Congratulations! You are taking the first step in transforming
your health for the better by deciding to make important life-style
modifications to control you weight.
Taking control of your weight is not an easy, straightforward task. It takes willpower and hard work. There are no quick fixes in weight management;
rather it is an ongoing and often lifelong process of lifestyle
modifications. Weight management must
include a plan for both dietary changes and physical activity to be
successful. At Physical Express, the
goal for our weight management program is to partner with you to formulate a
plan customized to your health needs and your weight management goals. Below
you will find the outline of our weight management plan. Please feel free to call or email our office
with any questions.
Prior to
enrollment in our program you will need to:
1. Keep a food diary for at least 2 weeks and
bring with you to your initial appointment
2. Fill out the form for your personal
healthcare and weight loss goals and bring to your initial visit as well as
agreeing to and signing our weight loss program packet
3. Have initial lab work completed or
bring with you to the initial visit if it has been done elsewhere (must be
within last 6 months), for females of childbearing age, you will need to have a
negative urine pregnancy test the day of your first visit
4. You must also have a calculated Body
Mass Index (BMI) of greater than or equal to 30 with no health risk factors
(such as cardiovascular disease, high blood pressure, diabetes, etc.) OR a BMI of equal to or greater than 27 with at least
one health risk factor (such as cardiovascular disease, high blood pressure,
diabetes, etc.) to be on certain medications for weight loss
To remain in
the weight loss program you will need to:
1. Come to the office for weight checks and
review of diet and exercise plan monthly
2. Pass random urine drug screens if you
are prescribed controlled substances for weight loss such as phentermine
3. Loose a certain amount of weight each
month to remain on medication for weight loss
4. Once you reach your weight loss goal,
we will help you to transition off weight loss medications and maintain your
new, healthy weight
***Please be
aware that some insurance plans will not pay for weight loss programs or weight
loss medications. You are responsible
for all charges, up front, for weight loss visits.
Weight Loss Medication
Disqualifying Criteria
·
History
of Glaucoma
·
Hyperthyroidism
(over active thyroid)
·
Hypothyroidism
(under active thyroid) (unless on stable supplemental medication)
·
Mitral
Valve Prolapse / Regurgitation or any other Valvular Heart Disease that is unstable
·
Atrial
Fibrillation or other Cardiac Arrhythmias
·
History
of extrapyramidal disorders (tardive dyskinesia, chorea, athetosis, Parkinson’s
disease)
·
Concurrent
use of MAOI medications (ex. Parnate, Nardil, Eldepryl)
·
Systolic
BP greater than 140, Diastolic BP greater than 90
·
Calorie
intake less than 1200 per day
·
Body
Mass Index less than 27 (unless comorbid conditions exist)
·
Age
less than 18 years or greater than 70 years
·
History
of pulmonary hypertension
·
Adverse
reactions to appetite suppressant medications
·
Concurrent
use of other stimulant medications (ex.
ADHD medications), use of certain anti-depressant medications, use of
certain anti-anxiety medications (Xanax, Klonopin, ect.), concurrent use of certain sleeping medication such as Ambien, trazadone, Lunesta, ect., and concurrent use of
prescription pain medications such as Norco, Oxycodone, Percocet, etc.
·
Pregnancy,
planning pregnancy, or breastfeeding
·
History
of alcohol abuse, substance abuse or abuse of prescribed medications
·
Failure
to progress on weight loss medications in the past
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