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.
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Lastly, you enter the Wellness Phase when you have met your goal weight. Monthly visits help to keep you on track with your long-term weight maintenance plan, and additional testing and supplements may be suggested. During this phase, the dieter moves to a 40/30/30 eating plan where 40 percent of calories consumed come from carbohydrates, 30 percent come from fats and 30 percent come from protein.

Our free monthly support groups provide opportunities before and after surgery to learn and ask questions of our dietitian, psychologist and bariatric nurse, as well as patients who share their personal stories about the challenges and successes of weight loss surgery. Support groups are open to anyone who has had or is planning to have weight loss surgery.
We never pass your personal details to a third party unless we have a contract for them to process data on our behalf and will otherwise keep it confidential. If we intend to refer a patient to another practitioner or to secondary care such as a hospital we will gain the individual’s permission before the referral is made and the personal data is shared.
"I have spent much of my life on one diet or another and this is the first programme that has really made a long term difference.  I have stopped yo-yo-ing up and down and I have finally managed to stabilise. My weight is pretty much at the same level that it was at the end of my plan and that was nearly two years ago - that's what I call a result!"  
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.

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.

• If you are a patient of the practice you have the right to withdraw consent for important notifications, newsletters, surveys or marketing. You can inform us to correct errors in your personal details or withdraw consent from communication methods such as telephone, email or text. You have the right to obtain a free copy of your patient records within one month.
“It is great to be able to offer our patients a safe and effective non-invasive solution to fat loss that delivers impressive results without any downtime. The exciting development this device brings to the market is the ability to focus the ultrasound energy below the skin and destroy the fat cells without any harm to neighbouring tissues. The effect is permanent, so long as the patient maintains good diet and exercise.” Mr Christopher Inglefield

My name is Monica, I am a qualified and registered nutritionist. I am Italian and lived and worked in many European countries until 2009 when I finally settled in England. I graduated from the Institute of Optimum Nutrition after four years of studying and clinical training. I have also trained under Patrick’s Holford’s Zest4life team qualifying as a weight loss and wellbeing coach. In 2014 I was awarded the Dian Shepperson Mills Prize for “Outstanding Performance in Clinic”.
Phase 2: Get in the zone: lasts for 14 days and is the strictest part of the programme.  Some people can get detox and withdrawal symptoms (headaches, cravings, etc).  I have other people who can feel hungry while they go through this adjustment phase.  It is best to avoid exercise during this phase.  At the end of this phase energy is increased and the weight loss results are usually very motivating.
Looking to lose weight, boost your metabolism and finally put an end to emotional eating? If so, then it is time for you to join Toronto and London's #1 weight loss clinics– The Shulman Weight Loss Clinic. After spending over a decade in the weight loss world and writing two best selling weight loss books, Dr. Joey Shulman has developed a unique approach to personally address your metabolism at any age. At the Shulman Weight Loss Clinic, the programs are hormonally balanced in order to maximize your metabolism’s potential. The emphasis is on achieving blood sugar control with quality calories and personalized meal plans. Private, personalized in a 1 on 1 setting, metabolic testing and....results for life! Winner of the Consumer's Choice award for the #1 weight loss clinic in the Toronto area. 

Secondly, our nutritional approach uses a method that has been shown to be much more user friendly than counting calories (calories on food packaging can be out by up to 25%!) and doesn’t rely on weighing every morsel of food that passes your lips. Our nutritional approach is about achieving optimal health while gradually increasing the quantity of food you are allowed while supporting muscle growth and fat loss. This is important as the industry ‘standard’ approach is to restrict/decrease food as time goes on which leads to muscle breakdown and a lower metabolism – both of which are disastrous as far as fat loss is concerned.
Angelique is charismatic, knowledgeable and really encouraging – she is so connected to what foods benefit our systems and about what will make us feel well. Her weight loss programme is excellent and it is so refreshing to learn about food from a nutrition perspective rather than endless calorie counting. I can absolutely recommend that everyone goes to see her and learns about nutrition and what we can do to improve ourselves!
Description The Medi-Weightloss® Program is not a diet; its a lifestyle change! Get off the dieting roller coaster and rejuvenate your life, learning to live healthy and lean for a lifetime through a three-phase, physician-supervised weight loss program that works. In each location, patients receive a VIP experience from caring, experienced healthcare professionals and an abundance of hands-on support, education, and accountability. Our trained professionals help make your weight loss journey stress free and uncomplicated. Its true! Come see for yourself!
**Discount split over 12 consecutive weeks with weekly full menu purchase (avg. $156 US/$175 CAN). Any shipping costs are extra. Valid only at participating centers and JCA. Not valid at jennycraig.com. New members only. No cash value. Offer ends 3/29/19. Must redeem coupons by 6/14/19. Not valid with any other food offers or discounts. One offer per person.
Bariatric surgery is saving lives and benefiting people struggling with morbid obesity worldwide. With each successful procedure, the medical community sees further evidence that bariatric surgery is an effective weight loss tool and treatment for obesity-related health conditions. Many studies show that bariatric surgery patients are living longer, higher-quality lives.
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**Discount split over 12 consecutive weeks with weekly full menu purchase (avg. $156 US/$175 CAN). Any shipping costs are extra. Valid only at participating centers and JCA. Not valid at jennycraig.com. New members only. No cash value. Offer ends 3/29/19. Must redeem coupons by 6/14/19. Not valid with any other food offers or discounts. One offer per person.

However, if your life is chaotic it can be really difficult to focus successfully on the plan.  People who work extremely long hours; never do grocery shopping; hardly cook or prepare food at home; travel every week for business; spend most of their meals out socialising or at work events…..these situations make it really hard to do the plan well (although I have had clients in very demanding jobs who have made it work)


According to the National Institute of Health and Care Excellence, there has been a huge increase in obesity in the last few years, with roughly a quarter of adults in England being classed as obese. Through safe weight loss at HYPOXI Weight Loss Clinic London you can reap health benefits such as an improved life expectancy compared to before your weight loss. A BMI between 30 and 35 is known to cut life expectancy by up to four years while a BMI above 40 takes a decade off your life expectancy.
How much weight will I lose? : it really does depend on how much weight you have to lose in the first place and how well you stick with the programme.  I have seen 3-4 kg lost in the first two phases (2 weeks and 2 days) through to a staggering 10kg.  For most people the first two phases sees the most dramatic loss in weight after which point is does slow down a bit.  One lady on the plan at the moment has lost 7kg and she is a couple of weeks into phase 3 (more relaxed phase where one weekly treat meal is allowed) and is half way to her total weight loss goal.

This programme takes a new ground-breaking approach to weight loss and healthy eating! You’ll get much more than a new diet/eating plan – the programme will get to the root of why you overeat and continue to struggle with your weight. Above all else we’ll address the emotional and psychological aspects of your struggle with your weight and food, as well as covering motivation, stress, overcoming cravings, self-esteem, physical activity and a whole lot more. Together with your weight loss coach you will develop and follow a program where you only do what works for you and learn the skills you need to successfully stay slim and healthy for life!
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