Welcome to Better Off Medspa and Weight Loss - Your journey to wellness starts here!
A California patient meeting her Better Off provider by video from her living room

For patients anywhere in California

Medical Weight Loss by Telehealth, Across California

The same provider-guided GLP-1 programs we run in our Encinitas clinic — by secure video, with medication shipped to your door.

Better Off Med Spa provides telehealth medical weight loss to patients located anywhere in California. Visits happen over secure video with the same providers who see patients at our Encinitas clinic, and when medication is prescribed it is filled by a licensed pharmacy and shipped directly to your door.

What Your Telehealth Care Covers

Medical evaluation by video

A full review of your health history, goals, and labs where needed — the same evaluation you would get in person, before any treatment decision.

GLP-1 medication, shipped to your door

When semaglutide or tirzepatide is the right tool for you, your prescription is filled by a licensed pharmacy and delivered to your home — no pharmacy line, no pickup.

Follow-ups and dose adjustments

Regular check-ins track your progress, adjust dosing, and manage side effects, so your plan changes as your body does.

Nutrition and habit coaching

Medication is one tool. Your program includes nutrition coaching and support for the habits that keep results after treatment.

Medication is prescribed after a medical evaluation, and only when it is appropriate for you. Hands-on treatments (injections given at the clinic, IV therapy, body sculpting) require an in-person visit in Encinitas, and we will tell you when that is the case. Individual results vary.

How Telehealth Works

  1. 1

    Book online and choose telehealth

    Book a weight loss consultation online or text or call 760-452-2722. We confirm you are in California at the time of your visit.

  2. 2

    Meet your provider on secure video

    We send a private, HIPAA-compliant video link before your appointment. No special software — it works like a normal video call.

  3. 3

    Get your plan — medication ships to you

    Prescriptions, lab orders, and next steps are handled right after your visit, and any prescribed medication is shipped to your door.

Wherever You Are in California

Telehealth patients join us from every region of the state. If you are near San Diego County, you also have the option of in-person visits at our Encinitas clinic.

  • Los Angeles
  • Orange County
  • San Diego
  • Riverside
  • San Bernardino
  • Sacramento
  • San Francisco
  • San Jose
  • Fresno
  • Bakersfield
  • Santa Barbara
  • Ventura
  • and everywhere else in CA

In Southern California, patients also visit us in person from San Diego, Carlsbad, Oceanside, Vista, San Marcos, and Encinitas.

Telehealth Weight Loss: Common Questions

Can I get weight loss treatment by telehealth anywhere in California?

Yes. Better Off Med Spa provides telehealth weight loss care to patients located anywhere in California at the time of their visit — Los Angeles, San Francisco, Sacramento, San Diego, and everywhere in between. We confirm your location when you book.

Do you prescribe semaglutide or tirzepatide over telehealth?

When they are the right fit. Your provider completes a full medical evaluation by video, reviews your health history and labs where needed, and prescribes GLP-1 medication such as semaglutide or tirzepatide only when it is appropriate for you.

How do I get my medication?

When your provider prescribes medication, it is filled by a licensed pharmacy and shipped directly to your door, so you never have to pick it up. We walk through pricing and shipping details before you commit to anything.

How much does telehealth weight loss cost?

Our full weight loss program starts at $400, which includes the medical consultation, evaluation, and your personalized plan. Telehealth visits start at $50. Medication costs depend on which option your provider recommends, and we go over pricing with you up front.

Is a telehealth visit as good as coming in person?

For weight loss care, most of it is. Telehealth visits include the same provider evaluations, follow-ups, dosing adjustments, and medication management as in-person care. Treatments that are hands-on — injections given at the clinic, IV therapy, body sculpting — still happen in person in Encinitas, and we will tell you when that is the case.

Can I switch between telehealth and in-person visits?

Yes. Many patients start by video and visit the Encinitas clinic when they want hands-on treatments, and San Diego County patients often do the reverse — in person first, then follow-ups from home.

Skip the Drive, Keep the Care

Start your weight loss program from home, anywhere in California.