Weight Management:
Sequoia Medical 360

Physician-Led Obesity & Metabolic Care in Bronxville, Serving Westchester & All of New York via Telehealth

Excess weight is not a failure of willpower — it’s a complex, biological condition shaped by hormones, genetics, appetite signaling, sleep, stress, medications, and environment. For many people, “eat less, move more” is necessary but not sufficient. Sustainable change requires a precise medical strategy that targets physiology while fitting real life.
At Sequoia Medical 360, we deliver advanced, concierge-level weight management that integrates endocrinology, cardiometabolic prevention, fitness science, and behavioral coaching. Guided by Dr. Tony Mathews — dual fellowship-trained in Endocrinology, Diabetes & Metabolism and Preventive Cardiology, and board-certified in Obesity Medicine — your plan is personalized to improve body composition, metabolic health, and quality of life, not just the number on a scale.

Our Philosophy: Metabolic First, Scale Second

Lasting weight loss comes from fixing the inputs — insulin resistance, appetite dysregulation, stress hormones, poor sleep architecture, micronutrient gaps, and medications that promote weight gain — then layering the right nutrition and training with evidence-based pharmacotherapy when appropriate. We target fat loss with muscle preservation, sustained energy, and durable cardiometabolic risk reduction.

Comprehensive Evaluation: Find the “Why” Behind the Weight

Your program begins with a meticulous work-up to identify drivers and blockers of weight loss:

Medical & medication review: We flag drugs that promote weight gain (e.g., some antidepressants, antipsychotics, insulin or sulfonylureas, steroids) and suggest weight-neutral or weight-loss-favorable alternatives when safe.
Endocrine screening: Hypothyroidism, Cushing’s, PCOS, perimenopause/andropause, central hypogonadism, and other hormonal shifts that alter appetite, fluid balance, and body composition.
Glycemic profiling: Fasting insulin, A1c, oral glucose patterns; Continuous Glucose Monitoring (CGM) when helpful to map food and activity responses.
Cardiometabolic risk: Lipids (including ApoB/Lp(a) when indicated), blood pressure phenotype, inflammation markers.
Sleep & stress: Sleep apnea risk, circadian rhythm, shift work patterns, HRV/resting HR trends from wearables.
Body composition: InBody 770 analysis to quantify fat mass, visceral fat, skeletal muscle, segmental balance, and intracellular/extracellular water.
Lifestyle audit: Food environment, travel cadence, dining out patterns, alcohol, time constraints, cultural preferences, and readiness for change.

Many patients with prediabetes also meet criteria for metabolic syndrome — a cluster of conditions that dramatically raises cardiovascular risk.Outcome: a personal metabolic map that directs your plan and provides objective baselines to track progress.

Learn more about our metabolic syndrome care

Nutrition: Structured, Flexible, and Evidence-Informed

We don’t force a single diet. We craft food frameworks that are simple to execute and metabolically intelligent:

Protein-forward (1.0–1.6 g/kg/day as appropriate) to preserve lean mass and satiety.
Glycemic control: Smart carbohydrate timing/quality; fiber-rich, minimally processed choices; CGM-guided nudges for responders.
Calorie strategy that adapts: Modest daily deficit or intermittent calorie cycling for adherence and metabolic flexibility.
Meal templates for real life: Fast weekdays vs. social weekends, travel “hotel plate” heuristics, and restaurant swaps.
Micronutrient & hydration support (electrolytes for active plans; vitamin D, iron/B12 as indicated).
Special contexts: PCOS-sensitive carbohydrate approach, reflux-friendly options, NAFLD support, vegetarian/vegan optimization.

You’ll receive clear checklists and ready-to-use menus, not generic handouts.

We can coordinate with your preferred trainer; for in-house partnerships, programming is synchronized with your medical plan.

Fitness: Strength as a Metabolic Organ

Exercise is not punishment — it’s a metabolic prescription. We program for fat loss with muscle protection, bone health, and longevity:

Resistance training 2–4x/week (progressive, joint-safe) to stimulate muscle protein synthesis and improve insulin sensitivity.
Zone-based cardio to raise VO₂ max and mitochondrial efficiency; brisk steps and “exercise snacks” for busy schedules.
Mobility & posture work to reduce injury risk and maintain adherence.
Performance anchors: Strength PRs, step counts, HR recovery — because wins sustain motivation.

