weight loss is not always as simple as eating less and moving more. Your hormones, metabolism, appetite, sleep, stress, medications, age, and health history all affect how your body responds.

That is why we created Evolve Medical Services. We are here to listen, understand what you have been going through, and help you find a path that feels realistic for your body and your life.

You have not failed.

You may simply need a different kind of support.

The solution

A Plan That Starts With You

You do not need another generic diet or someone telling you to try harder. You need someone who will take the time to understand your health, your concerns, your goals, and everything you have already tried.

Your first visit is a conversation.

We will talk about what has been happening with your weight, how it is affecting your life, and what you hope to change. From there, we can help you understand whether medical weight loss is a good fit for you.

01

A personal medical evaluation

We will review your health history, medications, weight concerns, and goals.

02

A treatment plan made for you

Your licensed provider will recommend an approach based on your individual needs and medical eligibility.

03

Support throughout the process

Check-ins, adjustments, and a direct line to your care team as you build momentum.

04

Help planning for the future

Our goal is to help you make progress that feels sustainable.

For many people, hunger and cravings are not occasional. They are constant. You may feel hungry soon after eating, think about food throughout the day, or struggle to feel satisfied even when you are trying your best. That is what our treatment addresses: not just your weight, but the biology behind it.

Our approach

Medicine, made
more human.

Every Evolve plan starts with a conversation, then grows with you. Clinical precision, warmth, and a team that stays close.

GLP-1 Medication Programs

Prescription GLP-1 treatment, prescribed after a medical evaluation and monitored by a licensed provider around your body and goals.

Peptide Therapy

Targeted peptide protocols, discussed with your provider.

Medical Consultation

Unhurried, one-to-one guidance with a licensed provider who listens before recommending.

Your Weight Loss Plan

A clear, adaptable roadmap built around your life, not a template, trend, or quick fix.

Desiree, founder of Evolve Medical Services

About us

Meet Desiree, founder of Evolve.

[PROVIDER NAME AND LICENSE] · Medical Director

Desiree is the founder and owner of Evolve Medical Services, a San Diego-based medical weight loss practice she has been proudly growing since August 2024. Her passion for Evolve comes from helping people feel like themselves again, not only through weight loss, but by rebuilding confidence, improving overall well-being, and feeling more comfortable in their own skin.

Desiree believes there is no one-size-fits-all approach to weight loss. She created Evolve to provide a supportive, personalized experience where every patient feels heard, cared for, and confident throughout their journey.

Patient Reviews

TV

Teresa Vo

a month ago

I can't recommend Evolve Medical Services and Desiree enough! From day one, Desiree has been caring, responsive, knowledgeable and incred…

SV

Selena Vargas

4 weeks ago

I've been on a weight loss journey for over 10 years and had already lost a significant amount of weight on my own. Eventually I hit a pl…

AS

Alicia Scalice

4 months ago

My experience here has been nothing but fabulous. From the moment I met Desiree I felt comfortable. She made the process of starting my w…

TH

Tyra Hawthorne

4 months ago

I started my journey on Tirzepatide on September 2, 2025, and since then, I've lost 81 pounds and moved out of the pre-diabetes stage.

JW

Judith Weinstein

4 months ago

Desi is the sweetest, most caring person. She helped guide me through the Tirzepatide journey. I have successfully lost 25 pounds and hav…

NH

Nick Haworth

4 months ago

Down 35 lbs in 4 months. Absolutely thrilled with the results. Would recommend Evolve Medical Services to anyone. Quick and effective res…

KK

Kendall Kolp

6 months ago

I can't say enough good things about this clinic. I've struggled with stubborn weight for years and was stuck at 180 lbs no matter what I…

BT

BettyIris Thompson

6 months ago

I have had a wonderful experience at Evolve. I have lost weight and am very happy with my results and Desiree is so knowledgeable and hel…

EV

Elena Viktoria

6 months ago

Desi is the sweetest and always available to answer questions and provide guidance when needed. Definitely would recommend.

JM

jenifer marlowe

8 months ago

I've been overweight for 29 years and was unable to lose weight, till I found Tirzepatide. So far I have not had any side effects. I have…

MZ

myla zapf

8 months ago

I've had a great experience at Evolve. Desiree is so amazing to work with. She is extremely flexible and so supportive. I would recommend…

PB

Pam Bryson

8 months ago

Great customer service and Evolve cares about you and your results! Definitely recommend!

