Not another fresh start
on Monday.
Terra Metabolic is a 6-month program that treats weight as a health issue, not a willpower problem, with or without medication.
If you’ve done the diets, the apps and the online prescriptions, you know losing weight isn’t the hard part. Keeping it off, and keeping your strength while you do, is. That’s what this program is built for.
After six months, you’ll have…
- Better health, measured. Body composition scans show you are losing fat and protecting muscle, not just watching a number on a scale.
- A way of eating you can actually keep. Built around your real week, your schedule and the food you like, not a plan you have to arrange your life around.
- Habits that hold up. Sleep, movement and routine, built alongside any medication so you are not relying on it alone.
- Six months of follow-up. Someone watching what is working, adjusting what isn’t, and catching problems early.
We won’t promise you a number on the scale. Every body responds differently. What we can promise is a complete plan and the follow-up to make it work for you. Weight often comes off as your health improves, and that is the order we work in.
Terra Metabolic is for you if…
It’s for you if
- You’re 18 or over and weight is your main health concern.
- You want a medical program that looks at the whole picture, not just a prescription.
- You want care whether or not medication is right for you.
- Men and women are both welcome.
It’s not the right fit if
- You want your hormonal symptoms treated at the same time. Metabolic handles the weight and metabolic work on its own, so Terra 360 Vitality is the one if you want both looked after together.
- You only want a prescription with no follow-up.
- You need urgent care. Call 911 or go to your nearest emergency department.
The simple version: being in perimenopause or menopause does not rule you out of Metabolic. What decides it is what you want treated. If that is your weight and your metabolic health, Metabolic is the one, and it will not treat your hormonal symptoms. If you want your symptoms and your weight looked after together, that is Terra 360 Vitality.
A complete program,
not a prescription.
- 7 visits over 6 months, with your Terra care team. Regular follow-up means side effects, plateaus and the questions that come up at 11pm all get dealt with, by someone who already knows your history.
- A body composition scan at every in-clinic visit. You’ll know you are losing fat, not muscle. Protecting muscle protects your strength, your metabolism and your long-term health.
- Nutrition and lifestyle guidance. Practical advice on what and how to eat, with protein to protect muscle. Fuelling your body, not starving it.
- Habit and behaviour change, built in. Changing habits is one of the hardest parts of weight loss, and it is not about willpower. We go through how habits get wired in the brain and how to rewire them, with resources that make the change stick.
- Medication, if it is right for you. Where it fits, a Health Canada approved weight management medication is one part of the plan, prescribed and monitored here rather than somewhere else. If it is not right for you, nothing is missing. You still get the whole program.
What an online prescription leaves out.
Online weight services are convenient. Monthly billing, cancel anytime, no drive. But most of them stop at the prescription.
- No way of measuring what you are losing. We use validated tools, including bioimpedance, to track muscle, fat and fluid over time. That is how the plan gets personalised to you, and how you know the weight coming off is fat rather than strength.
- No real follow-up. A chat message isn’t the same as a visit with someone who knows your history.
- No plan for after. When weight comes off without changes to how you eat and live, it tends to come back, often as fat rather than the muscle you lost. Habit and behaviour change is the hardest part of weight loss, so we work on it directly: how to rewire the patterns, with the resources to make it stick.
- No care if medication isn’t right for you. At Terra, you still get the full program.
Evidence-based options, honestly explained.
Medication is one option here, not the point of the program, and it is never the first thing we reach for. Weight changes in midlife for several reasons at once, so the assessment comes first and the decision about medication comes out of it.
Where it is clinically appropriate, Terra prescribes Health Canada approved weight management medications, such as GLP-1 medications. Whether medication suits you is decided from your health history, your body composition, your bloodwork and your goals, not from a questionnaire.
These medications need ongoing care. The dose is adjusted as you go, side effects are managed, and nutrition and muscle preservation have to be handled alongside them. That follow-up is built into the program rather than sold separately.
Refills always need a visit. A new medication is usually prescribed about 30 days at a time while the dose is being worked out, and once you are stable a refill may cover three to six months, decided at your visit.
And if medication isn’t right for you, we’ll say so. The plan works either way.
Care built for the integrity
of the result.
