Half your GLP-1 patients will be gone within a year — and most won't come back for anything else.
The largest registry study to date (~77,000 patients) found 18% gone by month three. It's the most expensive leak in a cash-pay practice right now — and the most fixable, because patients quit over cost, side effects, and a conversation that never happened. I find exactly what drop-off and missed cross-sell are costing you — in dollars — then build the system that keeps those patients and moves them into your other services. Free 90-second diagnostic. If I can't find $10K, the audit's free.
What we typically find inside a $1.4M practice.
A note on these numbers.
The report above is a representative model built from published industry benchmarks — not a single client's results. I haven't published a named practice result yet, and that's deliberate: I'm taking on a small number of founding practices to build the first instrumented case studies, at founding terms. The $10,000 guarantee is how I back the claim — if I can't find $10K in recoverable revenue in your practice, the audit is free. If you'd like to be one of the founding cases, that's what the diagnostic is for.
Half leave. Every reason they leave is fixable.
Biology and economics set the churn pressure — but look at why patients actually quit, and every driver is something a practice controls:
Unpredictable cost
The leading churn driver. A self-pay patient facing an open-ended monthly bill quits even when the drug is working. Financing and a membership wired to medication cost make the number predictable — and the patient stays.
Unmanaged side effects
Roughly a third of discontinuations trace to GI side effects — almost always in the first weeks or at dose increases. Slow, individualized titration plus nutrition coaching and early follow-up catches a struggling patient before they quit.
The conversation that never happened
About half of patients never discuss how long they should stay on the medication. Without long-term framing at onboarding, month three feels like a natural exit instead of a checkpoint.
And the patients who do stop the drug don't have to leave. Rapid weight loss creates aesthetic demand — facial volume loss, skin laxity — and the practices that plan for it keep the patient (and the lifetime value) after the medication ends.
Five places a GLP-1 program leaks revenue.
Onboarding & expectation-setting
Does every patient start with long-term framing, side-effect prep, and "talk to us before you stop"? About half never get that conversation.
Titration & adherence coaching
Slow, individualized dosing with nutrition and side-effect support — and follow-up that catches a struggling patient before they quit.
Plateau & maintenance
What happens at goal weight or a stall — and whether 6- and 12-month program retention is measured at all.
Cost & supply continuity
Predictable monthly cost through financing or membership, reliable compliant supply, and marketing that stays inside the lines.
Aesthetic cross-sell & LTV capture
Whether weight-loss patients are introduced to the aesthetic side of the practice — so their value survives the drug.
One program score
Each dimension is scored from your answers, producing a 0–100 program score and a dollar value for every gap — the same scoring used in the full audit.
Find → Build → Guide
Find
Start with the free 90-second diagnostic. It scores your practice across six categories and estimates the dollar value of each gap. If the numbers are worth pursuing, we move to the full Found Money Audit.
Build
I build the retention systems, follow-up automations, and cross-sell workflows that capture the value the audit identified — tuned to your practice, your tools, and your team.
Guide
Ongoing measurement against audit projections. Monthly check-ins. Quarterly re-diagnostics. You see exactly what's been recovered and where to go next.
Found Money Audit
$497
One-time
90 min
Your time
1 week
To report
$10K+
Guarantee
$10K value guarantee or the audit is free
One diagnostic interview. A detailed Found Money Report showing every dollar of recoverable revenue — and exactly how to capture it. If I can't find $10,000, you don't pay.
Run your free 90-second diagnostic →