Dr Sarkhel has basic psychiatric training in Adult Psychiatry, Old Age Psychiatry, Child and Adolescent Psychiatry, Learning Disability, Forensic Psychiatry, Psychotherapy and Substance Abuse. He then completed specialist Registrar training in Adult Psychiatry, Old Age Psychiatry and Liaison Psychiatry. He has published a number of research articles in peer-reviewed journals and is an examiner for The Royal College of Psychiatrists.
I love the Metabolic Balance programme and find that it can get amazing results for some people.  I have had people in my clinic crying with frustration over the fact that they can’t lose weight because “NOTHING WORKS ANYMORE”.  Yet after a few weeks on the programme they see significant weight loss.  I know as soon as I write that your next question is ‘so how much weight did they lose?’ …..it depends (more below)
The London Obesity Practice at the London Bridge Hospital is pleased to announce the launch of an innovative obesity therapy aimed at patients with a BMI of 30+. The therapy focuses on healthy eating habits and portion control and consists of 2 parts. Firstly, an intra-gastric balloon, known as the ReShape Duo, is inserted endoscopically in an outpatient procedure, and remains in the stomach for a 6 month period, occupying space in the stomach making the patient feel full. Secondly, the patient is supported by a dietician for the 6 months while the balloon is in place and given advice on portion control and support to develop healthy lifestyle habits.

Bariatric surgery is the general term for a variety of weight loss surgical procedures that reduce the size of the stomach, helping patients to lose weight and maintain health through reduced consumption, healthy eating and exercise. The surgery is a tool, not a cure, to help treat weight problems. Our mission is to help patients transform their lives through surgical weight loss when nonsurgical attempts have been unsuccessful.
A: The patented UltraShape technology uses a handheld ultrasonic transducer to deliver controlled focused ultrasound at a precise depth within the fat layer. The technology is selective, meaning that only fat cells are broken down and surrounding important structures such as blood vessels nerves and connective tissue remain intact. The treatment area is marked and each point within that designated area is treated only once to ensure complete and uniform treatment.
Phase 4: Maintenance: most people start this phase at week 12, though it does depend on how much weight you have to lose.  During this phase I work with you to make the programme become a long term way of life.  I show you how you can gradually expand your food list and explain which foods you should you should keep in moderation.  You will end up in a place where you will instinctively know how to stay in balance.
Promotional value expires 120 days after purchase. Amount paid never expires. Appointment required. Merchant's standard cancellation policy applies (any fees not to exceed voucher price). Limit 1 per person, may buy 1 additional as gift. Limit 1 per visit. Must use promotional value in 1 visit. Valid only for option purchased. All goods or services must be used by the same person. May be repurchased every 90 days. Merchant is solely responsible to purchasers for the care and quality of the advertised goods and services.

When it comes to overcoming weight problems, psychotherapies can help. It can increase one’s body-image, as well as improving motivation and confidence in being successful to achieve weight loss goals. Treatment can also help individuals find more effective coping strategies rather than binge-eating and provide the individual with a stress management kit.
Sustained weight loss for patients who are morbidly obese—usually defined as being 100 pounds or more over ideal body weight or having a body mass index of 40 or higher—is even harder to achieve. And serious health risks have been identified for people who move from diet to diet, subjecting their bodies to a severe and continuing cycle of weight loss and gain known as "yo-yo dieting."
Contact us today to book a private consultation with one of our specialists at The London Obesity Clinic. During your appointment you will be holistically assessed and a bespoke weight management plan will be designed for you. We take into consideration everything from your previous weight loss experiences, medical conditions, eating and sleeping pattern to your social environment and childhood.

Bariatric surgery is the general term for a variety of weight loss surgical procedures that reduce the size of the stomach, helping patients to lose weight and maintain health through reduced consumption, healthy eating and exercise. The surgery is a tool, not a cure, to help treat weight problems. Our mission is to help patients transform their lives through surgical weight loss when nonsurgical attempts have been unsuccessful.
Why do we wrestle with what we eat and how much we eat? Sometimes we eat the right foods in the right portions, and sometimes we eat the entire dinner table and all the wrong foods. Why is it so hard to eat healthfully? Whether you're trying to lose a few pounds or maintain a nutritious diet, you'll find many of your eating habits are due to emotional eating. So weight loss or weight gain become more an issue not of what you eat, but how you feel when you're doing it.

