I first noticed Anna Jacobson at a women's wellness event in Scottsdale last March. I had known her peripherally through mutual friends — but I hadn't seen her in about eight months. When she walked in, I genuinely didn't recognize her at first. Not because she looked dramatically thinner. Because she looked alive. Her skin was glowing. Her posture was different. She moved like someone who had energy to spare.
I wasn't the only one who noticed. Two women at my table leaned over and whispered the same thing: "What is she doing?"
I pulled Anna aside after the event and asked if she'd sit down with me for an interview. She agreed immediately.
"Honestly, I've been wanting to tell someone this story for months," she said. "Because what happened to me at my first weight loss clinic — women need to know about that."
What follows is that conversation — lightly edited for length and clarity.
The Clinic That Treated Her Like a Number
To understand Anna's story, you need to know what happened at her first weight loss company. Like millions of women in 2024, Anna had heard about GLP-1 medications — Ozempic, Wegovy, Mounjaro — and decided to try a telehealth weight loss clinic that was advertising heavily on Instagram.
Tell me about your experience with the first weight loss clinic.
"I signed up online. Filled out a form. Got a 5-minute video call with someone — I'm not even sure they were a doctor. They asked me my weight, asked if I had any allergies, and prescribed me semaglutide. That was it."
"No blood work. No hormone panel. No questions about my lifestyle, my stress levels, my sleep, my history. Nothing. They just… gave me the injection and said 'good luck.'"
"I thought that was normal. I thought that's how it worked."
And what happened after you started the injections?
"The first month, I lost 14 pounds. I was thrilled. The number was going down. But by month two, something felt wrong. I was exhausted all the time. My arms looked… deflated. My face looked gaunt. I was losing weight but I didn't look better — I looked older."
"I tried to call the clinic. I left three messages. Nobody called me back for two weeks. When they finally did, the person said 'that's normal, just keep going.' That was their medical advice. 'Keep going.'"
"By month four, I had lost 31 pounds. But I also lost my energy, my muscle tone, my confidence. My husband said I looked 'frail.' My sister asked if I was sick. I was thinner — but I felt terrible."
What the Research Shows
A 2023 study published in The New England Journal of Medicine found that patients on GLP-1 receptor agonists lost an average of 37-40% of their total weight loss from lean muscle mass — not fat. This muscle loss was associated with decreased metabolic rate, increased fatigue, accelerated bone density loss, and a significantly higher risk of weight regain after discontinuation.
"I Lost 31 Pounds — and Felt Worse Than Before I Started"
Describe what those months felt like physically.
"I'll be honest — I cried almost every day. I had done this thing that was supposed to make me feel amazing, and instead I felt like my body was falling apart. My metabolism had clearly slowed down. I was cold all the time. I had no strength. I couldn't open jars. I couldn't carry my groceries without getting winded."
"And the worst part? I looked in the mirror and I didn't look toned or fit. I looked… saggy. Deflated. Like someone had let the air out. People call it 'skinny fat' — and that's exactly what it was."
"I lost the weight. But I also lost my muscle, my energy, my confidence, and honestly — I lost years off how young I looked. The scale said one thing. The mirror said another."
What were the specific downsides you experienced from the muscle loss?
"Where do I start? My metabolism tanked — I was eating less than ever but the weight loss completely stalled. I had this 'skinny fat' look where I was thinner but had zero tone. I was exhausted constantly — like bone-deep fatigue. My hormones went haywire. And the loose skin… without muscle underneath to give shape, my skin just hung there. I looked ten years older."
"I later learned that muscle supports your bones too. My doctor told me I was on a fast track to early osteoporosis. At 38. Because a weight loss clinic couldn't be bothered to monitor what was actually happening inside my body."
The Hidden Cost of Unsupported Weight Loss: What Happens When Women Lose Muscle
- → Lower metabolism: Muscle burns calories at rest. Lose it, and your metabolism slows — making long-term maintenance nearly impossible.