LY

Lucas Yeager

5 months ago

Had a great experience here. The staff was really friendly and took the time to answer all my questions without making me feel rushed. Ev…

GW

Gary David Weinstein

a month ago

If you are looking for a weight loss plan, Evolve Medical Services in Liberty Station is the way to go. It will help you lose weight fast…

MM

Maggie McElhiney

a year ago

I've been on this for the past three months, and I'm beyond thrilled with the results! I've lost 15 pounds, and more importantly, I feel …

MC

Mark McCurdy

a year ago

Evolve Medical Services truly changed my life and my relationship with food. I used to binge eat and never feel truly satisfied. Since st…

EM

Estelle Malone

a year ago

I've had two kids in the past three years and felt the worst I've ever felt about my body. I couldn't seem to lose the weight at all no m…

RG

Roxana G.

a year ago

Amazing experience with Evolve Medical Services! The staff are very knowledgeable and made me feel really comfortable with starting a new…

LE

Lydia and Eric

a year ago

I recently finished my treatment here and had an incredible experience. Thanks to the professional and knowledgeable staff, I lost 30 pou…

AE

Ashley Epping

a year ago

I am so thankful for Evolve Medical Group for literally changing my life. I have struggled with weight gain over the past few years as a …

MB

Melinda Beasley

a year ago

I can't express how glad I am I found Evolve Medical Services! I had tried literally everything to lose weight, but it always lacked the …

JD

Jared Davis

a year ago

I highly, highly recommend starting and kicking off your weight-loss journey with Desiree and her team. Desiree was very professional, in…

MT

Margarite Terzoli

a year ago

I have tried every diet and workout routine in the book to try and drop the weight I gained from birth control and the freshman 15. When …

NQ

Nedra Quintana

a year ago

Prior to starting the semaglutide treatment I was struggling with controlling my appetite and had non-stop cravings. After starting my tr…

CP

Courtney Pester

a year ago

Desi is such a sweetheart, very professional, comforting, and a solid business owner. Been coming to her for a few months now and am very…

KF

Kelsea Fleming

a year ago

Taking Semaglutide has completely transformed my relationship with food. Because I have ADHD I would binge eat frequently. Evolve gave me…

SM

Steven Marinkovich

a year ago

I can't thank Evolve Medical Services and their incredible team enough for helping me achieve my dream physique just in time for summer! …

AH

Arianna Humphries

a year ago

Evolve Medical Services has been a game changer for me! The staff is knowledgeable, kind, and truly cares about your goals. I felt suppor…

RF

Robert Franco

a year ago

I'm very grateful to Evolve Medical Services for helping me shed some of the weight I've been aiming to lose. The staff, Desi and Gary, a…

JR

Junia Rusin

2 years ago

I am glad that Evolve has been able to successfully help me throughout this weight loss journey. Going through perimenopause is very stre…

KL

Karina Luna

a year ago

I could not believe my eyes when I weighed myself. I am down 16 pounds! After college I put on some unwanted weight and wasn't able to sh…

MA

Mara Avilla

a year ago

I was a little hesitant in doing it at first but after my first round my body has never felt better. It's made me more confident and comf…

JS

Jennifer Sanchez

a year ago

Wow, I've been on Tirzepatide for only 4 weeks now and I'm already down 11 lbs! I'm ecstatic I finally found a tool to help me lose my st…

SR

Steve Rosales

a year ago

I have tried everything to lose weight on my own but always struggled with binge eating. Since starting on Tirzepatide I have regained co…

SF

Stephanie F

2 years ago

Best weight loss clinic in San Diego! I am so glad I stumbled upon Evolve. They're better priced than other clinics and easy to get to, r…

SW

Susan Wilson

11 months ago

I've been micro dosing for a few months and have lost nearly 15 lbs. The biggest benefit I've seen is serious reduction in inflammation. …

BQ

Beatriz Qaderi

2 years ago

I've been looking for a reliable weight loss clinic in Point Loma. This was my first time trying Semaglutide after months of research and…

AT

Angelica Terzoli

a year ago

This clinic was amazing! Desi was super nice and gave me some amazing information. I lost 45 lbs in such a small amount of time and I'm s…

DL

David Leon

a year ago

I have been struggling with my weight for a few years now and couldn't be more thankful for finding this weight loss clinic! Since starti…

SB

Samantha Brucilovsky

a year ago

It's great! Desiree is the best.

Individual results vary. These are individual patient experiences, not a guarantee of results.

Questions, answered

FAQ

Prescription weight loss medications are prescribed only after a medical evaluation with a licensed provider, who reviews your health history, current medications, and eligibility. Like all prescription medications they can have side effects, which your provider will discuss with you before you start. We monitor your progress with regular check-ins.

Your next chapter starts here

Ready to feel
the difference?