Model of Care

How NouraLife Works

For patients, coaches, and clinical partners — a new standard for behavioral support in medical weight loss.

Medical weight loss programs have never been more effective. But medication and surgery address the biological dimension of weight — they do not address the behavioral, emotional, and nutritional patterns that determine whether those results last.

NouraLife was built to fill that gap. We are a human-AI hybrid behavioral coaching platform designed specifically for individuals in medical weight loss programs. Our model combines the consistency of artificial intelligence with the insight and relationship of a real human coach — delivering the kind of daily, continuous support that monthly appointments simply cannot provide.

This is not an app that tracks calories and sends push notifications. This is a structured, evidence-based model of care with a credentialed coach at its center and intelligent technology supporting every step of the journey.

Six Steps of Continuous Care

A structured, evidence-based pathway — from first enrollment through ongoing outcome tracking.

1

Enrollment and Intake Assessment

Every NouraLife patient begins with a comprehensive intake process. Whether you arrive through a referring bariatric program, a GLP-1 prescriber, or direct enrollment, your onboarding captures:

  • Current medical weight loss program and clinical team
  • Health history, medications, and relevant diagnoses
  • Behavioral and nutritional baseline
  • Personal goals, motivators, and barriers
  • Mental wellness indicators including stress, sleep, and emotional eating patterns

This intake is not a formality. It is the foundation on which your entire coaching plan is built. Your coach reviews it personally before your program begins.

Foundation
2

Personalized Goal Setting by a Real Coach

Before your AI does anything, a real NouraLife coach does something more important: they read your intake, understand your situation, and set individualized behavioral and nutritional goals inside the app that are specific to you and aligned with your medical program.

This is the element that separates NouraLife from every generic wellness app on the market. Your AI does not set your goals. Your coach does. The AI delivers on them — every single day.

Human-first
3

Daily AI Check-Ins

Once your goals are set, your NouraLife AI engages with you every day. Not weekly. Not when you remember to open the app. Every day.

  • Progress toward your coach-set goals
  • Nutrition and habit adherence
  • Mood and emotional wellness
  • Any obstacles, challenges, or concerns

The AI does not just collect this information — it responds to it. It celebrates your wins, troubleshoots your obstacles, and delivers targeted educational content. If something concerning surfaces, it escalates to your coach.

Daily continuity
4

Real-Time Coach Monitoring and Adjustment

While your AI is working on the front end, your NouraLife coach is working on the back end — watching goal adherence rates, mood trends, habit patterns, and behavioral flags in real time.

Coaches are not waiting for your next session to know how you are doing. When a pattern is worth addressing, they reach out directly through the app. This is continuous care. Not episodic care with gaps in between.

Continuous monitoring
5

Group and Individual Coaching Programs

The AI and coach backend create the infrastructure. The human relationship creates the transformation.

Episodic Group Programs

Structured 8–10 week programs led by a NouraLife coach with daily AI continuity between sessions.

  • The Weight Reset Program — 8 weeks
  • Anxiety and Nutrition Reset — 8 weeks
  • Additional programs added quarterly

Group Coaching

Bi-weekly video sessions, real-time messaging access, and a fully individualized program built around your specific medical weight loss journey.

Human relationship
6

Outcome Tracking and Care Coordination

NouraLife tracks meaningful outcomes across every patient's program: habit adherence rates, mood trajectory, goal completion, self-reported wellbeing, and behavioral pattern changes over time.

With patient consent, NouraLife can provide aggregate, de-identified outcome summaries to referring clinical partners — closing the care loop without compromising patient privacy.

Care coordination

What NouraLife Is — and Is Not

Clarity on scope of practice is a mark of clinical integrity, not a limitation.

NouraLife coaches provide

  • Behavioral goal-setting and accountability coaching
  • Nutritional habit coaching aligned with medical weight loss programs
  • AI-delivered daily behavioral check-ins and progress tracking
  • Motivational support, obstacle troubleshooting, and educational content
  • Emotional wellness coaching including stress management and emotional eating awareness
  • Real-time coach monitoring and adjustment via the coach backend

NouraLife coaches do not provide

  • Prescription or management of medications of any kind
  • Clinical diagnosis of any physical or mental health condition
  • Psychotherapy, clinical counseling, or mental health treatment
  • Medical nutrition therapy requiring a licensed dietitian
  • Substitution for the care of your physician, surgeon, or licensed clinical team

NouraLife operates as a complementary behavioral support layer within your existing medical weight loss program — not as a replacement for it.

Built on Published Research

Grounded in behavioral science, nutritional psychiatry, and digital health research.

0%

Greater weight loss on semaglutide with behavioral coaching companions versus medication alone.

Omada Health, January 2026

0%

Of GLP-1 patients discontinue medication within 12 months without structured behavioral support.

Telehealth Ally, 2026

0%

Reduction in depression symptoms through structured coaching interventions.

PMC / Modern Health Study, 2025

0%

Of users in structured digital coaching report improvement in depression symptoms within 6–16 weeks.

Headspace Clinical Outcomes, 2025

You May Be a Strong Fit If…

Currently enrolled in a GLP-1 medication program (Wegovy, Ozempic, Mounjaro, or equivalent)

Preparing for or recovering from bariatric surgery

In a physician-supervised medical weight management program

Experiencing stress eating, emotional eating, or weight-related anxiety your current program doesn't address

Someone who has tried apps before and found them too generic, too passive, or too disconnected from real life

A motivated adult who knows that lasting change requires more than a prescription and a monthly check-in

NouraLife is not a clinical program. If you are in crisis or require emergency mental health support, please contact the 988 Suicide and Crisis Lifeline by calling or texting 988, or go to your nearest emergency room.

Referring Your Patients Is Simple

If you are a bariatric surgeon, GLP-1 prescriber, obesity medicine specialist, or healthcare coordinator, NouraLife is designed to work seamlessly alongside your program.

1

Share the enrollment link

Share NouraLife's enrollment link or QR code with your patient — no billing or administrative burden on your practice.

2

Patient enrolls directly

The patient enrolls and selects their plan. NouraLife handles onboarding, coaching, and daily engagement entirely.

3

Daily support between your appointments

NouraLife manages behavioral coaching, daily AI check-ins, and goal tracking while your patient is between visits.

4

Receive aggregate outcome reports

With patient consent, you can receive aggregate outcome reports to support better clinical decision-making without compromising privacy.

To discuss a referral partnership or request a clinical overview call:

[email protected]

207-217-4035

Behind the Model

JC
KC

NouraLife was founded by Dr. Joseph Cirigliano, Psy.D., a licensed psychologist with extensive training in Acceptance and Commitment Therapy (ACT) and behavioral health, and Katelyn Cirigliano, MSAN, a specialist in applied nutrition whose work focuses on the relationship between nutritional status and mental health outcomes.

The NouraLife model of care reflects their combined clinical experience and their shared conviction that mental wellness and nutritional health are inseparable — and that the people who need the most support are often those least well-served by traditional healthcare's monthly appointment model.

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For providers

Partner With NouraLife

Learn how NouraLife can support your patients between appointments and strengthen your program outcomes.

Contact Us

NouraLife is a behavioral coaching and wellness education platform. It is not a licensed mental health treatment provider and does not provide medical, psychiatric, or clinical nutrition services. Always consult your physician or licensed clinical team for medical decisions.