- → "Skinny fat" appearance: The scale drops but you look soft, untoned, and older — not fit and healthy.
- → Chronic fatigue and weakness: Less muscle means less energy, less strength, and feeling exhausted doing basic tasks.
- → Hormonal disruption: Women naturally lose muscle after 30 and during perimenopause. Rapid loss accelerates aging.
- → Worse loose skin: Muscle gives shape underneath skin. Without it, loose skin becomes dramatically more visible.
- → Bone health crisis: Muscle supports bones. Losing too much increases risk of weakness and early osteoporosis.
This is the program Anna switched to.
Led by Dr. Lorna Brudie, DO — a board-certified gynecologic oncologist and one of the nation's leading experts in women's hormone health. FEM Excel is designed to help women lose weight the right way: preserving muscle, balancing hormones, and optimizing results.
Take the Free AssessmentFree assessment · Meet Dr. Brudie's team · No obligation
How Anna Found FEM Excel
Anna's path to FEM Excel started with a conversation at her gym. A woman she'd been friendly with for years — someone who had also been on GLP-1 medications — looked completely different. Not just thinner. Toned. Strong. Radiant.
How did you first hear about FEM Excel?
"I was at the gym — barely able to do a set of bicep curls with 8-pound weights because I'd lost so much muscle. And this woman, Melissa, walked by. She looked incredible. Toned arms, flat stomach, glowing skin. I knew she'd been on weight loss meds too, so I asked her what she was doing differently."
"She told me about FEM Excel. She said it wasn't just a weight loss program — it was a complete optimization program designed specifically for women. She said they had real doctors, real specialists, who actually monitored everything. Hormones, muscle mass, nutrition, the whole picture."
"My first thought was: 'Yeah right, I've heard that before.' But then she showed me her check-in messages with her specialist. She had a dedicated team. They adjusted her protocol every few weeks based on her labs. They gave her a meal plan built around foods she actually liked. It was… nothing like what I'd experienced."
What made you decide to actually sign up?
"Melissa walked me through the process. She said the first step is just completing a proprietary assessment online — it looks at your symptoms, your history, what you're experiencing. It's not some generic intake form. It's designed to actually understand what's going on inside your body."
"From there, they guide you to schedule an appointment with someone from Dr. Brudie's team — someone who's been highly trained in women's metabolic health. It's not a random telehealth provider reading off a script. These are real specialists."
"And then — and this is the part that blew me away — they decide if you need labs. They don't just throw medication at you. They look at the full picture first. And then they optimize you. Not just prescribe you. Optimize you. There's a massive difference."
"That process alone told me these people were different. And then I had my first call with Dr. Brudie. And within 15 minutes I knew — this was what real medical care looked like."
"Dr. Brudie Changed Everything" — Meeting the FEM Excel Team

Dr. Lorna Brudie, DO
Medical Director, Fem Excel
One of the nation's leading experts in women's hormone health and cancer care. A board-certified gynecologic oncologist with extensive experience, she has guided thousands of women through perimenopause, menopause, and complex hormonal conditions with expertise and compassion.
Dr. Brudie isn't just about helping women lose weight — she's about getting women feeling better while ensuring proactive healthcare. Her philosophy is simple: you should never have to sacrifice your health to see results. Weight loss done right means you lose the fat, keep the muscle, balance your hormones, and come out the other side stronger and healthier than you started.
Under her leadership, FEM Excel has assembled a world-class team of medical professionals — specialists who don't just prescribe and disappear. They monitor, they adjust, they optimize. Every single client gets a dedicated team that works with them until they feel their absolute best.
FEM Excel's Medical Team includes: Board-certified physicians specializing in women's health, gynecologic oncologists, hormone optimization specialists, registered dietitians, and dedicated health coaches — all trained by Dr. Brudie and working together on YOUR protocol.
