
Scale Down isn't just another online GLP-1 company. We're an established medical weight-loss clinic serving real patients every week in the Omaha area. Now we're bringing that same experience, support and personalized approach directly to you through telehealth.




Scale Down began with a simple idea: weight loss works better when people feel supported. At our Omaha-area clinic, we work with patients face-to-face every day. Our telehealth program brings that same philosophy to patients who prefer the convenience of receiving care from home.
Reduce appetite, curb cravings, lose weight.


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Answer a few simple questions about your health goals and medical history.
Our licensed providers review your information and create a custom treatment plan.
Your prescription is delivered discreetly to your door with ongoing support.









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"My appointment was good. Dr. Italia was very thorough explaining the process and how to use the medication. He also informed me of the risks of the medication. I felt well informed and ready to give this diet my all."
"I was really impressed…I received a phone call 20 minutes prior to my apt from his office letting me know the doctor was running behind. When he did call he apologized and asked if it was still a good time to talk. He explained everything and answered any questions I had at the time. I did not feel like he was rushed."
"Great, Jacqueline Ramsey-Rosenhein, NP has been helpful throughout the 6 months that I have been on the program."