Physician-supervised and operating inside the B Medical Spa practice at 3033 Fifth Avenue in Hillcrest, SD Weightloss Clinic by B MEDSPA runs a medical weight loss program built around GLP-1 and GIP dual-agonist injectable therapy. Injectable treatment plans using semaglutide and tirzepatide titrate weekly doses against the patient's metabolic response, a clinical framework the clinic pairs with resistance-heavy functional circuits at F45 Training East Hillcrest because GLP-1-driven rapid loss strips lean mass alongside fat unless the patient maintains a minimum weekly resistance-training stimulus. The bariatric-medicine side sits inside a broader medical spa, meaning weight loss patients have same-location access to bioidentical hormone evaluation, B12 and lipotropic injections, and vitamin-deficiency lab testing. The practice is designated women-owned and a transgender safespace, with intake protocols that accommodate hormone-therapy patients whose weight loss goals intersect with gender-affirming care. Aesthetic skin-tightening and body-contouring treatments are sequenced after patients hit a weight plateau, timed around isometric small-range loading at Pure Barre because the barre format builds the specific muscle tone underneath the skin that the contouring treatments require to produce a defined result. The clinic's most involved patient workflow pairs a 12-month GLP-1 titration schedule with bioidentical hormone optimization, nutrient infusion therapy, and post-plateau body contouring as a single integrated weight-and-aesthetics program.