How the FEM Excel Process Works:
Complete the Proprietary Assessment
An online assessment designed to look at your specific symptoms, history, and what your body is experiencing. This isn't a generic form — it's built to identify exactly what's going on.
Schedule with a Trained Specialist
You'll be guided to book an appointment with someone highly trained from Dr. Brudie's world-class team. These are real specialists — not random telehealth providers reading scripts.
Labs & Full Optimization
Your specialist will determine if labs are needed and build a complete protocol around YOUR body. They don't just prescribe you — they optimize you. Hormones, nutrition, muscle preservation, the whole picture.
Tell me about your experience with Dr. Brudie and the FEM Excel team.
"Dr. Brudie spent 45 minutes with me on our first call. Forty-five minutes. My previous clinic gave me five. She went through my bloodwork line by line. She explained what was happening with my hormones, why I'd lost so much muscle, and exactly what we were going to do to fix it."
"What struck me immediately was that she wasn't just focused on weight loss. She was focused on my overall health — proactive healthcare, she called it. She said 'We're going to get you feeling better, yes. But we're also going to make sure we're protecting you long-term. Your bones, your hormones, your metabolism, your future self.'"
"She didn't just prescribe something and disappear. She laid out a complete protocol — the medication, yes, but also nutrition targets specifically designed to preserve my lean muscle. Supplements for my hormone levels. A plan that was built for MY body, not some generic template. And she said something I'll never forget: 'We're not going to stop adjusting until you feel the best you've felt in years.'"
"And here's what really got me — the team is accessible. When I had questions at 9pm on a Tuesday, I could reach them. And they responded with real, personalized answers. Not some chatbot. Not some generic FAQ. Someone who actually knew my case, my labs, my protocol."
"You can tell Dr. Brudie has guided thousands of women through this. She understands perimenopause, menopause, hormonal conditions — all of it. She's not guessing. She's not winging it. She's one of the nation's leading experts and you feel that in every interaction."
"Dr. Brudie didn't just help me lose weight. She helped me understand my body for the first time in my life. Her team optimized my protocol until I felt the best I've felt in 20 years. Yes, I lost the weight — but it was done the right way. That's the difference."
Everyone Else Is Doing It Wrong. Here's What FEM Excel Does Right.
The fundamental problem with most weight loss clinics is simple: they treat the scale as the only metric that matters. Prescribe medication. Watch the number drop. Collect payment. Move on. They don't care what happens to your muscle, your bones, your hormones, or your long-term health.
FEM Excel, under Dr. Brudie's leadership, operates on a completely different philosophy: yes, you will lose weight and feel better — but it's done the right way. Their program is built around proactive healthcare. You don't just get thinner. You get healthier, stronger, more energized. Your hormones get balanced. Your muscle gets preserved. Your body composition improves. And you have a world-class team of medical professionals who actually understand women's bodies guiding you every step of the way.
| Typical Weight Loss Clinic | FEM Excel | |
|---|---|---|
| Getting Started | 5-min video call, generic form | Proprietary symptom assessment + specialist appointment |
| Bloodwork Required | Rarely or never | Comprehensive panel before starting |
| Hormone Monitoring | None | Ongoing optimization |
| Muscle Preservation | Not addressed | Core focus of protocol |
| Nutrition Plan | Generic or none | Custom meal plans with YOUR favorite foods |
| Specialist Access | Weeks to get a callback | Direct line to your team |
| Protocol Adjustments | "Just keep going" | Optimized until you feel your best |
| Goal | Lower the scale number | Better body composition, energy, confidence |
The Meal Plans That Changed the Game

Tell me about the nutrition side of FEM Excel.
"This was the thing that blew my mind. At my old clinic, there was zero nutrition guidance. Just 'eat less.' With FEM Excel, they built me a complete meal plan — and here's the key — it was made up of foods I actually like eating."
"I told them I love tacos, I love pasta, I love a good burger. And they didn't say 'you can never eat those again.' They said 'great, here's how we build those into your plan so you're getting the protein and nutrients you need to preserve muscle and bone density while still losing fat.'"