Medications: Modern Tools, Judiciously Used

For many patients, FDA-approved anti-obesity medications (AOMs) help normalize appetite signaling and improve metabolic set points. We tailor choices to comorbidities, side effect profiles, and preferences:

Cognitive and environmental design: Pantry audit, travel kits, trigger mapping, friction-reduction for meal prep.
Sleep therapy: Apnea testing and treatment when indicated; wind-down routines; circadian alignment.
Stress skills: Brief, high-yield practices (box breathing, 5-minute decompressions, light exposure timing).
Accountability cadence: Regular touchpoints (in-person or telehealth), quick chats for medication/side-effect tuning, and data-driven micro-adjustments.

Our protocol includes titration schedules, GI side-effect mitigation, nutrition alignment (protein, electrolytes, fiber), and lab safety monitoring. If clinically appropriate, we may discuss hormone optimization (e.g., treating true hypogonadism or menopausal symptoms) and evidence-informed peptide therapies within a safety-first, outcomes-focused framework.
Our ethos: the least medication necessary to achieve durable results — and to de-prescribe when physiology and habits stabilize.

Surgery: When It’s the Right Tool

For patients with severe obesity or obesity-related disease who meet criteria, we coordinate evaluation for bariatric procedures (sleeve gastrectomy, gastric bypass, duodenal switch, intragastric balloon). Surgery can reset biology when other options fail — but success still depends on nutrition, training, and follow-up. We remain your endocrine partner pre-op, post-op, and long-term (bone health, micronutrients, glycemia).

Behavior, Sleep, and Stress: The “Make-or-Break” Multipliers

Cognitive and environmental design: Pantry audit, travel kits, trigger mapping, friction-reduction for meal prep.
Sleep therapy: Apnea testing and treatment when indicated; wind-down routines; circadian alignment.
Stress skills: Brief, high-yield practices (box breathing, 5-minute decompressions, light exposure timing).
Accountability cadence: Regular touchpoints (in-person or telehealth), quick chats for medication/side-effect tuning, and data-driven micro-adjustments.

Safety, Ethics & Individualization

We practice evidence-based obesity medicine with informed consent and transparent expectations:

Screen for contraindications (e.g., personal/family history relevant to GLP-1s), pregnancy plans, pancreatitis history, gallbladder disease risk, and med interactions.
Monitor blood pressure, renal/hepatic function, A1c/glucose, lipids, and body composition — because health > scale.
Respect culture, body autonomy, and the psychology of change; no shaming — ever.

What Results Look Like (and How We Measure Them)

We define success by healthspan metrics and how you feel day to day:

Body composition: Lower visceral fat, preserved or increased lean mass.
Metabolic markers: Improved A1c, fasting insulin, ApoB, triglycerides/HDL, blood pressure.
Functional capacity: Higher VO₂ max/HR recovery, strength targets, reduced joint pain, better sleep scores.
Medication optimization: Fewer or lower-dose antihypertensives, diabetes meds, or lipid drugs when safe.
Sustainability: A plan you can keep during busy seasons, holidays, and travel.

We typically reassess labs and composition every 8–12 weeks early on, then quarterly to semiannual once stable — always adjusting to your response.

Is This Program Right for You?

Consider a physician-led program if you have:

Stubborn weight despite consistent lifestyle effort.
Insulin resistance, prediabetes, type 2 diabetes, PCOS, NAFLD, or hypertension.
Weight-promoting medications you can’t stop without a plan.
Perimenopausal/menopausal or andropausal symptoms altering weight and strength.
A desire for accountability, data, and expert tuning — not a one-size-fits-all plan.

The Sequoia Medical 360 Advantage

Quadruple board-certified leadership with dual fellowships — rare integration of endocrine, cardiometabolic, and performance medicine.
Advanced diagnostics & tech: InBody 770, CGM, wearable integration, lipid sub-fraction testing when indicated.
Care continuum: From cautious med initiation to de-prescribing, from weight loss to maintenance and performance, from primary prevention to longevity.

Take the Begin Your PersonalTransformation Next Step

If you’re ready for precision weight management that respects your biology and your schedule, we’re ready to help. From Bronxville, we serve all of Westchester — and all of New York via telehealth.

Meet Dr. Mathews
The Sequoia Standard
Request Enrollment
sqmed360.com
Tony Mathews, MD 116 Kraft Ave, Suite 4 Bronxville NY 10708
(914) 292-0300
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