You will not necessarily burn more fat using a ‘fat burn’ program on the treadmill which keeps you in an intensity of 50 – 60% of your max heart rate. There is evidence to show that exercising at a light to moderate range burns more fat than strenuous exercise as the body has greater access to use fat as a fuel during these lower intensities. As you can see in the table below, a percentage of fat is used during all intensities of exercise, but at different rates. Because the rate of fat use is slow during light to moderate exercise, it is important to increase the duration of your exercise session – minimum of 30 minutes progressing to 60 minutes.
adjustments that will allow you to best achieve your short & long term goals. Our primary goal is to help you reach your target weight quickly & safely. The focus of care is to allow you to maintain your weight loss permanently. We promote a healthy lifestyle & maintaining a healthy weight for a LIFETIME. We have a far-reaching service area including London, Somerset, Corbin, Hazard, Mt Vernon, Barbourville and Williamsburg. In addition to our weight loss program, we offer services including Lipovite, B-12 injection, skin care, facials, & more. Lipovite injections give you a boost in metabolism, reduce water retention and provide you with needed energy. Less
Sustainable weight loss – You’ll not only lose weight, but you’ll end the yo-yo dieting cycle so that you keep the weight off permanently. Our long-term approach means that you’ll not only lose weight and get fitter and healthier, but you’ll also tackle the underlying causes of your past eating patterns and weight gain so they become a thing of the past.
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You will receive a customized weight loss program that includes personal medical counseling from a board certified physician and dietary counseling from a licensed, registered dietitian. We will monitor your progress and make the necessary adjustments that will allow you to best achieve your short and long term goals. Although our primary goal is to help you reach your target weight quickly and easily, the focus of care is to allow you to maintain your weight loss permanently so that you will not put the weight back on after you complete our medical weight loss program.
The free information sessions throughout the year offer education about obesity and its related health risks, detailed information about weight loss surgery options, an opportunity to meet our surgeons and members of the bariatric team and talk with an insurance specialist. Former patients are often on hand to describe their experiences. These sessions are mandatory for anyone considering weight loss surgery. Family members and friends are welcome to attend.
Francine Joyce is a French nutritionist who graduated in Dietetics in Paris and is now on the French Embassy’s register in London. She has worked in hospitals in France (in oncology, geriatrics, surgery and endocrinology) and the UK (in intensive care, and gastroenterology at the Bupa Cromwell Hospital London) and for the Prader-Willi Association (for patients suffering from genetic obesity). She has also taken part in research studies in the food industry, in particular for the Danone Group.
A: Clinical results show that in three treatments, patients see an average of 4 cm reduction in circumference. Clinical trials have shown an average of 2 cm reduction in circumference even after a single treatment. As with any non-invasive procedure the results you see may differ from the clinical trial results. The Doctor will be happy to discuss this in detail with you during a consultation.

During the first phase, also called the Acute Weight Loss phase, you will eat primarily protein foods to get your body into ketosis. Calorie counts during this stage may be low. There are several media reports and reviews from patients stating that they were given daily goals in the 500-800 range. According to the company, those claims are not true:
When it comes to overcoming weight problems, psychotherapies can help. It can increase one’s body-image, as well as improving motivation and confidence in being successful to achieve weight loss goals. Treatment can also help individuals find more effective coping strategies rather than binge-eating and provide the individual with a stress management kit.
Read, watch and listen to some of the success stories from our inspiring members! We have kept our testimonials honest and raw to show that the road to weight loss isn’t always a straight one and that’s okay. Also we are absolutely against photo-shopping the body shapes of our clients as we are proud of all their achievements no matter what size! Please note that in some cases we use alternative names and images to preserve identities of clients who wish to remain private.

When it comes to dieting and exercise, there is a lot of talk of ‘willpower’. This can backfire and make a person feel bad about them. For example, a person that has tried to unsuccessfully lose weight over and over again will end up feeling they have no willpower or are lazy. With a bit of careful thought, one can see why such an assumption is irrational. How can a person that has tried dieting over and over again be lazy? In the same way, people that talk about willpower tend to have an extreme and radical view of dieting and exercise, and their militant approach to weight loss might not apply to everyone.
Most nonsurgical weight loss programs are based on a combination of diet, behavior modification and regular exercise. Unfortunately, even the most effective interventions don't work for everyone. It's estimated that less than 5 percent of individuals who participate in nonsurgical weight loss programs will lose a significant amount of weight and maintain that loss for an extended period of time.
They value the clients and motivate them to be creative and innovative when it comes to their grooming and beauty. Above all, Balayage provides them with a soothing and healthy environment where they can avail the services of the salon in a friendly atmosphere. Some of the treatments offered are from high-quality hair conditioning services, hair colouring and haircuts for women, men and children to manicures, pedicures, threading, waxing, body exfoliations and much more.
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