Managing weight is about more than just numbers on a scale — and it's not just about losing weight. It's about losing the right type of weight and improving your health. That means we prioritize reducing body fat while preserving and supporting lean muscle — essential for optimizing long-term health and metabolic function. This is medical weight management the way it was always meant to be done: evidence-based, personalized, and physician-led.
Schedule a Consultation →No single intervention produces lasting results. Our program integrates five evidence-based disciplines — each addressing a different dimension of why weight management succeeds or fails.
Weight loss achieved through a physician-led program isn't just cosmetic. The clinical evidence is clear and compelling — across nearly every major system in the body.
"When your body loses weight very quickly — especially with the help of medications like Ozempic or Wegovy — it doesn't just shed fat. It also breaks down muscle. Over time, this leaves you lighter on the scale but weaker, slower, and more vulnerable."
This is medication-induced sarcopenia — the gradual loss of muscle mass triggered by rapid caloric restriction and the appetite-suppressing effects of weight loss drugs. It is one of the most clinically significant and least discussed side effects of GLP-1 therapy.
Sources: New England Journal of Medicine, Journal of the Endocrine Society, 2024–2026
At Pacific Weight Loss & Metabolic Health, we treat sarcopenia prevention as a clinical priority — not an afterthought. Our program integrates two FDA-cleared technologies specifically selected because they address what GLP-1 medications cannot do on their own: rebuild muscle and reduce fat simultaneously.
Uses High-Intensity Focused Electromagnetic energy (HIFEM) to trigger supramaximal muscle contractions — the equivalent of 20,000 reps in 30 minutes — while radiofrequency energy simultaneously destroys fat cells. In plain terms: it builds back the muscle your medication may have taken, while reducing the fat you're working to lose.
Delivers thousands of pelvic floor contractions per session while you sit fully clothed — strengthening the deep core muscles that support bladder control, stability, and function. As weight is lost rapidly, pelvic floor weakness often becomes more apparent. Emsella directly addresses this, non-invasively and without downtime.
Decades of research confirm that physician-supervised weight management produces significantly better outcomes than self-directed dieting. Here is why.
"It's not about losing weight. It's about losing the right weight — and building the body that carries you through the rest of your life."
— Dr. Adama Diarra, DO, DABOM, FACP
Schedule a Consultation →A conversation with Dr. Diarra takes 60 minutes and covers your full medical history, body composition goals, and a personalized plan designed around how your body actually works.
Schedule a Consultation → In-clinic · Telehealth · Tigard, Oregon