Weight management by medical providers for the prevention and treatment of health conditions.

We evaluate and treat the health of each individual using a variety of tools including a weight, family, and medical history, a body composition analysis, and blood work, to determine potential causes of excess weight and associated conditions including pre-diabetes, Type 2 Diabetes, high blood pressure, sleep apnea, and high cholesterol. We work with the individual to formulate a program to treat, improve or reverse these conditions. Our programs include structured nutrition programs, meal replacement plans, prescription medication management, medical specialty referrals, and intensive behavioral coaching.  We accept many major health insurance plans. Our programs have been offered since 2015 and were created and developed by Dr. Valerie Sutherland.
We offer in person and virtual appointments through our Puyallup clinic or an online only program that can be done from anywhere.


New Direction VLCD or
Modified LCD

For women with 30 pounds or more to lose, or men with 40 or more pounds to lose, we offer a medical intervention known as a very low calorie diet. After a medical screening process, participants replace 2-3 meals and 1-2 snacks per day with prescription medical food consisting of shakes, puddings, soups, bars and snacks. Typical weight loss is 3-7 pounds per week, or 15 pounds per month for women and 20 pounds per month for men, although individual factors can cause results to vary.


Flexibility, Accountability, & Support

Sustainability is crucial for long term health. That is why we offer an online only program that allows the flexibility to accommodate the myriad of demands and challenges that you face. In this program, you will utilize our app for personal tracking of your program, accountability, support, and even individual video consultations if you choose. You will have full access to meal replacements delivered straight to your home. This program can be used for weight loss or prevention of weight regain by new or returning clients. It does not require blood work.


Insurance Verification & Enrollment Forms

We will bill our services (except one-time program fee) to contracted health insurance companies.  If you are a returning patient, we welcome you.  We are under new management and appreciate you providing us with your current information so we may resume your care.  Please bring your completed Demographics Form, Enrollment Application, Client Commitment Form, and Diet Readiness Behavioral Test to your first visit.  These can be emailed, faxed, or completed in the office.


Address the Underlying Cause.

Type 2 Diabetes is characterized by insulin resistance and higher than normal levels of insulin. With typical treatment, it is a chronic, progressive disease. Bariatric surgery is one option for drastically changing the course of the disease, and a very low calorie diet is another.


Losing weight is just the start.

After weight loss, there are a variety of physiologic processes that predispose a person to return to their starting body weight. Called "metabolic adaptation", these factors slow the resting metabolic rate and can increase hunger and cravings. Even after bariatric surgery, weight regain is common without ongoing follow up and, in some cases, treatment and a program. After the active weight loss phase, all patients are in our maintenance program, designed to maintain their weight within ten percent of their goal weight. That's why all our patients are automatically enrolled in our maintenance program free of charge upon reaching their goal weight range.



Rainier Medical Puyallup Office
Covid-19 Modified Schedule

Medical Food Purchase:

Tuesdays & Thursdays: 8:00 AM- 5:00 PM

(No appointment needed.)

Returning / New Patient Enrollment:
Tuesdays & Thursdays 8:00 AM- 5:00 PM

(Please call ahead to reserve your time.)

Medical Provider Visits / New Starts:
Saturdays: 8:00 AM - 3:00 PM

(Please attend enrollment visit prior.)

Virtual and In-Person visits available. 



16515 Meridian E #105b, Puyallup, WA 98375, USA

Puyallup: (253) 904-8501 Online: (540) 522-9489


Puyallup: (253) 904-8501 Online: (540) 522-9489

16515 Meridian E #105b, Puyallup, WA 98375, USA

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