Explore Weight Loss

Guardian Fitness & Medical Weight Loss Program

A structured, medically supervised approach to sustainable weight loss—built around your body, your labs, and your goals.

Step 1: Comprehensive Health Evaluation

We start by understanding the full picture of your health—not just your weight.

Your evaluation includes:

Labs may include:
CBC, CMP, lipid panel, thyroid studies (TSH with reflex T4, Free T3), A1C, vitamin D, B12/folate, iron studies, and selected hormone testing when appropriate (such as testosterone, estradiol, SHBG, LH/FSH).

This helps identify underlying factors that may be affecting weight such as insulin resistance, thyroid imbalance, hormone changes, or nutritional deficiencies.

Step 2: Your Personalized Weight Loss Plan

After reviewing your results, we create a plan tailored specifically to you.

We will:

BMI Reference Guide

Your plan is designed to be realistic, sustainable, and adaptable—not restrictive or extreme.

Step 3: Medical Treatment, Coaching & Ongoing Support

Weight loss is a process—not a one-time visit.

Your care may include:

Lifestyle & Behavioral Support

We help you build long-term habits around:

Medication Support (If Appropriate)

For some patients, medications can significantly improve success by reducing appetite and improving metabolic function.

Options may include:

These tools are used alongside lifestyle changes—not as a replacement for them.

Semaglutide & Tirzepatide Options

We offer both brand-name and compounded options when clinically appropriate.

These medications are typically started at a low dose and gradually increased over time to improve tolerance and effectiveness. Your provider will guide all dosing and adjustments.

Eligibility is based on:

Ongoing Monitoring

We stay involved throughout your journey.

You can expect:

Long-Term Success & Maintenance

Our goal is not just weight loss—it’s keeping it off.

Once you reach your goal, we shift focus to:

Additional Support Options

Key Principles of Our Program

Meet Your Weight Loss Expert

Preston Holifield, DNP, APRN, FNP-C

Primary Care Provider

Certifications & Accomplishments

  • American Academy of Nurse Practitioner Nationally Certified Family Nurse Practitioner
  • Licensed by the Missouri State Board of Nursing
  • Years of experience providing trusted Nursing Care to patients from all walks of life
  • Basic Life Support (BLS) Certified Provider
  • Doctorate of Nursing Practice from Arkansas State University
  • Master's of Science in Nursing from Southeast Missouri State University
  • Bachelor's of Science in Nursing from Southeast Missouri State University

A Nurse Provider Approach

Preston believes in evidence-based, guideline-directed healthcare. That said, as healthcare has evolved over the years, Preston has risen with the tide. Through joint efforts with his Missouri Licensed Collaborating Physician, Preston employs his years of Nursing experience to delve into the root cause of his patients' health concerns. Preston believes in caring, & going above & beyond for each & every one of his patients. Preston believes all his patients at Guardian should feel the clinic is a safe place to speak freely & experience healing of the mind, body, & spirit in order to become the happiest, healthiest, best versions of themselves.
Schedule Appointment with Preston Holifield, DNP, FNP-C, APRN

We Would Love the Privilege to Serve You!

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Call Us at (573)-200-6143
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Schedule Online

Schedule 1st Appointment Online

Or

Call Us at (573)-200-6143
Thank you! Your submission has been received!
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