Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Weight Loss Program · Fleming Island, FL
A supervised weight-loss plan, tiered to your history
Book a screening visit and get matched to the tier that fits your health — peptide therapy, GLP-1 class care, or a combination — with monthly monitoring from our nurse practitioner team.
Written by the Well Labs+ editorial team · Last updated July 2026
Program Overview
What the Weight Loss Program does
Weight is rarely about willpower alone. Hormones, metabolism, stress, and daily routine all play a part, and they look different for every patient. We take the time to understand what’s driving it for you, then build your lifestyle guidance and program tier around that.
Your options range from peptide therapy to a GLP-1 class medical plan, always sourced through licensed pharmacies and monitored monthly. If a GLP-1 class medication isn’t the right or safe fit, we’ll tell you and point you toward Thinnr or our phentermine program instead, part of our complete medical weight loss care.
What’s Included
What every tier includes
Whichever tier you’re matched to, your program comes with the same core support: a full assessment, monthly visits, and honest screening.
A whole-person assessment
We spend real time understanding what is driving the weight — hormones, metabolism, stress, or daily habits — so your plan treats the underlying cause and the guidance actually fits your life.
Monthly visits, with support between them
You see your nurse practitioner every month, with phone support in between so you can ask questions or adjust course without waiting for your next appointment. Lifestyle coaching, like a Mediterranean way of eating, is built into every plan.
Honest, screened candidacy
Every patient is screened on health history, vitals, weight, and BMI before starting. When a GLP-1 class medication is not appropriate for you, we say so and recommend an alternative like Thinnr.
Program Tiers
Three tiers, matched to your history
Your provider recommends a starting tier at your screening visit and can move you between tiers over time as your plan progresses.
Tier 1.0 · Peptide-Based
A non-injectable peptide plan
A peptide option using Sermorelin, which supports your body’s own growth-hormone rhythm — a fit for patients who prefer to avoid a GLP-1 class medication.
Best if you’d rather avoid a GLP-1 medication
Tier 2.0 · GLP-1 Class
Supervised medical weight loss
A GLP-1 class medication, sourced and dispensed through licensed pharmacies and monitored monthly by your nurse practitioner. We discuss the class of medication and what to expect, never a brand name.
Best if you’re ready for GLP-1 class medical weight loss
Tier 3.0 · GLP-1 Class + Support
A more comprehensive plan
A GLP-1 class medication paired with additional monitoring and support for patients who want more structure around their plan, adjusted together as you progress and, if needed, if you plateau.
Best if you’ve tried before and want more structure
We discuss medications by class and mechanism at your visit. Specific brand names and dosing are a conversation with your provider, not a marketing claim on this page.
Fleming Island · Northeast Florida
Weight loss that holds up after the program ends
Our Fleming Island patients want results that hold up to a coastal, active lifestyle, not a crash plan that rebounds the moment it ends. We coach lifestyle changes, like a Mediterranean way of eating, alongside every tier so the goal is a change that lasts, not just a number this month.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
The practice Fleming Island trusts for medical wellness, voted the area’s best medspa six years running, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
The Pura Vida Approach
A care team that stays with you
Every tier comes with monthly monitoring and honest conversation about what is and isn’t working. Between visits, you can reach us by phone to ask a question or adjust course, so you are supported the whole way through rather than left to manage a prescription on your own.
That is the difference between chasing a medication and getting care from a team that treats your weight-loss plan as one part of your health, part of our full medical weight loss program.
Is This For You?
Am I a Candidate?
A Good Fit If…
- you want a clinician-guided plan rather than a one-time prescription
- you are open to monthly check-ins and honest adjustments if you plateau
- you are willing to pair the program with lifestyle changes so results are more likely to last
- you understand your tier is decided after a full screening, not requested in advance
Let’s Talk First If…
- you have a personal or family health history that may make a GLP-1 class medication inappropriate, which we screen for honestly
- you are pregnant, breastfeeding, or have certain thyroid or hormone conditions, so let us talk first
- you are hoping for a guaranteed amount of weight lost, which no honest provider can promise
- you would prefer a completely non-medication path, in which case Thinnr may be the better starting point
If a GLP-1 class tier is not the right or safe fit for you, we will tell you honestly and recommend Sermorelin, Thinnr, or our phentermine program instead. Declining a tier that would not serve you is part of how we work.
Ready to Start?
Let’s find the right tier for your weight-loss plan
Request an appointment for a screening visit and leave with a program tier matched to your health history, not a guess.
Our Process
What to expect at your visit
A screening visit, first
We review your family and personal health history, take your vitals, weight, and BMI, and talk honestly about why past attempts have or have not worked. A nurse practitioner determines whether a medical weight-loss tier is appropriate and safe for you.
