
Perimenopause & Menopause Weight Loss · Katy, TX
Medical Weight Loss in Katy: Lose It and Keep It Off
What used to work for losing weight often stops in your 40s and 50s. Your body has reasons: Dr. Desai finds the why.

What used to work for losing weight often stops in your 40s and 50s. Your body has reasons: Dr. Desai finds the why.
Tula isn't another diet program. It's physician-led, root-cause care built around your body, your history, and your life. Not a meal plan to follow. Not a willpower test.
Patients often feel better in the first few weeks: more energy, less brain fog, less pain and inflammation.
Voted Top Doctor in Obesity Medicine, Houstonia Magazine 2024 & 2025
Trained obesity medicine specialist with a background in family medicine
Only safe, evidence-based medications. No supplements. No fads.
“This is not just a weight loss program, it’s so much more. It’s a complete lifestyle transformation! My blood pressures are normal, I have less aches and pains, I’m sleeping better and I’m not using food as a coping mechanism anymore!”
“I am now off of most of my medicines that I was taking to control my cholesterol, diabetes and blood pressure, and now my glucose and cholesterol levels are completely back to normal.”
“She understood the challenges I was facing, especially as I was going through menopause and struggling to lose my stubborn belly fat.”
You've tried the diets. You've heard "eat less and move more." And yet here you are, still searching for something that actually works.
That's because weight gain isn't a willpower problem. It's a medical one. For some patients, it's a hormonal shift during perimenopause. For others, insulin resistance, chronic stress, poor sleep, or a metabolism working against weight loss. Often, it's several factors combined.
At Tula Medical Weight Loss & Wellness in Katy, TX, Dr. Sejal Desai, MD, conducts a root-cause evaluation for every patient:
- Comprehensive lab work to identify metabolic and hormonal imbalances
- Body composition analysis (Seca) to measure what the scale can't
- Review of medical history, lifestyle, and previous weight loss attempts
- Assessment of sleep, stress, nutrition, and activity patterns
From there, Dr. Desai builds a treatment plan around your specific drivers, often delivered through The Tula Transformation, a 6-month physician-led program. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), physician-supervised programs that combine medication, behavioral strategies, and ongoing monitoring produce significantly better long-term outcomes than self-directed approaches.
This is not a diet clinic. No franchise protocols. No medication without monitoring. No program that ends when the weight comes off. This is physician-led, evidence-based weight loss built to last.
Your journey starts with a free 15-minute Meet & Greet with Dr. Desai at her Katy office, a conversation about your goals and whether Tula is the right fit. No commitment, no pressure.
If you decide to move forward, your first full visit covers a one-hour root-cause consultation, comprehensive lab work and body composition analysis, a review of your medical history and previous weight loss attempts, and a personalized treatment plan built around your results.
From there, you'll see Dr. Desai monthly for ongoing care, monitoring, and plan adjustments. You'll also have direct messaging access and the Tula wellness app to support you between visits.
For patients enrolling in The Tula Transformation, this level of care continues for a minimum of six months, with long-term maintenance available.
Every patient’s needs are different. Tula offers several paths to physician-led weight loss, each designed around your specific needs.
The flagship 6-month medical weight loss program. Includes a root-cause consultation, comprehensive labs, monthly visits with Dr. Desai, FDA-approved medications (if indicated), body composition tracking, and direct messaging access. Virtual and in-person options available.
One-hour comprehensive visits covering GLP-1 medication guidance, perimenopause and menopause weight management, root-cause evaluation, and second opinions.
A fully virtual option for patients who do not require weight loss medications. Includes monthly virtual visits, direct messaging access, and wellness app support.
Seca body composition analysis, continuous glucose monitoring, and metabolic tracking for patients who want data-driven insight into their progress. Particularly valuable for patients navigating perimenopause or menopause-related metabolic changes.
Evidence-based weight and metabolic health programs for workplaces, schools, and organizations. Available as workshops, screenings, and group presentations.
Tula also offers curated meal replacements, professional-grade supplements, and a library of patient resources to support your journey.
Tula accepts all major credit cards, FSA, and HSA. View all programs and pricing at tulawlw.com/services.
Watch a short introduction to the root-cause approach that sets Tula apart, and the physician-led philosophy behind every patient's plan.

Dr. Desai is a trained obesity medicine specialist with a background in family medicine and over 20 years of clinical experience. She founded Tula Medical Weight Loss & Wellness in Katy, TX, with one mission: helping patients uncover the root cause of their weight gain and build a path to lasting health.
She has been recognized as a Top Doctor in Obesity Medicine by Houstonia Magazine in both 2024 and 2025. She serves as President of the Houston Obesity Society (HOPE) and is Vice-President and Co-Founder of Women Physician Entrepreneurs of Houston.
Dr. Desai has been through her own weight loss journey and follows the techniques she teaches. That personal experience shapes how she cares for every patient who walks through her door.
In her own words:
“I started Tula Medical Weight Loss & Wellness so that I could work one-on-one with my patients to help them achieve a healthy weight and reduce the risk of developing long-term complications such as diabetes, hypertension, high cholesterol, heart attack, stroke and certain cancers.”
Read Dr. Desai’s full bio at tulawlw.com/dr-desai.








Please reach us at info@tulawlw.com if you can’t find an answer below. View our complete FAQ
Medical weight loss is a physician-supervised approach that treats the underlying causes of weight gain, not just the symptoms. Unlike commercial diets or self-directed programs, it includes lab work, metabolic testing, body composition analysis, and a treatment plan built around your individual health profile. At Tula, Dr. Desai develops every plan personally.
No. Medication is never mandatory at Tula. After reviewing your health history and goals, Dr. Desai will determine whether medication is appropriate. When medications are prescribed, Tula uses only FDA-approved formulations. Compounded GLP-1 medications are not prescribed because they have not been proven safe or effective.
The direct specialty care model gives Dr. Desai the time to conduct thorough evaluations, build personalized plans, and focus each appointment entirely on your needs, without the constraints of a standard insurance visit. Tula accepts all major credit cards, FSA, and HSA, and will advocate with your insurer to seek coverage for medications when possible.
Your first step is a free 15-minute Meet & Greet at Dr. Desai’s Katy office, a no-commitment conversation to see if Tula is the right fit. From there, the process moves at your pace. Dr. Desai takes time to understand your full health history before making any recommendations.
Dr. Desai is a trained obesity medicine specialist who personally sees every patient at every visit. She brings over 20 years of medical experience, a background in family medicine, and recognition as a Top Doctor in Obesity Medicine by Houstonia Magazine. As President of the Houston Obesity Society, she stays at the forefront of evidence-based weight management for patients across Katy and West Houston.
Yes. The Tula Transformation and Tula Health Coaching both offer virtual visit options. The Tula Consultation is also available virtually. All patients must be Texas residents and 18 or older.
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Medical Disclaimer: The information on this website is for educational purposes only and is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any weight loss program. Individual results may vary..

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