ShillMed Weight Loss & Lifestyle Medicine Center
We are Spokane Metro’s Medical Weight Loss and Hormone Replacement Clinic
You’ve tried losing weight on your own. You didn’t get the results you wanted. Now it’s time for a new approach. At ShillMed in Spokane, Dr. Shill provides concierge-level care to each patient. That means understanding your health history, getting to know your goals, and helping you lose that stubborn weight.
Dr. Shill has also helped many patients with hormone management. Why? Because inappropriate hormone levels are a leading cause of weight gain, fatigue, bloating, and other chronic symptoms. You deserve to feel your best.
When it comes to weight loss and hormone replacement therapy, trust the expert team at ShillMed.


Medical Weight Loss at ShillMed
Meal Replacement Plans
Our patients have experienced tremendous success losing weight quickly and safely through our meal-replacement program. These medically guided plans are designed to provide balanced nutrition while significantly reducing caloric intake, allowing the body to burn fat efficiently without the risks associated with extreme dieting.
Meal replacements provide a temporary bridge to a healthier lifestyle focused on whole-food nutrition. Patients experience a “total reset” of cravings, eating patterns and habits that allows them to re-engage with food, forming a wholesome relationship with eating from a new perspective.


Personalized Nutrition Plans
Our medical weight loss program begins with personalized nutrition. There’s no one-size-fits-all approach. For some patients, this means guidance on whole-food nutrition and meal planning. For others, it includes the temporary use of New Direction medical-grade meal replacements that balance complete nutrition with weight loss, making it easier to stay on track, even with a busy schedule.
By creating a realistic and sustainable plan, we help you take the guesswork out of healthy eating and ensure your body is fueled for long-term success.
Weight Loss Medication
Dr. Shill offers tailored, FDA-approved medical therapies that address the metabolic, lifestyle, and hormonal roadblocks that can make weight loss so difficult. Some patients select advanced, evidence-based medications such as Qsymia, Contrave, and Saxenda, which work by regulating appetite and cravings. Other patients choose next-generation, FDA-approved treatments such as semaglutide (Ozempic, Wegovy) and Tirzepatide (Mounjaro, Zepbound). Together, we customize your weight-loss plan after considering your personal health history and the risks and benefits of each approach.
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Each prescription is carefully selected and monitored by our doctor — board-certified in Internal Medicine and Obesity Medicine — making sure your weight loss journey is both safe and effective.


Personal Training and Lifestyle
At ShillMed, we bridge personal training with lifestyle wellness for the final personal touch. Our graduated approach to fitness develops a routine that matches your current ability level and builds strength, mobility, and endurance over time. Your personalized program will support joint health, decrease pain, and help you ensure that this time, your weight loss sticks for good!
Studies show that more than 80% of weight lost is regained within five years. We address the behavioral, emotional, and mental barriers that prevent long-term success. With weekly education sessions, frequent check ins, and unlimited staff availability, we ensure equal support for your body and mind.

InBody Composition Scans
You don't have to be a patient to use our Body Composition Analyzer! Learn how your body could benefit from fat reduction and muscle building. Then, track your progress! Call us to learn more.
Hormone Therapy & Hormone Replacement Therapy
Hormones are so important to your health, but too many people are imbalanced. Energy, mood, and sleep, to metabolism, libido, and cognitive function – if you have issues with even one of these symptoms, then hormones might be to blame. It can be hard to feel like yourself these days. Let’s make a change.
Our tailored Hormone Replacement Therapy (HRT) program is FDA approved and works by safely restoring your hormone levels to a healthy balance. Using bioidentical hormones—compounds that are molecularly identical to those produced in the body—our approach is designed to work naturally with your physiology. At ShillMed, every treatment plan begins with advanced lab testing, followed by a customized protocol to meet your unique needs.
By correcting imbalances, HRT helps patients feel more energetic, focused, and resilient while reducing long-term risks associated with hormone decline.

