About
David Reed Miloy, MD has practiced internal medicine in Kerrville, Texas since 2002, building a career around prevention, chronic disease reversal, and whole-person wellness. S. in Biology and a Master's in Molecular Biology from Texas A&M University before attending Texas Tech University Health Sciences Center for medical school. He then completed his internship and residency in Internal Medicine at Providence Portland Medical Center in Portland, Oregon. The American Board of Internal Medicine has granted him board certification, and the International Coaching Federation has certified him as a professional coach.
Dr. Miloy holds membership in the American Medical Association, the Texas Medical Association, and the Obesity Medicine Association. He serves as a Texas Medical Association Delegate and brings more than 25 years of experience in obesity medicine to his practice. He developed the Balance MD weight loss program over two decades of clinical work, and he created the Table of Health framework in 1998 as a structured approach to lifestyle balance. His clinical passions include brain health, gut microbiome, plant-based nutrition, and the connection between metabolic and cardiovascular health. Dr. Miloy is a Native Texan who has spent his career bringing relationship-centered, evidence-based care to the Texas Hill Country.
Education & Training
Undergraduate
Texas A&M University, B.S. Biology, M.S. Molecular Biology
Medical School
Texas Tech University Health Sciences Center
Residency
Internal Medicine, Providence Portland Medical Center, Portland, OR
Additional Training
Professional Coach Certification, International Coaching Federation
Certifications
Conditions Treated
Who is Dr. Miloy right for?
Dr. Miloy is a strong fit for adults who want a proactive, prevention-first approach to their health. Patients managing chronic conditions like obesity, metabolic disease, or cardiovascular risk benefit from his depth of experience. His Table of Health framework suits people ready to address nutrition, fitness, sleep, and emotional well-being together. Those interested in gut microbiome health, genetic analysis, or plant-based nutrition will find a knowledgeable partner. His small panel and direct-access model work well for patients who value unhurried, relationship-centered care.
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Frequently Asked Questions
Dr. Miloy treats a broad range of adult conditions, including chronic disease, obesity, metabolic disorders, and cardiovascular risk factors. He also manages acute illness, performs preventive screenings, and supports patients with gut health, brain health, and hormonal balance. His functional medicine training allows him to look at root causes alongside conventional diagnoses.
Yes. The American Board of Internal Medicine has board certified Dr. Miloy. He also holds professional coaching certification from the International Coaching Federation, which informs his lifestyle and wellness coaching work.
Dr. Miloy created the Table of Health in 1998 as a structured approach to whole-person wellness. It rests on four pillars: Nutrition, Aerobic Exercise, Mindfulness and Emotional Well-being, and Rest and Sleep. He uses this framework to guide patients toward sustainable lifestyle balance.
The Balance MD program is Dr. Miloy's personally developed weight loss and metabolic health program. He built it over two decades of clinical work in obesity medicine. It combines nutrition counseling, fitness planning, and lifestyle coaching into a structured approach.
Dr. Miloy has practiced in Kerrville, Texas since 2002. He has more than 25 years of experience in obesity and internal medicine. He serves adults across Kerrville, Fredericksburg, Boerne, San Antonio, Leakey, and surrounding communities.
Yes. Dr. Miloy integrates functional medicine alongside conventional internal medicine. He uses tools like genetic analysis, microbiome testing, and wearable health data to understand each patient's health at a deeper level. His clinical interests include brain health, gut health, and the connection between metabolic and cardiovascular function.
Dr. Miloy holds professional coaching certification from the International Coaching Federation. He offers wellness coaching, lifestyle coaching, life coaching, and life purpose coaching. This coaching background shapes how he supports patients in making and sustaining meaningful health changes.
Dr. Miloy earned his undergraduate and graduate degrees at Texas A&M University, studying Biology and Molecular Biology. He completed medical school at Texas Tech University Health Sciences Center. He then trained at Providence Portland Medical Center in Portland, Oregon for his internship and residency in Internal Medicine.
Doctor profile last updated March 21, 2026