"That's the thing nobody talks about — when you're on these weight loss medications and you're not eating enough protein, not getting the right nutrients, you're not just losing fat. You're losing bone density. You're losing muscle. You're setting yourself up for osteoporosis, fractures, metabolic damage. FEM Excel's meal plans are specifically designed to prevent all of that."
"And I'm eating food I love. Every single day. I'm not miserable. I'm not starving. I'm nourished."
Why Nutrition Matters During Medicated Weight Loss
Research published in The American Journal of Clinical Nutrition (2024) found that adequate protein intake (1.2-1.6g per kg of body weight) combined with targeted micronutrient support can reduce muscle loss during GLP-1 therapy by up to 50%. Without proper nutrition guidance, patients on weight loss medications are at significantly elevated risk for bone density loss, sarcopenia, and metabolic adaptation that leads to weight regain.
Losing weight shouldn't mean losing strength.
FEM Excel helps support metabolism, lean muscle, and hormone health so women can achieve better body composition results — not just a lower number on the scale. Start with the free assessment and meet Dr. Brudie's team.
Take the Free AssessmentFree assessment · Meet Dr. Brudie's team · No obligation
The Results: What Happened When Anna Switched

Walk me through what happened after you started with FEM Excel.
"Within the first two weeks, I could already feel the difference. Not on the scale — in my body. I had more energy. I was sleeping better. The brain fog that had been there for months started lifting."
"By week four, my strength was coming back. I was lifting heavier at the gym. My arms had shape again. My face didn't look gaunt anymore — it looked healthy."
"By month three, people started asking me what I was doing. Not 'are you losing weight?' but 'you look amazing — what changed?' That's the difference. With my old clinic, people asked if I was sick. With FEM Excel, people ask for my secret."
What does your life look like now compared to before?
"I'm down 42 pounds total now. But here's what matters — I kept my muscle. My body composition scan shows I lost almost entirely fat. My metabolism is actually faster than it was before I started. My hormones are optimized. My energy is through the roof."
"I look younger than I did two years ago. That's not me being dramatic — people tell me that constantly. My skin is better. My posture is better. I have confidence I haven't felt since my twenties."
"And I'm eating tacos twice a week. Real ones. With cheese. Because my meal plan accounts for it."
"With my old clinic, people asked if I was sick. With FEM Excel, people ask for my secret. That tells you everything you need to know."

What Anna Wants Every Woman to Know
If you could say one thing to a woman who's considering weight loss medication right now, what would it be?
"Don't do what I did. Don't go to some clinic that's going to prescribe you a shot and disappear. You deserve better than that. Your body deserves better than that."
"Yes, you will lose weight. Yes, you will feel better. But it has to be done the right way. With real specialists who understand women's bodies. With a team that monitors your hormones, protects your muscle, feeds you properly, and optimizes your protocol until you feel incredible. Not just thinner — incredible."
"Dr. Brudie is a board-certified gynecologic oncologist who has guided thousands of women through this. She's not some random telehealth provider. She's one of the nation's leading experts in women's hormone health. And her team is trained to the same standard. That's why FEM Excel gets results that other clinics can't."
"FEM Excel gave me my life back. Dr. Brudie and her team gave me my confidence, my strength, my energy, and honestly — they gave me my youth back. The process is simple: take the assessment, meet with a specialist, get optimized. That's it. But the results are life-changing."
"One of the biggest issues with rapid weight loss is muscle loss. FEM Excel was created to help support lean muscle and hormonal balance so women can look and feel stronger throughout their journey."
Ready to lose weight the right way?
Take the free proprietary assessment. Meet with a specialist from Dr. Brudie's world-class team. Get fully optimized — not just prescribed. Join thousands of women who are losing weight while keeping their muscle, energy, and confidence.
Take the Free Assessment NowProprietary assessment · Specialist appointment · Full optimization · No commitment required
