Michigan Weight Navigation Program (MiWeigh) Study

Inclusion Criteria: * Body Mass index (BMI) 30 kilogram per square meter or higher * Diagnosed with one or more of the following weight-related conditions: * Type 2 Diabetes * Prediabetes Mellitus * Hyperlipidemia (HLP) * Hypertension (HTN) * Polycystic Ovary Syndrome (PCOS) * Obstructive Sleep Apnea (OSA) and/or * Metabolic dysfunction-associated steatotic liver disease (MASLD) * Speaks English * Interest in losing weight * Willingness to complete assessments per study protocol * Willing and able to use the Electronic health records patient portal to respond to messages * Willing to report weight weekly by text if randomized to intervention arm * Able to see provider virtually at certain days/times up to four times in a year Exclusion Criteria: * ≥ 5% weight loss within the prior 12 months * Has had a Weight Navigation Program visit in past * Pregnant, planning a pregnancy, or breastfeeding in the next year * Ongoing participation in another weight-loss program * Taking an anti-obesity medication * Ever diagnosed with Type 1 Diabetes Mellitus (per protocol) * Dementia * Serious uncontrolled mental health conditions as indicated (per protocol) * Chronic kidney disease, Stage 4 or higher * Alcohol dependence and opioid dependence (per protocol) * History of anorexia or bulimia * Bariatric/ gastric bypass surgery, gastric sleeve surgery, or gastric balloon procedure in last year * Currently enrolled in an interventional research study that is examining how a diet, program, or drug might: promote physical exercise, healthy eating habits, or weight loss; lower blood pressure; or lower blood sugar * Not planning to live in local area over the next year * Intensive cancer treatment such as bone marrow transplant, chemotherapy, radiation, or cancer related surgery (not including hormonal chemotherapy like Tamoxifen) in last six months or next 12 months * Other serious health issues or personal concerns that could prevent participant from completing study