Weight Loss in Irmo About Us Physicians Weight Loss Centers

According to clinical research published in medical journals, medical weight loss programs show much stronger results than self-directed dieting. Ongoing support – Most medical weight loss programs include regular appointments, group support sessions, or both. Participants in physician-led weight loss programs can expect a structured, multifaceted approach to weight management. Physician-led weight loss programs prioritize safety, ensuring that any changes to diet or exercise take the individual’s health status into consideration. They can adjust your diabetes medication as you lose weight and need less insulin. Many primary care physiciansnow offer weight management as part of comprehensive care. You have less than 30 pounds to lose – When you’re closer to a healthy weight, the biological resistance isn’t as strong.

For most people, eating lots of fruits and vegetables is a good thing — these foods provide your body with important nutrients and fiber.
The treatment plan creates a new, lower set point after you lose your weight goal amount.
And sometimes, biology needs medical intervention to work in your favor instead of against you.
Get more information about our medical weight loss plan and connect with an expert.
These weight loss medications work in conjunction with our body’s natural way of trying to stay healthy.
Good programs address the psychological side too.
“The team and weight loss professionals here at Physicians Premiere Weight & Wellness Center are truly the best on the entire planet!

This article delves into the various facets of this approach, examining its efficacy, benefits, potential downsides, and how it stacks up against other weight loss methods. It is possible that the physician discussion about weight status occurred during, and not prior, to the weight change. Therefore, it is uncertain exactly when participants were told they were overweight and when they began losing weight during this one year period. Reducing weight and body fat has a number of important benefits. You will not see much a difference with your weight if you are already following a strict low-fat and low-calorie diet. For example, if you’ve already lost five pounds through diet and exercise, supplementing with alli® may help you lose two to three more pounds, totaling seven to eight pounds lost. It’s important to talk with your healthcare provider before taking Alli®, just like with any new medication. Saxenda® is an injectable medication approved by the FDA in 2014 to treat type 2 diabetes.

Individualized approach

This happens because your body actively fights against weight loss. Only about 20% of people who try to lose weight on their own successfully lose at least 10% of their body weight. Research shows that about 95% of people who lose weight through dieting alone regain it within five years. And more importantly, how do you know whether you can handle weight loss on your own or whether you need medical support? When someone has diabetes, we don’t tell them to just try harder and eat less sugar. When you know you’re seeing your doctor next month and they’ll ask how things are going, you’re more likely to stick with the plan. Some people develop disordered eating patterns – binge eating, restrictive eating, or cycling between the two. They categorize foods as “good” or “bad.” They feel guilt and shame around eating. Beyond the physical challenges, there’s an emotional cost to repeated diet failure. Medical monitoring – Regular check-ins with a physician ensure the weight loss is happening safely and that you’re not developing any complications. They’re FDA-approved medications that work on your brain’s appetite regulation systems or on how your body absorbs nutrients. Prescription medications – These aren’t diet pills you buy online. Your body is conserving energy because it thinks you’re in a famine. If you were burning 2,000 calories a day, you might now burn only 1,600 calories a day at the same weight. Slowing your metabolism – Your body burns fewer calories at rest than it did before. When you eat significantly less than usual, your body assumes food is scarce. You’re excited, motivated, sticking to the plan. Even for someone who has not enjoyed exercise in the past, the benefits of exercise far outweight the inconvenience and is a necessary part to a slim lifestyle. Exercise counteracts the effects of eating by causing your body to use all of the resources you consume while eating to strengthen itself. Not only will you lost weight but you will most likely lower many risk factors for diseases such as diabetes and heart disease. A comprehensive diet is a diet that gives you the best balance of the vital nutrients your body needs. Some often confuse dieting with fasting or crash dieting which is a poor substitute and can negatively affect your health. Another brand of Semaglutide, Ozempic, is FDA-approved for patients with a BMI (body mass index) of 30 or higher. This combination will help ensure all patients receive the right help to reach their weight and personal goals. For those seeking rapid weight loss, we offer a very low-calorie diet (VLCD) that lasts approximately eight weeks. Our program is guided by the latest evidence-based techniques, ensuring that patients benefit from the most up-to-date treatments available. Whether you struggle to find the right exercise program that fits your busy schedule, or need help controlling your late-night cravings, we’ll work with you to create a plan that’s achievable and sustainable. We’re committed to helping you achieve your individual goals – and celebrate small wins along the way – by creating a personalized program tailored to you. Our team will balance all these areas to optimize your weight loss and make sure your success is sustainable. These experts focus on five pillars of weight management - nutrition, exercise, appetite control, sleep, and stress management. It’s widely known that doctor-supervised weight loss is highly effective and yields impressive and lasting results. Medical weight loss programs include behavioral therapy to address these issues. About 60-70% of people in medical weight loss programs achieve at least 10% weight loss, compared to 20% for DIY approaches. Programs using medications like semaglutide show average weight loss of 15-20% of body weight over 68 weeks. The key difference is that medical weight loss treats obesity as a chronic disease, not a lifestyle choice. A medical weight loss clinic provides comprehensive care including prescription medications, nutrition counseling, and ongoing medical monitoring. We work with you to prevent diabetes, cardiovascular diseases and other health issues based on your individual needs. That’s why we deliver customized plans that focus on your overall physical and mental health. As part of the UCLA Health Center for Human Nutrition, our experts understand that weight management is about much more than calorie intake and exercise. If you’re serious about losing weight and keeping it off, choosing the right program is vitally important. They regain the weight after a period of months or years and may surpass their pre-program number. Overweight and obese participants were also more likely to report losing at least 5% or 10% of their body weight in the past year if they were told by their physician they were overweight (Figure 1). A weighted Chi-square analysis was used to make comparisons between overweight and obese respondents in terms of demographic and clinical characteristics as well as the physician's discussion of a patient's weight status. Our medically supervised programs provide you with the tools you need to help you lose pounds and inches safely and effectively. Your primary care physician sees the big picture. They can reduce your blood pressure medication when your numbers improve. They know your full medical history. You could start tracking your diet and activity; try a weight-loss diet; or, if you already have tried these, there are weight-loss medicines or surgery. If the patient is not ready to make changes, then the plan is to follow-up at the next visit. Motivational interviewing (MI) is one type of patient-centered communication that is used to address behavior change with an ambivalent patient.28 For effective use of MI, four skills are needed.17 The first skill is engaging the patient in non-medical conversation before eliciting their medical questions. Learn how creatine supplementation can preserve muscle mass while taking GLP-1 medications like Ozempic and Mounjaro for safer, more effective weight loss. GLP-1 microdosing provides a gentler approach to weight loss and metabolic health optimization with reduced side effects and personalized medical strategies. I struggled with emotional eating for years, but with the support of this program, I have been able to overcome it and reach my weight loss goals. If you’re ready to take the first step towards a healthier, happier you, we invite you to schedule a consultation and learn more about how our weight loss program can make a difference in your life. Through years of experience we have determined the most essential vitamin for anyone involved in diet or weight loss. The best exercises for somebody trying to lose weight and increase muscle definition are aerobic exercises. The treatment plan creates a new, lower set point after you lose your weight goal amount. There are two primary types of prescription medication and several natural programs that will be combined to your specific needs. Each of you must sign up and be an active weight loss patient for at least 60 days. Success in the program also offers the possibility of improving or resolving your chronic weight-related conditions, such as Type 2 diabetes, high blood pressure, high cholesterol and sleep apnea. At your first in-person or virtual appointment, you’ll meet with one of our doctors who specializes in medical weight management. The goal of our program will never be focused on short-term weight loss.

