
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.
Quality care,
made simple


We connect you with a network of pharmacies and medical providers to support your overall metabolic wellness.
We assist you in enrolling in plans tailored to support weight management and overall health, helping you take steps toward a healthier lifestyle. Our trusted network of licensed pharmacies provides high-quality medications to meet your health needs.
Our partner pharmacies are dedicated to providing you with top-tier medications, personalized service, and a seamless healthcare experience.







"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."