Our Approach

Evidence, lifestyle,
presence.

Evidence-based lifestyle medicine for weight, blood pressure, cholesterol, and blood sugar, practiced with the rigor of Internal Medicine and the attention of a trusted physician.

The most powerful interventions in medicine, the ones that change the trajectory of chronic disease, are the ones the system rarely has time for. Elios is built around them. Medical weight loss with GLP-1 therapy (semaglutide, tirzepatide) when appropriate, paired with nutrition dialed in for your body, movement, and the daily habits that make it stick.

The Six Pillars

Lifestyle medicine, in practice.

We work with the six evidence-based domains that shape how your body ages, how your mind feels, and how the numbers on your labs move.

Nutrition

Whole-food, nutrition-forward patterns personalized to your labs, culture, and life.

Movement

Cardiorespiratory, strength, and mobility, calibrated to your goals rather than the latest gym trend.

Sleep

The single most underused tool in metabolic and mental health. We treat it with the seriousness it deserves.

Stress resilience

Practical tools for nervous-system regulation. Cortisol is a vital sign too.

Connection

Social and relational health is biology. We treat it like any other modifiable risk factor.

Avoiding harm

Alcohol, tobacco, ultra-processed food. Addressed with honesty and without judgment.

Conditions We Help With

Where lifestyle medicine shines.

Lifestyle medicine has the strongest evidence base in cardiometabolic health, which happens to be where most modern illness lives.

Sustainable weight loss

Weight that stays off. Built through whole-food nutrition, movement, sleep, and accountability, not gimmicks or crash programs.

Cardiometabolic health

High cholesterol, hypertension, prediabetes and type 2 diabetes, fatty liver, and cardiovascular risk reduction.

Metabolic syndrome & insulin resistance

The upstream driver behind most stubborn weight. Addressed directly through diet, movement, and medication when indicated.

Gut & digestion

Reflux, IBS, bloating, constipation, and the nutritional foundations of a healthy microbiome. Often the quiet barrier behind weight struggles.

Energy & sleep

Fatigue workup, insomnia, and circadian disruption, plus the lifestyle levers that change how you show up in your own life.

Plateaus & maintenance

The phases most programs don't discuss. Plateau navigation, metabolic adaptation, and the long work of keeping weight off for good.

Metabolic Health · Los Angeles & California

Your health is more than your weight.

Dr. Nicolas Maalouf looks at blood pressure, lipids, blood sugar, and weight together. You do not have to want a GLP-1 prescription to discuss your metabolic health.

Blood pressure & hypertension

Reviewing home blood pressure readings, current medications, sleep, sodium intake, activity, and weight helps put elevated readings in context. Treatment and follow-up are tailored to your history rather than a single measurement.

Cholesterol & triglycerides

Your lipid panel includes LDL cholesterol, HDL cholesterol, and triglycerides. We interpret those results alongside family history and other cardiovascular risk factors, then discuss nutrition, movement, and medication when appropriate.

Blood sugar & insulin resistance

A1c, glucose results, your medical history, and existing treatment help guide care for prediabetes and type 2 diabetes. The plan includes practical eating patterns, activity, and monitoring rather than focusing only on the scale.

Weight & body composition

Weight trends, waist measurements when available, strength, and nutrition all matter. Weight-loss care includes preserving muscle, sustainable habits, and GLP-1 therapy only when clinically appropriate.

What does a metabolic health evaluation include?

We start with your health history, medications, family history, goals, and available blood pressure readings. Labs are selected for your situation and may include a lipid panel, A1c or glucose, and kidney and liver function. Additional testing depends on your symptoms and risk factors — not everyone needs every test.

Follow-up looks at trends in your readings, lab results, symptoms, and how the plan fits your life. Nutrition, physical activity, sleep, and medication decisions are adjusted together. Metabolic syndrome describes a cluster of risk factors involving waist size, blood pressure, blood sugar, triglycerides, and HDL cholesterol; an individual evaluation helps determine what needs attention.

Care that works alongside your primary care doctor

Elios is a specialty metabolic health and weight-loss practice, not a replacement for full primary care or emergency services. We coordinate with your primary care clinician and specialists when needed. Chest pain, severe shortness of breath, or signs of a stroke require emergency care, not a telemedicine appointment.

Membership is $500 for the first month, including the initial consultation, then $250/month. Labs and medication are billed separately. View membership details →

Meet your physician: Dr. Nicolas Maalouf, DO. Explore medical weight loss in Los Angeles or free nutrition and weight-loss calculators.

This information is general education, not individualized medical advice. Your evaluation determines which treatments and tests are appropriate.

The Visit Experience

What a session actually feels like.

Telemedicine, done well, is quieter and deeper than in-person care. You're in your own space. We have time. There's a plan when we hang up.

Before

Intake & labs

Detailed intake forms and a comprehensive lab panel ordered close to you. Both reviewed before we meet.

During

A real conversation

A 60-minute video visit covering history, goals, labs, lifestyle, and whatever else is on your mind. No clock pressure.

After

A plan you can use

A written plan you'll actually read, with practical next steps, lifestyle protocols, and prescriptions if indicated.

Next Step

Ready for medicine that has time for you?

Book a complimentary 20-minute discovery call and let's talk.

Schedule a consult