Conditions We Support at SustainMD
Conditions We Support with Obesity Medicine & Primary Care
Comprehensive care through virtual medicine – addressing the root, not just the symptoms.
At SustainMD, we believe in whole-person healthcare — where your weight, hormones, mental health, energy, and chronic conditions are all connected. Led by Dr. Allison Barbee, a board-certified obesity medicine doctor and online primary care physician, our virtual weight loss clinic supports patients with a wide range of health concerns.
We don’t replace your specialist, but we adapt obesity medicine and primary care to fit your unique needs. Whether you’re navigating PCOS, thyroid changes, sleep disruption, or emotional stress, care is delivered with compassion, evidence, and direct physician access — no bots, no call centers, just real care.

Metabolic & Hormonal Conditions
Rebalancing your body’s systems to support lasting weight and health improvements.
Metabolic and hormonal conditions often go undiagnosed or undertreated — yet they are at the center of many struggles with weight, fatigue, and mood. Through our metabolic health programs, SustainMD helps patients understand how these conditions impact their overall health and designs care plans that respect those challenges.
Obesity & Weight Gain
Personalized weight loss care addressing biology, not just willpower.
PCOS & Hormonal Imbalance
Support for irregular periods, weight gain, acne, and fertility issues.
Prediabetes & Type 2 Diabetes
Early intervention and ongoing management using proven therapies.
Insulin Resistance
Often missed, this condition is central to stubborn weight gain and fatigue.
Hypothyroidism
Low thyroid function often slows metabolism, contributes to weight changes, and impacts energy.
Metabolic Syndrome
We provide comprehensive obesity care to address multiple factors at once.
Neurodivergence
Personalized care that respects unique thinking, learning, and behavioral patterns while supporting overall health.
Bipolar Disorder
Supportive medical management to help stabilize mood, improve daily function, and protect long-term health.
Mental & Emotional Health
Your emotional well-being is essential to your physical healing.
Mental health and metabolic health are deeply connected. Stress, burnout, and neurodivergence all affect energy, motivation, and long-term success. At SustainMD, we provide a safe, stigma-free space where obesity medicine and primary care respect the full picture of your health.
Anxiety
We adapt care to support patients managing anxiety while focusing on weight and overall health.
Depression
Supporting mood disorders that often accompany obesity or hormone imbalance.
ADHD
Attention and focus challenges can shape eating, sleep, and routines. Our care adapts weight and health strategies to work with ADHD.
Autism & Neurodivergence
We provide neuro-affirming support while offering personalized obesity and primary care.
Obsessive Compulsive Disorder (OCD)
Repetitive thoughts and behaviors can complicate health routines. We respect these challenges and create adaptable, sustainable care plans.
Binge Eating
Emotional eating patterns are common and complex. Our care emphasizes compassion and practical strategies without judgment.
Executive Dysfunction
Motivation and planning difficulties affect health habits. We help patients build structure and support into their weight care journey.
Stress & Burnout
High-functioning stress drains energy and health. We provide tools to restore balance while supporting weight and metabolic health.
Women’s Health
Virtual care through every stage of hormonal change and reproductive health.
Women’s health is shaped by hormonal shifts from adolescence through menopause. We provide personalized obesity and primary care that adapts to each stage, helping women take charge of their health with confidence.
Infertility Support
Addressing hormonal drivers and guiding next steps in reproductive care.
Postpartum Health
Compassionate care for new mothers adjusting physically and emotionally.
Perimenopause
Managing hormonal fluctuations, sleep issues, and weight changes.
Menopause
Evidence-based support for symptom relief and long-term metabolic health.
Gestational Diabetes
Managing blood sugar during pregnancy protects both mother and baby.
Sleep & Fatigue
Good sleep isn’t a luxury — it’s a vital sign of health.
Sleep disorders affect hormones, blood sugar, and energy, often making weight management harder. We provide obesity and primary care that recognizes these barriers and adapts care accordingly.
Sleep Apnea
We coordinate evaluation and provide supportive obesity-focused care.
Insomnia
We help patients identify patterns and adapt treatment strategies to restore rest.
Chronic Fatigue Syndrome
Collaborative care for persistent fatigue and low energy.
Restless Legs Syndrome
Discomfort and disrupted sleep impact energy and health. We adapt care to improve rest and overall wellness.
Periodic Limb Movement Disorder
Involuntary movements at night affect sleep quality. We consider these challenges in overall obesity and primary care.
Narcolepsy
Sudden sleep episodes disrupt daily life. We provide supportive care that adapts health strategies to this condition.
Parasomnias like Sleepwalking and Night Eating Syndrome
These sleep disturbances affect safety, metabolism, and energy. We address them within whole-person health planning.
Autoimmune & Inflammatory Conditions
Chronic inflammation may be underlying your pain, weight gain, or fatigue.
Autoimmune and inflammatory conditions often overlap with weight, energy, and hormone challenges. At SustainMD, we adapt obesity and primary care to respect these realities, working alongside specialist treatment.
Rheumatoid Arthritis
Joint pain makes activity difficult, affecting weight and health. We provide care that adapts to these challenges.
Psoriatic Arthritis
Skin and joint inflammation complicate daily health routines. We support patients with personalized obesity and primary care strategies.
Lupus
This complex condition affects energy and resilience. We provide supportive care that works with specialist treatment.
Hashimoto’s Thyroiditis
Autoimmune thyroid disease often drives weight gain and fatigue. We adapt obesity care to respect these challenges.
Inflammatory Bowel Disease (Crohn’s, Ulcerative Colitis)
Care focused on reducing inflammation, easing digestive symptoms, and supporting nutritional health.
Cardiovascular Conditions
Coronary Artery Disease (Heart Attacks)
We support recovery with personalized weight and health strategies.
Stroke/CVA
Post-stroke recovery is affected by weight, energy, and lifestyle. We provide supportive care to aid long-term health.
High Cholesterol (Hyperlipidemia)
Linked to metabolism and diet, cholesterol is addressed within whole-person obesity care.
High Blood Pressure (Hypertension)
Obesity and metabolic health strongly influence blood pressure. We adapt care to help manage and reduce risks.
Heart Failure
These conditions affect energy and activity. We provide supportive care that considers these limitations.
Thromboembolism (DVT/PE)
Blood clots often connect to weight and metabolic health. We provide obesity medicine that respects these risks.
All Conditions Are Supported Virtually
SustainMD provides care across California, Florida, Maine, and North Carolina through secure telehealth visits. Every condition is approached with compassion, evidence, and personalized obesity and primary care that adapts to your unique story.

Ready to Start Your Journey?
Every condition we support is approached with compassion, evidence, and a physician who listens. If you see yourself in one or more of these conditions, we invite you to learn more — or reach out for your first consultation.