Personalized Strategies to Identify Why Your Body Holds Weight — and Change It
Conventional medicine relies on population evaluations. You are not a population.

Weight management medicine is a precision-driven approach focused on identifying the specific biological reasons your body holds weight — not applying a generic program. At Dr. Bruce Feldman's Long Island practice, we go beyond calorie counting and standard prescriptions by combining metabolic phenotyping, body composition analysis, hormonal assessment, and the most effective pharmacologic tools available. Our goal is sustainable fat loss with lean mass preserved, metabolic health restored, and a plan you can actually live with long-term.
Your body holds weight for specific biological reasons — insulin resistance, hormonal imbalance, dysregulated appetite signaling, sleep dysfunction, or combinations of all of these. We identify your drivers, then deploy the right tools in the right sequence: pharmacology where indicated, hormonal correction, dietary restructuring, and resistance training to protect lean mass throughout fat loss.
Our tailored weight management programs are built around your specific metabolic profile and goals, and may include:
DEXA scans
Visceral fat assessment
Lean mass and bone density
Resting metabolic rate
Fasting insulin & glucose
HbA1c and HOMA-IR
Advanced lipid panel
Inflammatory markers
Semaglutide / Tirzepatide
Oral GLP-1 agents
Lean-mass-preserving protocols
Retatrutide / Peptides
Testosterone (free and total)
Estradiol and progesterone
Thyroid (free T3/T4, reverse T3)
Cortisol and DHEA
Home sleep apnea screening
Sleep architecture
HRV
Protein-targeted nutrition
Resistance training prescription
Glycemic pattern individualization
Behavioral and sustainability support

Body composition is.
A patient can lose 20 lbs, but if 10 lbs is muscle, that's a failure.
We manage the composition, not the number on the scale.
GLP-1 and GIP receptor agonists have transformed what's possible — producing body weight reductions in clinical trials previously achievable only with bariatric surgery.
But pharmacology alone is not a strategy. Without metabolic context, hormonal correction, and resistance training to preserve lean mass, you trade fat for muscle — and rebuild the same problem after the medication stops.
Every meal, every workout, every night of sleep is a signal to your metabolism. You get to decide, every day, what those signals say.
TAKE CONTROL STARTING NOW!