The best nutrition plan is one that can be maintained long-term.
The Nova Physician Wellness Center staff emphasizes maintaining a healthy lifestyle in the future and utilizes medically proven safe and effective methods to help you achieve your weight loss goals and feel your best.
However, if you aren't used to having fiber in your diet, you may experience minor, temporary changes in digestion, such as intestinal gas, as your body adjusts to this new way of eating.
Every effective weight loss program has competent, caring practitioners at the helm.
On average, an in-person patient pays anywhere from $99-$109, including oral medication and the office visit.
Similar to obesity, overweight is traditionally diagnosed when a person has a BMI of greater than 27 along with other related health conditions.
If you’re serious about losing weight and keeping it off, choosing the right program is vitally important.
First, obesity (high body-mass index, or BMI) is correlated with medical conditions such as high blood pressure, cardiovascular disease, and musculoskeletal issues (including arthritis).

The balloon helps make portion control easier and weight loss more manageable when combined with a proper diet and exercise. It’s an option if you’re overweight or obese and diet and exercise alone have not worked for you. We help you on your journey to long-lasting weight loss by making major lifestyle changes through nutrition, exercise, and counseling. Now that there is an obesity medicine certification exam, the American Board of Obesity Medicine or ABOM, primary-care providers may consider partnering with these obesity specialists who also are knowledgeable about obesity medications and surgeries. As doctors specializing in obesity medicine, we understand how challenging it can be to lose and maintain weight. “The team and weight loss professionals here at Physicians Premiere Weight & Wellness Center are truly the best on the entire planet! The clinical approach to weight loss and understanding how MY body reacts to the food I eat is changing my life. Understand your health history and weight loss goals. After your initial appointment, you will meet with a registered dietitian and have access to our shared medical appointments. For those with PCOS, weight loss can often help improve your symptoms and increase fertility. Exercise has many benefits that can help directly with your weight loss, but also help improve related conditions like stress and sleep disorders. That’s why we address your psychological needs and offer practical advice during weight loss and maintenance. Our weight loss experts know that behavioral changes are critical to long-term success. Our goal is to educate and empower you to lose weight and keep it off. Our team also offers several endoscopic weight loss procedures that don’t require an incision. In patients with a history of bulimia or seizures, although naltrexone/bupropion and sympathomimetic amines (including phentermine/topiramate) are contraindicated, orlistat, lorcaserin, or liraglutide could be considered. For patients with suboptimally-controlled hypertension, cardiovascular disease, or anxiety disorders consider using orlistat or lorcaserin instead of a sympathomimetic amine (such as phentermine or phentermine/topiramate) or naltrexone/bupropion. For patients who are pregnant or seeking pregnancy, only behavior modification is recommended. Not all primary care doctors offer medical weight management, and not all who offer it do it well. When your regular doctor manages your weight loss, they can coordinate it with everything else going on in your health. Weight loss is the treatment, but many people can’t lose enough weight fast enough without medical help. Medical weight loss can help you lose weight before joint damage becomes irreversible. For many people, DIY weight loss isn’t just difficult – it’s effectively impossible without medical support. The drugs are contraindicated in patients with renal insufficiency, valvular heart disease, coronary artery disease, hyperthyroidism, or taking MAOIs or stimulants. The effects of Saxenda on cardiovascular endpoints have not been established (although a cardiovascular outcomes trial for lower-dose liraglutide is underway), it should not be used with insulin, and caution is recommended in patients with a history of gallbladder disease. Clinicians should counsel patients regarding possible increased risk of medullary thyroid carcinoma and symptoms of thyroid tumors. Although pricing information for Saxenda (3 mg/0.5 mL pens) has not been released, a one-month supply of 18 mg/3 mL liraglutide pens costs ~$650 without insurance; reduced pricing ($25–$150/month) is available for eligible patients.

Disadvantages of naltrexone/bupropion SR include side effects, such as nausea, headache, dizziness, constipation, and dry mouth; possible elevation in blood pressure or heart rate, especially during the first three months of use (patients with hypertension should be monitored closely)46,48–50; and expense—a prescription costs $160 per month without insurance, although manufacturer discount programs ($70–75/month in 2015) may be available.
We offer transformative weight loss solutions that deliver outstanding results without demanding strict diets or extreme exercise.
The counseling helped her understand her emotional eating triggers.
Our clinically-proven treatments, such as prescription medications and customized plans, enable rapid and sustainable body transformations.
Not all primary care doctors offer medical weight management, and not all who offer it do it well.

