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The Family Nurse Practitioner is responsible for providing a variety of professional medical services including administering physical examinations, annual physicals, managing chronic diseases including diabetes, high blood pressure, high cholesterol, obesity, prescribing medications, ordering films, and reviewing diagnostic tests if medically necessary.
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.
As you get closer to your weight loss goal, you’ll move into the Short-term Maintenance phase. During this short stage, you can slowly increase your intake of carbohydrates and calories. You'll introduce servings of starch, dairy, and normally there is an increase in the servings of veggies, fruits, and fat. Protein calories may stay the same or change. Most patients continue weekly visits.
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.
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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."
You don’t have to be an athlete to notice how nutrition can impact your performance. For you it could be your performance at work, in the gym, or at home with your family. Performance tells us a lot about your physiology. Whenever you feel low or are finding your performance is suffering, your motivation and desire to continue with the recommendations will diminish.
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