Your Weight Is Medical.
Your Treatment Should Be Too.
Personalized, physician-led weight management built around your health, your metabolism, and your long-term goals.
Start with a comprehensive medical evaluation.
Schedule a ConsultationAbout Dr. Roxborough
Bethesda, MarylandA Different Kind of Weight-Loss Practice
Weight management is not simply a matter of eating less or exercising more.
Body weight can be influenced by appetite regulation, insulin resistance, sleep, medications, medical conditions, genetics, lifestyle, age, and other metabolic factors.
That is why Roxborough Metabolic starts with medicine.
We take the time to understand your health history, previous weight-loss efforts, current medications, metabolic risk factors, laboratory findings when indicated, and the obstacles that may be standing between you and meaningful progress.
Then we build a treatment plan around you.
More Than a Prescription
Medication can be an important tool. It should not be the entire program.
Your care may include:
Comprehensive Medical Evaluation
We review your weight history, health conditions, medications, previous treatments, family history, lifestyle, goals, and risk factors.
Metabolic Assessment
When clinically appropriate, laboratory testing can help evaluate glucose regulation, cholesterol, thyroid function, liver and kidney health, vitamin deficiencies, and other factors relevant to treatment.
Personalized Treatment Strategy
Your plan is based on your medical needs—not a prebuilt package assigned to every patient.
Anti-Obesity Medication
For patients who are appropriate candidates, treatment may include FDA-approved prescription medications for chronic weight management, including GLP-1 or GIP/GLP-1 therapies.
Nutrition & Lifestyle Strategy
We focus on realistic changes that support fat loss while protecting muscle, nutrition, energy, and long-term health.
Ongoing Physician Follow-Up
Treatment is monitored and adjusted based on response, tolerability, laboratory findings when needed, medical conditions, and your goals.
GLP-1 Treatment—With Real Medical Oversight
GLP-1 medications have changed the treatment of obesity and overweight for many patients.
But these medications are still prescription therapies—not cosmetic treatments.
At Roxborough Metabolic, medication begins with a medical evaluation to determine whether treatment is appropriate for you. Throughout treatment, we monitor your progress, side effects, medication response, nutritional needs, and other health considerations.
Weight Is Only One Number
Our approach considers the broader metabolic picture.
Patients may seek care for:
Obesity
Overweight with weight-related health risks
Insulin resistance
Prediabetes
Abnormal cholesterol or triglycerides
Weight regain
Difficulty maintaining previous weight loss
Medication-associated weight gain
Metabolic health concerns
Weight management during midlife
Long-term weight maintenance
That is the point.
How It Works
Start With a Medical Consultation
We discuss where you are now, what you have tried before, your medical history, your goals, and what may be contributing to your weight.
Build Your Treatment Plan
Dr. Roxborough determines an appropriate strategy, including laboratory evaluation, nutrition and activity recommendations, treatment of relevant medical issues, and medication when indicated.
Follow Your Progress
Weight management is dynamic. Follow-up allows us to evaluate progress, manage side effects, adjust treatment, and address barriers along the way.
Think Beyond the Scale
Losing weight matters. So do blood pressure, blood sugar, cholesterol, strength, energy, sleep, mobility, and your ability to maintain your progress.
Meet John Roxborough IV, MD
Dr. John Roxborough IV is a board-certified family medicine physician whose approach to weight management is grounded in the broader context of a patient's health.
Rather than treating body weight as an isolated problem, he evaluates the metabolic and medical conditions that frequently accompany it and develops individualized treatment plans based on each patient's history, risk factors, goals, and response to therapy.
Dr. Roxborough is pursuing advanced education in obesity medicine and preparation for the American Board of Obesity Medicine certification examination, including Harvard Medical School continuing education in obesity medicine and its Obesity Medicine Board Review.
This additional training complements his background in family medicine and his experience managing many of the conditions closely connected with metabolic health.
Medicine First.
There are more ways than ever to obtain weight-loss medication. Access alone is not the same as medical care.
Roxborough Metabolic was created for patients who want their weight treated as part of their health—not as an isolated online transaction.
