Clinical Care

Comprehensive liver and metabolic care for adults includes medical management, diagnostics, lifestyle and weight management services, and coordination with transplant centers for transplant care. Care is led by a triple board-certified internal medicine, gastroenterology, and transplant hepatology specialist with training in clinical nutrition and board-eligibility in obesity medicine.

Comprehensive Liver Care

Comprehensive evaluation and management of liver disease with a focus on prevention, early detection, and coordinated multidisciplinary care

Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD / Fatty Liver)

Alcohol-Associated Liver Disease (ALD)

Hepatitis C (HCV)

Hepatitis B (HBV)

Cirrhosis & Portal Hypertension

Primary Biliary Cholangitis (PBC) & Primary Sclerosing Cholangitis (PSC)

Autoimmune Hepatitis

Liver Cancer (Hepatocellular Carcinoma / HCC)

Pre- & Post-Transplant Care (in collaboration with regional transplant programs)

TLC WELLNESS

Physician-Directed Weight Management Program

Program Overview

TLC Wellness is a physician-directed lifestyle and metabolic program offered through TLH, designed to help adults achieve sustainable weight management, improve energy, and restore long-term metabolic balance. The program is led by a triple board-certified internal medicine, gastroenterology, and transplant hepatology specialist with board-eligibility in obesity medicine and additional training in Endocrinology at the Mayo Clinic and Clinical Nutrition at the University of Chicago.

 

What We Offer:

  • Comprehensive baseline evaluation, including an in-clinic Fibroscan® to assess liver fat and fibrosis.
  • Optional baseline labs for metabolic assessment and secondary causes of obesity (CBC, CMP, A1c, lipids, insulin, TSH).
  • Personalized medical assessment and treatment planning.
  • Medication management, including GLP-1 receptor agonists.
  • Longitudinal follow-up for safety, efficacy and side effect management (in-person or telemedicine).
  • Home self-monitoring guidance for accountability & real-time adjustments.
  • Nutrition therapy & behavioral counseling focused on practical, sustainable changes.
  • Optional exercise community with expert-led workouts.

The goal is simple: to make healthy, lasting change achievable and supported, every step of the way.

Who It's For

TLC Wellness is ideal for adults who want to:

  • Lose weight safely and sustainably
  • Improve metabolic health (cholesterol, glucose, blood pressure)
  • Address hormonal or metabolic contributors to weight gain
  • Build consistent fitness habits with expert support
  • Maintain results through education, accountability, and medical guidance
  • Access flexible care in person or from home

Enrollment & Cost

TLC Wellness is designed to support you throughout your long-term weight management journey through a structured membership model. While the membership itself is cash-based, patients may still use their insurance for medications when covered by their plan.

 

Initial Evaluation

  • Comprehensive Consultation
    Initial physician consultation including FibroScan®, dietary assessment, and development of a personalized treatment and medication plan.
  • Optional Baseline Laboratory Screening
    CBC, CMP, A1c, lipid panel, fasting insulin, TSH.

Monthly Subscription
Ongoing physician oversight, nutrition and lifestyle planning, medication management when appropriate, and structured follow-up visits available in person or by telemedicine.

 

Optional Exercise & Accountability Community ($30/month)
Access to the private TLC Wellness Facebook group, featuring guided weekly workouts, structured home and gym-based exercise plans for maximum convenience, group challenges, peer accountability, and expert feedback from a certified independent personal trainer. The program also includes periodic check-ins and ongoing support between visits. Participants enroll and pay the trainer directly.

 

Prescription medications are not included in the program cost; however, we actively assist patients in securing the most cost-effective, FDA-approved GLP-1 options, whether through eligible insurance coverage, manufacturer savings programs, or trusted cash-pay pharmacy partners. TLC Wellness is a weight management program; if other conditions are identified during evaluation or follow-up (e.g., diabetes, hypertension, liver disease), these require separate, insurance-based disease-management visits with our team or your primary provider. Program pricing is subject to change over time based on operational and market factors; any updates will always be communicated in advance.

 

Getting Started

Schedule your initial consultation for the TLC Wellness Program, available in person or by telemedicine to begin your personalized program.

For questions, call (682) 427-0200.

All visits and communications are managed through TLH’s secure patient portal for your privacy and convenience.

Transplant Coordination & Continuity of Care

Pre-Transplant Evaluation

Our team provides comprehensive pre-transplant assessments in close coordination with each patient’s designated liver transplant program. This includes laboratory testing, advanced imaging, cardiac and infectious disease clearance, nutrition optimization, and psychosocial evaluation. We maintain active collaboration with regional transplant centers, allowing flexible, shared-care arrangements tailored to patient preference.

 

Once the transplant program initiates its surgical evaluation, required in-person visits are completed at that center, while many psychosocial and medical updates may occur via telemedicine. Patients can continue longitudinal management with our clinicians for stabilization and coordination, or transition fully to their transplant center’s care, whichever best supports continuity and convenience.

Post-Transplant Follow-Up

The primary transplant program manages the early post-transplant period, including immediate recovery and immunosuppressive stabilization. When appropriate, long-term follow-up may transition to our care team, providing ongoing medical management, laboratory review, and coordination with the transplant center.

 

Our clinicians focus on comprehensive post-transplant wellness, including medication safety, infection prevention, cardiovascular risk reduction, and weight management, while maintaining direct communication with each patient’s transplant team. Telemedicine visits are available for stable patients to reduce travel and ensure seamless continuity of care.

Liver Imaging & Procedures

Liver Stiffness Assessment

We offer FibroScan® for non-invasive measurement of liver stiffness and fat content (fibrosis and steatosis). Each study follows standardized protocols for accuracy and is performed by trained staff. Results are explained in clear, patient-friendly language with individualized follow-up recommendations. 

Ultrasound Imaging

On-site ultrasound services include detailed liver and biliary evaluation with Doppler assessment of blood flow. We coordinate directly with radiology partners for advanced studies when needed, ensuring rapid reporting, accurate interpretation, and timely review with your clinician.

Procedures

We offer on-site diagnostic and therapeutic imaging-guided paracentesis for timely, safe management of ascites. When liver biopsy is needed, we coordinate with trusted nearby partners to ensure rapid scheduling and high-quality care.

Phlebotomy & Laboratory Services

Our phlebotomy suite provides convenient, same-day blood collection for both routine and specialized testing. Samples are transported to accredited reference laboratories for high-quality analysis.

Patient Experience & Access

Scheduling & Intake:
Appointments can be scheduled online or by phone. Our new-patient intake process includes streamlined forms and insurance verification. Interpreter services are available.

Patient Education Materials:
We offer a growing library of downloadable guides, videos, and checklists to help patients prepare for visits, understand their test results, and take an active role in managing their health. 

Seamless Care Coordination:
We maintain direct, timely communication with referring physicians to ensure continuity of care, efficient information sharing, and rapid follow-up after consultations or procedures. 

Billing & Financial Transparency:
Our team is committed to clear, upfront communication about billing and coverage before any visit or procedure. Financial counseling is available for patients as needed.

Our Commitment:
We strive to make expert liver and metabolic care accessible, welcoming, and well-coordinated, combining medical excellence with clear communication and a patient-first approach.