- Clinical authority. Direct oversight by a SCOPE-certified nurse practitioner with six years inside Newfoundland’s Surgical Weight Management Program.
- Health Canada approved medication, where it fits. Assessed against your history and your goals, prescribed when it is appropriate and left out when it is not.
- A sustainable strategy. The aim is living better, not reaching a number on a scale.
- Muscle preservation. Nutrition and movement guidance built to protect your strength while the rest changes.
- Messaging between visits. A question about a side effect or something that has changed does not have to wait for your next visit. We come back to you within two business days, and if it needs an appointment rather than an answer in writing we will tell you.
On results. Metabolic shifts begin early. Visible change in body composition is cumulative and usually shows over several months of staying with it. Lasting change comes from regular, intentional care rather than intensity, and the aim is a routine that protects the investment you are making for the years ahead.
Marie Powell, NP, MSCP.
SCOPE-certified in obesity medicine. Menopause Society Certified Practitioner (MSCP). Six years inside Newfoundland’s Surgical Weight Management Program. 1,200+ lbs lost across Terra programs, tracked with body composition scans, not just a scale.
Terra Metabolic: $1,197.
One payment. Your $597 Assessment counts toward it, so join within 60 days and you pay $600 more.
Join within 60 days of your Terra Assessment and your $597 counts toward the program. Your balance after credit: $600.
Medication costs aren’t included in the program price, and coverage varies by plan.
How you get started.
- Book your Terra Assessment. A comprehensive assessment, a body composition scan and a written plan.
- Decide within 60 days. Join in that window and you will pay a $600 balance.
- Your program begins. Your plan, your nutrition and movement targets, and medication if it is right for you.
- Six months of follow-up. 7 visits and a scan at every in-clinic visit, adjusting as we go.
Want a scan without a program?
Book a body composition scan on its own for a baseline or a progress check. Single scan $75, repeat scans $60. In clinic only.
Questions,
answered.
Is Terra Metabolic right for me?
It is built for adults who want a clinical, evidence-led approach rather than another attempt at the same thing. It suits people who have been frustrated by methods that did not hold, and who want a strategy rather than a rule. Your health history is reviewed carefully to work out whether a medical approach is the right path at all. It is not a fit if you are after a quick fix, or if changing how you eat, move and sleep is not something you want to take on. The point is long-term wellbeing, not a fast number.
Do I have to stay on this forever?
No. The aim is a maintenance plan you can actually keep, one that supports where your health is heading rather than one that depends on staying in a program.
Will I lose muscle?
Protecting muscle is the priority, not an afterthought. The nutrition and movement guidance is built so that what you lose comes mainly from fat, and the body composition scans are how that gets checked rather than assumed.
Is there a specific diet I have to follow?
No. The guidance is evidence-based and built around your actual life, not a plan you have to arrange your week around. Wellness without the pressure.
Do I have to take weight medication?
No. Booking an appointment does not guarantee a prescription, and it does not require you to take one. Medication helps some people and it is never the whole plan. If it isn’t right or safe for you, you still get the full program.
Is this just a GLP-1 prescription?
No. Medication, if you use it, is one part of a 6-month program with nutrition, regular visits and body composition scans.
Can men join?
Yes. Terra Metabolic is open to all adults 18 and over whose main concern is weight.
What happens to my medication refills?
Refills are reviewed at your visits. Once you are stable on the same dose, you may get 3 to 6 months at a time. New medications are usually given about 30 days at a time. When your six months are up you can carry on with us either way: join Terra Continuity for your visits and refills across the year, or pay as you go at $149 a visit.
Can I do the program virtually?
Visits can be virtual if you live in NL, ON, AB and BC. Scans happen at in-clinic visits in Paradise. If you cannot get here for those, the program still works. We use other measurements to track what is changing instead.
Is it covered by MCP or insurance?
Not by MCP. Private workplace insurance sometimes covers nurse practitioner visits, but not always. We do not direct bill, and we give you a receipt to submit. A health spending account may also cover it.
What happens after six months?
You can join Terra Continuity, book follow-ups as you need them at $149, or carry on with your plan on your own.
Health first. The weight follows.
Let’s start with your story, and end with your plan.