Physician-Led
Your treatment is directed by a physician.
Individualized
Treatment recommendations are based on your medical profile and response—not an automated protocol.
Comprehensive
We look beyond medication to metabolic risk, nutrition, health conditions, and long-term maintenance.
Evidence-Based
Treatment decisions are grounded in established medical evidence and current standards of care.
Long-Term
Our goal is not simply helping you lose weight. It is helping you develop a medically appropriate strategy for maintaining better health over time.
Is Medical Weight Management Right for You?
You may benefit from an evaluation if:
A consultation is the best way to determine whether the program and available treatments are appropriate for you.
The Goal Isn't Just a Smaller Number.
Successful weight management can be about much more than appearance.
Your treatment goals should reflect what matters medically to you.
Real patients.
Real care.
Thoughtful care starts with listening. These patient reflections speak to the experience of working with Dr. Roxborough.
“Dr. Roxborough took the time to get to know me and my health. Very friendly and approachable. I really like how he encouraged healthy lifestyle and gave some good tips.”
“Pleasant visit overall. Dr. Roxborough asked a lot of questions trying to get to know me. Did my blood work and scheduled prompt follow up. I highly recommend this practice.”
“I’ve tried everything over the years — diets, programs, gym memberships. What’s different here is that Dr. Roxborough actually listened and built a plan around my life. Six months in and I’m down 31 lbs. I finally feel like myself again.”
“From the first appointment I knew this was different. Dr. Roxborough spent a full hour with me going over my health history and goals. No rushing, no generic advice. Just real, thoughtful care. I can’t recommend him enough.”
Frequently Asked Questions
GLP-1 and related medications may be prescribed when medically appropriate. Treatment depends on your medical history, clinical eligibility, contraindications, risks, benefits, medication availability, and other individual factors.
These therapies may be considered for appropriate patients. The specific medication recommended, if any, is determined after medical evaluation.
No. A consultation does not guarantee a prescription. Medication is recommended only when medically appropriate.
Laboratory testing may be recommended depending on your medical history, medications, symptoms, previous results, and treatment plan.
No. Medical weight management may also be appropriate for certain patients who are overweight and have weight-related medical conditions or risk factors. Eligibility for specific medications varies.
Results vary considerably between individuals. Your response can depend on your starting point, treatment, medication response, adherence, health conditions, nutrition, activity, and many other factors. We do not promise a specific amount of weight loss.
There is no single answer for every patient. Obesity can behave as a chronic disease, and long-term treatment may be appropriate for some patients. Decisions about continuing, changing, or stopping medication should be individualized.
Side effects and safety are part of ongoing medical management. Contact the practice if you develop symptoms or concerns while taking prescribed medication. Serious or urgent symptoms should be evaluated immediately.
Coverage varies significantly among insurance plans and can depend on the medication, diagnosis, clinical criteria, prior authorization requirements, and your specific benefits. Coverage cannot be guaranteed.
Telemedicine follow-up may be available when medically and legally appropriate. Roxborough Metabolic is based in Bethesda, Maryland and serves patients in the Bethesda, Chevy Chase, and D.C. area, with telehealth available across the United States. Some evaluations may require an in-person visit, and visit arrangements are confirmed during scheduling.
You Don't Need Another Diet.
You Need a Plan That Makes Medical Sense.
If you are ready to approach weight management differently, start with a comprehensive medical evaluation.
We'll look at where you are, where you want to go, and which evidence-based treatments make sense for you.
Medical Weight Management
& Metabolic Health
Bethesda, Maryland
Local care, with
flexible access.
Roxborough Metabolic is based in Bethesda, Maryland and serves patients in the Bethesda, Chevy Chase, and D.C. area. Telehealth may be available across the United States when clinically and legally appropriate.
Appointments are scheduled in advance. In-person visit arrangements are confirmed during scheduling; the practice does not publish a street address on this site.
Location
Bethesda, MarylandOpen map searchCall the practice
240-887-0062Office hours
Monday–Friday
8:00 a.m.–4:30 p.m.