Also, weight regain is the rule upon drug cessation—thus, if patients meet drug-responsiveness criteria for body-weight loss at 3–6 months, drugs approved for long-term use should be continued. The sympathomimetic amines, benzphetamine, diethylpropion, phendimetrazine, and phentermine, blunt appetite by eliciting noradrenaline release.37–38 Although these drugs only are approved for short-term use (up to 12 weeks), phentermine currently is the most widely prescribed weight-loss medication and many physicians prescribe it off-label beyond 12 weeks. Contraindications include pregnancy—topiramate is teratogenic (and, as part of a Risk Evaluation and Mitigation Strategy, the FDA requires prescribing physicians to complete a healthcare provider training program and the drug can only be dispensed through certified pharmacies)—glaucoma, hyperthyroidism, cardiovascular disease, uncontrolled hypertension, and use of MAOIs or stimulants.43 For example, in patients with migraines, whereas the migraine-prophylaxis drug propranolol (trade name Inderal) causes weight gain, topiramate (trade name Topamax) reduces migraine frequency and causes weight loss, even at dosages below those recommended for migraine treatment (for example 25–50 mg bid instead of 100–200 mg bid); however, topiramate is teratogenic (category X in pregnancy).32 For diabetes, whereas insulin, sulfonylureas, thiazolidinediones, and meglitinides cause weight gain, excellent alternative treatments are available that cause weight loss or are more weight neutral (Table 3). For example, a sleep history can help determine risk for sleep apnea, and particularly should be sought in patients who have a history of atrial fibrillation, thrombosis, pulmonary hypertension, or diastolic heart failure; an elevated blood-pressure reading or acanthosis nigricans can be used to communicate risk for hypertension and diabetes; and identifying and communicating with patients regarding early-stage diseases, such as pre-hypertension and prediabetes, can be used to partner with patients on preventing disease progression or medication initiation by using a weight-management intervention. One clinical trial found that patients who took Mounjaro lost an average of 15% of their body weight, compared with only 2.4% in the placebo group. It is most effective with a healthy lifestyle (a reduced-calorie diet and regular physical activity). It is also an option for patients with a BMI of 27 or greater, provided they have at least one weight-related condition, such as high blood pressure, type 2 diabetes, or high cholesterol. Wegovy is a brand name for Semaglutide, an effective weight management medication for overweight or obese adults.

The first maxim we are taught in medicine is, “First do no harm.” We know that obesity causes harm—the outcome is going to be bad unless something is done; therefore, not addressing weight management with overweight and obese patients is causing harm.
If you’re considering medical weight loss, talk to your doctor sooner rather than later.
If you lose nothing, or lose a few pounds and then plateau, or feel miserable and can’t sustain it, that’s valuable information.
We performed a systematic review and meta-analysis of published studies of survey data examining provider weight loss counseling and its association with changes in patient weight loss behavior.
However, self-report is a valid and commonly used measure for height and weight when assessing preventive counseling.(44-45) Lastly, participants who may have been overweight for longer periods of time might be more likely to have their physician discuss that they are overweight, resulting in greater reinforcement for these individuals.
Each nutrition plan is individually designed for your situation.
PWLC’s nutritious supplements have a very high taste profile and are the cornerstone of every program.
Another brand of Semaglutide, Ozempic, is FDA-approved for patients with a BMI (body mass index) of 30 or higher.
For example, in patients with migraines, whereas the migraine-prophylaxis drug propranolol (trade name Inderal) causes weight gain, topiramate (trade name Topamax) reduces migraine frequency and causes weight loss, even at dosages below those recommended for migraine treatment (for example 25–50 mg bid instead of 100–200 mg bid); however, topiramate is teratogenic (category X in pregnancy).32 For diabetes, whereas insulin, sulfonylureas, thiazolidinediones, and meglitinides cause weight gain, excellent alternative treatments are available that cause weight loss or are more weight neutral (Table 3).

Right now, physicians care for overweight patients in their practices, and to maximize the effectiveness of this opportunity to help overweight patients manage their weight, can apply evidence-based clinical practices, including patient-centered communication, partnered decision-making regarding weight-management goals, weight-loss medications, and bariatric surgery. Further guidance regarding caring for patients with diabetes following bariatric surgery has been published.63–64 For patients with hypertension, the first medications to reduce or stop in the setting of weight loss (regardless of whether through diet, medication, or surgery-induced weight loss) are diuretics—as the liver releases glycogen stores, because glycogen is heavily complexed with water, diuresis ensues, which can lead to dehydration in the setting of diuretic use. Two in three adults in the United States (US) are overweight, including one in three who is obese.1,2 Physicians now care for patients with many weight-related problems that could be improved by a modicum of weight loss; however, physicians need guidance regarding how to provide high-quality, effective weight management in primary care. The best programs are led by physicians (hence the term “physicians weight loss centers”) and rely on well-trained support staff to manage patients’ day-to-day needs. Our team provides an in-depth personal assessment to evaluate the source of our patients' weight-related issues. The goal of the Center is to take a multidisciplinary approach to managing patients with obesity, and to provide evidence-based, compassionate clinical care. Our patients not only have the experience of our doctors but the comfort in knowing we are using the most proven medication available. The most noticed side effect is appetite suppression and weight loss making our medication a very effective tool at achieving your goals. The combination of personalized care, nutritional guidance, and ongoing support helps individuals develop healthier habits that can lead to sustained changes and long-term success. Healthcare professionals can collectively provide a comprehensive understanding of nutrition, exercise, and health-related concerns—offering participants better education on effective practices. However, potential participants must also consider the financial investment, time commitment, and their individual circumstances before embarking on such a program. The effectiveness can vary depending on personal motivation, genetic factors, and lifestyle choices. All of our programs are medically supervised and designed by our nutrition experts. We offer true medical weight loss and support you every pound every day on your weight loss journey. Above all else, I felt as though they were committed to my weight loss and health. The cost of weight loss injections will vary depending on the medication you choose and how you fill your prescription. Weight loss varies based on a variety of factors; however, patients should expect to lose 1-2 pounds per week. This program can be tailored to your own individual needs, health history and preferred eating style. Remember to check with your health care provider before starting any weight-loss program, especially if you have any health conditions. The goal is to make simple, pleasurable changes that will result in a healthy weight that you can maintain for the rest of your life. It provides an exercise plan with easy-to-follow walking and resistance exercises that will help maximize fat loss and boost mental well-being. The Mayo Clinic Diet provides practical and realistic ideas for including more physical activity and exercise throughout your day — as well as finding a plan that works for you. Each of the food groups in the pyramid emphasizes health-promoting choices. The program doesn't require you to be precise about counting calories. It focuses on changing your daily routine by adding and breaking habits that can affect your weight.

