Real Results. Smart Support. Medically Guided Weight Loss + Wellness That Works
Led by a Doctorally-prepared Nurse Practitioner, NxtScale offers telemedicine-based medical weight loss, metabolic optimization, and personalized wellness plans that will finally break through decades of disappointing results

Meet Your Provider

Dr. Meghan Kohuth, DNP, CRNP, FNP-C, FNP-BC

Proudly serving Pennsylvania and Florida through secure, telemedicine-based care

Welcome—I’m so glad you’re here.

I’m Dr. Meghan Kohuth, a Doctorally-  prepared, Double Board-Certified Family Nurse Practitioner with over 10 years of diverse clinical experience spanning in primary care, emergency department, mental health and functional medicine. But more importantly—I’ve been where you are.

For years, I struggled with my own weight despite doing everything right.  I exercised daily, ate what I believed was healthy, and managed a high-stress, full-time career in healthcare. But no matter what I tried, I couldn’t get to where I wanted to be.

Eventually, the frustration turned into anxiety—and then into hopelessness. I felt exhausted, defeated, and disconnected from the person I used to be. I spent hundreds of dollars on programs, supplements, and tools that didn’t deliver. I avoided pool parties, felt uncomfortable in my clothes, and dreaded social events. I wasn’t carrying 50 extra pounds, but the 20 extra I did have ,took a massive toll on my confidence, energy, and quality of life.

That’s when I stopped looking for quick fixes and started looking deeper. I focused on metabolic health, nutrient and hormonal imbalances, stress response, and individualized strategies. That journey changed everything—and it’s what inspired me to create NxtScale Wellness.

I’m here not just as your provider, but as your partner. Your coach. Your guide. And your biggest supporter.

If you’re committed, motivated, tired, of dieting and workouts that do not bring effects—you’re in the right place!

Let’s do this the right way.
Together.

Love,
Meghan ❤️

Let’s do this the right way. Together.

Medical Weight Loss

Real results. Done the right way.
Our medical weight loss program is built on clinical expertise—not fads or guesswork. We begin with a full metabolic health assessment, lab testing, and an in-depth review of your history to identify what’s holding you back. From there, we create a personalized, sustainable treatment plan that may include GLP-1 therapy, oral medications, nutrition coaching, and movement support—all closely monitored by Dr. Meghan Kohuth, DNP, CRNP. Whether you need to lose 5 or 50 pounds, we help you do it safely, effectively, and on your terms.

Hormone Management Therapy

Our Hormone Management Therapy helps women and men rebalance key hormones through every stage of life. From perimenopause and menopause in women to age-related hormone decline in men, we use advanced testing and personalized treatment to restore energy, mood, metabolism, and overall vitality.

Fitness & Metabolic Optimization

Train smarter. Fuel better. Feel stronger.
If you’re doing “everything right” but not seeing results, it’s time for a smarter strategy. Our metabolic and fitness optimization service takes a deeper look at your nutrition, exercise, hormone balance, and recovery habits. We use science-backed tools and lab insights to build a plan tailored to your physiology, age, gender, and goals—whether that’s building lean muscle, breaking a plateau, or just feeling more energized. You’ll get custom weekly meal plans, macronutrient targets, and workout routines to help your body work with you—not against you.

Urgent Care (Telehealth)

Fast, reliable care—when you need it.
Skip the waiting room. NxtScale Wellness offers convenient telemedicine-based urgent care visits for common, non-emergency medical issues. Whether it’s a minor illness, infection, medication refill, or concern that can’t wait for your PCP—we’ve got you. You’ll be seen by an experienced, board-certified provider who listens, evaluates, and treats—promptly and professionally.

NxtScale

Why customers love us

"Before working with Dr. Kohuth at NxtScale Wellness, I felt stuck and frustrated. I was doing everything—eating healthy, exercising regularly—but the stubborn 15 pounds just wouldn’t budge. The personalized approach made all the difference. Dr. Kohuth reviewed my labs, lifestyle, and history, and together we crafted a plan that actually fit my life. The telemedicine visits were super convenient, and having direct access through messaging kept me motivated. Now, not only have I lost those stubborn pounds, but I feel more energetic, confident, and in control of my health than ever before. I can finally enjoy life without worrying about how my clothes fit or avoiding social events. This isn’t just weight loss—it’s a whole new me!"
Amanda S., 34

Philadelphia, PA

As someone who’s always been active, hitting a plateau with my weight was really frustrating. I tried different diets and supplements, but nothing worked long-term. Working with Dr. Kohuth changed everything. The focus on metabolic health and a customized plan that included safe medications and supplements was exactly what I needed. Plus, the telemedicine setup made it easy to fit appointments into my busy schedule. Over the past six months, I’ve lost 25 pounds, gained muscle, and have way more energy at work and home. The guidance and support made the whole process feel manageable and safe. I highly recommend NxtScale Wellness to anyone serious about real results."
Jason T., 42

Pittsburgh, PA

Articles

Wellness Insights

You’re not lazy. You’re not broken.
You just need a personalized plan, rooted in science and built around you.

Ready to begin your wellness journey?

We’re not here to slap on a Band-Aid. We’re here to help you take control—for good.

Ready to scale up your wellness?
Let’s do this—together.