Voafit

04/06/2026

A few days ago I sat down with Eric Rush on the Next Level Thinkers podcast for a wide-ranging conversation about appetite, obsession, and what it actually takes to find balance.

We covered my personal journey. Standing in front of a mirror at 14 and deciding I would never lose the battle I watched everyone around me losing. The bodybuilding years with Michelangelo's David's chest-to-waist-to-wrist-to-calf ratio taped to my college wall as the standard I was measuring myself against. Running an impromptu marathon the day after Thanksgiving to burn off the 2,600 calories I had counted down to the last bite--on a treadmill, guilt-ridden, and alone.

We covered what happened when real life showed up. Medical school. Residency. Marriage. Kids. Sixty pounds gained because I could no longer compensate with obsessive exercise and restriction. And the realization that willpower was never the answer.

We covered the science. Why GLP-1s felt like the doors of heaven opening on day one and a stomach bug by week five. Why the standard dosing protocol never lets you stay where you feel your best. And what changes when you actually calculate your medication levels and dose to a target instead of following a fixed escalation.

We covered the deeper question. 75% of the country is overweight. Most of the other 25% are sacrificing everything to stay fit. What if those aren't the only two options?

Give it a watch and let me know if my story resonates with you. If it does, reach out in the comments and let's have a conversation!

0:00 Why Doing Everything Right Still Isn’t Working 1:49 The Lie We’ve Been Told About Discipline and Health 3:27 When “Healthy” Turns Into Something Else ...

04/02/2026

Big day today! I recently had the honor and privilege of spending an hour with Dave Knapp on On The Pen, one of the most important sources of patient-driven GLP-1 news and experience out there--and it's live!

I tell the whole story: gaining 60 pounds in residency, trying semaglutide the standard way and losing more muscle than fat, and then building something better.

Our precision dosing approach is producing faster weight loss on half the medication with zero patients quitting from side effects.

If you or someone you know is on (or considering) GLP-1 medications, this one's worth a watch.

https://youtube.com/watch?v=fbNQ2scm_rM

Are you on tirzepatide or semaglutide and struggled with inconsistent weight loss and side effects? On this episode of On The Pen, Dave Knapp and Dr. Ian Ell...

03/30/2026

If you're on a GLP-1 medication, there's something you should know that might change everything.

The dose you take is not the same thing as the level of medication in your body.

Every time you inject, the new dose stacks on top of what's still active from your last dose. And the last one before that. Your body doesn't reset to zero between shots. So the actual amount of drug working in your system is almost always higher than what your prescription says — sometimes dramatically higher.

This is why side effects tend to get worse over time on the standard protocol. It's not that you're getting sensitive to the medication. It's that the medication is accumulating faster than your body can use it up.

I know this because it happened to me.

My first time on a GLP-1, I followed the standard dosing escalation. At first, I felt great--but that didn't last. I got sick starting about week 3, and stayed sick a long time after that. Sure, I lost weight — but when I looked at the data, I'd lost more muscle than fat.

That wasn't OK.

So I did a deep dive and figured out what was actually happening in my body. I figured out how to calculate precisely how much medication was in my body at any given time, and then calculated exactly how much medication to take to make me feel my best.

It turns out, I actually needed a lot less the second time around. And the outcome was completely different. Same medicine. Freedom from dietary obsession and food noise. Absent side effects. Much more fat lost than muscle.

Once I figured out the ideal medication level for me—not the dose, but the level—and figured out how to personalize my dosing regimen to fit, everything changed for the better.

That experience became the foundation for what I've been building: MyLevel™ — a system that models the actual medication level in your body in real time and calculates the exact dose you need to stay in your personal therapeutic window.

At Voafit over the past few years, we've used this approach with 112 patients. When we benchmarked the results against the major clinical trials:

→ Our semaglutide patients lost weight ~1.3x faster than the trial — at about half the dose
→ Our tirzepatide patients lost weight ~1.1x faster — also at about half the dose
→ Not a single patient quit because of side effects

Today I'm publishing the full methodology and results.

It's a clinical whitepaper, so it's detailed — but if you're on one of these medications and you've ever wondered whether your dose is actually right for you, I think it's worth a look.

And if you've been dealing with side effects that make you want to stop, or you've plateaued and don't know why — this might explain what's going on and provide a path forward.

📄 Read it here:

https://drive.google.com/file/d/13HGM2lgQQ0GdixKK9VdomAxfRVH0Lnd4/view?usp=sharing

Happy to answer any questions in the comments.

02/23/2026

I get questions all the time about the best dosing interval for GLP-1s. Weekly, twice weekly, microdosing....etc.

Here's the best answer:

The amount of the dose typically determines how HIGH your medication levels get (and thereby your maximum appetite suppression and risk of side effects).

How often you dose typically determines how LOW your medication levels get before your next dose.

