Health Care

Weight Management

Lifestyle changes are at the heart of most weight loss programs, and we have come to realize that getting people to change their habits is difficult, if not impossible. Therefore, we employ a program that is both flexible and customized for each individual participant.

In order to better customize a plan for you, we need to first identify the things that are contributing to your current metabolic state. During the initial visit, a complete medical history and exam will be performed. The exam will include blood tests looking for metabolic conditions that may be having an adverse effect on both your weight and your overall health. You will also receive an EKG and appropriate lab work. The initial consultation is used primarily to evaluate your personal weight loss goals, your personal health goals, and your current state of health. You are not likely to receive any medications for weight loss during your first visit. The reason for this is that until we have all of the laboratory results, we cannot safely develop a treatment plan that is tailored to your specific needs. You will be asked to use a log book with which you will record your meals and exercise routine for one week. You will be scheduled for a follow-up visit one week later.

On your second visit, you will sit down with the doctor and go over your exercise routine for the past week. You and the doctor will also review the meals that were recorded in your journal. We will review the results of the lab tests that were performed the week before, and with your doctor, develop a weight loss road map that is customized to your specific goals and needs. Any medical issues that were discovered by the labs, physical exam or history shall be addressed, and you shall be given specific advice on any dietary changes that should be made. If appropriate, medications may be prescribed. You will again be asked to keep a diet, exercise and blood pressure journal until your next visit one week later.

We use a number of different types of medications (when indicated), individually, or in combination.

  1. Fat/carbohydrate absorption inhibitors.
  2. Dopamine/norepinephrone/serotonin re-uptake inhibitors.
  3. Centrally acting appetite suppressants (traditional "weight loss" medications).
  4. Weight loss supplements (pharmaceutical grade/non-prescription) and injections.

After the initiation of your weight loss plan, you will be expected to have frequent follow up visits. Each time, we will review your diet, exercise, and blood pressure logs. We will do a physical exam, address any questions that you may have, and monitor your progress. An EKG and laboratory testing will be performed at some visits to help monitor any potential problems that may arise as a result of your weight loss or medication regimen. The labs that will be ordered will depend upon your specific treatment regimen and upon any issues that may have been discovered during the initial round of labs.

After you have met your weight loss goals, you will be seen every 3 to 6 months for maintenance.

If you have any questions about our weight loss program, please do not hesitate to call!