This can foster frustration and ultimately result in gaining back any lost weight, highlighting the value that a structured, medically supervised program can bring to sustainable weight management.
The objective of this Grand-Rounds presentation is to provide practicing clinicians with the latest information regarding effective ways to care for and communicate with patients about weight loss; evidence-based guidelines for selecting weight-management therapies; and safety, efficacy, and adverse effects of weight-loss medications and surgery.
She thrives on helping patients with obesity to reach their weight loss goals.
Moreover, this approach is also suitable for individuals seeking guidance and support throughout their weight loss journey.
It is designed to increase your weight-loss while you focus on living a healthy lifestyle.
We’ve been recognized as one of the most thorough weight management programs in the country.
It’s widely known that doctor-supervised weight loss is highly effective and yields impressive and lasting results.
If you need to lose 50 or more pounds, medical support dramatically improves your odds of success.

In patients with a history of bulimia or seizures, although naltrexone/bupropion and sympathomimetic amines (including phentermine/topiramate) are contraindicated, orlistat, lorcaserin, or liraglutide could be considered.In summary, FDA-approved weight-loss drugs provide clinicians with effective weight-management tools that, for the first time, are recommended as part of a comprehensive primary-care weight-management plan. In places that lack access to clinics specializing in obesity treatment or that cannot offer this frequency of follow-up, second-line alternatives include commercial and remotely-delivered (for example, by telephone or internet) programs. Patient-centered communication, including use of MI, may activate patients by helping them identify their weight status, risk/presence of related disease, and treatments that can promote a healthier future. If the patient is ready, one might ask, “If, as part of our plan to help your knee pain, you decide to work on getting to a healthier weight, what might be a first step? The purpose of the Mayo Clinic Diet is to help you lose excess weight and find a healthy way of eating that you can sustain for a lifetime. The Mayo Clinic Diet is a lifestyle approach to weight loss that can help you maintain a healthy weight for a lifetime. He also helps you reform your relationship with food so that when you reach your goal, you maintain your weight loss with a healthy, balanced diet and regular exercise. His holistic approach to medicine and well-being can help through customized weight loss programs to help you reach your goals and improve your health and wellness. Specially-trained weight loss professionals may include dietitians and a nutritionist, nurses, physician assistants, doctors, and counselors. Furthermore, physicians appear to have negative attitudes and beliefs about their overweight or obese patients and their ability to adhere to medical recommendations.(13-14) Physicians also feel inadequately prepared to offer weight counseling to their patients and may be unaware of suitable initial weight loss targets.(15-16) Many people who struggle with their weight find that lifestyle changes — such as following a healthy eating plan and getting regular exercise — can help them lose weight and keep it off. Long-term monitoring of bariatric-surgery patients includes regular follow-up visits and laboratory assessments (Table 9).60,65 During follow-up visits, review patients’ diet and lifestyle habits, medications and supplements, and reinforce the importance of medication adherence, daily exercise, smoking cessation, and not taking NSAIDs (because both smoking and NSAIDs increase the likelihood of marginal ulcers).

WEIGHT LOSS SERVICES

Patients who require only oral diabetes medications usually are able to stop all agents following bariatric surgery. For LAGB, following band placement, patients resume a normal diet, and the first band tightening occurs 4–6 weeks after placement. Risks of bariatric surgery include a small risk of mortality and complications, both immediately post-operation and months to years later.55–56 The proportion of patients who die within 30 days of a procedure is 0% for LAGB, 0.2% for laparoscopic RYGB, and 2% for open RYGB (patients who undergo open RYGB tend to have higher BMIs and surgical risk).56 The majority of post-operative deaths are due to pulmonary embolism, myocardial infection, congestive heart failure, or respiratory failure.55–56 Disadvantages of LGS include stretching of the gastric pouch with time, possible leakage at the staple site, and weight loss is slightly less than following RYGB.57 I examine the effect of advice from a physician or heath care provider to lose weight on individual weight outcomes using survey data. The treatment is most effective when combined with a healthy lifestyle. Multiple studies have found that Mounjaro, another brand of Tirzepatide, can aid patients in losing significant amounts of weight over some time. Saxenda is a brand name for liraglutide, a medication that aids overweight or obese adults in managing their weight. Even at a healthy pace of one pound per week, that’s a year. At this level of weight loss, the metabolic adaptation and hormone changes are severe. If you need to lose 50 or more pounds, medical support dramatically improves your odds of success. Permanent lifestyle changes – Not a temporary diet. Slow, gradual weight loss – Half a pound to two pounds per week. Embarking on the path to a healthier life is a deeply personal and challenging endeavor. PWLC’s nutritious supplements have a very high taste profile and are the cornerstone of every program. Each client receives a pre- and post-program physical as well as counseling throughout the program.

