Medi-Weightloss franchise costs & fees: the 10-year math
Independence note: this site is not affiliated with Medi-Weightloss. The name is used only to identify the company discussed (see the publisher disclosure in the footer). Figures below are dated; Medi-Weightloss’s current official documents control.
All-in investment (Item 7)
~$251,000–$494,000
Royalty (Item 6)
10% of gross, ≈$2,500/mo minimum
Additional ongoing
1–2% brand fund + mandated ~$5,000/mo local marketing
Footprint
~130 locations, ~30 states; 20+ years operating
Model
Prescription/compounded medical weight loss (incl. GLP-1)
The incumbent
Medi-Weightloss is the credibility incumbent in medical weight loss: two decades of operation, roughly 130 locations, audited disclosure documents, and explicit recruitment of non-medical entrepreneurs under a semi-absentee executive model. If you are researching this category, you will land on this brand — and it deserves a serious look.
The heaviest fee stack in the category
The ongoing take is the largest we have reviewed in this lane: 10% of gross with a monthly minimum around $2,500 that applies before the clinic ramps, plus a 1–2% brand fund, plus a mandated local-marketing spend around $5,000 per month. At moderate volumes, the combined obligation can exceed 15% of gross in early months. Run the full stack — not the royalty line alone — at your projected revenue for years one through ten.
The Item 19 fine print
The widely-quoted $1.84M average unit volume comes from a subset of 19 top-marketing-spend units; analyses of the same disclosure put the broader system average near $989K. Ask for the median, the distribution, and which units are excluded from the headline figure.
Unit-count trend
Audited franchised unit count has been essentially flat in recent disclosure years (roughly 88 to 87). Flat is not failing — but for a 20-year brand riding the biggest demand wave in the category's history, it is a trend worth asking about.
Take these questions to them
“What does the full fee stack — royalty, minimum, brand fund, mandated marketing — total in year one, before break-even?”
“How many units does the $1.84M headline include, and what is the median across all units?”
“How has franchised unit count moved across the last three FDDs?”
“What happens to my location's goodwill and patient list if I exit?”
Where we stand — disclosedThis site is published by Atlas Metabolic, which offers a 0%-royalty license model in this category (partner owns their own brand; final agreements control). We think the honest comparison — documents, fees, ownership at exit — favors that structure, and you should verify that skepticism-first: see how Atlas structures it, and hold us to the same diligence standard this site applies to everyone else. If you want to see ongoing-fee structures side by side at your own numbers, use the RoyaltyMath calculator.
Sources & dates (retrieved July 29, 2026 unless noted)