Totality Medispa
Verified listingAbout Totality Medispa
What is Totality Medispa?
Totality Medispa is a medical spa with offices on Daniel Island, in downtown Charleston, on Hilton Head Island and in Summerville, South Carolina, plus one in Willow Park, Texas. Most of what it offers is aesthetic: Botox, fillers, CoolSculpting Elite, Emsculpt, CO2RE laser resurfacing, microneedling, laser hair reduction, waxing and IV hydration. Two of its services are closer to what most readers here are looking for. The first is medical weight loss, which the clinic calls physician-led. It uses GLP-1 medications such as Wegovy and semaglutide injection, and it also offers Contrave. The second is hormone replacement therapy for women with perimenopause or menopause symptoms.
Dr. Nicole Nadel is the only prescriber named, and the practice runs under her direction. No credentials are published for her. Google shows the business as a medical spa with a 4.8 rating from 432 reviews.
This listing is for its Daniel Island office at 885 Island Park Dr Ste b.
What does it cost?
It does not publish prices for weight loss, hormone therapy or the spa treatments. The cost of its weight loss program varies with each personalized plan and is discussed at consultation. Each appointment includes a consultation before treatment, but no fee for that visit is stated. It also does not say whether the medication is part of any program price, or whether it accepts insurance.
What should you ask before you book?
Start with the prescriber. Ask whether Dr. Nicole Nadel would write your prescription, what her credentials are, and who else would see you. Then ask whether the program price includes the medication and, if it does not, what each refill costs. Its weight loss material describes name-brand Wegovy as FDA-approved for weight loss and says compounded alternatives may be available for patients who qualify. Ask which product you would receive, whether compounded versions are FDA-approved, and whether the price changes between the two.
Ask what lab work and follow-up visits cost, and whether any visits can be done by video, since the clinic does not say whether it offers telehealth. For hormone therapy, ask what the evaluation costs and whether it must happen before any treatment is recommended. Finally, ask how to cancel, and whether any membership or package has a minimum term.
Who is it a good fit for?
This is a good fit if you want medical weight loss or menopause care in the same place as spa treatments, and you are willing to ask about price and the prescriber before you book. It is a weaker fit if you need published prices and posted credentials before you call.
Sources: totalitymed.com, totalitymed.com/medical-spa-services/body-treatments/weight-loss, totalitymed.com/medical-spa-services/wellness/hormone-replacement-therapy, totalitymed.com/medical-spa-services
Services Offered
What we confirmed
Read off Totality Medispa’s own website on 2026-10-14. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “GLP-1 medications, such as Semaglutide Injection” source
- ✓Hormone therapy — listed on their site as “Hormone Replacement Therapy for Women” source
We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.