Before-N-After

About Before-N-After

What is Before-N-After?

Before-N-After is a multi-office clinic with locations in San Marcos, Menifee, Mission Valley, Encinitas, Carmel Mountain and Temecula, California, and in Salt Lake City, Utah. The homepage calls it a weight loss clinic, but much of its menu is cosmetic, including Botox, Juvéderm, SkinPen microneedling and lip augmentation. Google lists it as a medical spa and shows a 4.7 rating from 153 reviews.

Its medical services are weight loss injections, bioidentical hormone replacement therapy (BHRT) and NAD+ therapy. Dr. John Love and Dr. Lou Orosz are each listed as Medical Director and Weight Loss & HRT Specialist, and no credentials are given for either of them. The team is described as doctors, physician assistants, nurse practitioners and registered nurses. Weight loss and BHRT consultations can also be done by video from home. The clinic describes its injections this way: "a compounded generic medical weight loss agonist."

This listing is for its San Marcos office at 727 W San Marcos Blvd Suite106.

What does it cost?

Weight loss injections run $80 to $120 per week, with one injection each week. The clinic does not say whether that price includes the medication. Weight loss programs can be bought week by week with no minimum commitment, and that is the only cancellation term it gives.

The $75 consultation saving is part of an October promotion for new clients who enroll that month, which also offers 50% off the first month. The regular consultation fee is not published. No price is published for BHRT. It does not say whether insurance is accepted. The menu lists Financing, but its terms are not shown, and hours are not listed.

What should you ask before you book?

Ask who signs the prescription and what credentials each prescriber holds, since the clinic gives the names without credentials. Ask whether the weekly fee includes the medication, and whether the injection is compounded or brand-name. The clinic does not name the drug in its injections, so ask for the name directly.

Ask whether a first visit can be done by video. The weight loss page says the first consultation takes place in person at San Marcos or Menifee, while the booking page offers virtual visits. Ask what follow-up visits and lab work cost, and what the appetite suppressants and diuretics mentioned in its programs add to the price. Ask whether insurance or an HSA can be used, what BHRT costs, and what happens to a weekly plan if you stop after a week.

Who is it a good fit for?

This is a good fit if you want weight loss injections or BHRT paid for out of pocket, you live near one of its offices or can do a video visit, and you are willing to get the prescriber, medication and price answers in writing before you pay. If you are mainly interested in the cosmetic services, ask for prices before you book.

Sources: beforenafter.com, beforenafter.com/weight-loss-ca/weight-loss-injections, beforenafter.com/ppc-weight-loss, beforenafter.com/weight-loss-ca

Services Offered