Richa Mittal MD

Richa Mittal MD MD Obesity Medicine & Certified Menopause Practitioner, Lifestyle/Culinary med- treat/prevent cardiometabolic disease.

Metabolic & Obesity Longevity Concierge Practice , Nourished blog for menopause/midlife women: www.richamittalmd.com

03/31/2026

I hear these phrases all the time, and they’re almost always a sign someone is stuck in a restrict and rebound pattern, not that they lack discipline. When intake is too low or overly rigid, the body responds by increasing hunger, slowing energy use, and driving food focus. That makes overeating more likely, followed by guilt and another attempt to reset. It becomes a cycle that feels like a failure but is actually predictable physiology. The takeaway is that the plan is the problem. If it depends on restriction and starting over, it will keep failing. What works is a consistent pattern of eating enough, including a range of foods, and removing the all-or-nothing rules so your body no longer has to compensate.

03/30/2026

I would love to help you!

“I had a wonderful experience with Dr. Mittal. She is incredibly caring, attentive, and truly listens to every detail. What impressed me the most is how she remembers everything about my health journey and always gives thoughtful, personalized guidance. She is very talented at what she does and also a genuinely lovely person who makes you feel comfortable and supported throughout the process.” - Parimala P

In midlife, my patients need more than rushed visits and symptom-based care. I focus on understanding the full picture of your health, including hormone changes, metabolic shifts, and long-term disease risk. In my private practice, I provide personalized, root-cause medicine with longer visits, advanced testing, and ongoing support. My goal is to help each patient feel heard, empowered, and equipped to build lasting health and vitality.

The world is a lot lately. Your nervous system is probably stuck in overdrive. Start with your body. Slow your breathing...
03/29/2026

The world is a lot lately. Your nervous system is probably stuck in overdrive. Start with your body. Slow your breathing. Change your surroundings. Ground yourself in what is actually happening right now. Move a little. Talk to yourself like you would talk to someone you care about. These are simple tools, but they can make a real difference in how quickly you come back to baseline.

03/24/2026

Every day I get to help women feel seen, understood, and cared for in a season of life that is so often overlooked. If you are interested in a different type of medicine, please send me a DM.

03/23/2026

Anyone else ready for summer?

thesea

03/22/2026

I hear this often.

Here’s the problem - that statement is overly simplistic. Here’s why… Early evidence shows that some people who have already achieved significant weight loss can maintain their results and health improvements even after reducing how often they take the medication. This recent small study showed every other week frequency helped people maintain their loss. This suggests that long-term use may be more flexible and individualized than the “forever” narrative implies.
�This is a strategy I’ve recommended for many patients in my practice. The challenge can be more side effects when going 14 days between shots. Still, it works for some people and can be a strategy for the right person. While more research is needed and some patients may benefit from ongoing therapy, current data does not support a one-size-fits-all assumption about permanent use.

03/21/2026

What they get right…

How do different cultures think about when to stop eating? In many Western settings, people tend to finish a meal once they feel physically full, which can sometimes mean eating past the point of true need. In contrast, the Okinawan tradition known as Hara Hachi Bu encourages stopping when hunger has just been satisfied, rather than waiting for fullness or discomfort. This approach usually means eating until the stomach is about 80% full and is rooted in a mindset of moderation and long term health rather than maximum satiety.

Try eating until you are about 80% full at your next meal. It takes practice!

03/17/2026

I just want to run my errands and get coffee. Anyone else?

Perimenopause and menopause don’t declare themselves. Women are going along and suddenly things stop working the way the...
03/16/2026

Perimenopause and menopause don’t declare themselves. Women are going along and suddenly things stop working the way they used to. Hormones are on a roller coaster. It’s not as easy as just checking a blood test as much as I wish it was.

If you missed it, I recently sat down with Laurie Poole of for a real, honest conversation about what so many women experience in midlife. We talked about hormonal changes, unexpected weight shifts, sleep struggles, mood changes, brain fog, and how all of this can affect both metabolic and emotional health.

We also got into why the habits that worked in your 30s and 40s can suddenly stop working, what is actually happening with visceral fat and muscle loss, and how simple but consistent foundations like nutrition, movement, and sleep can make a meaningful difference. We discussed how individualized care, including hormone therapy and medical weight management when appropriate, can help support quality of life. More than anything, this episode is about helping women better understand their bodies, let go of self-blame, and build realistic, sustainable habits that support long-term health through the menopause and beyond. I hope you’ll listen!!

03/15/2026

Can you believe this?

A new projection shows that by 2035, obesity could affect around 126 million adults in the United States. That is nearly 19 million more people than today. Metabolic health challenges are rising fast. And the impact goes far beyond weight. As obesity becomes more common, related conditions like fatty liver disease and liver fibrosis are also increasing. These conditions can progress silently and lead to serious long term health problems. But here’s the good news…

Medications such as semaglutide and tirzepatide are helping many people achieve meaningful weight loss and improve metabolic health. New research also suggests that semaglutide can improve liver inflammation and may lead to improvement in liver fibrosis in some patients with fatty liver disease. Comment STUDY if you want me to send you the study!

Address

3550 Parkwood Boulevard, Suite 701
Frisco, TX
75034

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 5pm
Thursday 8:30am - 5pm

Telephone

+14692943501

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About the Doc

Dr. Richa Mittal is Medical Director and is a physician board-certified in Internal Medicine and a Diplomate of the American Board of Obesity Medicine. She has a passion for health, with a focus on prevention, wellness, nutrition and science. She is excited to now offer a comprehensive medical weight loss and preventive wellness practice to those struggling with weight and to those who are looking for solutions to optimize their health. Radiant Health Weight Loss and Wellness is now open in Frisco, TX. She shares practical information about health as well as her healthy recipes on her newsletter and blog, which can be found on her practice website. For more information on her practice and services offered and to sign up for her blog, please visit www.radianthealthdallas.com.