A stepwise approach for an obesity management program offered by United Medical Group for a virtual telehealth service would involve the following steps:

First visit: During the first virtual visit, patients would discuss their medical history, including any ongoing weight issues, with a licensed healthcare professional from United Medical Group. The doctor would then recommend a primary care physician (PCP) follow-up to obtain initial vital signs such as weight, height, BMI, and waist circumference.

Tests: Based on the patient's medical history and initial vital signs, the doctor would recommend specific tests to further evaluate the patient's health status. These tests could include blood work, sleep study, and others. These tests can be ordered on United Medical Group's telehealth platform for the patient to go to a lab.

Lab interpretation: After the patient has completed the recommended tests, the next step would be to schedule a virtual lab interpretation appointment with a United Medical Group licensed healthcare professional. During this appointment, the doctor would review the test results and discuss the patient's health status and any potential risks.

Treatment algorithm: Based on the patient's test results and health status, a treatment algorithm would be developed by United Medical Group's licensed healthcare professionals. This would include a combination of diet, exercise, and medication as appropriate. The patient would be given specific goals and targets to work towards.

Behavioral modification: United Medical Group's licensed healthcare professionals would address any emotional or psychological factors that may contribute to the patient's obesity. This could include stress, emotional eating, or a lack of motivation. Behavioral modification techniques such as cognitive-behavioral therapy or motivational interviewing may be used to help patients identify and overcome these barriers to weight loss.

Follow-up: Regular virtual follow-up appointments would be scheduled to monitor the patient's progress, adjust the treatment plan as needed, and provide support and encouragement.

It's important to note that not everyone qualifies for weight loss treatments, and there are risks associated with any weight loss program. This program should be designed and implemented under the guidance and supervision of United Medical Group's licensed healthcare professionals and may need to be tailored to individual patients based on their specific needs and health status. It's important for patients to have realistic expectations and understand that weight loss is a gradual process that requires commitment, patience and effort. Always consult a healthcare professional before starting any weight loss program.