About Us

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.

Dr. Meghan Kohuth, DNP, CRNP, FNP-C, FNP-BC Proudly serving Pennsylvania and Florida through secure, telemedicine-based care

Meet Your Provider

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 ❤️

our mission

To help you feel better, look stronger, and live fully

At NxtScale Wellness, our mission is simple: To help you feel better, look stronger, and live fully—by doing wellness the right way.

We’re here for the goal-setters, the gym-goers, the tired-but-trying, and everyone in between. Whether you’re chasing that last 10 lbs, looking to boost your energy, or just want to feel good in your body again—we’ve got you.

Who We Serve

We specialize in working with adults ages 18–60 who are

Looking to lose stubborn weight and keep it off

You have tried conventional diets and fitness plans without success and are frustrated by the "yo-yo" effect. You need a sustainable, science-backed approach that addresses the root metabolic causes of weight gain to achieve and maintain long-term fat loss.

Struggling with energy dips, poor sleep, or stress weight

Your daily routine is compromised by mid-day fatigue, poor sleep quality, and a feeling that chronic stress is directly preventing you from achieving your body composition goals. You require a solution focused on hormonal balance and optimized recovery.

Ready to get the most out of their workouts and nutrition

You are already committed to a healthy lifestyle (eating well and exercising) but are not seeing proportionate results. You need precision-guided protocols based on your unique physiology, gender, and goals to maximize efficiency and break through performance plateaus.

Curious about safe, medical strategies that support muscle, metabolism, and longevity

You seek advanced, non-conventional strategies that go beyond basic fitness advice. You are interested in leveraging data-driven insights (such as blood work and biometrics) to optimize your metabolism, support muscle maintenance, and improve overall health span (longevity).

Committed to their health but want expert guidance

You possess the discipline and motivation to succeed, but you lack a clear, customized roadmap and accountability from a specialized expert. You need professional oversight to ensure every effort is directed towards measurable and successful outcomes.

If you’re motivated but just need a smarter system and the right provider on your side —you’re in the right place.

How We Help

We Do Things Differently—We Do It the Right Way

We take an individualized, medical approach to weight loss and wellness. This means no cookie-cutter meal plans, no trendy detoxes—just real science and real results.

We look at the whole picture to understand the underlying factors that may be sabotaging your progress—like insulin resistance, poor sleep, hormonal imbalance, nutrient deficiencies, or chronic stress, and under nutrition (yes! You read that right!)

Once we know the “why,” we create a personalized plan for the “how.”

Metabolic Assessments – In-depth lab work + lifestyle evaluation
Prescribed Weight Loss Aids – FDA-approved + compounded meds
Nutrition & Movement Coaching – Aligned with your phase of life + goals
Supplement Guidance – Support cellular regeneration, muscle building & more
Ongoing Optimization – Regular virtual check-ins and progress monitoring
Fully Virtual – Care that fits into your life, not the other way around

Let’s do this the right way. Together.