Internal Medicine Physician located in Los Angeles, CA

Licensed psychologists, therapists, dietitians and doctors lead these sessions. Learn more about our bariatric surgery program and our endoscopic bariatric surgery program. To support you before and after surgery, we offer classes on nutrition, exercise and adopting healthier habits for life. Through a comprehensive evaluation, we determine how much protein your body needs. GLP-1 medications for weight loss have changed my life. Licensed psychologist Dr. Willo Wisotsky is committed to research and the clinical practice of eating disorders and obesity with its related medical and mental health conditions. Our psychological services complement the medical weight loss program by concentrating on behavior modification. Our psychological approach has been a critical component of the medical weight loss program. If you lose nothing, or lose a few pounds and then plateau, or feel miserable and can’t sustain it, that’s valuable information. If you lose pounds and feel sustainable, great. – If you binge eat, eat emotionally, or have disordered eating patterns, you need professional support. The office already has your insurance information and medical records. Having your primary care doctor manage your weight has practical advantages. This can foster frustration and ultimately result in gaining back any lost weight, highlighting the value that a structured, medically supervised program can bring to sustainable weight management. Self-directed weight loss efforts often lead to inconsistency and unhealthy practices due to limited knowledge and support. Physician-led programs offer personalized guidance and accountability that many individuals lack when embarking on their weight loss journeys alone. The goal is to address not just the physical aspects of weight loss, but also the psychological and behavioral factors that can influence eating habits and lifestyle choices. These programs often include comprehensive assessments, individualized meal plans, physical activity guidelines, and ongoing support. A comprehensive approach to weight management helps individuals learn how to make wise nutritional choices, making the transition from weight loss program to everyday life easier. Physicians WEIGHT LOSS Centers® is known for its focus on serious weight loss, and with serious weight loss comes the responsibility to make sure pounds are lost in a safe and healthy manner. However, if you aren't used to having fiber in your diet, you may experience minor, temporary changes in digestion, such as intestinal gas, as your body adjusts to this new way of eating. If you've been inactive or you have a medical condition, talk to your doctor or health care provider before starting a new physical activity program. We prescribe insulin and other medications because diabetes is a metabolic disorder that requires medical treatment. If you have other health conditions like diabetes, high blood pressure, or sleep apnea, your doctor adjusts those treatments as you lose weight. The newer medications, particularly GLP-1 receptor agonists like Wegovy and Saxenda, actually lower your body’s set point weight. Individuals may experience side effects from prescribed medications, including appetite suppressants or other weight loss aids. He wants to help you improve your total well-being while you’re also improving your health. He also treats underlying hormonal imbalances and health conditions that can slow your progress. He also works with you on stress management techniques and counseling to identify your triggers for overeating and developing strategies and coping skills that help you remain in control. With Dr. Toll’s support, you make changes to your eating habits, but these changes are sustainable and never leave you feeling deprived. The pyramid encourages you to eat virtually unlimited amounts of vegetables and fruits because of their beneficial effects on both weight and health. Instead, you'll eat tasty foods that will satisfy you and help you lose weight. The triangular shape shows you where to focus when selecting healthy foods. The Mayo Clinic Healthy Weight Pyramid is a tool to help you lose weight or maintain your weight. Factors amenable to treatment tailoring include comorbid illnesses, specific behavioral patterns, and genotypes—for example, treating prediabetes/diabetes with drugs that promote weight loss and targeting problems with hunger and satiety with anorexic agents. Long-term, after all surgical weight-loss procedures, lifestyle recommendations mirror those for patients who have not undergone weight-loss surgery, with adjustments for food aversions/intolerances that may develop following RYGB (for example, red meat).60 Focus shifts to weight-loss maintenance, including regular exercise, sleep, minimal sedentary activity, and promoting optimal mental health, by addressing any issues not addressed or revealed prior to weight-loss surgery. Follow-up visits in the immediate post-operative period are particularly important for patients receiving RYGB and LSG who take medications for diabetes and high blood pressure.

Medical Weight Loss vs DIY Diets: A Physician’s Perspective

Making the lifestyle changes necessary to lose weight and keep it off is challenging. Non-surgical medical weight loss services vary throughout UPMC locations. After being medically evaluated, you’ll work with a registered dietitian/nutritionist to create and follow an effective diet plan. But when lifestyle changes aren’t enough to help shed the excess weight, your doctor may suggest adding an FDA-approved prescription weight-loss medicine to your program. For patients with depression on an SSRI, although lorcaserin is contraindicated, drug options include orlistat, sympathomimetic amines, and liraglutide. Importantly, although many weight-loss drugs are now approved for long-term use, drug responsiveness needs to be determined.37 In general, if a patient has lost Weight-loss drugs should be chosen based on risk and side-effect profiles, and may be needed indefinitely—as is needed for other chronic diseases, including hypertension, hyperlipidemia, and diabetes. A patient-centered way to open a conversation about weight would be to frame the conversation around health, not size. A 5–10% weight reduction can improve quality of life, reduce pain, and improve cardiovascular disease risk factors such as blood pressure, cholesterol, and blood sugar.16 Dietary changes, even without weight loss, can prevent progression from prediabetes to diabetes16; and normalizing glucose regulation reduces cardiovascular risk.17 A less-known weight-related complication that improves with weight loss is kidney disease. Overweight, including obesity, is one of the most pervasive and costly public-health problems. This comprehensive assessment helps physicians identify underlying conditions such as hormonal imbalances or metabolic disorders that may be contributing to weight gain. When the body is in a caloric deficit, it begins to utilize stored fat for energy, leading to weight loss. Physicians lean on their medical training to address not only the physical aspects of weight loss but also the psychological components that can hinder progress. Future simple and effective weight loss interventions will be necessary to attempt to address the current obesity epidemic. Given the imagined simplicity of a physician-based intervention, this may present a useful first step for weight control prior to more in-depth weight loss counseling.

