Vitality Medical and Wellness Consulting
A Concierge Approach to Primary Care and Weight Management

About Us

Vitality Medical and Wellness Consulting is a concierge primary care medical clinic in Saint Louis, Missouri, USA founded in 2021. In addition to providing primary care to adults in Missouri and southern Illinois, we specialize in creating sustainable, science-based weight loss for individuals desiring to radically transform their lives.

Find Freedom in your health
Our expertise

Find freedom in your health

We solve medical problems by addressing the underlying root causes of dysfunction. We view health holistically, understanding the intricate connection between thoughts, feelings, and physical symptoms. We identify the causative mindset, beliefs, feelings, habits, and behaviors contributing to lifestyle-induced chronic disease, including obesity.



We focus on long-term solutions and creating sustainable change rather than quick fixes that leave you with unsolved problems. We teach you practical ways to apply science to reverse problems and resolve symptoms. This is not limited to the traditional advice of “diet and exercise” given in traditional medical clinics. 



Dr. Amy Loden's expertise


Resident Physician – Internal Medicine at Weill Cornell Medicine


Medical director at Washington University School of Medicine in St. Louis


Internal Medicine Physician for Women – Consultants in Women’s Healthcare


Founder of VitalityMWC and creator of the proprietary wellness program

Amy (Loden) Tiffany, MD, FACP

Amy (Loden) Tiffany, MD, FACP

Dr. Loden is board-certified in Internal Medicine, Obesity Medicine, Lifestyle Medicine, and Health and Wellness Coaching. She is a Fellow of the American College of Physicians. She is also a certified life coach. She graduated with honors from Missouri State University (BS) and the University of Missouri School of Medicine (MD), followed by an Internal medicine internship at the University of Texas Southwestern Medical Center in Dallas and residency at Weill Cornell Medical Center in New York City. She earned her MBA from Washington University in Saint Louis.   

She advocates for a holistic approach to wellness to prevent, treat, and reverse lifestyle-related chronic diseases, including obesity. She created a science-based course to help people integrate practical change into their lives, which is available to the public. This program has demonstrated three-month clinical outcomes of weight loss, blood pressure reduction, and glucose, cholesterol, and liver enzyme elevation improvements. Additional benefits include increased energy, higher self-esteem and self-confidence, stronger relationships, lower stress levels, and increased productivity. 

She is passionate about identifying women with atypical risks for diabetes and cardiovascular disease such as polycystic ovarian syndrome, pregnancies affected by diabetes, high blood pressure, or preeclampsia, and severe menopausal vasomotor symptoms (hot flashes), as these all predict future cardiovascular disease.

Anna Burke, FNP-BC

Anna Burke, FNP-BC

Anna Burke, FNP-BC, is board-certified in Family Nursing Practice by the American Nurses Credentialing Center (AANC). She attended Saint Louis University, graduating with a Master of Science in Nursing. She also completed her undergraduate education at Saint Louis University, graduating with honors. She spent ten years working in critical care medicine at Missouri Baptist Medical Center before transitioning her career to primary care with a focus on obesity management, behavioral health, and preventive medicine. A native of Chicago, IL, Anna moved to Saint Louis in 2007.

Anna focuses her practice on adult medicine and co-manages a panel of patients with Dr. Loden, treating chronic disease and acute illnesses. She is passionate about helping patients obtain convenient, high-value, evidence-based care. Additionally, she leverages preventive medicine and her nursing expertise to optimize long-term health for healthy patients. Her caring and gentle demeanor puts her patients at ease, and she is loved by her patients and colleagues alike. Her clinical interests include obesity management and improving mental health in primary care. 

 Anna is interested in using non-pharmacologic ways to treat disease and has completed additional training in Culinary Medicine from Harvard University. She uses these skills to augment her work as an advanced practice nurse and certified health coach.

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