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See what others are asking and learn more about Alfie's precision weight management program. Don't see an answer to your question here? Call or text us at 844-625-0623 any time.


What is Alfie? 

Alfie is the first program to utilize personalized weight loss algorithms to optimize your weight loss through clinically proven science. We utilize intake data from lab results, questionnaires, and physical tests to determine why your body specifically gains weight and through which pathways it will most easily lose weight.

We then take this data to determine which medication, if any, will be most effective to help you lose weight. Based on ongoing data we collect from your connected smart devices and responses to our care team, we update your medication(s) on a biweekly basis to optimize your weight loss if needed.

Who is Alfie for?

We've been in your shoes and are tired of programs that prescribe blanket medications.

Alfie is for anyone over the age of 18 with a BMI of 30 and above or 27 and above with comorbidities such as obstructive sleep apnea, hypertension, dislypidemia, etc. We'll work with you to determine the best combination of medications and coaching to help you lose weight.

To find out if you're eligible, sign up today! 

What is a metabolic profile? 

Your metabolic profile is a combination of metabolic hormones, questionnaires, and physical measurements like waist size that help determine exactly which brain pathways control your weight gain. This allows us to determine the most effective combination of medications to optimize your weight loss.

In fact, up to 50% of people have been shown to be non-responders to certain weight loss medications. When you sign up for Alfie, we utilize this metabolic profile to make sure your weight loss plan is as effective as possible.

What do you mean by precision medication? 

Precision medicine for weight loss is a new paradigm that classifies mechanisms of weight gain based on individual humans rather than assuming all weight gain is the same. Such classifications allow us to maximize weight loss effectiveness and safety.

Based on your metabolic profile, your Alfie providers will determine the right medications or combination of medications to optimize how you lose weight. Simultaneously, we'll follow up at frequent, regular intervals to titrate your medications (change the quantity or dosage) based on the accountability data we receive from you.

How does Alfie differ from other weight loss programs? 

Alfie is the first and only weight loss program that offers precision weight loss based on a complete metabolic profile. Rather than prescribe blanket medications to all users, we use cutting-edge research to optimize your weight loss through a specific understanding of your exact metabolism.

Does Alfie replace my primary care provider? 

Alfie is not a replacement for your primary care provider or any specialists who are currently managing your care, although we look forward to working with them.

Do I need a referral from my doctor to use Alfie? 

No, you do not need a referral from your doctor to use Alfie.


Who is eligible to join Alfie?

Alfie is available to adults with a BMI of 30 and above (or 27 and above with other metabolic conditions such as diabetes, pre-diabetes, high cholesterol, high blood pressure, cardiovascular disease, non-alcoholic fatty liver disease, or obstructive sleep apnea).

Alfie is currently available in DC, MD, VA, NJ, NY, FL, and TX.

Can I join Alfie if I have a pre-existing condition? 


Alfie is designed to work for people with a variety of underlying conditions. Throughout the program, we’ll monitor your metabolic health and can work with your primary care to coordinate your treatment plan. The metabolic changes you make with Alfie will likely have a positive effect on other conditions you may have.


Are the medications Alfie prescribes safe?

When you sign up for Alfie, you complete a detailed metabolic profile including blood work that is reviewed by your Alfie healthcare professional before prescribing any medication. Alfie providers prescribe a variety of medications that are all approved by the FDA.

What medications does Alfie prescribe?

Alfie prescribes a variety of weight loss medications based on your metabolic profile, insurance, and visit with your provider.

To learn more about the medications we prescribe, visit our medications page here.


How does Alfie keep me accountable? 

At Alfie, we combine smart device data, biweekly feedback with your care team, and health coaching to optimize your weight loss. We use this data to determine which medications and a combination of medications can help you achieve your goals in the most effective manner.

When you join Alfie, we'll connect you with a certified health coach. Rather than giving you a total life makeover, your health coach will work with you to determine manageable weekly goals that you can complete in order to start building lifestyle habit changes. As you continue meeting with your health coaches, your feedback will be the basis for further goals.

Do I need a smart device to join Alfie? 

No, we can use data from a variety of sources, such as MyFitnessPal, and you can also share data with us directly.


Does Alfie take insurance? 

Yes, Alfie accepts many major insurances in certain states. Reach out to us today to see if you're covered! For customers who are not covered, our program costs $120 / month.

Does Alfie accept FSA/HSA cards?

Yes, Alfie accepts these methods of payment.

What's not included in the price?

Prescription medications are not included in the membership cost, but Alfie will work with your insurance to get them covered. Medication should be capped at $25 or less per month after any deductible is met.

What is Alfie's refund policy? 

We offer a full refund if you request a refund prior to seeing a provider.

If you see a provider, and are ineligible for the program we can offer you a refund on the program, minus a $120 fee which covers our provider's time.

If you see a provider and are unable to get coverage for a medication within 60 days of seeing the provider, we will offer a full refund to the program, minus an $80 fee which covers our provider's time.

If you're not satisfied with the program and would like a refund, send us an email at info@joinalfie.com with the subject line "Cancel Subscription". Please note: in order to cancel your subscription, you must notify us 10 days prior to your subscription renewal date, per our terms and conditions.


Who are the health providers I will see?

Alfie employs licensed and certified professionals including Nurse Practitioners (NPs) and medical doctors (MDs). You may be seen by NPs or MDs or both.

Alfie health coaches are certified and educated in a wide variety of fields, including weight loss, nutrition, sleep, and well-being.


How does Alfie secure my data? 

Your data's security is of utmost importance to us. As doctors and biomedical engineers we understand best practices for storing, transferring, and securing data securely and in compliance with regulations like HIPAA when required.

For details on pricing, see our privacy policy and privacy practices.

Why does Alfie verify my identify?

When you sign up for Alfie, we ask you to verify your identity by sharing your photo identification. We do this to make sure you're signing up for yourself and not on someone else's behalf and to comply with medical regulations.

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Metabolic Profile

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Precision medication and coaching