A tier matched to your history
If a GLP-1 class medication is not the right fit, we recommend Sermorelin or point you toward Thinnr instead. If it is appropriate, we start at the tier that matches your goals and health profile, never assuming the highest tier is the right one.
Monthly monitoring and adjustment
We see patients monthly to check in on how you are eating, how much you are moving, and whether you have plateaued. If progress stalls, we talk through what is happening and adjust the plan together rather than leaving you to figure it out alone.
A plan for after the program, too
Our goal is to help you change habits, like following a Mediterranean diet, so that when you eventually come off a program, you do not experience rebound weight gain. This is a partnership through the whole journey, not just the medication phase.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"I did the seratonin weight loss program and was very nervous and not sure about it or the results but at the end of 3 months I looked and felt amazing. Kara has been amazing and has given me so much great information and guidance."
"Their weight loss program has been life changing - I went from needing a walker because of back pain to walking unassisted. Can’t say too many great things about all they do."
"I had an appointment with Kara to talk about hormones, bloodwork and weight loss. She was extremely knowledgeable and helped me understand what was going on with my body… Most important is I was able to do virtual appointments so I didn’t have to miss work or family time."
Prefer to Talk First?
Talk through your weight-loss history before you book
Call our Fleming Island team with questions about the tiers, screening, or what to expect at your first visit.
Real Results
Weight Loss Before & After
Scroll for more results
Individual results may vary and are not guaranteed. Photos are of real Pura Vida patients, shared with consent.
Proven Excellence
The most-reviewed medspa in Clay County
The Weight Loss Program is delivered at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Care Team
Clinician-led weight-loss care
Kara Wilfong leads our medical weight-loss programs, backed by our nurse practitioner and physician assistant team — the same care team, visit after visit.
Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Portrait coming soon
Brooke Taylor
Medical Assistant
Fleming IslandSupports the clinical team through every appointment so your provider can deliver attentive, unhurried care.
Patient Care Team
Scroll to meet the full team
Frequently Asked Questions
Weight Loss Program Questions, Answered
What medication is used in the Rocking Bod weight-loss tiers?
Rocking Bod 1.0 uses Sermorelin, a peptide that supports your body’s own growth-hormone rhythm, while Rocking Bod 2.0 and 3.0 use a GLP-1 class medication prescribed and monitored monthly by your nurse practitioner. We describe every tier by its medication class, not by brand name, and the specific medication and dose are decided at your screening visit, never published as a marketing claim.
Who is not a good candidate for a GLP-1 class weight-loss medication?
Patients with certain personal or family health history, including some thyroid conditions, are not good candidates for a GLP-1 class medication, which is why every patient is screened on health history, vital signs, weight, and BMI before starting any tier. When a GLP-1 class medication is not appropriate or not your preference, we recommend Sermorelin, our non-injectable Thinnr program, or a short-term phentermine program instead, so you still leave with a plan.
How much does a medically supervised weight-loss program cost?
Program cost depends on the tier you are screened into, since Sermorelin, a GLP-1 class medication, and added support like lipotropic injections are priced differently, and your exact cost is confirmed at your consultation at our Fleming Island Medical Spa. What stays the same across every tier is the monthly visit with your nurse practitioner, so the price always includes ongoing monitoring, not just a prescription.
How much weight can I expect to lose, and is a specific amount guaranteed?
No specific amount of weight loss is guaranteed on this program; individual results vary based on your body, your history, and how closely the plan fits your life. What we can promise is monthly monitoring, honest screening, and adjustments to your plan if you plateau, which matters more long-term than any single number on a scale.
What happens if my weight loss plateaus on this program?
If your progress stalls, we review what you have been eating and how much you are exercising to understand why, then adjust your plan together, sometimes changing your tier or adding support like lipotropic injections. A plateau is a signal to adjust the plan, never a reason to leave you waiting it out alone.
Where can I find a medically supervised weight-loss program near Fleming Island?
Pura Vida’s Weight Loss Program is delivered at our Medical Spa on Island Lane in Fleming Island, FL, serving patients throughout Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville and Clay County. It’s a strong fit for the area’s affluent, prevention-minded patients who want a physician-supervised plan led by Kara Wilfong, DNP, APRN, FNP-C, and her nurse practitioner and physician assistant team, not a quick fix from a weight-loss clinic chain.
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Ready When You Are
Let’s build your plan, tier by tier
Request an appointment and we’ll screen your history honestly, recommend the tier that fits, and check in with you every month, because we are a partner in this, not a prescription pad.
Not ready to book? Send us a question instead.