If you are looking for a trusted weight management clinic Ankeny residents rely on, you are in the right place. We provide medical guidance, simple nutrition frameworks, activity plans, and regular follow-ups to help you lose weight safely and keep it off. Your care is led by Terrilee Jackel, ARNP, FNP-BC, a board-certified family nurse practitioner with advanced training in metabolic health. To get started or ask questions, call (515) 666-4224.
Medical weight care is different from quick fixes. We review your health history, medications, sleep, stress, and past attempts. We order targeted labs (A1C, lipids, thyroid, vitamin D, iron and others when needed) to find the real cause of weight gain or plateaus. Then we build a simple plan you can follow this week, not a one-time crash diet.
We deliver complete, practical support in one program:
Terrilee Jackel, ARNP, FNP-BC believes clear steps beat complex rules. You will always know why a test is ordered, what your results mean, and how each change supports your goal. Care is respectful, realistic, and focused on steady progress.
We keep food guidance straightforward and flexible:
No extreme rules, no long ingredient lists—just habits you can live with.
Activity should fit your life, not take it over. We set goals you can keep:
Consistency beats intensity. We track steps, strength gains, and how you feel day to day.
Some patients benefit from weight-loss medications as part of a broader plan. Options may include GLP-1 receptor agonists (such as semaglutide or tirzepatide), metformin, or other therapies based on your medical history and goals. Medication is never required and is used only when safe and appropriate. We start with the lowest effective dose, provide side-effect tips, and monitor labs and symptoms on schedule.
Note: All prescriptions follow current clinical guidelines and Iowa regulations. Some medicines are not suitable during pregnancy, while breastfeeding, or with certain conditions.
Your safety is our first priority. We screen for medication interactions, review heart and metabolic risks, and watch for side effects like nausea, reflux, or constipation. Most issues improve with dose timing, hydration, fiber, or temporary adjustments. If a therapy is not the best fit, we change course early.
If you do not meet criteria for medication, you can still succeed with nutrition, movement, sleep, and stress tools.
Results vary, and the timeline depends on your starting point and plan. Many patients notice improved energy, better sleep, steadier appetite, and looser clothing within the first 4–8 weeks. We track progress with the scale and non-scale markers: waist size, body composition, blood pressure, and A1C when relevant.
Follow-ups are available by secure video or in person. We can send e-prescriptions to your Iowa pharmacy and place lab orders near you. If an in-person exam is safer (for example, severe pain or injury), we will guide you to the right setting and coordinate next steps.
Coverage for visits, labs, and medications varies by plan. Before starting, we review expected costs and alternatives so you can plan with confidence. Many patients use HSA/FSA funds. For scheduling or billing questions, call (515) 666-4224.
Do I need a referral?
Most patients do not. Call (515) 666-4224 to confirm with your plan.
Are medications required?
No. Many patients succeed with nutrition, movement, sleep, and stress changes alone.
How fast will I see changes?
Early changes often appear within weeks. Long-term success comes from consistent habits and regular check-ins.
You deserve a plan that works in real life and support that lasts. To schedule your first visit with our weight management clinic Ankeny, call (515) 666-4224 today—New Day Health & Hormones.
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515-666-4224
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