Nova Physician Wellness Center

It’s important to note that Zepbound is most effective when you also adhere to a healthy eating plan and stay active. This medication is FDA-approved for patients with a BMI of 30 or higher or a BMI of 27 or higher with a condition related to their weight. Orlistat is a medication that can help overweight and obese individuals get a handle on weight management. Meal replacements can help accelerate weight loss, reduce the stress of meal preparation, and help you control portions. Finding the balance that’s right for you is key to achieving your weight loss goal. It can help jump-start weight loss by taking up space in your stomach — limiting how much you can eat and keeping you feeling full longer after meals. The decision to have weight loss surgery is an important and often difficult one. The field of primary-care weight management is moving toward personalization, early intervention, and expansion of drug options. Many people have found that lifestyle changes, combined with medications that aid in weight-loss, have been very effective for long-term weight management. Many times, several HCPs are involved and work as a team in these programs, as they include not only medical advice but also nutrition and lifestyle counseling. She thrives on helping patients with obesity to reach their weight loss goals. New York Bariatric Group dieticians tailor a patient specific program using metabolic testing to assess the metabolic rate and the appropriate daily caloric consumption needed to lose weight. The body’s metabolism plays a significant role in how calories are processed. Primary care-based strategies for weight control are especially appealing given their tremendous reach and potential for dissemination. Future research is necessary to examine the effectiveness of such a physician-based intervention. When recalling providers' questions about smoking status and cessation, smokers over-reported advice to stop smoking with a specificity of 82% and sensitivity of 92% when compared to the audio taped consultation with the provider.(43) A further limitation was the use of self-reported height and weight.

What does metabolic health mean?

These weight loss medications work in conjunction with our body’s natural way of trying to stay healthy. Following this phase, our nutritionists work closely with patients to develop a sustainable eating plan that supports continued weight loss and long-term success. By involving healthcare professionals, these programs can also take into account any underlying medical conditions that may impact weight loss efforts or require specific dietary considerations. Physician-led weight loss programs typically involve medical professionals, such as doctors or registered dietitians, guiding individuals through a structured approach to weight management. Physician-led weight loss programs typically involve medical professionals, such as doctors or registered dietitians, designing personalized weight management strategies. The visit fee for telehealth patients is $99 and the patient will pay their preferred pharmacy for medications. Our physicians come from a range of specialties however all have extensive medical training and are experts in the field of weight loss. If our physicians believe it is not medically necessary for a patient to be described medication Physicians Weight Control will provide a refund of services for the visit. Our physicians can determine what foods you should be eating and which ones to stay away from to balance your diet and set you up for losing healthily. From FDA-approved medications to customized plans, our tools are designed for lasting, healthy change. Meal planning, food prep, tracking intake, researching nutrition – it’s basically a part-time job. You’re naturally organized and self-motivated – Some people genuinely do well with tracking, planning, and self-monitoring. Your body doesn’t fight back as hard. The weight doesn’t automatically come back. Not every individual will respond positively to physician-led weight loss programs. Many physician-led programs can be expensive, and not all health insurance plans cover them. Beyond simple calorie counting, physicians provide nutrition education to promote healthy eating habits. To our knowledge, this is the first study to show an association between a physician's discussion of their patients' weight status and patients' self-reported clinically-significant weight loss. Excess weight is not your fault. From the moment you walk in the door, you are greeted by friendly and knowledgeable staff who are eager to help you on your journey towards better health.” I didn’t have a ton to lose (10-15lbs) and they helped me find a solution that met my needs. This is reaching your weight goal (pick your pace!) and learning how to maintain it. My overall health has improved dramatically – more energy, sleeping better, no more constant aching. I highly recommend Legacy Physicians and Dr. Corinne to anyone looking for a comprehensive approach to weight loss. At Legacy Physicians, we understand that weight loss is not a one-size-fits-all journey. We reviewed the published literature using keywords related to weight loss advice. Shape your way to fitness, health, and a happier lifestyle with Strawberry Body Contouring and the revolutionary Strawberry Laser. With six different programs to choose from there is a strategy that meets every client’s unique needs and goals. Our doctors can help individuals looking to lose weight who have health problems where other diet programs simply do not have the knowledge or experience to help them. These medications are also know to provide heart-healthy aspects along with rapid weight loss. Anti-obesity medications are safe and effective weight loss tools that help when combined with lifestyle and nutrition modifications. It emphasizes that the best way to keep weight off for good is to change your lifestyle and adopt new habits that you enjoy and can stick with. The Mayo Clinic Diet is the official weight-loss program developed by Mayo Clinic experts. The Mayo Clinic Diet is based on the latest behavior-change science, which will help you find your inner motivation to lose weight, set achievable goals and learn to handle setbacks. You have regular appointments with Dr. Toll throughout your weight loss journey. Dr. Toll begins your weight loss journey with a comprehensive exam, including blood work to assess your hormone levels and to check for signs of diseases or metabolic disorders that could inhibit your progress. Late complications of RYGB are shown in the Tables 6–7.55–60 Common complications include dumping syndrome, which presents months or years after surgery. Fewer trials of LGS compared to LAGB were included, and other sources report greater improvement in hypertension following LGS compared to LAGB55 In terms of comorbidity improvement, diabetes improved the greatest after RYGB (any improvement—not complete resolution), hypertension improved the most following RYGB and LAGB (though not LGS, the reason for which is unclear and inconsistent with other studies54), and dyslipidemia improved in all procedures. Weight-loss drugs should be chosen based on risk and side-effect profiles, and may be needed indefinitely—as is needed for other chronic diseases, including hypertension, hyperlipidemia, and diabetes.

Our experts work closely with you at every step to supervise your weight loss and ensure that you’re staying healthy.
We can prescribe all classes of anti-obesity medications including, but not limited to stimulants, semaglutide (Ozempic/Wegovy), and tirzepitide (Mounjaro/Zepbound) .
The Mayo Clinic Diet is meant to be positive, practical, sustainable and enjoyable, so you can enjoy a happier, healthier life over the long term.
“When it comes to weight-loss and improving overall health, Physicians Premiere truly goes above and beyond in every aspect.
Tertiary tricyclic antidepressants (such as amitriptyline, imipramine, and doxepin) may cause greater weight gain than secondary tricyclics (such as nortriptyline and desipramine).72
Licensed psychologist Dr. Willo Wisotsky is committed to research and the clinical practice of eating disorders and obesity with its related medical and mental health conditions.
After your first scheduled appointment, which includes a brief physical and a review of your medical history, you are typically seen once a week.
Designed to help protect lean muscle mass while clients lose weight, there are also meal replacement options and supplements formulated with special ingredients designed to support healthy weight loss.

