Some patients have a need for other consultations (for example, with a consultant psychiatrist/ full course of psychological therapy, or a sleep apnoea consultant), or may require blood tests, electrocardiograms, echocardiograms, or overnight sleep oximetry; these would all be separately charged. If a patient requires more frequent support or help – including additional consultations or weekly support, these will be charged in separately.
Prior to your first appointment with the doctor, we will first need to establish your BMI ( body mass Index) as you need to have a BMI in excess of 30 (27 with associated comorbidities), not be taking any medication for conditions such as epilepsy or depression, and provide confirmation that you are over the age of 18 (ID required) before any appointment can be offered.
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.
The ReShape Duo, developed by California-based Reshape Medical, is the world’s only dual intra-gastric balloon. The dual balloon has 3 potential advantages over traditional single gastric balloons: the shape of the dual balloon fits the natural curvature of the stomach, allowing it to sit in a more comfortable position; the two balloons can hold up to 900ml of saline occupying more space in the stomach,; and as each balloon is filled and sealed independently, in the unlikely chance a balloon should deflate, the other balloon will hold the device in place until it can be removed.
Dr C.Rajeswaran (Raj) is a consultant physician in diabetes, obesity & endocrinology working in a large hospital within the National Health Service, United Kingdom. He has clinics across the country including several clinics in Nuffield hospitals and also runs the reputed ‘The London Obesity Clinic’ at 10, Harley Street, London. He is extremely passionate about weight management and more so for people with diabetes. His specialist interest includes complex severe obesity, diabetes and diabesity.
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.
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.
While our goal is to ensure you are successful in losing weight and feeling your best self, our primary objective is maintenance and long-term success. The Shulman Weight Loss team feels enormously proud to be leaders in the field when it comes to helping our clients lose the weight for life! Once you hit your goal weight, it will be our pleasure to suit you with a maintenance program that ensures your success will last.
I have been helping clients to loose weight for over ten years now. My success has lead to employment in the film industry across dozens of films and I have also been employed to optimise the body composition of athletes to help improve their athletic performance. The majority of my work however, is with average, everyday people in my clinics in and around London.