southcoast weight loss centerweight less than 450 pounds + medical weight loss for higher weights...
TRANSCRIPT
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Southcoast Weight Loss Center
Medical Weight Management
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- F.R.E.S.H Start Program
- Weight Loss Medication
- Weight Loss Surgery
Weight Management Treatment Options at our Center
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F.R.E.S.H Start ProgramF = Fits with your lifestyle R = Real Food E = Energy S = Support H = Healthier You
Focuses on Therapeutic Carbohydrate Reduction (TCR) as a way to improve metabolic health
What is Therapeutic Carbohydrate Reduction (TCR)?- Primarily a real foods, whole foods lifestyle. Beware of the word “diet.”
- Any nutrition plan that contains fewer than 130 total grams of carbohydrate per day.
Multidisciplinary program that supports you with guidance from:• Physicians• Nurse Practitioners• Dietitians• Behavioral Health Specialists
Offers Nutrition Education and Support Groups
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Benefits of TCR
Conditions that improve:ObesityInsulin ResistanceType 2 DiabetesHypertriglyceridemia (High Triglycerides) Fatty LiverHypertension (High Blood Pressure)Mood Disorders MigrainesPCOSIrritable Bowel Syndrome (IBS)Binge Eating DisorderMild Chronic Kidney Disease
+ Conditions that make TCR more difficult (but not impossible): Type 1 Diabetes, prior Cholecystectomy, Developmental Delays (unless there is a support system), Severe psychiatric conditions (uncontrolled Bipolar, Schizophrenia, etc).
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Step 1: Online informational presentation and video
Step 2: Consultation with Dietitian
Step 3: Consultation with Physician or Nurse Practitioner
Step 4: Behavioral Health Appointment(Not all patients will require an appointment with a Behavioral Health Specialist)
Step 5: Nutrition Class (optional)
Step 6: Support Groups (ongoing)
Program Outline
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Consultation with Dietitian
Weight history
Assess current eating behaviors such as:• Quality of food • Quantity of food• Timing of Meals
Personal preferences and cultural traditions are taken into account.
Assess barriers to success, and suggest solutions.
Emphasize less processed, more whole foods, fewer refined grains/sugars. Encourage protein, healthy fats and non-starchy vegetables at meal times
Create a framework for a style of eating that you are agreeable to
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Consultation with Physician or Nurse Practitioner
Medical and Weight history—Comorbid Conditions Patient’s main motivating factor for seeking treatment PCP Concerns Nutrition History Family History (including clues to genetic syndromes) Social history, especially substance abuse/addictive behaviors Potential barriers to success, including health literacy Medication adjustments that played a role in weight gain Pertinent exam Labs to rule out secondary causes (e.g., TSH, cortisol)
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Consultation with Behavioral Health Specialist
Referral by Physician, Nurse or Dietitian for patients who struggle with:+ Specific eating behaviors such as eating disorders, emotional
eating, food addiction
Typically 2 individual sessions
Continue to offer guidance and support at group meetings
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Follow up schedule will vary for each patient depending on treatment plan
Labs (if needed) Troubleshooting/Predicting roadblocks Deprescribing Communication with healthcare team Support groups Liberalizing the diet once goal is reached.
Follow-up
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We don’t make people eat anything they don’t like or that makes them sick
We respect your ethical choices
We can work within your budget. We are just taking out the food-like substances that don’t serve your body well
We treat everyone as an individual and make individualized recommendations
Nutrition Class and Support Groups are optional but very much encouraged!
Program Rules
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Indications for Weight Loss Medications
Difficulty achieving healthy weight with lifestyle alone. Patient and prescriber agree that potential benefits outweigh
risks. BMI greater than 30, OR BMI greater than 27 with at least one comorbid condition such
as:+ Diabetes type 2, impaired fasting glucose/prediabetes,
hypertension, hyperlipidemia, obstructive sleep apnea, fatty liver disease, coronary artery disease, polycystic ovarian syndrome
+ or any of the less-frequently identified conditions associated with obesity such as stress urinary incontinence, arthritis, asthma, and depression (to name a few.)
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Pregnancy Breastfeeding
Inability to follow up Drug interactions
Active cancer treatment
Narcotic abuse Unstable psychiatric condition
Age (relative contraindications at both ends of the age spectrum)
Contraindications to Weight Loss Medication
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Please watch video onWeight Loss Medication
By: Dr. Jessica Inwood
https://www.youtube.com/watch?v=LpNFOvNtMuk&feature=youtu.be
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Weight Loss Surgery
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Types of Surgeries Performed at Southcoast
Roux-en-Y gastric Bypass Sleeve Gastrectomy
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Who is a candidate for Surgery?
BMI of 40 or over
BMI of 35-40 with significant co-morbidityHigh blood pressureDiabetesSleep apnea
Documented dietary attempts ineffective
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Weight less than 450 pounds + Medical weight loss for higher weights (400-450 lbs) then
surgery
AGE 18 or older
Nonsmoker Non-negotiable
Drug and Alcohol dependence free
No uncontrolled psychological conditions
Patient agreeable to lifestyle changes
Weight Loss SurgeryFOR OUR PROGRAM…
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Educational Seminar
Surgical Evaluation
Nutritional evaluation
Psychological evaluation
Workshops
Nursing education
Lab work and Testing + Medical
clearance
Surgery
3-6 months
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Insurance Coverage
Insurance will likely cover:+ Physical and medical workup+ Weight loss Surgery+ Consultation with Physician+ Consultation with Dietitian
+ Medicare only covers nutrition visits if you have a diagnosis of Diabetes or Renal Disease
**Please check with your insurance plan regarding your specific coverage for medical weight loss treatments or weight loss surgery
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Mindset for Success
Reasonable expectations
Willingness to change your lifestyle
Maintaining scheduled appointments
Participation in Support Groups
Regular exercise (if able)
Remaining aware of food intake and body weight
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Next Steps:
Make an appointment:
Call 508-973-1850
OR
Submit an interest form and our staff will contact you
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Thank You!