Most programs list participating providers on their websites. Individuals who are interested in starting a supervised weight-loss program must do so through an HCP. The costs of these programs vary depending on the services offered.

In patients with insulin-requiring diabetes, consider checking a c-peptide level to determine how much endogenous insulin the patient makes.
If the patient is not ready to make changes, then the plan is to follow-up at the next visit.
We know that many factors affect one’s weight, including genetics, metabolism, psychology and the environment.
Physician-led weight loss programs typically involve medical professionals, such as doctors or registered dietitians, guiding individuals through a structured approach to weight management.
When combined, these medications work to reduce appetite and assist in controlling eating habits.
Two years later, she’s maintained the weight loss.
There are numerous costs resulting from being overweight or obese.
His holistic approach to medicine and well-being can help through customized weight loss programs to help you reach your goals and improve your health and wellness.
” In other words, give information that could be absorbed as advice, and let the patient choose.

We create your personalized dietary program around your food preferences, body composition, metabolism and medical history. Each medically supervised weight loss plan is fully customized to your needs and goals. Get more information about our medical weight loss plan and connect with an expert. We specialize in medically supervised weight management plans and nutrition therapy. Insurance coverage for medical weight loss varies by plan and patient medical needs. UPMC’s weight loss experts will work with you to create an effective plan for healthy, non-surgical weight loss. They’ll help you to recognize unhealthy eating habits, emotional eating, and other personal barriers to weight loss. Our obesity medicine experts create personalized weight management plans for each patient. Discover how personalized physician care with real time and attention can transform your results. I’ve lost 20 pounds and feel healthier thanks to Dr. Corinne’s personalized care. Personalized consultations ensure the strategies and techniques you learn are tailored to fit seamlessly into your lifestyle, making them simple and effective to implement. These weight loss medications are more successful when combined with diet and lifestyle changes. The UCLA Health medical weight management program was among the first in the nation to offer very low-calorie diets (VLCDs) to successfully treat obesity. Look for programs where every member of the care team — from the head physician on down through the ranks of nurses and dietitians — has completed comprehensive weight loss training. Several studies suggest physicians may not adequately advise their patients about weight loss. Our dedicated dieticians are expertly equipped in dealing with patients specifically trying to lose weight with dietary changes and the use of medication. Topiramate is what’s known as an anticonvulsant medication, which both reduces appetite and makes the patient feel full sooner. Those with weight-related issues, such as high blood pressure or type 2 diabetes, can have a BMI as low as 27. It is typically recommended for patients with a BMI of 30 or greater. If you have binge eating patterns, emotional eating, or food addiction-like behaviors, DIY dieting often makes these worse. Medical weight loss addresses both issues simultaneously. If your weight is causing medical problems, this moves from “nice to have” to “medically necessary.” That’s why we offer an affordable, online weight loss program. We are committed to meeting our patients' needs by providing outstanding medical care and attending to the small details that can make a patient's visit as smooth and stress-free as possible. Using the shared decision-making approach, which includes the patient, a personalized plan will be designed. Physicians may be maximally effective in supporting weight management long-term by using patient-centered terms to describe excess weight (so that patients do not feel judged26) and sharing decision-making with patients. To identify and communicate with patients regarding obesity-related health risks, clinicians can elicit an obesity-focused review of systems, physical exam, and laboratory evaluation. Body mass index (BMI) is the recommended and most practical office-based tool to identify overweight and monitor patients over time.3 Individuals with a BMI of 25-2 are considered overweight, and those with a BMI ≥ 30 kg/m2, obese. I no longer feel hungry immediately after eating. Bupropion is an antidepressant medication that tapers one’s appetite. Phentermine is a stimulant that works by suppressing the patient’s appetite. We also focus on cognitive behavioral therapy to change thought patterns and behaviors as you adopt a healthy lifestyle. We offer comprehensive weight management services to meet you where you are in your weight loss journey. The treatment plan for a patient aiming to lose 20 pounds in one year will look very different from the treatment plan for a patient aiming to lose 200 pounds in three years. Your actual treatment plan will depend on your current weight and body fat, your overall health, your weight loss goals, and other factors. Find out about the benefits of medically supervised weight loss programs and how to choose the best option for your situation. The right program can make all the difference to your weight loss goals — and to your long term success in maintaining a healthy weight. If you think all physician weight loss programs are the same, think again. Alli® complements a healthy lifestyle, included a balanced diet, regular exercise and adequate hydration by drinking plenty of water. Qsymia® is a weight-loss drug initially approved by the FDA in 1959. This combination medication was approved by the FDA in 2012. Side effects are limited but can include cramps, gas, stool leakage, oil spotting and gas with discharge. Orlistat only allows your body to absorb two-thirds of the calories from the fat you consume. It is taken three times daily before meals containing dietary fat. After your first scheduled appointment, which includes a brief physical and a review of your medical history, you are typically seen once a week. We work together to determine the best weight management strategies for you. Our multispecialty team includes doctors, behavior therapists, clinical psychologists and registered dietitians. You meet with an endocrinologist for a weight loss history review and evaluation for underlying hormonal disorders. We also focus on the latest advances in nutrition education and weight management, as well as exercise and stress reduction. Factors that impact weight-management treatment decisions include life circumstances contributing to weight gain/loss (for example, receiving supplemental nutrition assistance, working night shifts, pregnancy, or marital changes), physical and mental-health issues, prior weight-loss attempts, drug-induced weight gain, current dietary and activity habits, and readiness to make lifestyle changes.8 It is important to identify the presence and extent of alcohol or tobacco use and any disordered eating behaviors, such as binge eating, bulimia, or night eating.9 Identification of an alcohol addiction, active eating disorder, or significant mental health issue may warrant referral to a mental-health professional.10 After identifying patients who are overweight, an obesity-focused history is critical for developing a tailored weight-management plan. Measuring waist circumference is particularly useful for patients who are overweight but otherwise “well.” A waist circumference ≥ 88 cm (35 inches) for women and ≥ 102 cm (40 in) for men reflects excessive abdominal fat and greater weight-related health risks than a patient with a normal waist circumference; weight management, therefore, may be particularly important for these high-risk patients.3,6,7 We help to identify and remove barriers to change and improve our patients’ relationship with food. While not a primary factor in weight loss, physical activity is necessary to prevent weight regain and improve long-term mortality regardless of weight. Obesity is a chronic medical condition, and similar to other medical conditions such as diabetes or high blood pressure, it requires a comprehensive approach to treatment. Serving patients in Ashburn, Gainesville, McLean, Fair Oaks and the entire DMV area. As leaders in weight management, we offer a range of services, from medical weight loss to bariatric surgery. It’s about making and maintaining healthy diet and lifestyle changes that improve our physical health and quality of life. That’s why it’s so important to choose the right physician weight loss program. It is designed to increase your weight-loss while you focus on living a healthy lifestyle. Regular follow-up appointments allow healthcare providers to monitor progress, adjust plans as necessary, and address any obstacles that participants may encounter. Initially, they will undergo a comprehensive evaluation, including a detailed medical history, physical examination, and potential lab tests to assess their current health status. Moreover, this approach is also suitable for individuals seeking guidance and support throughout their weight loss journey. Each of our six locations is fully stocked with products to aid your weight loss. We have been helping people lose weight and keep it off for over 40 years. Being healthy doesn’t have to be hard! Additionally, I liked that this was not a one-size-fits-all approach; they have other tools and medications if the first steps aren't successful. They help with every aspect of weight loss. Many have been through the programs themselves, which allows them to truly understand the experience as they support, guide and encourage clients all the way to their goal weight. Six distinct and effective weight loss systems have been developed to complement the monitoring process while meeting different lifestyle needs. If you are a Mayo Clinic patient, we will only use your protected health information as outlined in our Notice of Privacy Practices.