Hormone Therapy for Men
For men, the most common concern is declining testosterone, often referred to as andropause. Low testosterone can cause decreased energy, loss of muscle mass, increased belly fat, irritability, and diminished sexual performance. At ShillMed, we help men restore healthy testosterone levels through carefully monitored replacement therapy. Whether delivered through injections or creams, testosterone replacement can reignite energy, support lean muscle, improve mental clarity, and restore sexual health. Combined with nutrition and fitness strategies, HRT helps men regain vitality and perform at their best at every stage of life.
Hormone Therapy for Women
Women often experience hormone changes during perimenopause and menopause, when estrogen and progesterone decline. Symptoms may include hot flashes, night sweats, vaginal dryness, weight gain, mood changes, poor sleep, pain with intercourse, urinary tract infections, and reduced libido. Beyond the discomfort of daily symptoms, low estrogen levels can also increase the risk of bone loss, cardiovascular issues, and cognitive decline. At ShillMed, we offer individualized, FDA-approved hormone replacement therapy using bioidentical estrogen, progesterone, and in some cases, testosterone, to help women feel balanced and vibrant again. Our goal is not just symptom relief but whole-person health and longevity.
Hormone replacement therapy is more than a short-term fix—it’s a science-driven, holistic strategy to restore balance and quality of life. At ShillMed, we are committed to providing safe, effective, and personalized HRT that helps both men and women look, feel, and live better

Brandi
I honestly didn’t think I would make this much progress. I have an increase in energy, I feel better, I’m in less pain, and I am sleeping better.
Melinda
I feel like a million bucks! I feel healthier, and have more energy. Surprisingly, I'm not starving on this plan! I am losing inches even faster than I'm losing pounds, and I've already lost 26 pounds in 6 weeks! Even so, the number on the scale doesn't match the health benefits that have come. I feel better than I have in years. I have ditched my walker, I'm walking every day, and in the first two weeks of this program, I went from being on 34 units a day of Insulin, to NONE with stable blood sugars. My primary care doc has reduced my cholesterol meds, and this is only the beginning!
Steve
After losing 55 pounds in 3 months with ShillMed, I ran a 5K, and had so much fun I signed up for a half marathon! I never thought I'd be able to do that again.

Meet Dr. Shill, Spokane’s Expert in Weight Loss
Dr. Shill brings a highly qualified perspective to weight management. As a Board-Certified physician in both Internal Medicine and Obesity Medicine, he understands how the big picture impacts your weight loss journey. There are no quick fixes or magic pills (though Meal Replacements and GLP-1s can help). Instead, Dr. Shill helps you maintain mass during weight loss to keep metabolic health in great shape.
In addition, his studies in Lifestyle Medicine allow him to integrate nutrition, exercise, sleep, and stress management into personalized plans that go beyond quick fixes.
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ShillMed is a medical weight loss clinic, which means Dr. Shill helps patients at risk for serious health complications. He can help you reduce your risk before surgery and even help you get your BMI to a point where you can even qualify for a needed surgery, hopefully reverse and manage chronic disease and illness, and often, reduce the need for medications.
Whether addressing metabolic concerns, preventing chronic disease, or helping patients regain energy and confidence, Dr. Shill’s approach is rooted in compassion, accountability, and long-term success.


We’re Here to Help You Reach Your Goals. Let’s Get Started
ShillMed is Spokane's leading medical weight loss clinic. From severe obesity to hormonal changes, we create a plan that works for you.
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Our team combines advanced medical expertise with a personalized approach that supports the whole person—body, mind, and lifestyle. Don’t wait to start feeling your best again. Schedule your consultation today and begin your journey toward lasting weight loss, balanced hormones, and renewed vitality.
Insurance
We are a concierge level service that does not accept insurance.
For medicare patients, we have a separate plan that does not charge for office visits; however, medicare does not reimburse for our services.
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Book a FREE consultation today to learn how we can help you!
