Obesity / Weight Management
Functional medicine support tailored to uncover the root cause of complex symptoms.
Consult with our care team to understand next steps and build a personalized plan.
Serving Denver Metro, Fort Collins, and Colorado Springs.
About This Condition
Obesity is a chronic, relapsing metabolic disease characterized by excess body fat that impairs health and increases the risk of cardiometabolic, mechanical, and psychosocial complications. It is commonly defined in adults using body mass index thresholds, with higher classes associated with greater disease burden, but body composition, fat distribution, and metabolic status provide additional clinical context.
Clinical presentation ranges from asymptomatic weight gain to complex multisystem involvement, including insulin resistance, type 2 diabetes, dyslipidemia, hypertension, nonalcoholic fatty liver disease, obstructive sleep apnea, osteoarthritis, and reproductive and mood disturbances. Many individuals have long-standing, gradual weight gain over years or decades before overt complications become apparent.
Diagnosis is based on anthropometric measures, assessment of adiposity distribution and related risk factors, and evaluation for obesity-associated comorbidities. Management focuses on long-term lifestyle interventions, pharmacologic therapies when indicated, and, for selected patients, metabolic and bariatric procedures, alongside ongoing support to address behavioral, environmental, and biologic drivers of weight regulation.
Common Symptoms
- •Progressive weight gain or difficulty losing weight despite attempts at dietary or activity changes
- •Reduced exercise tolerance, shortness of breath with exertion, or decreased stamina
- •Daytime fatigue, non-restorative sleep, or loud snoring suggestive of obstructive sleep apnea
- •Musculoskeletal pain, particularly in weight-bearing joints such as knees, hips, or lower back
- •History of elevated blood pressure, abnormal glucose testing, or dyslipidemia
- •Gastroesophageal reflux symptoms, abdominal discomfort, or early satiety in some individuals
- •Psychosocial distress, body image concerns, or weight-related stigma impacting mood and functioning
Conventional Treatment Options
Metabolic assessment
Personalized nutrition
Exercise prescription
Behavioral coaching
Our Functional Medicine Approach
Weight is downstream of metabolism, not the other way around
If discipline alone fixed weight, no one would still be carrying it. By the time patients come to Spire, they've usually been doing the work — sometimes for decades — and the body keeps pushing back. The drivers behind that are physiology: insulin resistance, thyroid and sex hormone shifts, cortisol patterns, gut dysbiosis, sleep loss, lean mass decline, and medications that quietly stack the deck against you. Fix the physiology and behavior change becomes possible.
How Spire works the root cause
Our Metabolic Health Program is the structured entry point. Baseline body composition (Valhalla G63-C), advanced metabolic labs, optional continuous glucose monitoring, and a real conversation about what's gotten in the way before. Where indicated, GLP-1 therapy is part of the plan — physician-supervised, paired with strength training and protein-forward nutrition so you preserve lean mass, and with a deliberate off-ramp so the loss holds.
Who this is for
Adults who have tried multiple diets, perimenopausal women fighting body composition shifts, patients considering or already on GLP-1s who want medical supervision and a sustainable plan, and anyone wanting to address the metabolic drivers — not just the calorie math.