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Personalized Complete Care

Marianne Pinkston, MD

Ryan Wencl, Nurse Practitioner

We are accepting new patients

We accept almost all insurances

PLEASE CALL YOUR INSURANCE as many of the lists online or book are incorrect

We are listed as MPMD not Pinkston Medical and Wellness on some insurances

We offer telemedicine appointments

Bio-Identical Hormone Pellet Therapy

Semiglutide, Ozempic, Wegovy, Mounjaro, tirzepetide equivalant injectable weight loss program available through an associated compounding pharmacy


No need for patients to do apps or application for ED or erectile dysfunction medication or medications for mental health.

I provide these services

Office Hours: Note we offer Walk In Lab Services,
please call first
 9am-12pm, 1pm-3pm
Except Major holidays

Semaglutide and Tirzepatide
Weight Loss Program


Dr Pinkston has teamed with a compounding pharmacy to bring patients an extraordinary weight loss program in which patients of the program have lost nearly 1500lbs collectively since January 2023. 

Many programs may prescribe medication but the key to long term weight loss is due to one on one coaching, which Dr Pinkston provides. The plan includes: one on one, concierge style coaching, with meal plans and email/chat portal use and more with payment plans and HSA/FSA/Care Credit accepted.

Email for more information and pricing.

Click below to Email 

Dr Pinkston directly for more information


              PODCAST / YouTube / Radio / Sirius XM



The better life with dr pinkston



Sundays 4PM

AM 930






Google Play




               As seen in

     SA Monthly Magazine 

               go to


Dr, Pinkston lost 162lbs after 13 years of Rheumatoid Arthritis, Cancer, Diabetes, and more. Dr Pinkston, trained in a metabolic and endocrine fellowship and made use of the right tools and Bio-Identical Hormone Therapy training to lose the weight and get into shape and achieve a lower biological age and great health. She has helped thousands regain their health.

Dr Marianne Pinkston is a family practice physician and integrative medicine physician in the San Antonio community for over 25 years. Dr Pinkston graduated from Texas Tech University in 1992 BS in Biology, Medical Degree from The University Of Texas Health Science Center San Antonio in 1997 and CHRISTUS Santa Rosa Family Practice Residency Program in 2000.  Dr Pinkston was also accepted into a research position at NASA to enter the Astronaut and Space Program until NASA was disbanded in the 1990’s.  Dr Pinkston has owned and maintained her own solo practice 22 years having seen over 40,000 patients in the San Antonio community and Helotes and over 10,000 teaching hours as adjunct professor of 11 schools, and personally served as president or Vice President of several local NISD or private school PTA and extracurricular school programs, while owning 3 locations of her practice, a medical spa for weight loss and anti-aging and autoimmune disorders, medical director of 3 clinics, mom of 3, and even a soccer coach for 4 years all while suffering Rheumatoid Arthritis, Autoimmune Hepatitis, cancer and more. Dr Pinkston also lost 162lbs in one year having suffered Diabetes and complications of therapy of Rheumatoid Arthritis and has trained for fitness competitions. She has been voted Most Compassionate Doctor many years in a row by patients and Best Doctor by her peers many years through SA Scene and Texas Monthly Super Doc series. Dr Pinkston has served on many boards and Foundations and recently voted in as Vice Chair to the Arthritis Foundation (in South Texas) and as a Board Member for the San Antonio Women’s Chamber of Commerce, in the past as a physician Liaison at Humana Insurance, elected Secretary of the Alamo Chapter of Family Practice 3 years, Physician Liaison at the Texas Academy of Family Physicians, Global Pain Association Board, health and fitness editor of SAMonthly Magazine, and is the member of more than 11 professional associations and academic organizations.
Dr Pinkston has extended her family practice training to accomplish a fellowship in Integrative Medicine through the Morsani School of Medicine associated with George Washington University and is in progress of a Fellowship in Metabolic and Nutritional  Medicine and Anti Aging, Stem Cell and Peptide Certification and Certified in Hormone Replacement Therapies and many hours in Longevity and Metabolic Medicine. Dr Pinkston is a radio talk show host and hosts a podcast/YouTube channel both locally and nationally for 3 years previously 2 years on 550 KTSA and now 930 KLUP, and Sirius XM and PDLabs Healthy Choices Network all links at  Dr Pinkston is published and speaks for multiple platforms on TV, Radio, internet, magazines, societies, GPA Live for Global Pain Association and social functions as an educator and motivational speaker. Dr Pinkston is a loving advocate for her family, women of all ages and education, patients, and students and is a drummer, sky diver and mom.


About Dr. Pinkston

About Ryan Wencl, Nurse Practitioner 


Ryan Wencl, APRN, A-GNP-C is the latest provider addition to Pinkston Medical and Wellness and was trained under Dr Pinkston to know all the pearls and Integrative wisdom to become one of San Antonio's top mid-level providers. We welcome Ryan with every confidence to be an extension to Dr Pinkston's care. Our same day, acute and chronic care availability will be increased and your doctor will not be replaced. Dr Pinkston and Ryan work closely in unison and Dr Pinkston will oversee all care of patients. We know you will be comfortable with Ryan as he will also be building lasting and trusting relationships of his own with his patients.

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