Without the oversight of a healthcare professional, individuals may fall prey to fad diets or unsustainable practices.
Together, these medications reduce appetite and increase feelings of fullness after eating.
These programs work as a transition to a healthier, self-prepared nutrition plan while offering education and support.
Instead, you'll eat tasty foods that will satisfy you and help you lose weight.
Also, weight regain is the rule upon drug cessation—thus, if patients meet drug-responsiveness criteria for body-weight loss at 3–6 months, drugs approved for long-term use should be continued.
You’re otherwise healthy – No diabetes, no high blood pressure, no sleep apnea, no joint problems.
You should consult with your insurance provider before starting a plan.

Two years later, she’s maintained the weight loss. By the time you have diabetes, sleep apnea, and joint damage, your health has already suffered consequences. Give DIY weight loss a genuine three-month effort. – Successful DIY weight loss takes significant mental bandwidth. It works by increasing the body’s natural production of insulin, which helps regulate blood sugar levels. Among those taking the higher dose, 48% lost 10% of their starting weight, approximately a 20-pound weight-loss for a person weighing 200 pounds. At the lower dose, 62% of individuals on Qsymia® lost 5% of their starting weight, which is approximately a 10-pound weight-loss for a person weighing 200 pounds. Our comprehensive programs can help you work to achieve your weight loss goals. Using the most recent scientific research on habit change, we will help patients develop a sustainable eating program complemented by an exercise program. Once approved for the program, the diet and medications are reviewed and adjusted each week as needed. In addition to meal replacements and products available for purchase, we offer several low-calorie and very low-calorie diet plans. This approach is effective at controlling hunger and allowing you to lose weight without losing muscle. Our multispecialty team includes pediatricians, surgeons, dietitians and psychologists. This information allows us to recommend an approach that works for your specific body type, making your plan more successful. We offer several weight loss injection treatments. Each location is staffed by experienced medical professionals, committed to creating a welcoming and supportive environment. His diabetes medication was adjusted as he went, preventing the blood sugar swings that had sabotaged previous attempts. The medication made it possible to follow the nutrition plan without constant hunger. She thinks of it like her mom’s blood pressure medication – a medical treatment for a chronic condition. Without the oversight of a healthcare professional, individuals may fall prey to fad diets or unsustainable practices. This holistic approach can make these programs more effective for many participants. For those who choose this path, the promise of a healthier, happier lifestyle often outweighs the difficulties, leading to sustainable results and improved overall health. Ultimately, weighing the benefits against the challenges will empower individuals to make the most informed decisions about their weight loss journey. They buy a new food scale, download a calorie tracking app, stock up on healthy groceries, and commit to the plan. It’s crucial for participants to engage in transparent communication with their healthcare providers to ensure that any medications or treatments are suitable for their specific health profiles. Following this assessment, tailored weight loss strategies will be provided, encompassing dietary modifications, exercise recommendations, and behavioral therapy techniques. This includes those facing underlying health conditions such as diabetes, hypertension, or metabolic syndrome. Physician-led programs incorporate behavioral therapy techniques to address emotional eating and develop coping strategies. Good programs address the psychological side too. Take a non-judgmental approach – You need a doctor who treats obesity as a medical condition, not a moral failing. Offer regular follow-up – Monthly visits during active weight loss, not “come back in six months.” Include nutritional counseling – Either they have a dietitian on staff, or they partner closely with one. They know what other medications you’re taking. However, this effect is lessened if you are losing weight. The Mayo Clinic Diet is meant to be positive, practical, sustainable and enjoyable, so you can enjoy a happier, healthier life over the long term. By continuing the lifelong habits that you've learned, you can then maintain your goal weight for the rest of your life. The Mayo Clinic Diet is designed to help you lose up to 6 to 10 pounds (2.7 to 4.5 kilograms) during the initial two-week phase. The Mayo Clinic Diet provides a choice of five different eating styles at several calorie levels. His doctor told him losing weight would help his blood sugar, possibly enough to avoid insulin. Mike is a 52-year-old who developed type 2 diabetes. She’s still on medication, and that’s fine.