What to expect on the first visit

for weight loss consultation

1. Before the first visit for weight loss

 

Prior to your first visit for weight loss, please complete the registration

 

We require that your annual physical be completed within the past 365 days prior to your weight loss consultation.  The annual physical gives us the necessary information to best guide and develop your comprehensive weight loss plans. 

 

In general, one of the two scenarios will occur on your visit for weight:

Scenario #1:  If you choose us as our your primary care, then your first visit will be a physical.  If you already had your annual physical completed, then see scenario #2.

Scenario #2:  If you already had your annual physical in the past 365 days or if you prefer to keep your current primary care team, then please bring copies of the following information with you on the first visit: 

  1.  EKG/ECG

  2.  CBC (complete blood count)

  3.  CMP (complete metabolic panel) or BMP (basic metabolic panel) plus hepatic panel (liver enzymes)

  4.  Lipid (cholesterol panel)

  5.  TSH (thyroid stimulating hormone)

Hint:  Use your current primary care practice's portal to download the above information.

If you have these documents, then we can likely start your sustained weight loss journey.

2. During the appointment/visit for weight loss

As with any medical appointment, your history, vitals signs, height and weight will be taken.  Your abdominal circumference will be measured.  Additional weight related forms will be given to you to be completed. 

During this visit, the team teaches you about the disease of unhealthy weight and the current data for treatment.  The team will also review your data, develop the best courses of actions, and finalize your goals and prescriptions.  Most of the time, patients will be given prescriptions for nutrition, exercise, self-monitoring, and appetite controlling medications.  With some patients with very complex medical conditions, the team may need to focus first on reducing weight-promoting medications prior to initiating appetite controlling medications.

 

3. After the visit and follow up

 

If additional work up is needed, then we will help you coordinate the appointments. 

 

You should be ready to follow up every 2 weeks for the first 2 months.  If the you are on track (losing weight appropriately) after 2 months, then follow up appointments will be monthly.  During follow up appointments, data on nutrition, exercise, and self-monitoring are reviewed along with the effectiveness of the medications.   

 

Lab Checks:

 

Periodically, we check your liver and kidney function (blood work) for safety (as with any new medications).  After you lose at least 5-10 percent weight loss or after you achieve your weight loss goal, we will also recheck your cholesterol and A1C (if you are diabetic/prediabetic).  Remember, this program requires your commitment to change your life-style.  Any commitment worth fulfilling requires time, energy, and work.

If you're ready, bring the motivation; we bring the training and knowledge. Together we bring down your weight with successful sustained weight control.  Book an appointment below.

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