The closer your doses are together, the less variability there will between maximum medication levels.

At our clinic, we set a target medication level and our application allows us to calculate both the exact dose needed to hit that level with any individual dose, and also to set the preferred dosing interval depending on how tightly the patient wants their levels to be controlled.

I've attached two photos--both patients have the same target level (how high their medication levels get).

However, one patient doses once a week and has a lot more variability in their levels. This gives them more dietary freedom and flexibility towards the end of the week.

The other patient doses every 3 days. The peak level is the same--but they stay much closer to that line on average.

To summarize: need more appetite suppression? Increase your target level. Want tighter control? Take the dose needed to hit that level more often.

To learn more, visit Voafit.com/mylevel or feel free to ask questions in the comments!

02/20/2026

Uncomfortable truth about GLP-1 medications:

40–70% of people quit these medications.

Not because the drugs “don’t work.”

They quit because the dosing schedule they were prescribed made success nearly impossible.

The problem often isn’t the medication.

It’s the dosing model we were taught to use.

We need to rethink how these medications are prescribed.

02/19/2026

For the past few years, I’ve been working on a different way of using and prescribing GLP-1 medications.

In clinical practice, I kept seeing the same pattern. Some patients felt great and made steady progress, while others struggled with side effects, inconsistency, or eventually stopped treatment altogether. The difference often wasn’t motivation or discipline. It was how the medication was being used.

Most GLP-1 protocols rely on fixed dose schedules. But these medications don’t really behave in “steps.” They build and change in the body over time, and how someone feels is driven more by their medication level than the number on the prescription.

Over the past year, working closely with patients, we began using a level-based approach focused on identifying the medication level where each person feels and performs best. That work evolved into what is now called MyLevel™.

As this approach developed, we began noticing consistent patterns. Patients often experienced fewer side effects, more stable appetite control, and meaningful progress using much lower doses than are commonly used in standard titration schedules. Just as importantly, far fewer people felt the need to stop treatment altogether.

We’re now starting to share this approach more publicly with the goal of helping more people succeed with GLP-1 therapy safely and sustainably.

If you want to understand the idea behind MyLevel™, these are the best places to start:

Overview page:
https://voafit.com/mylevel

Full conversation explaining the concept:
https://www.youtube.com/watch?v=64dpzR6-z8E

More educational content coming soon.

- Ian Justl Ellis, MD
Founder, Voafit

Compound Wisdom host Steve Sood sits down with Ian Justl Ellis, MD to unpack why so many people feel terrible on GLP-1s — and why the “standard dosing ladder...

10/31/2025

💡 What’s the difference between oral Enclomiphene and injectable testosterone?

Both can boost your levels, but how they work is what really matters!
🔹 Injectable testosterone replaces your body’s natural production.
🔹 Enclomiphene is an oral therapy that helps your body naturally produce more of its own.

At Voafit, we don’t jump straight to a treatment that isn’t right for you. Our physicians look for ways to enhance your natural production first, then tailor your care to what your body truly needs.

💪 Book your free consult and see how we personalize hormone optimization the right way.

10/30/2025

Real people. Real transformations. 💛

GLP-1 therapy done RIGHT. Guided by doctors, tailored to you, and built for results that last.

Ready for your before and after?
👉 Book your free consult today.

10/28/2025

You’re not alone. Life happens. Your career demands more from you, you get married, have kids, and somewhere along the way your health takes the back seat...

That’s where GLP-1 medications can help!

When used correctly under physician guidance, GLP-1s become a powerful tool to help you restore balance, manage hunger, and take control of your long-term health.

At Voafit, our precision microdosing approach delivers equivalent results with significantly less medication, minimizing side effects while maximizing lasting results.

👉 Ready to get started? Book your free consult and learn how to use GLP-1 therapy the right way!

10/27/2025

It’s not just age! Every day habits could be killing your testosterone levels.

Swipe 👉 to uncover the biggest testosterone killers (and what to do about them).

At Voafit, we help you reclaim your energy, focus, and drive with personalized, physician-led care that really works!

10/24/2025

💪 Want to optimize testosterone WITHOUT committing to weekly injections?

Meet Enclomiphene, a physician-prescribed, oral therapy that helps your body naturally boost its own testosterone production.

At Voafit, we use precision dosing and lab-guided care to help you achieve steady energy, better mood, and lasting results without the spikes, crashes, or needles.

👉 Book your free consult via www.voafit.com to see if Enclomiphene is right for you!

10/23/2025

Waiting 23 days just to START feeling better? Nonsense.

At most clinics, it takes over three weeks just to see a doctor, but with Voafit, you can connect with your doctor as soon as TODAY by texting 817-583-8542. 📲

From precision GLP-1's to hormone optimization and advanced peptide therapies, every Voafit plan is designed to help you feel your best!

⚡️ Concierge Care. Precision Dosing. Lasting Results.